(Glycolic, Beta and Alpha Hydroxy Acids)
Skin resurfacing through controlled chemical application
Chemical Peels have been
a mainstay of Dermatology for decades. Only in recent years have lasers attempted to replace these trusted and effective methods
of resurfacing your skin. Dr. Gary Rothfeld, a board Certified Dermatologist in NYC, Manhattan has experience
with both methods which allows him to tailor a treatment regimen that precisely resolves skin surface irregularities
and maintains smooth and luminous skin.
| Pigmentation on the face, arms, chest, hands. Fine lines and wrinkles. Acne Clogged
Pores Rough skin Dull skin Discoloration|
"How do Chemical Peels work?
There are basically four major types of chemical peel solutions:
- Alpha Hydroxy (Glycolic Acid - other fruit and sugar based acids)
- Beta Hydroxy
- TCA (Trichloroacetic Acid)
peels work by "ungluing" the top layer of damaged and discolored skin so it can peel away and reveal the fresh new
skin beneath. By forcing the turnover of the cells, the old dull and damaged cells peel off much more quickly.
superficial peels using Alpha Hydroxy acids such as Glycolic Acid can be very effective in a series of "no downtime"
procedures. Your skin will have a light pink look and flaking or peeling may be unnoticeable. Superficial peels are ideal
for improving pigmentation problems, fine wrinkles and sun damage. They can be used anywhere on the face and body.
Special peels containing salicylic acid (beta hydroxy acid) are especially
effective for those suffering from acne and oily skin. Salicylic acid has the ability to penetrate the pores as it is soluble
in oil. Great for unclogging pores and improving acne. All peels can be adjusted to your skin type and condition, making them
extremely customizable according to Dr. Rothfeld at NYC dermatology in Manhattan, New York
Dr. Rothfeld is meticulous
in the selection and application of your chemical peel.
has become the treatment of choice for melasma and especially for sensitive skin types prone to hyperpigmentation from sun
exposure, heat or blemishes. Cosmelan works by blocking the action of the process that causes hyperpigmentation.
|Effective in all kinds of melasma and chloasma.|
|It can be used any time of the year.|
|Compatible with all types of skin.|
|It permits sun exposure without the risk
of spots appearing.|
|It is completely safe and does not include
TCA or hydroquinone.|
|There are minimal side effects (very little
redness and flaking).|
|Beneficial for acne patients by regularizing
|Skin becomes bright and rejuvenated with lightening of spots
and brown areas in just 10 days.|
Moderate medium-depth peels result in
a temporary all-over peeling with deeper pink tone to your skin for several days to a week. These peels are more effective
on moderate wrinkles, precancerous skin growths and more problematic pigmentation. Mostly used on the face, medium peels are typically TCA peels.
Usually a TCA peel will produce enough peeling that you may wish to stay
in for a few days. Discuss with Dr Gary Rothfeld at NYC Dermatologist which peel level works into your lifestyle.
What will a chemical peel feel like?
Dr. Rothfeld, a board certified dermatologist
at NYC Dermatology will first clean your skin of any oils. The chemical solution is either brushed on or applied with
a pad. You may feel a slight stinging as the peel solution penetrates your skin.
Once removed, your skin will be moisturized
and you will be advised to wear a sunscreen. Your skin will feel tight and will look rosy for a few hours to several days.
Your chemical peel will cause some flaking and peeling.
Chemical peels may be augmented with V Beam Laser for
resolving broken blood vessels and IPL Fotofacial for removing encapsulated or resistant pigmentation
NYC Dermatology by Board Certified Dermatologist Dr. Gary Rothfeld, a dermatologist
in NYC. Offices in New York City. Dr. Rothfeld is a licensed Dermatologist with a New York
City office in Manhattan providing expert skin care, dermatology, and cosmetic dermatology services.
Skin resurfacing through controlled
Chemical Peels have
been a mainstay of Dermatology for decades. Only in recent years have lasers attempted to replace these trusted and effective
methods of resurfacing your skin. Dr. Gary Rothfeld, a board Certified Dermatologist in NYC, Manhattan has experience
with both methods which allows him to tailor a treatment regimen that precisely resolves skin surface irregularities
and maintains smooth and luminous skin.
- Do you peer in the mirror each morning
and play little face games?
you find yourself raising your brows, smiling wider, stretching wrinkles, pursing your lips, or lifting the droopy corners
that weren’t there last month?
you exhausted from trying every TV promise out there to stop your acne and wonder “why me?”
|Who doesn’t find something they don’t like about the face in the
mirror each morning? It’s human nature to want to look your best. Even royalty and celebrities find themselves sitting
across from Dr. Rothfeld seeking the fix for that blemish, that sag or that brown spot. |
Dr. Gary Rothfeld , board certified dermatologist at NYC Dematology, having worked alongside
several of the world's renowned dermatologists, has shaped a uniquely innovative approach in treating any skin problem
you may have. Through cosmetic and medical dermatology, laser surgery and powerful combination treatment options, Dr. Gary
Rothfeld quickly and effectively helps you see dramatic improvements in the appearance and health of your skin.
Dr. Gary Rothfeld is well known for his particular expertise is in designing anti-aging, anti-acne, and anti-rosacea
treatments with exceptional success and optimum cosmetic elegance. These particular conditions need specialized non-harsh
therapies in order to be successful with minimal side effects. Over-treatment or overly aggressive treatment can backfire.
Dr.Rothfeld makes sure that doesn’t happen to his patients.
|Dr. Rothfelds' main
concern is that you receive an individualized skin treatment program that eliminates your problems without
unnecessary side effects. This is attained by having one-on-one care with good old fashioned personal attention from Dr.Gary Rothfeld himself."|
The most common medical condition that Dr. Rothfeld treats is Acne and Acne Scarring. His comprehensive approach may include photodynamic therapy which will help restore your natural, radiant skin without the signs of acne. This
treatment, which can consist of a combination of blue light and
laser, significantly diminishes your need for oral medications.
His cutting-edge research in technology
initiated his interest and involvement in Laser Dermatology. He has the latest proven lasers to treat acne and acne scarring, broken blood vessles, and rosacea , wrinkles , and loose
skin. These laser procedures provide tremendous results with little downtime. All laser procedures are performed personally
by Dr. Gary Rothfeld at NYC Dermatology.
As a sought-after expert in the successful use of Botox, he has trained
many physicians in how to implement his unique technique in treating their own patients. Many of his patients refer to him
as "the Botox artist". Wrinkles in the forehead, between the brows, and around the eyes are painlessly reduced.
The results are night & day differences with no downtime or pain.
One particularly exciting use of Botox is
the non-surgical Brow Lift. This procedure elevates the brow and can also elevate droopy eyelid skin. He has helped countless
patients avoid unnecessary plastic surgery with this procedure.
Another well-appreciated application of Botox Cosmetic
is in the treatment for excessive underarm sweating, which has been recently FDA approved. The Botox Cosmetic is non-diluted
and prepared in such a way as to be completely painless!
peels are excellent treatment for the prevention of aging skin and acne. Light Peels and ipl fotofacial offer quick treatments that help improve skin texture and minimize fine lines. Cosmelan treats patchy brown hyperpigmentation.
is Vital; Start with your Skin. The American Academy of Dermatology recommends yearly skin checks to examine moles and remove
unusual ones that are often are high risk.
Non-surgical treatment that softens wrinkles that have developed over time.
Duration of Results: 3-4 months
Removal of the outer layer of the skin using abrasion, chemicals or a laser, resulting in smoother and less wrinkled skin.
Recovery time is one to three weeks.
Duration of Results: Generally permanent.
(Different from Collagen and Soft Tissue Augmentation)
of natural protein which puffs up and raises skin tissue to smooth out and make less visible wrinkles and scars.
time is about three hours.
Duration of Results: Repeated as needed.
Skin blemishes, skin cancers, birth marks, scars and other skin growths can be removed or made
less visible using various techniques such as hidden incisions or laser treatment.
Recovery time is approximately seven
to ten days.
Duration of Results: Generally permanent.
Surgery to make scars less visible using various techniques such as Z-plasty or W-plasty.
Recovery time is variable
Duration of Results: Generally permanent
Acne is the term for plugged pores (blackheads and whiteheads), pimples, and deeper lumps (cysts or nodules), that occur
on the face, neck, chest, back, shoulders and even the upper arms. Most teenagers have some acne. However, adults in their
20's, even into their 40's or older, can get acne. Acne often clears up after several years even without treatment,
but you need not wait to outgrow it. Untreated acne can leave scars, which can be treated by your dermatologist as well.While
not a life threatening condition, acne can be upsetting and disfiguring. Acne can also lead to serious and permanent scarring.
of moles and other blemishes are benign (not-cancer). They will never be a threat to the health of the person who has them.
Spots or blemishes that warrant medical concern are those that do something out of the ordinary-those that act differently
from other existing moles. This includes any spot that changes in size, shape or color, or one that bleeds, itches, becomes
painful, or first appears when a person is past twenty.
Occasionally, a mole may become a cancerous growth. Therefore,
it's best to get medical advice from Dr. Gary Rothfeld, Board Certified Dermatologist at NYC Dermatology if you notice
a mole that does not follow the normal pattern. Dr. Rothfeld may be able to assure you that the mole is harmless. To accomplish
this, he may study a sample of it under a microscope for an accurate diagnosis.
He would then remove the mole, or part
of it, so that thin sections from the mole can be cut and examined under a microscope. This is a simple and harmless procedure.
If the growth was only partially removed and it is found to be cancerous, then the entire lesion and an extra margin of safety
will need to be removed.
A person may wish to get rid of moles that are in areas of trauma, where clothing can irritate
them, or simply because they are unattractive. The most common methods of removal include numbing the spot and then shaving
the mole off, or for some moles, cutting out the entire lesion and stitching the area closed.
Most procedures used to
remove moles take only a short time and can be performed in our office. Sometimes a mole will recur after it is removed. If
a removed mole does begin to reappear, the patient should return to see Dr.Gary Rothfeld.
Rashes, Eczema & Psoriasis
Psoriasis is a persistent skin disease that got
its name from the Greek word for "itch." The skin becomes inflamed, producing red, thickened areas with silvery
scales, most often on the scalp, elbows, knees, and lower back. In some cases, psoriasis is so mild that people don't
know they have it. At the opposite extreme, severe psoriasis may cover large areas of the body. Our Board Certified
Dermatologist Dr. Gary Rothfeld can help even the most severe cases.
Psoriasis cannot be passed from one person
to another, though it is more likely to occur in people whose family members have it. In the United States two out of every
hundred people have psoriasis (four to five million people). Approximately 150,000 new cases occur each year.
is unknown. However, recent discoveries point to an abnormality in the functioning of key white cells in the blood stream
triggering inflammation in the skin. Because of the inflammation, the skin sheds too rapidly, every three to four days.
People often notice new spots 10 to 14 days after the skin is cut, scratched, rubbed, or severely sunburned. Psoriasis can
also be activated by infections, such as strep throat, and by certain medicines. Flare-ups sometimes occur in the winter,
as a result of dry skin and lack of sunlight.
Freckles & Age Spots
These flat, brown areas are called lentigines. They have nothing to do with the liver - they are caused by the sun and usually
appear on the face, hands, back and feet. They are generally harmless. They may look like melanoma and therefore may require
evaluation. Commercial "fade" creams will not make lentigines disappear, but effective prescription medications
and surgical resurfacing treatments are available. Dr. Rothfeld at NYC Dermatology board certified dermatologist treats
many cases every week.
These brown or black raised spots or wart-like growths look like they were stuck on the skin surface. They are not cancerous
and are very common in older people. If annoying, they can be easily removed by a dermatologist.
These are harmless, small, bright red raised bumps created by dilated
blood vessels. They occur in more than 85 percent of middle-aged and elderly people, usually on the trunk. Electrocautery,
laser surgery, or other surgical therapies remove these spots.
There are several different lasers used for the treatment of warts. Laser therapy is used to destroy
some types of warts. Lasers are more expensive and require the injection of a local anesthesia to numb the area treated.
Another treatment is to inject each wart with an anti-cancer drug called bleomycin. The injections may be painful and can
have other side effects. Immunotherapy, which attempts to use the body's own rejection system is another method of treatment.
Several methods of immunotherapy are being used. With one method the patient is made allergic to a certain chemical which
is then painted on the wart. A mild allergic reaction occurs around the treated warts, and may result in the disappearance
of the warts.
Warts may also be injected with interferon, a treatment to boost the immune reaction and cause rejection
of the wart. There are some wart remedies available without a prescription. However, you might mistake another kind of skin
growth for a wart, and end up treating something more serious as though it were a wart. If you have any questions about either
the diagnosis or the best way to treat a wart, you should seek your dermatologist's advice.
Many babies have what are called "birthmarks" when they're
born. In some cases they may appear within the first few weeks of life. They can be brown, tan, blue, pink, or red. More than
10 in 100 babies have vascular birthmarks. These are made up of blood vessels bunched together in the skin. They can be flat
or raised, pink, red or bluish discolorations.
The exact causes of birthmarks are unknown. Most vascular birthmarks
are not inherited, nor are they caused by anything that happens to the mother during pregnancy.
There are different
kinds of vascular birthmarks. Sometimes, the birthmark must be watched for several weeks or months before the specific type
can be identified. The most common types of vascular birthmarks are macular stains, hemangiomas, and port wine stains. There
are also many rare types of vascular birthmarks.
Rosacea, (rose-AY-sha) is a common skin disease that causes redness and swelling on the face. Often referred to as "adult
acne," rosacea may begin as a tendency to flush or blush easily, and progress to persistent redness in the center of
the face that may gradually involve the cheeks, forehead, chin, and nose. It also may involve the ears, chest and back. As
the disease progresses, small blood vessels and tiny pimples begin to appear on and around the reddened area; however, unlike
acne, there are no blackheads.
When it first develops, rosacea may come and go on its own. When the skin doesn't
return to its normal color and when other symptoms, such as pimples and enlarged blood vessels, become visible, it's best
to seek advice from a dermatologist. The condition rarely reverses itself and may last for years. It can become worse without
Many people with rosacea are unfamiliar with it and do not recognize it in its early stages. Identifying
the disease is the first step to controlling it. Self-diagnosis and treatment are not recommended, as some over-the-counter
skin applications may make the problem worse.
Dr. Gary Rothfeld, board certified dermatologist in Manhattan, New York
often recommends a combination of treatments tailored to the individual patient. Together, these treatments can stop the progress
of rosacea and sometimes reverse it. Gels and creams may be prescribed by a dermatologist. A slight improvement can be seen
in the first three to four weeks of use. Greater improvement is usually noticed in two months. Oral antibiotics tend to produce
faster results than topical medications.
Cortisone creams may reduce the redness of rosacea. However, they should not
be used for longer than two weeks and strong preparations should be avoided. It is best to use these creams only under the
direction of Dr. Rothfeld.
The persistent redness may be treated with a small electric needle or by laser surgery to
close off the dilated blood vessels. Cosmetics may offer an alternative to the more specific treatment. Green tinted makeup
may mask the redness.
Sclerotherapy of Leg Veins
injection method, a procedure called sclerotherapy is used to treat unwanted blood vessels. One of several kinds of solutions,
called sclerosing solution, is injected with a very fine needle directly into the blood vessel. This procedure has been used
for spider veins since the 1930's and before that for larger veins. The solution irritates the lining of the vessel, causing
it to swell and stick together and the blood to thicken. Over a period of weeks, the vessel turns into scar tissue that is
absorbed, eventually becoming barely noticeable or invisible.
A single blood vessel may have to be injected more than
once, some weeks or months apart, depending on its size. In any one treatment session a number of vessels can be injected.
The solutions available are slightly different and the choice of which solution to use depends on several factors
including the size of the vessel to be injected. our dermatologist will choose a solution that is best for your particular
Occasionally larger varicose veins are underneath or associated with the spider veins. In such cases, some physicians
believe these vessels should be treated before the spider veins. This can be done by sclerotherapy, intravascular laser, or
radiofrequency, followed by compression. After several treatments, most patients can expect a 50 percent to 90 percent improvement.
However, fading is gradual, usually over months. Disappearance of spider veins is usually achieved, but similar veins may
appear in the same general area.
Scar & Keloid Treatments
Several techniques can minimize a scar. Most of these are done routinely in the dermatologist's office. Only severe
scars, such as burns over a large part of the body may require general anesthesia or a hospital stay.
revision can improve the way scars look by changing the size, depth, or color. However, no scar can ever be completely erased;
and no magic technique will return the scar to its normal uninjured appearance. Surgical scar revision typically results in
a less obvious mark. Because each scar is different, each will require a different approach.
The most important step
in the treatment of scars is careful consultation between the patient and the dermatologic surgeon Dr. Gary Rothfeld - finding
out what bothers a patient most about a scar and deciding upon the best treatment.
Based on the ability of the skin to
stretch with time, surgical scar revision is a method of removing a scar and rejoining the normal skin in a less obvious fashion.
The surgical removal of scars is best suited for wide or long scars, those in prominent places, or scars that have healed
in a particular pattern or shape. Wide scars can often be cut out and closed, resulting in a thinner scar, and long scars
can be made shorter. A technique of irregular or staggered incision lines, rather than straight-line incisions, to form a
broken-line scar that is much more difficult to recognize may be used. Sometimes, a scar's direction can be changed so
that all or part of the scar that crosses a natural wrinkle or line falls into the wrinkle, making it less noticeable. This
method can also be used to move scars into more favorable locations, such as into a hairline, or a natural junction (for instance,
where the nose meets the cheek). Best results are obtained when the scar is removed and wound edges are brought together without
tension or movement (pull) on the skin.
MOHS micrographic surgery is a highly specialized procedure for the removal of skin
cancer. It was originally developed in the 1930’s by Dr. Frederic MOHS and has been refined since, gaining substantial
application only in the past decade. Although this procedure is very precise, its major drawback is that it is very time consuming
and requires specialized training, personnel and equipment. Consequently, only a few major medical centers can provide this
type of therapy.
There are three surgical steps to MOHS micrographic surgery:
- The surgical
removal of the visual portion of skin cancer with excision or scraping.
- The surgical removal of a thin layer
of tissue at the bed of the cancer.
- The examination of the excised tissue layer under the microscope.
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 and the best dermatologist. 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 simple…Experience Counts and Quality Matters. Please allow me to solve your skin
problems. After all, at NYC Dermatology , our philosophy is if you look great you will feel great with gorgeous skin.”
NYC Dermatology is a full service cosmetic dermatology practice under the direction of Dr. Rothfeld. 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 Dermatology 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..
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 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, 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: firstname.lastname@example.org 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.
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
Sun Protection Ultraviolet radiation is the major cause of skin cancer, including melanoma. It is important
for everyone to be aware of its damaging effects and take measures to avoid overexposure.
Although many people enjoy
the appearance of tanned skin and think it looks "healthy," tanned skin is damaged skin. The ultraviolet radiation
in sunlight penetrates the deepest layers of the skin where it harms the cells. The body responds by making more pigment (melanin)
to try to protect itself, but the damage has already happened and may be permanent. The more exposure you have to the sun,
the more likely you are to develop skin problems later in life.
The damaging part of sunlight
is called ultraviolet radiation, or UV rays. It is categorized into three types:
- UVC rays
(wavelengths = 200 nm to 290 nm) are the shortest and most powerful of the UV rays. UVC is
the most likely to cause cancer if it reaches skin. Fortunately, most of it is absorbed by the ozone layer in our atmosphere.
However, there is concern that a thinning of the ozone layer may be causing more UVC to reach the earth's surface.
rays (wavelengths = 290 nm to 320 nm) are less damaging than UVC, but more of it penetrates to the earth's surface.
It is the most common cause of sunburn and skin cancer. UVB is particularly strong at the equator, at high elevations, and
during the summer.
- UVA rays (wavelengths = 320 nm to 400 nm)
are the least powerful of the UV rays, but they are present all year and can penetrate
windows and clouds.
The first and more effective way to avoid sun damage is
to stay out of tthe sun as much as possible.
If you cannot avoid being exposed to sunlight,
there are five basic defenses that you should keep in mind when you go outdoors:
peak hours of sunlight
Avoid Peak Hours of Sunlight (UV Index)
In general, UV rays are the greatest between 10 a.m. and 4 p.m.
It is best to avoid the outdoors during these hours without protection, particularly during summer, in tropical regions, or
at altitude. During this time, you should pay close attention to the appropriate use of sunscreen, clothing, sunglasses, and
You can obtain an accurate measure of the amount of UV rays in your area by looking
up the Ultraviolet (UV) Index. The UV Index is like a weather forecast. It provides a
report on the amount of damaging UV rays that are expected to affect a region on a particular day. The UV Index changes day
to day according to time of year, cloud cover, atmospheric ozone, and other factors.
The following table is a breakdown
of the UV Index. A high UV Index number means that you are at greater risk of being exposed to ultraviolet radiation. You
should take special care to avoid outdoor exposure to sunlight when the UV Index is moderate or greater.
- 0 to 2
- 3 to 4 = Low
- 5 to 6 = Moderate
- 7 to 9 = High
or more = Very high
The UV Index can be found on our Website or in local
papers, usually in the weather section.
There are several factors to consider when selecting the right
sunscreen. (See the Sunscreens handout for more information.)
actor (SPF) - Sunscreens are rated by the amount of protection they provide from UVB, measured as the "sun
protection factor" or SPF. Sunscreens with higher SPF provide greater protection from the sun. It is best to use sunscreens
that offer a minimum SPF of 15.
Broad-spectrum sunscreens - It is best to use a sunscreen that can
protect you from both UVA and UVB rays. These are called "broad-spectrum" sunscreens.
Most of the original sunscreens blocked only UVB, but increased awareness of the damage caused by UVA has lead to the
development of ingredients that protect against UVA too. Broad-spectrum sunscreens combine ingredients to provide a product
with greater protection.
Common sunscreen ingredients that provide protection
from UVB rays:
- PABA (para-aminobenzoic
- Padimate O and Padimate A (Octyl Dimethyl PABA)
sunscreen ingredients that provide protection from UVA rays:
- Avobenzone (Parsol 1789)
(oxybenzone, dioxybenzone, sulisobenzone)
Sunblocks - "Physical"
sunscreen ingredients lie on top of the skin and work by reflecting or scattering UV radiation. They are particularly useful
for people who are sensitive to the ingredients found in other sunscreens. Sunblocks often contain one or more of these ingredients:
- Titanium dioxide
- Iron oxide
Although past formulations
were unsightly (often leaving a white film on the skin), newer "microfine" formulations are invisible after being
applied. Microfine titanium dioxide is effective at protecting from both UVA and UVB rays.
- Sunscreens are classified as "water-resistant" if they maintain their protection after two 20-minute
immersions in water. They are classified as "waterproof" if they maintain their protection after four 20-minute
immersions. You should seek a water-resistant or waterproof sunscreen if you will be participating in water sports, such as
swimming or water skiing, or will be actively sweating.
However, independent testing has shown many products do not
perform well in the real world. So it remains a good idea to apply sunscreen every time you leave the water, or frequently
if you are actively sweating.
Using a Sunscreen
Sunscreen should be applied
evenly and liberally on all sun-exposed skin within 30 minutes before going outside to give sunscreen time to take effect.
(Sunblocks are effective immediately after being applied.) Sunscreens should be reapplied every two hours or following swimming
or sweating. Apply sunscreen generously and reapply frequently at least every two hours.
The chemicals may lose
effectiveness over time, so it is important to throw away sunscreen that is past its expiration date
or is over two years old.
No sunscreen is 100% effective; take additional measures to avoid the
damaging effects of the sun's rays.
Clothing can provide excellent
protection from the sun. However, not all clothing is protective. A thin, wet, white t-shirt will provide almost no protection
from UV rays. When selecting clothes for sun protection, consider the following:
- Cover your head, shoulders, arms,
legs, and feet.
- Use a hat that is broad-brimmed (brim should be at least four
- Wear fabrics that are thicker or with a tight weave; these allow less
sunlight to penetrate the skin.
- Wear darker-colored clothes that absorb more UV rays.
- Wear clothing
made from nylon or Dacron because it is more protective than cotton.
- Avoid remaining
in wet clothes because wet fabric may allow more UV rays to penetrate the skin.
clothing with chemical absorbers to increase their protectiveness.
- Some clothing
comes with a UPF rating that stands for "Ultraviolet Protection Factor." This measures the ability of the fabric
to block UV radiation from penetrating to the skin. A fabric with a UPF 15 allows only 1/15th (6.66%) of the UV radiation
to penetrate your skin as compared to uncovered skin.
Garments fall into 3 categories:
protection: UPF = 15 to 24
- Very good protection: UPF = 25 to 39
protection: UPF = 40 to 50+
Choose clothing with a UPF rating of at least 15. Keep in mind that the UPF of a
garment will decrease over time as the fabric wears.
Overexposure to sunlight can cause cataracts
and macular degeneration, a major cause of blindness. Sunglasses can provide protection. However, not all sunglasses are of
value. A darker lens itself does not guarantee protection. Look at the label to ensure that the glasses provide UV protection.
Sunglasses should be large enough to shield your eyes from many angles. Look for sunglasses that are described as blocking
99% or 100% of UVA and UVB. The glasses may also be described as providing UV absorption up to 400 nm.
possible, remain in the shade when outdoors. Keep in mind that shade does not provide full protection from the sun because
UV rays can bounce off reflective surfaces, such as sand, snow, water, concrete, or even porch decks. In addition, some fabrics
used as shade devices, such as parasols or umbrellas, may not provide sufficient protection. If you seek shade under a cloth,
look for a fabric that is thick, tightly woven, and dark-colored.
Clear window glass provides protection from UVC and
UVB, but not UVA rays. If you are frequently exposed to sunlight while driving, the plastic interleaf of your windshield (which
prevents it from shattering) can help block the light, but side windows have no such protection. Non-drivers can make use
of additional window shade devices. Drivers in some states may be able to use darkly-tinted glass in the side windows, but
this is illegal in some states.
- Avoid the sun when its
UV rays are strongest, between 10 a.m. and 4 p.m.
- Use a broad-spectrum sunscreen with SPF 15 or greater.
Apply it 30 minutes prior to being exposed to the sun and reapply every two hours. Consider using a water-resistant sunscreen
if you will be active (sweating) or in the water.
- Use a sunblock on your lips.
- Wear a broad-brimmed hat
- Wear sunglasses.
- Wear tightly woven, dark clothing to
cover your arms, legs, and feet.
- Stay in the shade when possible.
reflective surfaces, such as water or snow.
- Avoid sunbathing.
be fooled by cloudy days since damaging rays can penetrate clouds.
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New York - Skin Cancer Doctor- NYC Cosmetic Dermatology- Cosmetic Dermatological Surgery - New York City -
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- Board Certified Dermatologist - New York, NY
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Manhattan, New York 10022