We are also active in a support group for patients with cicatricial alopecias.
Dr. Gary currently runs the Alopecia service at Alopecia Areata NYC Treatment Center and the Hair and Scalp Disorders in New York, NY which includes a support group for patients with alopecia areata. 
We see patients with non-scarring alopecia including telogen effluvium, androgenetic alopecia, and alopecia areata, as well as those with scarring alopecia including central centrifugal cicatricial alopecia, lichen planopilaris, frontal fibrosing alopecia, discoid lupus erythematosus, folliculitis decalvans, acne keloidalis nuchae, and dissecting cellulitis of the scalp.
There are several different treatment options for Alopecia Areata at the Alopecia NYC Treatment Center in New York, NY.
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Alopecia areata-patchy pattern
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Alopecia areata-ophiasis pattern
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Alopecia areata totalis pattern
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One option at Alopecia Areata NYC is applying a strong topical steroid such as Diprolene or Temovate to the patch. It may take several months for the hair to grow back using this method.
Another common therapeutic option is injection of a steroid, such as Kenalog into the involved scalp skin. Initial regrowth of hair can be seen in 4-8 weeks and treatments are repeated frequently.
The main side effect from any steroid use is thinning of the skin . Alopecia Areata Treatment Center in New York, NY is opened 7 days a week for examinations and Treatment.
Alopecia areata is hair loss of unknown cause, characterized by round patches of complete baldness.
Symptoms
The primary symptom of alopecia areata is roundish patches of hair loss on the head, with smooth, hairless scalp in the affected areas. Alopecia totalis involves the complete loss of all scalp hair, and alopecia universalis is characterized by the complete loss of all scalp and body hair.
Hairs that look like exclamation points are sometime seen at the edges of a bald patch.
Treatment
No fully effective treatments are available. Typical therapy includes:
- Topical corticosteroids (medium to very high potency)
- Subcutaneous (under the skin surface) steroid injection
- Ultraviolet light therapy
- Contact sensitization treatment
- Irritating agents may be applied
- hairless areas to promote regrowth
- making the patient allergic to a substance
- chemical called diphencyprone
- applying this chemical to the bald patches
- once a week to maintain a mild inflammation
- Side effects itching, blistering and enlarged glands in the neck
- Some people can get widespread eczema
Causes
The specific cause of alopecia areata is unknown. A family history of alopecia is present in about a fifth of all cases. Alopecia areata is occasionally associated with autoimmune diseases.
Alopecia may also occur as alopecia totalis with complete loss of scalp hair or as alopecia universalis with total loss of all body hair.
Tests & diagnosis
On occasion, a scalp biopsy may be performed.
Prognosis
Full recovery of hair is common. However, alopecia areata occurring at a young age, prolonged alopecia, or the presence of eczema (atopic dermatitis) often predicts a poorer outcome.
Complications
Permanent hair loss is a possible complication of alopecia areata.
When to contact a Dermatologist
Call (212) 644-6454 for an appointment with our board certified Dermatologst Dr. Rothfeld if you are concerned about hair loss in New York, NY
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I personally see every new patient who visits our office. I am not just a physician, I am a Board Certified Dermatologist. My goal is, quite simply, to provide the type of dermatologic care which I would seek for my own family. This is a very important point, since physicians often use the phrase "Doctor's Doctor" to refer to those individuals who typically are selected by physicians themselves for personal care. I am confident that my practice fully meets that definition. This is the type of 5-star care and service that our patients expect, deserve and receive. I treat every patient the way I would want to be treated: with courtesy, dignity and respect. I carefully listen to their hair and skin-care concerns and offer a variety of options including a treatment plan that I believe will give them the best results
Dr Gary sees every patient himself and believes in personalized care. The Doctor does not employ any physician assistants, nurse practitioners, or other physician substitutes to do his treatment. He sees every patient himself at every visit.
A significant percentage of my Dermatology Conditions are diagnosed on listening to medical history of the patient alone, a further percentage on examination and the remainder on further investigation and my patients teach me the rest. It is clear to me that history and examination skills remain at the very core of my dermatology practice. Older Dermatologists like myself rely on history and physical to a greater degree than the younger dermatologists. I think that the pendulum has swung too far towards all these cosmetic procedures where the younger dermatologists are just doing cosmetic procedures and not listening to their patients. This is an important point because if the Dermatologist does not spend enough time with the patient the cosmetic procedures will not work.
It is vital to undergo a full pre assessment to ensure that your skin type is fully assessed and to be accurate about your medical history. This particular procedure might not be the right treatment for you. It is crucial that the Doctor does a full History and Physical Examination and listens to your concerns. It very important to understand the individual needs of each patient because one procedure could work on one patient and then not another.
Each patient’s condition is carefully evaluated and the best treatment(s) are chosen to ensure an optimal outcome. Treatments are performed by Dr. Gary who has extensive cosmetic dermatology experience and training. This allows the Doctor to offer top-quality services in every area of the cosmetic dermatology field, while ensuring patients safety and satisfaction.
A board certified dermatologist in New York, NY specializing in dermatology and dermatologic surgery including state-of-the-art cosmetic surgical procedures, Dr. Gary Rothfeld having worked alongside several of the world's renown dermatologist,best dermatologist,best cosmetic surgeon, best plastic surgeon, and celebrity dermatologist has shaped a uniquely innovative approach in treating any skin problem you may have, is known for his attention to body symmetry and his dedication to meeting patients’ personal goals.
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Top New York City Dermatologist, Dr. Rothfeld in Manhattan treats the most difficult cases until the problem clears. Dr. Rothfeld, a Board Certified Dermatologist at New York Dermatology in Manhattan, New York is caring, detailed, and meticulous and will never give up until the problem is cleared.
Dr. Rothfeld is recognized as one of the best Dermatologists in Manhattan and the nation by the entertainment industry in the United States of America. At NYC Dermatology by board certified Dermatologist Dr. Rothfeld, a Board Certfied Dermatologist uses multiple mechanisms at the same time to clear up your condition. Manhattan Dermatologist, Doctor Gary Rothfeld sees patients 7 days a week including Saturday and Sunday. NYC Cosmetic Dermatologist , Dr. Gary Rothfeld has consulted many entertainers in Hollywood.
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, Meat Packing 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.
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