. -->
212.644.4484

The Sign of Leser-Trélat: A Fateful Encounter and the Silent Warning of Seborrheic Keratosis

info@nycdermatologist.com 

  Download Business Card

The Leser-Trélat Sign: A Dermatologist’s Life-Saving Encounter

The Mark of Time and the Unspoken Truth

There are moments in life when silence is a betrayal. In the dim, chlorinated expanse of the pool, where the water folds over the body like memory, I recognized something more than just the disciplined strokes of a man I had once known only in passing. His back was a constellation of lesions—raised, waxy, scattered like inkblots on parchment, multiplying in a way that skin should not. It was the sign of Leser-Trélat, the cutaneous whisper of something far graver beneath.

The Leser-Trélat sign is a rare but critical dermatologic phenomenon—an abrupt eruption of seborrheic keratoses, sometimes accompanied by pruritus. While seborrheic keratoses themselves are benign, harmless growths common with aging, their sudden onset in large numbers can be a sign of an underlying malignancy, most notably gastrointestinal adenocarcinomas, including colon cancer. The mechanism behind this sign remains under investigation, but it is believed to be linked to tumor-derived growth factors that stimulate epidermal proliferation. Recognizing this association is vital, as it can lead to early cancer detection and intervention.

Seborrheic keratoses, in their typical form, are nothing more than cosmetic nuisances—superficial, well-demarcated, waxy, and ranging in color from tan to dark brown. They pose no medical risk and require no treatment unless they become irritated, inflamed, or aesthetically undesirable. In my practice at 629 Park Avenue, I routinely remove them with electrosurgery—a precise and effective technique using high-frequency electrical currents to cauterize and vaporize the growths, leaving the surrounding skin unharmed. Patients walk out of my office with clear skin, free of these harmless lesions. But when they present as they did on this swimmer, their presence takes on a far greater significance.

I hesitated. What right did I have to speak on the architecture of another man’s body, to disturb the uneasy peace of the unaware? But truth is an obligation, and medicine is not merely science; it is the art of seeing, of deciphering, of daring to voice the inconvenient. So I spoke. With the precision of a scalpel, I told him what I saw, what it meant, and where it must lead him next.

This was no ordinary man—he was a former Olympian swimmer, now in his 40s, a father of young children. The weight of his future was measured not just in his own life, but in the lives of those who depended on him. He took the news with the grace of an athlete—head high, shoulders squared. No fear, only the quiet determination of one accustomed to swimming against currents. He saw his internist, then a gastroenterologist. The verdict came swiftly: colon cancer, but caught in its earliest whisper, before it could roar.

This week, he thanked me. A simple gesture, weighted with the gravity of what might have been. Medicine, like time, is relentless—an ever-moving tide. But in those brief encounters, those moments when knowledge collides with fate, lives are changed. And sometimes, they are saved.

Dr. Gary Jayne Rothfeld
Park Avenue Dermatology and Non-Surgical Rejuvenation Center
629 Park Ave, New York, NY
212-644-4484
nycdermatologist.com

Learn more about the Leser-Trélat sign, early detection of internal malignancies, and seborrheic keratosis removal with electrosurgery.


DR GARY JAYNE ROTHFELD

#1 Hair Loss Doctor NYC -How Much Hair Loss Is Normal Per Day? Expert Insights from Dr. Gary Jayne Rothfeld

info@nycdermatologist.com

  Download Business Card

How Much Hair Loss Is Normal Per Day? A Doctor’s Perspective with In-Depth Expertise

"Doctor, I'm Shedding Like a Golden Retriever in July!"

Hair loss is one of the most common concerns patients bring to Dr. Gary Jayne Rothfeld, a board-certified dermatologist and globally recognized authority on hair loss, based at 629 Park Avenue, NYC. But before you spiral into existential dread, let’s get one fact straight: shedding hair is normal—to a point.

The Science of Shedding (and Why You Shouldn’t Panic)

The average person loses 50 to 100 hairs per day. That’s right—hundreds of strands fall out daily, drifting onto your pillow, swirling down the shower drain, and mysteriously collecting in your hairbrush like a crime scene. This is part of the natural hair cycle, consisting of:

  • Anagen (Growth Phase): Lasts 2–7 years. Your hair is thriving.

  • Catagen (Transitional Phase): A 2–3 week rest period before the next stage.

  • Telogen (Shedding Phase): Lasts about 3 months before a new hair pushes out the old one.

When does normal shedding become abnormal? If you notice excessive thinning, bald patches, or a sudden increase in shedding, it’s time to visit a specialist.

What Happens When You Step Into Dr. Rothfeld’s Office?

Dr. Rothfeld is renowned for his thorough, evidence-based approach to hair loss. He doesn’t believe in one-size-fits-all solutions. Instead, he meticulously evaluates every case, ensuring patients receive a treatment plan customized to their specific needs. His process typically involves:

  • Detailed Patient History: Stress levels, diet, medications, family history.

  • Scalp Examination: Looking for inflammation, miniaturization, or scarring.

  • Hair Pull Test: Gently tugging to assess shedding severity. (Don’t worry, he’s not testing for a new bald spot!)

  • Blood Work: Checking for deficiencies, hormonal imbalances, or autoimmune conditions.

  • Microscopic Analysis: Examining hair follicles for abnormalities.

Advanced Treatment Options: The Latest in Hair Restoration

Once Dr. Rothfeld determines the cause, he tailors a plan that may include:

  • Topical Treatments: Prescription-strength minoxidil and growth stimulators.

  • Oral Medications: Finasteride, oral minoxidil, or hormonal therapy for appropriate cases.

  • Lifestyle Modifications: Nutritional guidance, stress management (not through tequila), and hair-friendly habits.

  • PRP Therapy: Harnessing your own platelets to stimulate regrowth.

  • Low-Level Laser Therapy: A non-invasive method to boost follicle activity.

  • Hair Transplant Referrals: For those considering surgical restoration.

Meet Dr. Gary Jayne Rothfeld: NYC’s Premier Hair Loss Expert

Dr. Gary Jayne Rothfeld is a world-renowned, board-certified dermatologist with decades of experience treating hair loss and scalp disorders. He has been at the forefront of medical and non-surgical hair restoration, offering cutting-edge therapies that help patients achieve real, lasting results. His practice at 629 Park Avenue, NYC, is recognized as a center of excellence for treating hair loss, alopecia, and scalp health concerns. Dr. Rothfeld’s patient-centered approach ensures that each individual receives the highest level of care with a personalized touch.

The Takeaway: Relax—You Probably Won’t Go Bald Overnight

If you’re losing hair and unsure whether it’s normal, schedule a consultation with Dr. Gary Jayne Rothfeld at 629 Park Avenue. He’ll answer your questions with expertise, a personalized approach, and the latest treatments in hair restoration—without making you feel like a lost cause.

📞 Call: 212-644-4484
🌍 Website: nycdermatologist.com

DR GARY JAYNE ROTHFELD
Location: 629 Park Ave, New York, NY 10065, USA

Rosacea Misdiagnosis – The Truth Behind Red Faces & Wrong Treatments in NYC

info@nycdermatologist.com  

Download Business Card

Rosacea? Or Just a Wild Goose Chase? The Diagnosis No One Got Right.

 They come in, the pilgrims of redness, faces pre-lit like a Broadway marquee, trailing behind them the ghosts of a hundred failed treatments. Lasers. Peels. Prescription creams. Antibiotics. They have tried them all, offered up their skin to every dermatologist in the city like a sacrificial lamb to the aesthetic gods. And yet—years later—they find themselves here, at my office, with the same flushed, irritated skin and the same question:

"Doctor, what’s the latest laser for rosacea?"

Well, let’s start with a different question: Do you even have rosacea?

Ah. Silence. Confusion. The sudden realization that in the rush toward the solution, no one ever confirmed the problem.

See, here’s the secret most won’t tell you: Most people who think they have rosacea... don’t. They have seborrheic dermatitis creeping down from the scalp, eczema masquerading as a chronic flush, a vague "sensitivity" that no amount of pulsed light will fix. But tell a patient they don’t need a laser? Tell them that they need to treat their scalp instead of zapping their cheeks? They look at you like you just canceled Christmas.

Now, let’s be clear. If you do have real rosacea, I’m not sending you off with a pat on the back and a tube of drugstore moisturizer. No, this is a cosmetic dermatology office, not a yoga retreat. There are prescription creams, oral medications, advanced lasers, chemical peels, and the latest medical advancements to target redness, broken capillaries, and inflammation. But the key—the thing that sets my office apart—is that I actually figure out what I’m treating before I treat it.

Imagine that.

Every few weeks, another patient walks in, armed with a desire for a procedure but unarmed with an actual diagnosis. And every time, I find myself saying the same thing: "Let’s take a step back. Let’s figure out what’s really going on here." Because when it comes to your skin—your face, the thing the world sees first—shouldn't accuracy come before the latest laser special?

So if you’ve been chasing treatments that don’t work, if you’ve been through the rosacea wringer with no real results, maybe the problem isn’t you. Maybe you just haven’t been diagnosed correctly.

And maybe, just maybe, it’s time for something radical: the right diagnosis before the wrong treatment.

About Dr. Gary Jayne Rothfeld

Dr. Gary Jayne Rothfeld is a board-certified dermatologist with four decades of experience, specializing in both medical and cosmetic dermatology. Recognized internationally for his expertise, he has served as a guest speaker at leading dermatology and cosmetic surgery conferences across Paris, France, Italy, Portugal, and England.

Beyond the world of dermatology, Dr. Rothfeld is an elite athlete and champion swimmer, proudly representing the United States in international competitions, specializing in the metric mile. As a Senior Olympian, he continues to compete at the highest levels, demonstrating the same discipline, precision, and commitment in both his athletic and medical pursuits.

A renowned writer, Dr. Rothfeld has dedicated his career to educating both patients and professionals on the nuances of diagnostic dermatology and advanced cosmetic treatments. His practice at 629 Park Avenue, NYC, is built on the foundation of getting the diagnosis right before prescribing a treatment—a philosophy that has made him the go-to specialist for patients who have spent years chasing the wrong answers.

 



DR GARY JAYNE ROTHFELD
div>

#1 Top Dermatosis Papulosa Nigra Treatment Doctor NYC - Dr. Gary Jayne Rothfeld, Expert in Ethnic Skin Care

info@nycdermatologist.com 

  Download Business Card

Dermatosis Papulosa Nigra: Understanding the Importance of Experienced Care for Ethnic Skin

In the bustling heart of Manhattan, at 629 Park Avenue, Dr. Gary Jayne Rothfeld has spent over four decades treating more than 20,000 Black patients. His experience is unparalleled when it comes to diagnosing and treating conditions like dermatosis papulosa nigra (DPN)—a condition that is often misunderstood and mishandled by less experienced practitioners. Many patients arrive at Dr. Rothfeld’s office after seeking out cheaper treatments or opting for doctors based solely on their race, only to face unwanted complications like post-inflammatory hyperpigmentation after procedures like electrosurgery.

This article serves as a guide to understanding dermatosis papulosa nigra, why experience matters, and how Dr. Rothfeld’s unique expertise helps patients avoid the common pitfalls that come with treating this condition.

What is Dermatosis Papulosa Nigra?

Dermatosis papulosa nigra (DPN) is a benign skin condition that primarily affects people of African descent. It manifests as small, dark, raised spots on the face and neck, often mistaken for moles or freckles. While harmless, DPN can cause cosmetic concern, leading many patients to seek treatment. Electro-surgery and other removal techniques are common approaches to treating DPN, but these methods can sometimes lead to scarring, particularly when not performed with the appropriate sensitivity to ethnic skin.

The Dangers of Choosing a “Cheap” or Unqualified Doctor

A common issue Dr. Rothfeld encounters is patients who seek out cheaper treatments or choose doctors who claim to specialize in treating Black skin but lack the necessary experience. While the intention may be to find an affordable solution, the reality is that these choices often lead to unwanted consequences. Post-inflammatory hyperpigmentation (PIH) is a common result of poorly executed electrosurgery procedures. When performed incorrectly, the skin can darken and scar, leaving patients with permanent spots that are even more difficult to remove than the original DPN.

Over the years, Dr. Rothfeld has seen countless patients who came to him after suffering from the aftermath of these ineffective treatments. They trusted someone who didn’t understand the nuances of ethnic skin care, believing that a cheaper price or the color of the doctor’s skin would ensure the best outcome. But as Dr. Rothfeld always emphasizes, skin type and ethnicity do matter, but what matters more is the doctor’s depth of experience in treating ethnic skin.

Why Experience with Ethnic Skin Matters

The key to successfully treating dermatosis papulosa nigra, particularly in Black patients, lies in a deep understanding of the skin’s unique characteristics. Ethnic skin—especially in individuals with darker skin tones—requires a tailored approach. Treatments that may work on lighter skin can often result in complications, like scarring or pigmentation changes, when applied to darker skin.

Dr. Rothfeld has spent over 40 years mastering the complexities of ethnic skin, ensuring that his procedures are safe, precise, and result in the most natural-looking outcomes. He has treated thousands of patients with dermatosis papulosa nigra, consistently achieving successful results without post-treatment discoloration or scarring.

The Electro-Surgery Procedure: How Dr. Rothfeld Does It Right

When a patient walks into Dr. Rothfeld’s office, their concerns are met with compassion and a personalized approach. Each treatment plan is uniquely designed to address the specific needs of the patient’s skin type and condition. For patients with dermatosis papulosa nigra, Dr. Rothfeld uses electrosurgery—a method that carefully removes the dark spots without harming the surrounding skin.

Before performing the procedure, Dr. Rothfeld conducts a thorough examination to assess the patient’s skin condition. He takes into account factors such as skin tone, texture, and any existing hyperpigmentation. Once the procedure begins, Dr. Rothfeld uses a precision electrode to gently remove the DPN growths, while minimizing the risk of scarring or pigmentation changes. His extensive knowledge of post-procedure care ensures that the patient’s skin heals properly, reducing the risk of complications like post-inflammatory hyperpigmentation.

Patients who follow Dr. Rothfeld’s detailed aftercare instructions see excellent results, with their skin remaining smooth, even-toned, and free of spots.

A Personalized Experience at 629 Park Avenue

Dr. Rothfeld’s office at 629 Park Avenue is designed to provide a warm, welcoming atmosphere where every patient is treated with the utmost care. From the moment a patient walks in, they are greeted by a team that is committed to their well-being and comfort. Dr. Rothfeld takes the time to sit down with each patient to discuss their concerns, educate them about their options, and answer any questions they may have. This level of care and attention is the hallmark of his practice.

Whether you are seeking treatment for dermatosis papulosa nigra, acne, or any other skin condition, you can trust that Dr. Rothfeld’s expertise will provide you with the best possible outcome—without the risks of scarring or pigmentation issues.

In Conclusion

The treatment of dermatosis papulosa nigra requires more than just a doctor who knows the procedure. It requires someone who understands ethnic skin, who has decades of experience, and who is committed to achieving the best results for each individual patient. Dr. Gary Jayne Rothfeld has built a reputation as one of the premier dermatologists in NYC, trusted by thousands of Black patients for his ability to perform procedures safely and effectively, with no unwanted post-treatment complications.

Don’t settle for less when it comes to your skin. At 629 Park Avenue, you’ll receive the care you deserve.


DR GARY JAYNE ROTHFELD
Location: New York, NY 10065, USA

Can Sleep Deprivation Cause Dark Circles? Understanding the Link by Dr. Gary Jayne Rothfeld

info@nycdermatologist.com 

  Download Business Card

Can Sleep Deprivation Cause Dark Circles?

Sleep is often heralded as the cornerstone of health, an essential elixir to rejuvenate both body and mind. Yet, in an age characterized by overstimulation and relentless schedules, many are deprived of this vital restorative process. As the body struggles to recover from prolonged periods of restlessness, the skin, the body’s largest organ, also bears the brunt of this neglect. Among the most telling signs of insufficient sleep is the appearance of dark circles beneath the eyes.

But how exactly does sleep deprivation lead to the formation of these unsightly under-eye shadows? And, perhaps more importantly, how can they be addressed?

The Physiology Behind Dark Circles

The skin beneath the eyes is notably delicate and thin, rendering it particularly vulnerable to changes in the body. When we sleep, our body enters a state of repair and rejuvenation, during which blood flow is optimized, skin repair is initiated, and waste products are cleared from the tissues. Adequate sleep ensures that the skin remains healthy, vibrant, and free of blemishes.

However, when the body is deprived of sleep, these essential processes are compromised. Sleep deprivation can cause blood vessels under the eyes to dilate, leading to a pooling of blood that results in the dark appearance often associated with dark circles. Additionally, the lack of restorative sleep impairs collagen production, weakening the skin’s elasticity and causing it to sag. This process contributes to the hollowed appearance of the eyes, exacerbating the prominence of dark circles.

The Role of Cortisol and Stress

Chronic sleep deprivation triggers the release of stress hormones, most notably cortisol. This hormone, when elevated over time, can increase inflammation in the body and cause the blood vessels around the eyes to become more prominent. As cortisol levels rise, the body becomes more prone to fluid retention, which, in turn, exacerbates puffiness around the eyes. When combined with the dilated blood vessels, the result is the formation of those characteristic dark shadows beneath the eyes.

The Impact of Sleep Quality vs. Sleep Quantity

It is not simply the number of hours of sleep that matters, but the quality of that sleep. While a full eight hours may seem sufficient, individuals suffering from restless sleep due to conditions such as sleep apnea, insomnia, or frequent interruptions may still experience dark circles despite the perceived quantity of sleep. Sleep cycles, especially the deeper stages such as rapid eye movement (REM) sleep, are crucial for cellular repair. If these stages are disrupted, the skin's ability to recover from daily stress is compromised, leading to visible signs of fatigue such as dark circles.

Addressing the Root Causes

Understanding that sleep deprivation plays a pivotal role in the development of dark circles offers a crucial starting point for both prevention and treatment. Addressing the root cause—poor sleep habits or underlying health conditions—is the most effective way to combat dark circles.

  1. Improved Sleep Hygiene: The first step is to prioritize quality sleep. Establishing a regular sleep schedule, avoiding blue light before bedtime, and creating a calming pre-sleep routine can all contribute to a more restful night's sleep.

  2. Hydration and Nutrition: Dehydration is another contributing factor to dark circles. Proper hydration supports skin elasticity and circulation. Moreover, ensuring a balanced diet rich in antioxidants, vitamins, and minerals helps to rejuvenate the skin from the inside out.

  3. Targeted Skin Care: While sleep is essential, skincare can also play an integral role in reducing the appearance of dark circles. Topical treatments containing ingredients like retinol, hyaluronic acid, and caffeine can help to strengthen the skin, reduce puffiness, and diminish the discoloration beneath the eyes.

  4. Non-Invasive Treatments: For individuals whose dark circles persist despite lifestyle changes, advanced treatments such as dermal fillers or laser therapy can provide further enhancement. Dermal fillers can restore volume to the under-eye area, alleviating the hollowed appearance caused by sleep deprivation. Laser treatments, such as fractional CO2 or intense pulsed light (IPL), can target pigmentation and improve skin texture.

  5. Medical Intervention: If sleep deprivation is caused by a medical condition such as sleep apnea, it is crucial to address the underlying issue. Consulting with a sleep specialist and employing treatments like continuous positive airway pressure (CPAP) therapy can improve sleep quality and, in turn, reduce the prominence of dark circles.

How Dr. Gary Jayne Rothfeld Approaches Treatment

As an elite swimmer, U.S. representative in international competitions, and Senior Olympian swimmer competing in the metric mile, Dr. Gary Jayne Rothfeld has honed an unparalleled level of precision in his approach to both athletic performance and his medical practice. Dr. Rothfeld brings this same level of detail and care to his patients at his practice in New York City, combining scientific expertise with compassionate attention.

When a patient presents with concerns about dark circles, Dr. Rothfeld’s first priority is a thorough history and physical examination. He takes time to understand not only the medical history of his patients but also their lifestyle factors—such as sleep habits, stress levels, and nutrition. This comprehensive approach allows him to assess the underlying causes of the dark circles, whether they are related to sleep deprivation, genetics, or other health conditions.

Once Dr. Rothfeld has gathered the necessary information, he tailors a personalized treatment plan. This plan may involve lifestyle recommendations, such as improving sleep hygiene or hydration, as well as specific skincare products. For patients whose concerns are more pronounced, Dr. Rothfeld may recommend advanced treatments such as dermal fillers to restore volume to the under-eye area, or laser treatments to address pigmentation issues. His expertise in non-surgical rejuvenation ensures that patients achieve natural, rejuvenated results.

Dr. Rothfeld’s elite athletic background also informs his philosophy of care—he emphasizes the importance of holistic health, a balanced lifestyle, and ongoing patient education to achieve the best possible outcomes.

The Importance of Comprehensive Care

As with any aesthetic concern, a comprehensive approach is essential. Dr. Gary Jayne Rothfeld, a leading dermatologist and specialist in non-surgical facial rejuvenation, emphasizes the need for a holistic approach to skincare and wellness. Addressing sleep deprivation and its effects on the skin is not simply a matter of topical treatments; it involves a thoughtful combination of lifestyle adjustments, skincare regimens, and advanced treatments when necessary.

The delicate skin around the eyes demands careful attention and expertise, particularly when dealing with the nuanced causes of dark circles. With the guidance of a skilled dermatologist, individuals can address both the symptoms and the underlying causes, ensuring not only a reduction in the appearance of dark circles but also a rejuvenation of the skin’s overall health and vibrancy.

Dr. Gary Jayne Rothfeld Bio:

Dr. Gary Jayne Rothfeld is a renowned dermatologist and expert in non-surgical facial rejuvenation, with over 30 years of experience in the field. Specializing in innovative treatments for conditions such as dark circles, skin aging, and overall skin health, Dr. Rothfeld is known for his holistic approach to dermatological care. His expertise is sought after by clients seeking to enhance their appearance while maintaining a natural, youthful look.

An elite athlete, Dr. Rothfeld is a Senior Olympian swimmer, having represented the United States in international competitions. His athletic achievements include competing in the metric mile, which exemplifies his commitment to excellence. His practice combines cutting-edge technology with personalized care, ensuring the best outcomes for every patient. Dr. Rothfeld is based at his practice in New York City, where he continues to provide outstanding, comprehensive dermatological care.


DR GARY JAYNE ROTHFELD
Location: New York, NY, USA