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Sunscreens
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Sunscreens Definition http://www.nycdermatologist.com Sunscreens are products applied to the skin to protect against the harmful effects of the sun's ultraviolet (UV)
rays. http;//www.dermatologynyc.org Purpose http://www.1800blemish.com http://www.dermatologistsnyc.com/sundamagedskin.html Everyone needs a little sunshine. About 15 minutes of exposure a day helps the body make Vitamin D, which is important for
healthy bones and teeth. But longer exposure may cause many problems, from wrinkles to skin cancer. One particularly deadly
form of skin cancer, malignant melanoma, has been on the rise in recent decades, as tanning has become more popular. Over
the same period, scientists have warned that the thin layer of ozone that protects life on Earth from the sun's ultraviolet
(UV) radiation is being depleted. This allows more UV radiation to get through, adding to the risk of overexposure. http://www.dermatologistsnyc.com Sunscreens help protect against the sun's damaging effects. But just how much protection they provide is a matter
of debate. The sun gives off two kinds of ultraviolet radiation, called UV-A and UV-B. For many years, experts thought that
only UV-B was harmful. However, recent research suggests that UV-A may be just as dangerous as UV-B, although its effects
may take longer to show up. In particular, UV-A may have a role in causing melanoma. Most sunscreen products contain ingredients
that provide adequate protection only against UV-B rays. Even those labeled as "broad spectrum" sunscreens may offer
only partial protection against UV-A radiation. Those containing the ingredient avobenzone give the most protection against
UV-A rays. Some medical experts are concerned that sunscreens give people a false sense of security, allowing
them to stay in the sun longer than they should. Although sunscreens protect the skin from burning, they may not protect against
other kinds of damage. A number of studies suggest that people who use sunscreens may actually increase their risk of melanoma
because they spend too much time in the sun. This does not mean that people should stop using sunscreens. It means that they
should not rely on sunscreens alone for protection. According to the American Academy of Dermatology, sunscreens should be
one part of sun protection, along with wide-brimmed hats and tightly-woven clothing that covers the arms and legs. Description Many brands of sunscreens are available, containing a variety of ingredients. The active ingredients
work by absorbing, reflecting, or scattering some or all of the sun's rays. Most sunscreen products contain combinations
of ingredients. The U.S. Food and Drug Administration requires sunscreen products to carry a sun protection factor
(SPF) rating on their labels. This number tells how well the sunscreen protects against burning. The higher the number, the
longer a person can stay in the sun without burning. Sunscreen products are sold as lotions, creams, gels, oils,
sprays, sticks, and lip balms, and can be bought without a physician's prescription. Recommended dosage Be sure to read the instructions that come with the sunscreen. Some need to be applied as long as 1-2 hours before
sun exposure. Others should be applied 30 minutes before exposure, and frequently during exposure. Apply sunscreen
liberally to all exposed parts of the skin, including the hands, feet, nose, ears, neck, scalp (if the hair is thin or very
short), and eyelids. Take care not to get sunscreen in the eyes, as it can cause irritation. Use a lip balm containing sunscreen
to protect the lips. Reapply sunscreen liberally every 1-2 hours—more frequently when perspiring heavily. Sunscreen
should also be reapplied after going in the water. Precautions Sunscreen alone will not provide full
protection from the sun. When possible, wear a hat, long pants, a long-sleeved shirt, and sunglasses. Try to stay out of the
sun between 10 A.M. and 2 P.M. (11 A.M. to 3 P.M. Daylight Saving Time), when the sun's rays are strongest. The sun can
damage the skin even on cloudy days, so get in the habit of using a sunscreen every day. Be especially careful at high elevations
or in areas with surfaces that reflect the sun's rays, such as sand, water, concrete, or snow. Sunlamps, tanning
beds, and tanning booths were once thought to be safer than the sun, because they give off mainly UV-A rays. However, UV-A
rays are now known to cause serious skin damage and may increase the risk of melanoma. Health experts advise people not to
use these tanning devices. People with fair skin, blond, red or light brown hair, and light colored eyes are at
greatest risk for developing skin cancer. So are people with many large skin moles. These people should avoid exposure to
the sun as much as possible. However, even dark skinned people, including African Americans and Hispanic Americans may suffer
skin damage from the sun and should be careful about exposure. Sunscreens should not be used on children under
6 months because of the risk of side effects. Instead, children this young should be kept out of the sun. Children over 6
months should be protected with clothing and sunscreens of at least SPF 15, preferably lotions. Sunscreens containing alcohol
should not be used on children because they may irritate the skin. Older people who stay out of the sun and use
sunscreens may not produce enough vitamin D in their bodies. They may need to increase the vitamin D in their diets by including
foods such as fortified milk and salmon. A health care professional can help decide if this is necessary. Anyone
who has had unusual reactions to any sunscreen ingredients in the past should check with a physician or pharmacist before
using a sunscreen. The physician or pharmacist should also be told about any allergies to foods, dyes, preservatives, or other
substances, especially the following: http://www.dermatologistsnyc.com/sundamagedskin.html artificial sweeteners anesthetics such as benzocaine, procaine, or tetracaine diabetes medicine taken by
mouth hair dyes sulfa medicines water pills cinnamon flavoring People with skin conditions or
diseases should check with their physicians before using a sunscreen. This is especially true of people with conditions that
get worse with exposure to light. Side effects The most common side effects are drying or tightening
of the skin. This problem does not need medical attention unless it does not improve. Other side effects are rare,
but possible. If any of the following symptoms occur, check with a physician as soon as possible: acne burning,
itching, or stinging of the skin redness or swelling of the skin rash, with or without blisters that ooze and
become crusted pain in hairy parts of body pus in hair follicles Interactions http://www.nycdermatologist.com Anyone who is using a prescription or nonprescription (over-the-counter) drug that is applied to the skin should check
with a physician before using a sunscreen.
FDA Proposes New Sunscreen RulesProposed Sunscreen Regulation Includes a Rating System, New Warning By
Miranda Hitti
WebMD Medical News Reviewed By Louise Chang, MD Aug. 23, 2007 -- Sunscreens may get a new rating system and a warning, thanks to a new FDA proposal. The
FDA today proposed a new regulation that sets standards for formulating, testing, and labeling over-the-counter sunscreens
with ultraviolet A (UVA) and ultraviolet B (UVB) protection. The proposal includes a four-star rating system for sunscreen
protection against UVA light, along with a warning that stresses the importance of not relying solely on sunscreens to prevent
skin cancer and skin damage. Sunlight contains the visible light that we can see and ultraviolet (UV) light that we cannot. There
are two types of UV light, UVA and UVB. UVA light is responsible for tanning and UVB for sunburn. Both can damage the skin
and increase the risk of skin cancer. SPF ratings on sunscreens refer only to UVB protection, not UVA protection. For years, the FDA has been studying UVA's
effects on skin, but until now hasn't required sunscreens to carry specific information on UVA protection. "Only
a few countries have addressed UVA protection in their product labeling," says Douglas Throckmorton, MD, deputy director
of the FDA's Center for Drug Evaluation and Research. The proposed new regulation would include cosmetics that
tout sun protection but not insect repellents that include SPF, according to Matthew Holman, PhD, interdisciplinary scientist
team leader at the FDA's Office of Nonprescription Products. New UVA Sunscreen RatingsThe FDA's proposed
sunscreen regulation is designed to be a consumer-friendly rating system for identifying the level of UVA protection offered
by a product. It rates UVA sunscreen products on a scale of one to four stars. One star would represent low UVA protection,
two stars would represent medium protection, three stars would represent high protection, and four stars would represent the
highest UVA protection available in an over-the-counter sunscreen product. If a sunscreen product does not provide at
least a low level (one star) of protection, the FDA is proposing to require that the product to bear a “no UVA protection”
marking on the front label near the SPF value. The UVA ratings would be based on two tests the FDA proposes to assess
the effectiveness of sunscreens in providing protection against UVA light. One would be a lab test that measures a product's
ability to reduce the amount of UVA radiation that passes through it. The other test would be conducted on people, checking
the product's ability to prevent tanning. This test is nearly identical to the SPF test used to determine the effectiveness
of UVB sunscreen products. If a sunscreen scores higher on one test than the other, it would bear the lower rating,
says Holman. The proposal also includes tweaking the SPF information on sunscreens. For instance, a sunscreen that
currently says "SPF 45" would say "UVB SPF 45" with the word "high" to indicate a high level
of UVB protection. To see an example of what the new labeling would look like, visit the FDA's web page on the
proposed sunscreen labeling at http://www.fda.gov/consumer/updates/sunscreen082307.html. New Sunscreen WarningThe
FDA also proposes requiring all sunscreens to include a "Warnings" statement in the "Drug Facts" box. The
warning would say: "UV exposure from the sun increases the risk of skin cancer, premature skin aging, and other skin
damage. It is important to decrease UV exposure by limiting time in the sun, wearing protective clothing, and using a sunscreen."
The warning is intended to increase awareness that sunscreens are only one part of a sun protection program. The proposed
new sunscreen regulation will also stress instructions to reapply sunscreen at least every two hours and to use sunscreen as directed, says Holman. The FDA
will accept comments on the proposed new rule for 90 days, ending on Nov. 26, 2007. Trade Group RespondsThe
Cosmetic, Toiletry, and Fragrance Association (CTFA) states that it is "pleased that the FDA has proposed these new sunscreen
regulations" and that it looks forward to working with the FDA as it finalizes the sunscreen rules. The CTFA points
out that "while the final rulemaking is ongoing, there are currently strong FDA safety and effectiveness regulations
that govern the manufacture and marketing of all sunscreen products." "Consumers should have a high level
of confidence that sunscreen products are safe and effective when used as directed," states the CTFA. Like the
FDA, AAD, ACS, and other health experts, the CTFA stresses that besides wearing sunscreen, people should minimize their sun
exposure -- especially from 10 a.m. to 4 p.m., when UVA/UVB exposure is highest -- and to wear protective clothing to safeguard
skin. SOURCES: News release, FDA. Douglas Throckmorton, MD, deputy director, Center for Drug Evaluation
and Research, FDA. Matthew Holman, PhD, interdisciplinary scientist team leader, Office of Nonprescription Products, FDA.
News release, American Academy of Dermatology. News release, American Cancer Society. News release, Cosmetic, Toiletry, and
Fragrance Association
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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 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.” Best Regards, Dr. Rothfeld
The Food and Drug Administration (FDA) is investigating rare reports of serious adverse events
linked with Botox, Botox Cosmetic and Myobloc. If you have already received Botox injections
or are considering Botox injections for cosmetic reasons, here's what you need to know. The investigation is still in
its infancy; this Q&A will be updated as new information becomes available. Why is the
FDA looking into the safety of Botox? A Washington, D.C.-based consumer watchdog group called
Public Citizen reviewed FDA data and found that the agency had received reports of 180 U.S. cases of people developing sometimes
life-threatening conditions, including respiratory failure, after receiving Botox injections (botulinum Types A and B). Sixteen
deaths had occurred, four of which were of children less than 18 years old. Public Citizen then filed a petition with the
FDA calling for stronger and more widely disseminated warnings concerning these risks. What
sanctions is Public Citizen calling for? Pubic Citizen is asking for a "black box"
warning on Botox products. This is the strongest warning that the FDA can place on a product. The group also wants doctors
to inform patients receiving Botox injections about the potential risks and alert them to possible warning signs of severe
adverse reactions. How are the Botox manufacturers responding to this investigation?
Allergan, the company that manufactures Botox and Botox Cosmetic, fully supports the investigation and
is working with the FDA to ensure that it has all of the information needed for a thorough review. The company stands by the
safety of its product. "Since its approval, over a million people have been treated with
Botox Cosmetic," said Sef Kurstjens, MD, chief medical officer for Allergan, in a written statement. "In its entire
history, there has never been a single reported death where a causal link to Botox Cosmetic was established."
In addition, Solstice Neurosciences, the manufacturer of Myobloc, stated that it fully supports the FDA
review of Botox and remains committed to providing the agency with any information it needs. Did
any of the reported adverse effects occur in people using Botox to reduce fine lines and wrinkles? No.
The most serious adverse events occurred mainly among children with cerebral palsy who were treated for spasticity of their
limbs. This is not currently an FDA-approved use of Botox injections in either adults or children. Were
the Botox injections defective or tainted? No. No evidence exists that the Botox products were
defective in any way. The FDA stated that these adverse effects may have been related to overdosing. According to some reports,
these children may have been receiving a dose up to 28 times greater than the amount injected into cosmetic Botox users.
How did the Botox injection in the limbs affect these children's lungs? The
active ingredient in Botox, botulinum toxin Types A and B, may spread from distant parts of the body to the muscles that affect
breathing. This is reflected in current product labeling. Is Botox safe? Yes. Very. According to both the American Society for Aesthetic Plastic Surgery (ASAPS) and its sister organization,
the American Society of Plastic Surgeons (ASPS), Botox is extremely safe. More than one million people have received Botox
injections. Year after year, Botox ranks number one among nonsurgical cosmetic procedures among both men and women. Complications
are rare; the most common side effects include bruising and numbness at the injection site, headache, nausea and flu-like
symptoms. How can I ensure that I am safe if I decide to receive Botox injections?
Step 1. Do your research. ASAPS suggests asking your doctor the following questions before
you receive Botox injections: - What is your board certification? (Doctors certified in either
plastic surgery or dermatology are most qualified to give Botox injections.)
- How were you trained
to do injectable treatments?
- Do you regularly provide Botox treatments?
- How many people have you treated who have a condition similar to mine?
- Will you personally
inject me? If not, what are the qualifications of the person who will?
Step 2.
Be alert to signs and symptoms of serious problems. Although serious complications from Botox are extremely rare,
their warning signs including worsening or unexpected difficulty swallowing, slurred speech, trouble breathing or muscle weakness.
Seek medical attention if any of these symptoms occur. These effects have been reported as early as one day and as late as
several weeks after Botox injections. Are other injectables safe? The
new investigation concerns only Botox. It does not relate to — or affect — other available injectables on the
market or in the pipeline. Each injectable has its own benefit and safety profile. Talk to your doctor about which one is
right for your needs.
What is Botox? Botox
is produced from the bacterium Clostridium botulinum, which is commonly associated with food poisoning. In small,
diluted amounts, however, Botox can be injected directly into specific muscles, causing a controlled weakening. It has cosmetic
and medical uses. Are there different types of Botox? Yes. Botox
Cosmetic and Botox are both derived from botulinum toxin Type A, and Myobloc is derived from botulinum Type B. Another type
of Botox may be available someday soon. Already approved in more than 60 countries, Dysport/Reloxin, an injectable form of
botulinum toxin Type A, is moving down the pike. Stay tuned. What are the approved —
and unapproved — uses of Botox injections? In April 2002, the FDA approved Botox Cosmetic
for the treatment of moderate to severe frown lines between the eyebrows (glabellar lines), but often it is used off-label
on crows' feet, forehead creases and bands on the neck. Botox is approved for spasm of the eyelids (blepharospasm), severe
neck muscle spasms (cervical dystonia) and excessive sweating (severe primary axillary hyperhydrosis). Myobloc is approved
for the treatment of adults with cervical dystonia. (It has not been tested sufficiently in children with cervical dystonia.)
Currently Botox is being studied to treat a laundry list of other conditions, from knee and hip osteoarthritis to migraine
headache and benign prostatic hyperplasia (BPH). What is off-label use? Off-label use refers to the somewhat common practice in which doctors use an approved medication for a reason that
has doesn't have FDA approval. This practice can be both legal and ethical in many situations. How
does Botox affect wrinkles? Certain wrinkles are created when nerve cells within the skin's
muscles release a chemical called acetylcholine. Acetylcholine, in turn, triggers muscle contractions that create wrinkles.
Botox blocks the release of acetylcholine, which paralyzes the muscle, stopping the contraction and erasing the wrinkle.
How long do the effects of Botox last on wrinkles? Typically the effect
of Botox injections on wrinkles lasts three to six months. http://www.nycdermatologist.com/
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 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: nycdermatologist@aol.com in our Media office and including different offers and many more. We offer a variety of services from
Botox® to Liposuction . Please contact us with any questions you may have or schedule an appointment online or by phone for
a consultation. 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
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NYC Dermatology - Manhattan Dermatology - Skin Institute of
New York - Skin Cancer Doctor- NYC Cosmetic Dermatology- Cosmetic Dermatological Surgery - New York City -
Board Certified Dermatologist
Manhattan Office
Dr. Gary Rothfeld
NYC Dermatology
- Board Certified Dermatologist - New York, NY
30 E. 60th St. Ste. 805
Manhattan, New York 10022
212.644.9494
1.800.BLEMISH
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