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From: New York Dermatology on 16 Aug 2008 20:47 Best New York Dermatology http://www.bestnewyorkdermatology.org/ Welcome to Best New York Dermatology headed by Board Certified Dermatologist Dr. Gary Rothfeld in Manhattan, New York, the most advanced skin care center in the world. We offer the perfect blend of aesthetics and science for all your skin care needs. (212)-644-9494 Tuesday, August 12, 2008 Best New York Dermatology Herpes simplex Herpes simplex is a common viral infection that presents with localised blistering. It affects most people on one or more occasions during their lives. There are two main types of herpes simplex virus (HSV), although there is considerable overlap. * Type 1, which is mainly associated with facial infections (cold sores or fever blisters) * Type 2, which is mainly genital (genital herpes) Both type 1 and type 2 herpes simplex viruses reside in a latent state in the nerves which supply sensation to the skin. During an attack, the virus grows down the nerves and out into the skin or mucous membranes where it multiplies, causing the clinical lesion. After each attack it âdies backâ up the nerve fibre and enters the resting state again. First or primary attacks of Type 1 infections occur mainly in infants and young children, which are usually mild or subclinical. In crowded, underdeveloped areas of the world up to 100% of children have been infected by the age of 5. In higher socioeconomic groups the incidence is lower, for example less than half of university entrants in Britain have been infected. Type 2 infections occur mainly after puberty, often transmitted sexually. The initial infection more commonly causes symptoms. How do you get the infection? The infection can be passed on from someone else with an active infection and it can also be passed on from individuals without symptoms. The virus is shed in saliva and genital secretions, during a clinical attack and for some days or weeks afterwards. The amount shed from active lesions is 100 to 1000 times greater than when it is inactive. Spread is by direct contact with infected secretions. Minor injury helps inoculate the virus into the skin. The virus can be inoculated into any body site to cause a new infection, whether or not there has been a previous infection of either type. The source of the virus may be from elsewhere on the body especially in nail biters or thumb suckers. Herpes simplex can also be inoculated from external sources. Examples include: * Nailfold infection in a health-care worker (âherpetic whitlowâ) * Facial blisters in a rugby player (âscrum poxâ) * Suckling infant with mouth sores Following the initial infection immunity develops but does not fully protect against further attacks. However where immunity is deficient, both initial and recurrent infections tend to occur more frequently and to be more pronounced and persistent. Primary herpes simplex Primary infections may be mild and unnoticed, but they are often more severe than recurrences. Initial infections with Type 2 virus are generally more marked than with Type 1 virus. Herpetic gingivostomatitis Herpetic gingivostomatitis (mouth infection) is the most common clinical manifestation of primary Type 1 infection. Most cases occur in children between the 1 and 5 years of age. After an incubation period of 4 to 5 days the symptoms begin with fever, which may be high, restlessness and excessive dribbling. Drinking and eating are painful and the breath is foul. The gums are swollen and red and bleed easily. Vesicles (little blisters) occur in white patches on the tongue, throat, palate and insides of the cheeks. The white patches are followed by ulcers with a yellowish coating. The local lymph glands are enlarged and tender. The fever subsides after 3-5 days and recovery is usually complete within 2 weeks. Genital herpes Infection with Type 2 HSV occurs after the onset of sexual activity and results in genital herpes. Penile ulceration from herpetic infection is the most frequent cause of genital ulceration seen in sexual health clinics. The ulcers are most frequent on the glans, foreskin and shaft of the penis. They are sore or painful and last for 2 to 3 weeks if untreated. In the female, similar lesions occur on the external genitalia and the mucosae of the vulva, vagina and cervix. Pain and difficulty passing urine are common. Infection of the cervix may progress to a severe ulceration. Recurrent herpes simplex After the initial infection, whether obvious or inapparent, there may be no further clinical manifestations throughout life. Recurrences are more frequent with Type 2 genital herpes than with Type 1 oral herpes. Recurrences can be triggered by: * Minor trauma to the affected area * Other infections including minor upper respiratory tract infections * Ultraviolet radiation (sun exposure) * Hormonal factors (in women, flares are not uncommon prior to menstruation) * Emotional stress * Operations or procedures performed on the face * Dental surgery In many cases no reason for the eruption is evident. Recurrent infections differ from first infections in the smaller size of the vesicles and their close grouping. Recurrences of Type 1 infection can occur on any site but they are most frequently on the face, particularly on the lips (âherpes simplex labialisâ). They do not usually result in blisters inside the mouth. Recurrences of Type 2 infection may also occur on any site but most often affect the genitals or buttocks. Recurrent HSV tends to always affect the same region, but not necessarily the identical site. Itching or burning is followed an hour or two later by small, closely grouped vesicles on a red base. They normally heal in 7-10 days without scarring. Generally the affected person feels quite well but they may suffer from fever, pain and have enlarged lymph nodes nearby. Although the vesicles usually form an irregular cluster, they may be arranged in a line rather like shingles (zosteriform distribution), particularly when affecting the lower chest or lumbar region. White patches or scars may occur at the site of recurrent HSV attacks, which may be more obvious in those with brown skin. Recurrent herpes simplex labialis Herpes simplex labialis Herpes simplex Herpes in a netball player Herpes simplex Herpetic whitlow Herpes simplex Scarring and blistering on buttock Recurrent herpes simplex More images of herpes simplex ... Complications Eye infection Herpes simplex may cause swollen eyelids and conjunctivitis with opacity and superficial ulceration of the cornea (dendritic ulcer). The lymph gland in front of the ear is often enlarged and tender. Throat infection Throat infections may be very painful. Eczema herpeticum HSV in patients with atopic dermatitis or Darier disease may result in a severe rash known as eczema herpeticum. Numerous blisters and scabs erupt on the face or elsewhere, associated with swollen lymph glands and fever. Erythema multiforme Recurrent erythema multiforme is an uncommon reaction to herpes simplex. Erythema multiforme mainly appears on the hands, forearms and lower legs and is characterised by target lesions, which sometimes blister. Nervous system The nerves to the face may be infected by HSV, producing temporary paralysis of the affected muscles, sometimes with each attack. Rarely neuralgic pain may precede each recurrence of herpes by 1 or 2 days (Maurice's syndrome). Meningitis is rare. Widespread infection This is more likely to arise in debilitated patients and may be serious. Eczema herpeticum Eczema herpeticum Eczema herpeticum Eczema herpeticum Erythema multiforme Erythema multiforme Complications of herpes simplex infection Treatment Mild uncomplicated eruptions of herpes simplex require no treatment. As sun exposure often triggers facial herpes simplex, sun protection using high protection factor sunscreens and other measures is important. Severe infection may require treatment with an antiviral agent. Oral antiviral drugs include: * aciclovir * valaciclovir * famciclovir. Valaciclovir and famciclovir are not currently available in New Zealand. Antiviral drugs will stop the herpes simplex virus multiplying once it reaches the skin or mucous membranes but cannot eradicate the virus from its resting stage within the nerve cells. They can therefore shorten and prevent attacks but a single course cannot prevent future attacks. Repeated courses may be prescribed or the medication may be taken continuously to prevent frequent attacks. Topical aciclovir or penciclovir, in the form of a cream applied to affected areas, shortens attacks of recurrent herpes simplex provided it is started early enough. Posted by Dr. Gary Rothfeld at 5:49 AM 0 comments Links to this post Labels: Best New York Dermatology Best New York Dermatology Blepharoplasty (eyelid tuck) Introduction Blepharoplasty Eyelid tuck is an operation designed to remove excess skin and wrinkles from the upper eyelids and or lower eyelids as appropriate. Blepharoplasty for both upper and lower eyelids is a term that encompasses a wide range of surgical procedures, ranging from simple excision of excess skin, to more complex re-draping and re-tensioning of the eyelids and removal/redraping of intra-orbital fat. Our surgeons from the LCPCS are well versed in the full range of blepharoplasty techniques including techniques involving canthopexy surgery to elevate the outside margin of the eyelids to produce a pleasing up-curve. Blepharoplasty can be combined effectively with brow lift surgery, which influences the position of the eyebrow, and maybe a required combination procedure to achieve the desired effect. Similarly blepharoplasty can be combined with a variety of face lifting procedures as required. Procedure Blepharoplasty techniques can be performed under both local and general anaesthesia, depending upon the extent of the individual surgical plan. Skin incisions are made in hidden creases, and maybe combined with an incision on the inside of the eyelid through the lining tissue (conjunctiva). Eyelid incisions heal beautifully, and are amongst the most forgiving incisions used in any form of cosmetic surgery. The surgical time can take from one to two hours, depending upon the complexity of surgery required to achieve the desired result. Recovery period After the surgery the patient awakes with white steristrip tapes applied across the nose and in the crowâs feet area, to secure sutures comfortably away from the eye. An eye pad is applied on both sides, which is comfortably compressed against the upper lid to prevent the eyelid opening beneath. The eye pad provides both comfort and protection from swelling. Occasionally a suture (Frost suture) is placed in the lower eyelid to suspend it against the upper eyelid. This helps minimise the effect of swelling which can displace the lids from their desired position. The eye pads and Frost stitch are removed either later on the day of surgery or the following day. Regular checks of vision are made post operatively, and a cold compress is applied to reduce swelling and provide comfort. Blepharoplasty surgery is relatively easy to recover from, and an overnight stay is the longest that is usually required. Swelling and bruising can be persistent and apparent to the casual observer at a week. To more intimate friends, swelling will still be apparent at six weeks, and will be invisible to most observers by six months. Removal of sutures occurs at any time from 3-5 days, and is painless. Gentle cleaning with saline and cotton buds will remove crusting, and occasionally an eye ointment is used to help reduce swelling. Gentle massage of the lids is appropriate after suture removal. Physical exercise and bending should be avoided for 2 weeks, and makeup can be applied after this time Patient satisfaction from blepharoplasty procedures is extremely high. Relative risks and benefits will be discussed by the surgeon at the time of consultation.Pinnaplasty is a commonly requested procedure by both adults and parents for their children, who are the victims of teasing in the playground. It is a safe procedure with high satisfaction and quality of life for those who undergo it, either under local anaesthesia in adulthood, or a short general anaesthetic in childhood. The procedure restores the balance of the face, taking unwanted attention away from the prominent ear and back to the central face and eyes where most of us interact. Posted by Dr. Gary Rothfeld at 5:47 AM 0 comments Links to this post Labels: Best New York Dermatology Best Dermatology New York Oil Free Cosmetics The best types of cosmetics to use for oily or acne prone skin, are either oil-free cosmetics or non-comedogenic cosmetics. Oil-free cosmetics mean products that contain little or no ingredients such as isopropyl myristate, isopropyl esters, oleic acid, stearic acid, petrolatum and lanolin (especially acetylated lanolin, alcoholâs and lanolin fatty acids). The label on the cosmetic should state that it is oil-free. This implies that the product has been formulated with no oleaginous ingredients. These products would be appropriate for oily or acne prone skin. For a small number of people, acne may still flare up, to feel better about yourself, you may want to consider using cosmetics to cover up your acne. You should remember that not all skins react alike to the same cosmetic. Oily foundations give the best and longest coverage, but tend to make acne worse. Suggestions: * You can use water based creams or alcohol based liquids under your foundation * Matte or semi-matte, oil-free foundations are the best choices * Sheer or transparent foundations are usually recommended for comodonal (blackhead) acne * Fuller foundations (opaque) may be needed for red lesions or scars * You can mix loose transparent powders (of appropriate tone) into the foundation to give better and long Posted by Dr. Gary Rothfeld at 5:43 AM 0 comments Links to this post Labels: Best Dermatology New York Best New York Dermatology Highlights Atopic Dermatitis Contact Dermatitis Psoriasis Corticosteroids - Topical Corticosteroids are a class of medications used to control inflammation. They are similar to natural hormones produced by the body. When applied to the skin, they provide a very effective treatment for a variety of skin problems. (Corticosteroids are different from the other âsteroids,â such as testosterone, used by athletes and body builders to build muscle mass) Topical corticosteroids are categorized by their strength. Group 1 (I) corticosteroids are âsuper potentâ and have the greatest risk of side effects if used for prolonged periods. Group 7 (VII) corticosteroids are âlow potencyâ and include 1% hydrocortisone, which can be purchased without a prescription. Corticosteroids are available in different formulations, including ointments, gels, creams, lotions, foams, or solutions. The potency of the medication is determined by several factors including: * The active ingredient used * The concentration * The formulation (cream, ointment or gel) For instance, a medication with 2% concentration of hydrocortisone is more potent than a medication with 1% hydrocortisone. Similarly, 2% hydrocortisone ointment may be more potent than 2% hydrocortisone cream. The potency of an ointment is often greater than other formulations because the ointment keeps the skin hydrated, helping the medication to penetrate to deeper layers. Creams, because they absorb more quickly, have greater cosmetic appeal for most people so are often used on the face. Foams and solutions are useful for penetrating hair- bearing areas, such as the scalp. Examples of different corticosteroid strengths: Group 1 (I) Superpotent * Clobetasol, 0.05% (Clobex, Temovate) * Clobetasol Foam 0.05% (Olux and Olux E) * Fluocinonide 0.1% (Vanos) * Halobetasol 0.05%, (Ultravate) Group 2 (II) Potent * Desoximetasone, 0.05% (Topicort gel) * Desoximetasone, 0.25% (Topicort cream, ointment) * Diflorasone diacetate 0.05% (Psorcon cream) * Fluocinonide 0.05% (LIdex) * Halcinonide, 0.1% (Halog) Group 3 (III) Upper Mid-Strength * Desoximetasone 0.05% (Topicort LP cream) * Fluocinonide 0.05% (Lidex-E cream) * Fluticasone propionate. 0.005% (Cutivate Ointment) Group 4 (IV) Mid-Strength * Betamethasone valerate 0.12% (Luxiq foam) * Fluocinolone acetonide 0.025% (Synalar ointment) * Hydrocortisone valerate, 0.2% (Westcort ointment) * Mometasone furoate 0.1% (Elocon cream, lotion) * Triamcinalone acetonide 0.1% (Kenalog cream, ointment) Group 5 (V) Lower Mid-Strength * Fluocinolone acetonide 0.025% (Synalar cream) * Fluticasone propionate 0.05% (Cutivate Cream) * Hydrocortisone valerate, 0.2% (Westcort cream) * Prednicarbate, 0.1% (Dermatop cream) Group 6 (VI) Mild * Alclometasone dipropionate, 0.05% (Aclovate cream) * Desonide, 0.05% (DesOwen cream, lotion and ointment, LoKara lotion, and Verdeso Foam) * Fluocinolone acetonide 0.01% (Capex shampoo, Synalar cream and solution) Group 7 (VII) Least Potent * Hyrocortisone 1%, or 2.5% Some skin disorders, such as seborrheic dermatitis, are relatively sensitive to corticosteroids and usually respond well to less potent corticosteroids in Group 7 (VII) and 6 (IV). Some more moderately resistant skin diseases, such as adult atopic dermatitis, nummular eczema, or allergic contact dermatitis may require slightly stronger corticosteroids in Group 5 (V) and 4 (IV). Resistant skin diseases, such a plaque psoriasis and lichen planus may require treatment with the more potent corticosteroids in Group 2 (II) and 1 (I). The corticosteroid recommended may also depend on the body part being treated. Because the skin on the elbows and knees is relatively thick, stronger formulations can be used more safely on those sites. Conversely, less potent steroids are usually recommended for the thinner skin of the face and genital area. Prolonged use of corticosteroids can lead to side effects, including the thinning of skin (atrophy). Due to increased risk of side effects associated with potent corticosteroids, the use of Group 1 and 2 formulations is generally not recommended for periods longer than two weeks. Corticosteroids can also cause some skin conditions to worsen, including rosacea, fungal infections, and scabies. If used for longer than one month, they can create additional skin disorders including perioral dermatitis and âsteroid acne.â Speak to your doctor if your condition worsens while on treatment. If your skin condition gets under control following the use of a corticosteroid, your doctor will recommend stopping its use, reducing the number of times it is applied each week, or taking a less potent formulation. ___________________________________________________________________ This information is for general educational uses only. It may not apply to you and your specific medical needs. This information should not be used in place of a visit, call, consultation with or the advice of your physician or health care professional. Communicate promptly with your physician or other health care professional with any health- related questions or concerns. Be sure to follow specific instructions given to you by your physician or health care professional. Posted by Dr. Gary Rothfeld at 5:28 AM 0 comments Links to this post Labels: Best New York Dermatology NYC Dermatology by Board Certified Dermatologist Dr. Gary Rothfeld at (212) - 644 - 9494 Welcome Dermatology NYC Dermatology Google Groups About Us Acanthosis Nigricans Acne Acne: Accutane Acne Aestivalis Acne: Antibiotics Acne: Blue Light for Acne Acne: Chloracne Acne: Comedones Acne Condition Acne Cosmetica Acne due to Medicines Acne Excorie Acne Facts Acne Fulminans Acne Glossary Acne in Pregnancy Acne in Teens Acne: Inflammatory Lesions Acne: Infantile Acne Inversa Acne: Isolaz Laser for Acne Acne Keloidalis Acne : Large Pores Acne Management Acne Medications Acne Message Board Acne Myths Acne Necrotica Acne Nodulocystic Acne Photo Library Acne: Pimples Acne Pomade Acne: Psychological Effects Acne Scars Acne Scars: Dermabrasion Acne Scar Treatments Acne: Solar Comedones Acne: Steroid Acne: Stress Acne Surgery Acne Treatments Acne: Trichostasis Spinulosa Acne Urticata Acne Vulgaris Acrochordons Actinic Keratosis Age Spots Aging Skin Allergic Reactions Alopecia Areata Alopecia Areata Treatment Angioma Anti-Aging Appointment Atopic Dermatitis Atopic Dermatitis: Complications Balding Beautiful Skin Board Certified Dermatologist Botox Botox Benefits Botox Brow Shaping Botox Injections Botox Therapy Botox Treatments Botox: Warnings Breast Augmentation Broken Blood Vessels Brown Spots Bullous Pemphigoid Camp Discovery Capillaries Cellulite Chemical Peels Chemical Peels: Before and After Chemical Peels: Sunspot Removal Chemical Peels : TCA and Phenol Chemical Peel Treatments Cherry Angiomas Chloasma Clean Skin: Three Steps Clear Light for Acne Cold Sores Collagen Collagen Injections Complexion Condyloma Accuminata Contact Dermatitis Contact Us Corticosteroids - 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This is more likely to occur in fair-skinned individuals. Brown spots are most commonly found on the face, tops of the hands, chest, arms and legs, but can occur on any heavily sun exposed area. Many therapies can be employed to erase these unwanted spots including cryotherapy, laser, chemical peels and bleaching creams. After examining your skin, your dermatologist will determine the best treatment method to correct your skin problem. Add to Google Google Groups Subscribe to NYC Dermatology Email: Visit this group powered by FreeFind Dear Friends Our goal at NYC Dermatology is to be the Tiffanys of Skin Care. 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 physicans 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 skin-care concerns and offer a variety of options including a treatment plan that I believe will give them the best results. We also support our patients with a very fine medical staff . Please take a moment to explore our top of the line winning website. My philosophy is simpleâ¦Experience Counts and Quality Matters. Please allow me to solve your skin problems. 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We offer the latest, most innovative treatments for skin. All of our treatments are customized to your specific needs. Our mission is to provide high quality skin care services with minimal downtime to our patients, and to educate our patients on properly maintaining skin health. We strive to provide education first on the skin care procedures and products we offer, allowing our patients to make informed decisions about their skin care. Dr. Gary Rothfeld is a board-certified dermatologist and dermatologic surgeon who specializes in aesthetic procedures. Dr. Rothfeld cares for all types of skin conditions with a special emphasis in the areas of cosmetic dermatology and laser surgery. Dr. Rothfeld was raised in New York , and as a young man was drawn to the performing arts and creative writing. A strict academic upbringing led him into science and medicine instead. After many years of rigorous training followed by preceptorships and mentorships that added to his skill and experience, Dr. Rothfeld has found art again. Dr. Rothfeld stands on a foundation of science but is now able to express himself creatively in the world of aesthetic medicine. Every patient is a unique palette of conditions, goals and temperament that require delicate consideration, and sometimes inventive solutions. Dr. Gary Rothfeld is able to provide the entire gamut of dermatologic services, including medical dermatology, injectables, laser treatments and surgery. This gives him a range of possibilities when evaluating a patient. Combination treatments are often tailored to provide the patient with results ranging from subtle to dramatic. Dr. Rothfeld strives to listen and understand the patient's specific goals and concerns, and provide them with satisfying results. NYC Dermatology endeavors to make the patient's visit as comfortable and pleasant as possible, making their best effort to take the pain out of beauty. Dr. Gary Rothfeld and his staff approach their work with absolute joy and infectious enthusiasm, which is felt throughout his practice. Trained in Dermatology, NYC Dermatolgy by Board Certified Dermatologist NY Dermatology 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 NYC 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 Dermatologists in NYC by the entertainment industry. NYC Dermatology is under the medical supervision of Dr. Gary Rothfeld, a Board Certified Dermatologist. To enhance every aspect of your skin care, Dr. Rothfeld has personally created a superb line of cosmetic procedures.. NYC 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 board certified dermatologist in NYC specializing in dermatology and dermatologic surgery including state-of-the-art cosmetic surgical procedures, Dr. Gary Rothfeld is known for his attention to body symmetry and his dedication to meeting patientsâ 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, non-surgical facelifts, collagen implantation and treatment of skin cancer. 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 NYC 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 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. Join the NYC Laser Center NYC Dermatology Mailing List Our periodic newsletters include exclusive offers, educational articles, as well as free treatment & product drawings! Email: nycdermatologist(a)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. Beauty Is Forever! and Dr. Rothfeld at NYC Dermatologist has over 20 years of experience with his beauty tips. . During your office consultation and examination you will be provided with a detailed plan of the treatments that will benefit you most. NYC Laser Center NYC Dermatology top laser dermatology center offering skin care, dermatolgy,cosmetic dermatology services, and laser treatments for sun damaged skin, acne, acne scars, rosacea, pigmentation, laser hair removal, broken blood vessels, as well as superficial and deep wrinkles. We offer patients in Manhattan, services including general dermatology, wrinkle fillers such as Restylane®, Captique, Perlane,Cosmoderm and Cosmoplast, Radiance® (radiesse) and Sculptra. We also offer Botox®, Cosmelan, Velasmooth, Fotofacial, Titan laser, Refirme, and the Fractionated Resurfacing laser. in the treatment of acne, rosacea, skin cancer and surgery. Dr. Rothfeld has taught numerous other physicians on the proper use of Botox®, medical hair transplants, and lasers in the country. Acne Photodynamic Treatment - Botox® - Botox® for Hyperhidrosis - Cellulite - Cool Laser - Cosmelan Depigmentation Treatment - Glycolic Acid Peel - Fat Transfer - Fotofacial / IPL Fractionated Resurfacing Laser - Hair Loss - Laser Hair Removal - Liposuction - - Surgery - Minimal Scar Technique - Photodynamic Rejuvenation Radiance® - Restylane® - Sclerotherapy - Sculptra - Smoothbeam - Stretch Marks - SunFX - TCA Peel - Tattoo Removal - Titan Laser Facelift - V-beam Laser Treatments - Velasmooth Our cosmetic surgeon includes Dermatologist Dr. Gary Rothfeld Board Certified Dermatologist at NYC Dermatology. Our NYC dermatologist offers advanced dermatology laser treatments for cosmetic needs and medical skin conditions. We offer our services to Manhattan , Brooklyn, Bronx, Queens locations through our Manhattan office in NYC nycdermatology at Yahoo! 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