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Ingrown Hairs

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Pseudofolliculitis Barbae


Pseudofolliculitis barbae (razor bumps) is a common condition of the beard area occurring in up to 60% African American men and other people with curly hair according to the Ingrown Hairs NYC Treatment Center in New York, NY which is opened seven days a week for treatment.

The problem results when highly curved hairs grow back into the skin causing inflammation and a foreign body reaction. Over time, this can cause keloidal scarring which looks like hard bumps of the beard area and neck. Shaving sharpens the ends of the hairs like a spear. The hairs then curve back into the skin causing pseudofolliculitis barbae.

A 100% effective treatment is to let the beard grow. Once the hairs get to be a certain length they will not grow back into the skin. For most cases, totally avoid shaving for 3 to 4 weeks until all lesions have subsided, while applying a mild prescription cortisone cream to the involved skin each morning. Shaving every other day, rather than daily, will improve pseudo-folliculitis barbae. If one must use a blade, water soften the beard first with a hot, wet washcloth for 5 minutes. A preshave solution (Hydroglyde from Moore skin care 1-800-745-9422) helps soften the hairs. Then use lubricating shaving gel (Edge, Aveeno), a prescription medicated shaving foam (Benzashave by Dermik) or British shaving oil and use the Aveeno PFB Bump Fighter Razor or the Flicker razor. Shave with the grain of the beard and do not stretch the skin. Use only one stroke over each area of the beard.

Use of an electric shaver may also help the condition because it does not cut as close as blades do. Use the electric razor on high setting to avoid close shaving and prepare beard with electric razor pre-shave. Do not stretch skin while shaving and shave with the grain of beard growth. Avoid multiple repetitions of strokes in the same area. Do not press razor head hard against the skin. Shave every other day. Better still is a barber's clipper (with clipping guard) to prevent shaving closer than 1mm cut of whisker hair.

Some doctors recommend chemical "shaving" with products such as Magic Shave, Surgex shaving powder, Nair or Neet (these are brands of Barium sulfide or Calcium thioglycolate depilatories - very mild to strong). These dissolve the hairs but can cause chemical burns on facial skin. It should be left on for less time than the package recommends until one sees how the skin reacts to it.

Most patients "cannot tolerate" these because they don't wait for their skin to clear before using them as directed. PFB involved skin is not "normal," and it should be expected to be more easily irritated than normal skin. These depilatories should be tried only once the skin is bump free. Use only every 48-72 hours. Use mildest form that works. Apply to small areas at a time (1/4 - 1/2 of the face) and start removal no later than 3 minutes (for Barium sulfide types) or 5 minutes (for calcium thioglycolate types) after application. Remove with spatula, butter knife, tongue blade, or other blunt straight edge. Use short, rapid strokes against the direction of hair growth. Keep shaving instrument moist but wiped clean. If some hairs remain, repeat after 30-60 seconds. Wait if within 3 minutes of original application. Rapid and thorough rinsing should be done two or three times with soap and water. Neutralize depilatory with a diluted vinegar solution (1 tablespoon per pint of water) then rinse again thoroughly with tap water.

Electrolysis and laser hair removal should be considered when all else fails, but these are expensive and take repeated visits. There is a very small risk of scarring. A few insurance companies will cover some or all of the cost.

Medications are also prescribed to speed healing of the skin. Glycolic acid lotion 8% is effective (Alpha-hydrox, Neo-Strata, others). Prescription antibiotic gels (Benzamycin, Cleocin-T) or oral antibiotics are also used. Retin-A is a potent treatment that helps even out any scarring after a few months. It is added as a nightly application of Retin-A Cream 0.05 - 0.1% to the beard skin while beard is growing out. Use as tolerated, as it is somewhat irritating.

This describes the treatment options. The individual prescription can be developed specifically by a dermatologist and may differ somewhat from those described here.

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.

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. His specialties include full body liposuction using the tumescent technique, facial fat transplantation, Botulinum injection into facial lines and laser resurfacing. 

NYC dermatology  specializes in chemical peels, vein injections, laser, restylane, Perlane, Botox Injections, Juvederm, Evolence, Sculptra, Radiesse, Botox, non-surgical facelifts,non-surgical nose job, collagen implantation and treatment of skin cancer.
 
One particularly exciting use of Botox is the non-surgical Brow Lift. This procedure elevates the brow and can also elevate droopy eyelid skin. Dr. Rothfeld has helped countless patients avoid unnecessary plastic surgery with this procedure.
 
As an expert in the field of dermatology and cosmetic dermatologic surgery, Dr. Rothfeld is has appeared on national television shows. Dr. Rothfeld has also been quoted in many high profile national magazines.
Our goal at the manhattan office of Board Certified  Derrmatologist , Dr. Gary Rothfeld is to create an atmosphere of professionalism, trust and complete patient satisfaction at the New York Dermatology Dermatology and Cosmetic Surgery Center in Manhattan, New York.  Dr. Rothfeld, Dermatology Director of NYC Dermatolgy is a Board Certified  Dermatologist at NYC Dermatology who has treated many patients in the  entertainment industry.   

Schedule an appointment with our top doc at our office which provides top of the line  expert skin care, dermatology, cosmetic dermatology services, and advanced dermatology laser treatments for cosmetic needs and medical skin conditions. We offer a full range of services including surgery for skin cancer, laser hair removal, Botox®, the Fractionated Resurfacing laser, Titan laser, and acne photodynamic treatments. Our main goal is to provide you with the most effective and advanced treatment.  Email: nycdermatologist@aol.com in our Media  office and   including different offers and many more. We offer a variety of services from Botox® to Liposuction . Please contact us with any questions you may have or schedule an appointment online or by phone for a consultation
 
Trained in Dermatology, New York Dermatolgy headed  by top doc Board Certified Dermatologist Dr. Gary Rothfeld possesses the special knowledge, skills and professional capability that distinguishes him as an outstanding  Dermatologist in NYC , Manhattan , New York at NYC Dermatology by Board Certified Dermatologist. 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, a board certified dermatologist in nyc who practices Dermatology in Manhattan, New York has treated many patients in the entertainment and music industry is caring, detailed and meticulous and will not give up until the condition resolves.  

Dr. Rothfeld is recognized as one of the best Dermatologist in NYC 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. New York City Dermatologist  Dr. Rothfeld always tries to be current on all the latest advancements at  NYC Dermatology and Cosmetic Dermatological surgery. Come in and we will give you the best and top of the line dermatologist advice on how to clear or correct the problem.  Dr. Rothfeld at New  York Dermatology board certified dermatologist is best known in giving his best in trying to make the patient happy.  Dr. Rothfeld is best known for fixing other problems that other doctors could not. Any questions you could contact us at nycdermatologist@aol.com or contact the doctor at our  Manhattan office in New York City at NYC Dermatology by Board Certified Dermatologist Dr. Gary Rothfeld.

Celebrity Skin Care

We cannot stop the aging of skin, but there are ways of retarding the process. There are a host of skin care products marketed in various ways as preventive as well as curative measures to arrest various skin conditions and also enhance its tone and suppleness. There is a confusing array of external cleansing, nourishing, moisturizing and protecting agents available off the shelves.
Famous  celebrities give the utmost importance to Skin Care and Dermatology.  Celebrity faces make the cover and front pages of the world's best glossies, print, and television such as NewYork Magazine,GQ, Newsweek, Elle, Vogue, Allure, InStyle, W, Harpers Bazaar, Glamour, Self, Lucky, Shape,the Los Angeles Times,Town & Country, C Magazine, More Magazine, The New York Times,L.A. Confidential, Harper's Bazaar, Elle, InStyle, O Magazine, Cosmopolitan, Mademoiselle, Lucky, Redbook, Shape, Seventeen, YM, Health, Parents, McCall's, Women's Day, More Magazine, Cosmo Girl, Fitness, Ladies Home Journal, Prevention, The New York Times Magazine, The New York Post, The New York Daily News,Newsday CNN, The Oprah Winfrey Show, Good Morning America, The Today Show, The View, MSNBC, CNBC, Fox News, KTLA Live, ExtraPrimetime Live, 20/20, Dateline NBC, CBS News, News 4 New York, NBC "Weekend Today in New York," Fox News, Eyewitness, Lifetime, Oxygen, The Discovery Channel, and BBC. Their bodies grace the hotspots in print publishing across the world. Their lives occupy most of the pages in any popular magazine. These magazines provide consumers expert information and a board certified dermatologist point of view  on cosmetic procedures, skin care,dermatology and sun protection.

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

212.644.9494