Opened 7 days a Week for Treatment in New York, NY
Melasma is a common pigmentary disorder that affects women more than men. The exact cause of melasma is unknown, but several factors that contribute to the development of the rash. Genetic predisposition UV light exposure Oral contraceptive use Hormonal changes in pregnancy Cosmetics Drugs that sensitize the skin to UV radiation.
Melasma Clinical Patterns There are three types of melasma, based on the distribution of the rash on the face.
The three types are: Centrofacial - Occurs in two-thirds of melasma patients on the forehead, nose, chin, and central cheeks. Melasma Cellular Patterns There are four types of melasma based on Wood's (ultraviolet) light examination which shows the depth of the pigmentation.
The four cellular types are: Epidermal - The most common type shows enhancement of the color contrast between normal and affected skin. Mixed Epidermal and Dermal - Shows enhancement of the color contrast between some of the affected skin but not others.
Melasma is difficult to treat, but a significant factor in treatment is limiting exposure to UV radiation. The epidermal type responds to depigmenting agents but the dermal type does not. Combination laser treatments have been reported to be effective for the dermal type of melasma.
Melasma is a skin condition that causes brown spots to appear on the face, and, though it’s not dangerous, it can be very distressing and can seriously affect self confidence. It is most common in women between the ages of 20 and 40 and usually affects the cheeks, bridge of the nose, forehead and upper lip. It is most often caused by the hormonal changes or fluctuations that occur during pregnancy, though it can happen at any time. These hormones mean that dark patches are more likely to develop when your skin is exposed to sunlight. Ultra violet light and even strong light from light bulbs can also stimulate this dark pigmentation, and it is more prevalent in dark-skinned races, particularly Hispanic, Asian, Indian and people from the Middle East and Northern Africa. Only 10% of melasma sufferers are men. 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 physicians often use the phrase "Doctor's Doctor" to refer to those individuals who typically are selected by physicians themselves for personal care. I am confident that my practice fully meets that definition. This is the type of 5-star care and service that our patients expect, deserve and receive. I treat every patient the way I would want to be treated: with courtesy, dignity and respect. I carefully listen to their hair and skin-care concerns and offer a variety of options including a treatment plan that I believe will give them the best results
Dr Gary sees every patient himself and believes in personalized care. The Doctor does not employ any physician assistants, nurse practitioners, or other physician substitutes to do his treatment. He sees every patient himself at every visit.
A significant percentage of my Dermatology Conditions are diagnosed on listening to medical history of the patient alone, a further percentage on examination and the remainder on further investigation and my patients teach me the rest. It is clear to me that history and examination skills remain at the very core of my dermatology practice. Older Dermatologists like myself rely on history and physical to a greater degree than the younger dermatologists. I think that the pendulum has swung too far towards all these cosmetic procedures where the younger dermatologists are just doing cosmetic procedures and not listening to their patients. This is an important point because if the Dermatologist does not spend enough time with the patient the cosmetic procedures will not work.
It is vital to undergo a full pre assessment to ensure that your skin type is fully assessed and to be accurate about your medical history. This particular procedure might not be the right treatment for you. It is crucial that the Doctor does a full History and Physical Examination and listens to your concerns. It very important to understand the individual needs of each patient because one procedure could work on one patient and then not another.
Each patient’s condition is carefully evaluated and the best treatment(s) are chosen to ensure an optimal outcome. Treatments are performed by Dr. Gary who has extensive cosmetic dermatology experience and training. This allows the Doctor to offer top-quality services in every area of the cosmetic dermatology field, while ensuring patients safety and satisfaction.
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New York Dermatology serves the following neighborhoods within New York (NY), which are in close proximity to our office:
Upper East Side Dermatology, Fifth Avenue Dermatology, Park Avenue Dermatology, Madison Avenue Dermatology, Upper West Side Dermatology, Midtown Dermatology, Lower East Side Dermatology,Chelsea Dermatology, Gramercy Park Dermatology, Murray Hill Dermatology, Greenwich Village Dermatology, East Village Dermatology, West Village Dermatology, Soho Dermatology, Tribeca Dermatology, Meat Packing District Dermatology, Sutton Place Dermatology, Wall Street Dermatology, Hells Kitchen Dermatology, and the burroughs of Brooklyn Dermatology , Bronx Dermatology, Queens Dermatology and Staten Island Dermatology.
Dr. Gary Rothfeld is recognized as one of the best Dermatologist in New York, NY, Manhattan, NYC, New York City and the nation by the entertainment industry in the United States of America. At New York Dermatology headed by board certified Dermatologist Dr. Rothfeld, sees patients 7 days a week including Saturday and Sunday.
We accept all credit cards as well as debit cards for payment of services.
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New York Dermatology Board Certified Dermatologist 30 E. 60th St. Ste. 805 (Park Avenue) New York, NY 10022