212.644.6454     New York Dermatology         
30 East 60th Street 
 (Park/Madison)       
8th Floor Suite 805 New York, NY        
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                                Acne Vulgaris Treatment Center
                    Opened 7 Days a Week for Treatment in New York, NY

   At Acne NYC at the Acne NYC Treatment Treatment Center in New York, NY we believe that acne during adulthood is very common. Adult acne can be a continuation of teenage acne that never ended ("persistent acne") or can appear for the first time in people in their 30s, 40s, or even 50s ("late-onset acne").


Causes of adult acne.

Acne in adults can be triggered by several factors, including the following:
Hormonal activity. Hormones are the main culprit in the worsening of teen acne (when hormonal fluctuations are most active) and can also play a role in adult acne, especially among women. Hormonal fluctuations are common during menstruation, pregnancy, and menopause. Women who stop taking birth control pills might also get acne. Stress can also lead to hormonal changes and acne worsening. Under stress, the body produces more androgens, which stimulate sebum production.

Other medications. Anticonvulsants, corticosteroids, and certain medications can have several side effects, including acne. Do not stop taking your medication if this happens. Instead, talk with your doctor to discuss alternatives or adjusting the dosage. Oral contraceptives containing both estrogen and progestins are sometimes used to prevent acne in women, but progestin-only birth control may worsen acne.

Family history. You may be predisposed to have acne if members of your immediate family (such as a sibling or parent) have had acne,
Cosmetics. Oily lotions or hair product may promote acne. Choose products labeled “non-comedogenic” or “non-acnegenic.”
Another health problem. Acne can signal an underlying medical condition, including polycystic ovaries or problems with the adrenal system.

Adult acne treatment options

As with adolescents, acne treatment recommended is based upon several variables including:
the type of acne (comedonal, inflammatory)
its location
your skin type (dry vs. oily skin)
severity (mild, moderate or severe)
your gender (some treatments optimal for one gender and not another)
responses to past treatments

Topical acne medications

Topical medications are applied directly to the skin to bring acne under control. For acne that doesn’t respond to benzoyl peroxide or other over-the-counter medications, your doctor may prescribe something stronger, such as a topical retinoid.

Topical retinoids have emerged as one of the most effective treatments for acne because they are believed to work at eliminating lesions at an early stage (called the microcomedone phase). They may be used alone or in combination with other medications. Long-term use of a topical retinoid may be prescribed to maintain clear skin. Brands of topical retinoids include Differin™(adapalene), Epiduo™(adapalene + benzoyl peroxide), Retin A Micro™(tretinoin), Tazorac™(tazarotene), or Ziana™(tretinoin + clindamycin).
 
Oral acne medications

Your physician may prescribe oral antibiotics (minocycline, Solodyn), alone or in combination with other prescription-strength acne medications to fight p. acnes, the bateria that makes acne lesions become more inflammed.

Some oral medications are prescribed to control the underlying hormonal trigger of acne among women. These hormonal treatment options include oral contraceptives (Yaz, Ortho Tri-Cyclen), hormone replacement therapy (HRT), and spironolactone (aldactone). HRT is not commonly used to treat acne in pre-menopausal women and should never be taken during pregnancy.

For the most severe, unresponsive cases of acne, oral isotretinoin (Amnesteem, Sotret) may be prescribed. Isotretinoin is one of the most effective treatments for severe acne, but it has serious side so treatment with isotretinoin requires working closely with a dermatologist.

Adult acne skin care

Clean skin gently. Use a mild skin cleanser twice a day, and pat skin dry. Harsh cleansers and astringents can actually worsen acne.
Do not pop, squeeze, or pick at acne lesions, as this can promote inflammation and infection. Keep hands away from your face and other acne-prone parts of the skin.

Avoid touching your face with your hands. Keep hands away from your face, and wash your hands often, in case you do touch your face.
Limit sun exposure. Tanning only masks acne at best. At worst, sun exposure can lead to skin damage, especially if you are using an acne treatment that makes your skin more sensitive to sunlight and UV rays (this includes tanning booths).

Choose cosmetics with care. As mentioned above, choose non-greasy skin products, and look for words like non-comedogenic and water-based.
Be patient with your treatment. Find out how much time it should take for your acne treatment to work (generally 4-8 weeks), and then stick with it. Stopping treatment early may prevent you from seeing good results or even cause a relapse of symptoms.

New York Dermatology by Board Certified  Dermatologist Dr. Gary Rothfeld  is a board certified NYC  Dermatologist with a  New York City office in Manhattan, New York  providing expert skin care, dermatology, and cosmetic dermatology services.  A Park Avenue practice with an international reputation in general, cosmetic, and surgical dermatology.

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Dr. Rothfeld, recognized by the by the entertainment industry of America as one of the best dermatologists in Manhattan, has organized a comprehensive skin care center offering personalized state of the art services including medical,pediatric, and cosmetic dermatology. 


New York Dermatology serves the following neighborhoods within New York (NY), which are in close proximity to our office:
Upper East Side Dermatology, Fifth Avenue Dermatology, Park Avenue Dermatology, Madison Avenue Dermatology, Upper West Side Dermatology, Midtown Dermatology, Lower East Side Dermatology,Chelsea Dermatology, Gramercy Park Dermatology, Murray Hill Dermatology,  Greenwich Village Dermatology, East Village Dermatology, West Village Dermatology, Soho Dermatology, Tribeca Dermatology, Meatpacking District Dermatology, Sutton Place Dermatology, Wall Street Dermatology, Hells Kitchen Dermatology, and the boroughs of Brooklyn Dermatology , Bronx Dermatology, Queens Dermatology and Staten Island Dermatology.
Dr. Gary Rothfeld is recognized as one of the best Dermatologist in New York, NY, Manhattan, NYC, New York City and the nation by the entertainment industry in the United States of America. At New York Dermatology headed by board certified Dermatologist Dr. Rothfeld, sees patients  7 days a week including Saturday and Sunday.

                  We accept all credit cards  as well as debit cards for payment of services.

Open 7 Days A Week — Se Habla Español

 New York Dermatology
Board Certified Dermatologist 
30 E. 60th St. Ste. 805 (Park Avenue)
New York, NY 10022

212.644.6454