Vitiligo Treatment Center Opened 7 days a Week for Treatment Due to massive demand with over 20 years of experience Dr Gary Rothfeld is delighted to announce that Vitiligo Treatments are available 7 days a week at our office in Manhattan.
The Ethnic Skin Specialty Center of New York, NY has a special interest in Vitiligo and has had many years experience of treating patients with vitiligo in all skin types. Vitiligo is a common non catching skin condition affecting around 1% of the population. It can affect people of any age and of any age. Vitiligo can cause extreme distress to sufferers because of its unusual appearance.
There are many diseases that can cause white spots on your skin and since leukoderma refers to white patches on the skin and there are multiple diseases that cause such a condition. If you or a family member or a friend have white patches on the skin, be sure to go to a dermatologist, so the Doctor can make an accurate diagnosis of the condition. Vitiligo is the most common diagnosis for any white patch on the skin but it is not the only one. Whenever a person sees a white spot on their skin they usually flip out and they think it is associated with vitiligo. Guess what there is a good chance it is not vitiligo. Just got to hope your dermatologist knows the difference between all the different leukodermas (white spots) and not just say well you have Vitilligo without ever listening to the patient, examining, possibly doing any tests or blood work. The good news is that I have seen this happen too many times in my career in private practice for over 25 years where the patient never had vitiligo.
Until recently, people suffering from vitiligo have had virtually no access to successful treatment for their vitiligo except for cosmetic camouflage.
For skin to be repigmented, new pigment cells must be recruited from those that exist nearby. That means that new pigment cells must come from the base of hair follicles, from the edge of the lesion, or from the patch of vitiligo itself if depigmentation is not complete. The maximum amount of repigmentation that can be expected in any one spot in a year of treatment is an eighth to a quarter of an inch. If, in a given area, most of the hair follicles provide pigment cells that radiate to one eighth to a quarter of an inch, there may be substantial repigmentation. However, if the hairs are white or if there are no hairs present, repigmentation must occur from the edge of the depigmented area.
Hydrocortisone-type compounds (immunomodulators and immunosuppressants), when applied to the skin, slow the process of depigmentation and sometimes enhance repigmentation. Cortisone ointments or creams sold over the counter, such as 0.5% hydrocortisone,are too weak to be effective. More potent cortisones are available by prescription. When potent cortisones are used daily for a long time, they may produce side effects such as thinning of the skin. Under the care of a dermatologist, it is usually possible to adjust the treatment with topical hydrocortisone such that side effects are minimized.
Phototherapy methods can also be used to induce repigmentation of the skin, either alone or in combination with hydrocortisone-type compounds. These forms of therapy consist of narrow-band ultraviolet B (UV-B) light, excimer laser, and PUVA (psoralen plus UV-A).
Narrow-band UVB (also referred to as narrowband and NB-UVB) is a relatively new vitiligo treatment option that helps to repigment cells with minimal to no side effects. It involves exposing the skin to a narrow-band UVB light source, which can be done in a doctor's office or using home phototherapy units. Typically treatment is done three times week for several months.
Excimer laser treatment involves exposing the skin to a beam of focused laser light. It is most commonly used for small areas of depigmentation. The majority of patients with head and neck depigmentation achieve substantial repigmentation in less than four months. Treatment must be done by a doctor; no home units are available at this time.
In PUVA, a patient is given a psoralen drug and is then exposed to UV-A light. When psoralen drugs are activated by the light, they stimulate repigmentation by increasing the movement of pigments cells into the vitiligo lesion. The response varies among patients and body sites. PUVA therapy is no longer the first choice of phototherapy given the availability and relative success of narrow-band UVB and excimer laser treatments.
About 75% of the patients who undergo PUVA therapy respond to some extent. Even for these individuals, complete repigmentation rarely occurs. After the initial two to three weeks of exposure to sunlight, patients will look worse since the contrast between their light and tanned skin increases. With time repigmentation will begin, and the appearance of the skin will improve. If therapy in stopped in winter, most people will retain at least half of the color they achieved during the summer months.
People with vitiligo should always protect their skin against excessive sun exposure by wearing protective clothing, staying out of the sun at peak periods (except during doctor-approved treatment times), and applying sunscreen lotions and creams. Sun protection products are numbered according to the sun protection factor (SPF), with the higher numbers giving more protection.
Patients with vitiligo should use a sunscreen with an SPF of 15 or higher, except during times of treatment.During treatment, an SPF of 8 to 10 protects against sunburn but does not block the needed UV-A light. Sunscreens should be reapplied after swimming or perspiring, unless the sunscreen is formulated to resist wash-off. To prevent potential damage to the eyes, special sunglasses with protective lenses should be worn during sunlight exposure and for the remainder of any day on which psoralen drugs were taken.
CHILDREN AND VITILIGO
Children can be treated, but some vitiligo treatments are not appropriate for children. The treatments that can be used to treat children are creams and ointments, NB-UVB, and PUVA with topical psoralen. PUVA therapy that uses the psoralen pill usually is not recommended until after 12 years of age. Even then, the risk and benefits of this treatment must be carefully weighed.
With many years of experienceNYC Dermatologist Dr. Gary will able to offer different options for each individual patient to give the most optimal treatment available to give the skin the best chance of repigmentation.
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 dermatology 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 Hair Loss,Dermatology and Cosmetic Dermatology Conditions are diagnosed on listening to the medical history of the patient alone, a further percentage on examination and the remainder on further detailed or careful examination 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 during the consult the cosmetic procedures will probably 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.
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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.
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