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NYC’s Hardest Acne Case – How # 1 Acne Dermatologist Dr. Gary Rothfeld Finally Cleared It - New York, NY 10065


 
Park Avenue Dermatology and Non-Surgical Rejuvenation Board Certified Dermatologist 629 Park Avenue New York, NY 10065
Park Avenue Dermatology and the Non-Surgical Rejuvenation Center

info@nycdermatologist.com 

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The Hardest Acne Case in 40 Years – And How I Finally Won (With My Sanity Intact)

Let me tell you about the most impossible acne case of my career. And I don’t say that lightly. I’ve seen breakouts that looked like modern art. I’ve seen pimples so aggressive they should have their own zip code. But this one? This one was special.

She was a teenager in distress, and when I say she had tried everything, I mean everything. If there was a new treatment, she had already been on it. If there was a famous dermatologist on Park, Madison, or Fifth, she had been in their office. If someone in NYC was whispering about a new acne cure in a back alley, she had probably tried that too.

The list of treatments? Chemical peels. Lasers. Topical steroids. Antibiotics. Injections. Light therapy. Diet changes. Prayer. She might have even rubbed a rabbit’s foot on her face at one point. But her acne just sat there like a smug little villain, laughing in the face of medical science.

Now, I take pride in my thorough history-taking—I don’t just ask, “What have you used?” I interrogate like a detective in a 1950s crime movie. I even start sentences with, “Now tell me the truth…” And yet, despite all that, something was missing.

I put her on my best regimen. I expected results. And, sure enough, she got 50% better. Her mother was thrilled. But I don’t do halfway dermatology. I don’t want kind of clear—I want clear like a freshly Windexed window.

So I went back to the case file. Something wasn’t adding up. And then, weeks later, the truth slipped out like a plot twist in a bad soap opera.

She had been on tetracycline for YEARS.

I almost fell off my chair. The mother, lovely as she was, forgot to tell me. Just a tiny little detail—like saying, “Oh, by the way, she’s been drinking the same antibiotic like morning coffee since middle school.” No big deal!

Well, that changed everything. The acne wasn’t just stubborn. It was antibiotic-resistant. The bacteria were basically Arnold Schwarzenegger in Terminator 2.

So I did something I almost never do. And when I say never, I mean I can count on my fingers how many times I’ve done it in 40 years. I pulled out my last-resort weapon: Bactrim.

Now, let me be clear: Bactrim is no joke. It can have serious side effects—kidney issues, allergic reactions, sensitivity to the sun. It’s like a loan from the mob—you only take it if you have no other options, and you better respect it. But in rare cases, like this one, when all else fails, it works.

And, sure enough, it worked like magic. Within weeks, her skin finally surrendered. The breakouts retreated. It was like the Berlin Wall coming down—but for acne.

Fast forward 20 years. She’s back in my office—but this time, she’s got a husband, kids, a whole life. And guess what? No acne. Not on her, not on her kids. She brings her whole family to me now, and every time she sees me, she laughs and says, “Remember when I was your hardest case?”

Oh, I remember.

And to this day, I still count on my fingers how many times I’ve prescribed Bactrim. Because when it comes to acne, you fight smart—and if you’re lucky, you win.


Dr. Gary Jayne Rothfeld is an esteemed board-certified dermatologist, celebrated cosmetic dermatologist, and a pioneering cosmetic surgeon with a career spanning over four decades. Renowned for his expertise in non-surgical innovations such as the non-surgical nose job, Liquid Facelift, non-surgical jowl lift, as well as cutting-edge procedures for sculpting the cheeks, chin, and jawline, Dr. Rothfeld is widely regarded as a leader in his field. His practice, located at the distinguished address of 629 Park Avenue, New York City, serves as a sanctuary for patients seeking unparalleled dermatological care. A former U.S. international competitor and a current Senior Olympian swimmer, Dr. Rothfeld’s meticulous approach to dermatology mirrors the discipline, precision, and perseverance that define his athletic achievements. His medical acumen and dedication to his patients have earned him the trust of Hollywood celebrities, Fortune 500 executives, and Wall Street luminaries—cementing his reputation as the "Dermatologist to the Stars." Dr. Rothfeld is uniquely committed to delivering customized, cutting-edge treatments tailored to the individual needs of his patients. Every patient under his care receives personal attention, as he exclusively sees each one himself, offering the highest standard of both medical dermatology and aesthetic enhancement. His practice operates seven days a week, with 24-hour weekend availability, ensuring that his patients receive timely, exceptional care whenever needed. A pioneer in the field, Dr. Rothfeld’s approach to dermatology combines a profound understanding of medical science with an innovative vision for the future of skincare. His unwavering dedication to excellence and the pursuit of perfection in his craft sets him apart as a leading figure in the realm of dermatology and cosmetic surgery.
DR GARY JAYNE ROTHFELD

#1 Scabies Doctor NYC | The Truth About 40 Years of “Scabies” That Wasn’t

Park Avenue Dermatology and Non-Surgical Rejuvenation Board Certified Dermatologist 629 Park Avenue New York, NY 10065
Park Avenue Dermatology and the Non-Surgical Rejuvenation Center

info@nycdermatologist.com

  Download Business Card

#1 Scabies Doctor NYC: The Truth About 40 Years of “Scabies” That Wasn’t

By Dr. Gary Jayne Rothfeld

After 40 years of treating scabies, I’ve come to one inescapable conclusion:

70% of my “scabies” patients never had scabies.

What they did have was eczema, dry skin, or an unwavering belief that their body was a war zone crawling with microscopic invaders. No amount of science, logic, or lab tests could convince them otherwise.

I Screen for Scabies Over the Phone—To Save Us Both Time (and My Sanity)

Because I’ve seen it all—the real, the fake, and the utterly delusional—I now screen patients before they even set foot in my office. If you call me and say:

🔹 “No doctor has been able to help me.”
🔹 “I’ve had scabies for years.”
🔹 “I’ve treated myself with every insecticide on the internet.”

I already know you don’t have scabies.

And I tell you the truth, not what you want to hear.

If you actually had scabies, a single, properly administered treatment would have worked. Every real scabies case I’ve treated has cleared up.

But if you’re on your fifth round of permethrin and convinced the mites are getting “stronger”? That’s not scabies—that’s paranoia.

When a Movie Star Calls You About His Crazy Mother

One day, a Hollywood A-lister (yes, one you’ve heard of) called me—not for himself, but for his mother. Before handing over the phone, he warned me:

“Doc, she’s crazy.”

That was not reassuring.

She had spent years and a fortune traveling the world—Switzerland, Singapore, Los Angeles—looking for a doctor who would confirm her scabies diagnosis. She had tried every treatment known to man and then some.

Then she asked me if I could help.

I gave her the best, most ethical medical advice possible:

“I cannot help you.”

And I hung up.

Her son? He thanked me.

The Michael Jackson Glove Lady and Her Husband’s Last Straw

Then there was the Glove Incident.

Late one night, just as I was about to leave the office, a woman walked in wearing white gloves—full Michael Jackson style. She removed them dramatically, as if unveiling some ghastly affliction.

Her hands? Perfectly fine. Not a mark on them. But she was absolutely convinced she had “the worst case of scabies in medical history.”

As I listened to her ramble, my phone rang.

It was her husband.

“Doctor, I just need you to know—she’s completely out of her mind. I’m leaving her. Good luck.”

By this point, I just wanted to go home. But she wasn’t budging.

So, my staff and I did what any sane people would do:

✔️ We convinced her to go to New York Hospital.
✔️ We suggested she see multiple doctors—including a psychiatrist.
✔️ And then I locked my office and left.

The Simple Truth: Real Scabies Is Easy to Treat

If you actually have scabies, one proper treatment works.

🔹 Permethrin cream? Works.
🔹 Ivermectin? Works.
🔹 Following your dermatologist’s advice? Works.

Every real scabies patient I’ve treated has cleared up. If your “scabies” hasn’t gone away after multiple treatments, you never had it.

Final Thoughts from NYC’s #1 Scabies Doctor

If you think you have scabies, here’s what to do:

1️⃣ See a real dermatologist.
2️⃣ Get an actual diagnosis—under a microscope, not from a Google search.
3️⃣ If treatment doesn’t work, you probably never had scabies.

Because sometimes, the real infestation isn’t in your skin. It’s in your head.


Dr. Gary Jayne Rothfeld is an esteemed board-certified dermatologist, celebrated cosmetic dermatologist, and a pioneering cosmetic surgeon with a career spanning over four decades. Renowned for his expertise in non-surgical innovations such as the non-surgical nose job, Liquid Facelift, non-surgical jowl lift, as well as cutting-edge procedures for sculpting the cheeks, chin, and jawline, Dr. Rothfeld is widely regarded as a leader in his field. His practice, located at the distinguished address of 629 Park Avenue, New York City, serves as a sanctuary for patients seeking unparalleled dermatological care. A former U.S. international competitor and a current Senior Olympian swimmer, Dr. Rothfeld’s meticulous approach to dermatology mirrors the discipline, precision, and perseverance that define his athletic achievements. His medical acumen and dedication to his patients have earned him the trust of Hollywood celebrities, Fortune 500 executives, and Wall Street luminaries—cementing his reputation as the "Dermatologist to the Stars." Dr. Rothfeld is uniquely committed to delivering customized, cutting-edge treatments tailored to the individual needs of his patients. Every patient under his care receives personal attention, as he exclusively sees each one himself, offering the highest standard of both medical dermatology and aesthetic enhancement. His practice operates seven days a week, with 24-hour weekend availability, ensuring that his patients receive timely, exceptional care whenever needed. A pioneer in the field, Dr. Rothfeld’s approach to dermatology combines a profound understanding of medical science with an innovative vision for the future of skincare. His unwavering dedication to excellence and the pursuit of perfection in his craft sets him apart as a leading figure in the realm of dermatology and cosmetic surgery.
DR GARY JAYNE ROTHFELD