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Skin Cancer
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Skin Cancer Skin cancer occurs when skin cells start growing abnormally, causing cancerous growths. Most
skin cancers develop on the visible outer layer of the skin (the epidermis), particularly in sun-exposed areas (face, head,
hands, arms, and legs). They are usually easy to detect by examining the skin, which increases the chances of early treatment
and survival. What Types of Skin Cancer Are There?
There are different types of skin cancer, each
named for the type of skin cell from which they originated. The majority of skin cancers fall into one of the following categories: - Basal
cell carcinoma (also called BCC) comes from the basal cells in lowest part of the epidermis. 80-85% percent of skin
cancers are BCCs.
- Squamous cell carcinoma (also called SCC) comes from the skin cells (keratinocytes)
that make up the top layers of the skin. About 10% of skin cancers are SCC.
- Melanoma comes from
skin cells called melanocytes, which create pigment called melanin that gives skin its color. 5% of all skin cancers are melanoma.
Although less common, it is a very dangerous type of skin cancer and is the leading cause of death from skin disease.
Basal
cell and squamous cell carcinoma are sometimes referred to as “non-melanoma skin cancer” to distinguish them from
melanoma. Skin cancer is considered low risk when the affected cells remain clustered in a single group. It is considered
high risk when the cells have invaded surrounding tissues. High risk forms of cancer require more aggressive treatments. Almost
all skin cancers start as a small, low-risk lesions, but can grow and become high-risk lesions if left untreated. Melanoma
is the most alarming type because it has a higher risk of invading surrounding tissues or spreading to other parts of the
body (metastasis) before being detected. Squamous cell and basal cell skin cancer are more likely to be detected and treated
effectively before they become malignant. If skin cancer is detected before it has spread to surrounding tissues, chances
of a complete cure are excellent. What Are Pre-Cancers?
Skin cancer may often be preceded by lesions
called pre-cancers. The most well-known of these are actinic keratoses (AKs). AKs are considered an early form of squamous
cell carcinoma. AKs, a new or changing mole (nevi), and other unusual lesions on your skin should be carefully monitored
and brought to the attention of your doctor. How Is Skin Cancer Treated?
Diagnosing cancer usually
requires a biopsy. A small piece of skin is removed for examination under a microscope and evaluated with other tests. A
treatment plan will be recommended based on several factors: - The type of cancer
- The size
of the cancer—treatments that may be effective for small cancers may not be optimal for larger cancers
- The
extent of the cancer (localized to one area vs. spreading to surrounding tissues)
- The location
of the cancer (face vs. arm)
- The number of lesions
- Your past history and
family history of skin cancers
In general, the treatment plan is based on the risk of the cancer
spreading to another location or growing again (recurring) in the same location. Cancers that are likely to spread or recur
are treated more aggressively. Treatment options include: Medications - Aldara (imiquimod)
- 5-fluorouracil (Efudex, Carac)
Procedures - Cryosurgery—A
small amount of liquid nitrogen is used to “freeze” away the lesion.
- Curettage-electrodessication—The
tumor is scraped off using a sharp-edged device called a curette. The surrounding skin is then cauterized (heated) to prevent
bleeding and further remove the tumor.
- Excision—The tumor is surgically removed along with
a small portion of surrounding skin. This usually requires stitches to control bleeding and close the wound.
- Mohs
surgery—A specialized surgery that removes the tumor in stages. Each portion of removed tissue is examined
under a microscope to make sure that cancerous cells have been removed while sparing as much normal skin as possible.
Radiation
and chemotherapy may be recommended in cases when the cancer has spread, or when other medical conditions prevent the use
of other treatments. What Causes Skin Cancer?
Sunlight is composed of visible light (all the
colors we see in daylight), infrared radiation (which provides warmth), and ultraviolet (UV) radiation, which is carcinogenic
(cancer-causing). More than 90 percent of all skin cancer is caused by long-term exposure to UV radiation. UV radiation
damages the skin’s DNA, causing a cell to behave abnormally. The body normally has mechanisms to repair damaged DNA
but these repair mechanisms do not function normally after exposure to UV radiation. This allows the abnormal skin cell to
replicate itself, making more cells with the same damaged DNA. This growing collection of abnormal cells is the beginning
of a cancer. The immune system can often detect and destroy cancer cells, just as it defends against infections by bacteria
or viruses. However, UV radiation disrupts the immune system so that our natural defenses may not detect the cancer, allowing
it to grow unchecked. Melanin in the skin, which gives skin its tan to brown color, can block the damaging effects of
UV radiation. The more melanin, the darker the skin. And the darker the skin, the better protected it is from UV radiation.
This is why a body darkens when exposed to sunlight (tanning). It is trying to build a better shield. However, the melanin
provides only partial protection, even for those with very dark skin. And those with fair skin have almost no melanin to protect
them. It is important to remember that a tan develops only after the skin has been damaged by UV radiation,
and that this tan provides only minor protection from additional damage. In addition to sun exposure, family history
may also play a role in a small percentage of skin cancers, especially melanomas. How Can I Prevent Skin Cancer?
The best protection against skin cancer is to minimize sun exposure, especially between 10 a.m. and 4 p.m. If you
do go out in the sun, use a broad-spectrum sunscreen (SPF 30 or higher that protects against UVA and UVB),
making sure to cover the head, lips, hands, neck, and ears. Wear a wide-brimmed hat, sunglasses, and protective clothing.
Not only will this dramatically decrease your risk of skin cancer, but it will prevent other sun-damaging conditions, like
wrinkles and actinic keratoses. While everyone should minimize their exposure to the sun, fair-skinned people, outdoor
workers, and residents of sunny climates should use particular caution. Another effective weapon against skin cancer
is regular self-exams of your skin. Get to know the landscape of your skin, and take an inventory of all
moles. Because skin cancer can resemble other skin conditions, be sure to tell your doctor about unusual skin changes
or lesions, especially these: - A sore that comes and goes but never completely heals
- A shiny bump or nodule,
especially if it appears pearly or translucent (these can look brown or reddish and resemble a mole)
- A slightly raised
pink growth with a crusted depression in the center, possibly with tiny blood vessels (capillaries) visible on the surface
- A patch of skin that is red or irritated, especially on the chest, shoulders, or limbs
- A white or yellow-ish
waxy scar with poorly defined borders
If you have any risk factors, such as prolonged sun exposure, family history,
or a past cancerous lesion, you may benefit from having your skin checked regularly by your doctor. Tanning booths increase
the risk of developing skin cancer, despite any claims of their being a safe alternative to natural sunlight. The skin doesn’t
tan unless it is first damaged by UV radiation. Intentional tanning should be avoided like any health hazard, such as smoking. _______________________________________________________________ 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.
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Dear Friends Care. I personally see every new patient who visits our office. I am not just a physician, I am a Board Certified Dermatologist. 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
 How Acne starts
Acne affects almost everyone — more than 90% of all adolescents, nearly
50% of all adult women and 25% of all adults. Crossing gender lines as well as national borders, it's one of the most
widespread medical conditions in the world. Yet there's still no cure.
But there is hope. While acne is not curable, it
is treatable. We now know more about controlling this condition than ever before. The secret to managing acne is prevention
— stopping this condition before it exhibits visual symptoms. Once you have found an acne treatment that helps you
accomplish this, it's important to stick with it. Even after pimples disappear, you may need to continue treatment
to keep new blemishes at bay. It's also crucial to begin treatment as soon as the first signs appear; the
sooner you address your acne, the less likely you are to experience permanent damage to your skin. Of course, in order
to stop acne, we must first find out how it starts. What causes acne? One of the most important things
you can learn about acne is this: It's not your fault. Contrary to popular belief,
acne is not caused by anything you're doing — what you eat, how often you wash your
face or work out — but by a combination of factors at work far beneath the surface of your skin. A healthy follicle
 A blemish begins approximately 2–3 weeks before it appears on your skin's surface. It starts in your sebaceous hair
follicles — the tiny holes commonly called pores. Deep within each follicle, your sebaceous glands are working to produce
sebum, the oil that keeps your skin moist and pliable. As your skin renews itself, the old cells die, mix with your skin's
natural oils, and are sloughed off. Under normal circumstances, these cells are shed gradually, making room for fresh new
skin. But sloughing is different for everyone. Some people shed cells evenly; some don't.
Uneven shedding causes dead cells to become sticky, clumping together to form a plug — much like a cork in a bottle.
This plug, or comedo, traps oil and bacteria inside the follicle. A plugged follicle
 The plug traps oil and bacteria within the follicle, which begins to swell as your skin continues its normal oil production.
Your body then attacks the bacteria with a busy swarm of white blood cells. The whole process takes 2–3 weeks, culminating
in a pimple.
An inflamed acne lesion
 Why me? There is no one simple "cause" of acne — the condition is influenced
by many factors, many which are out of your control. The regularity with which you shed skin cells can change throughout your
life. The rate at which you produce sebum is affected by your hormone balance, which is often in flux — especially for
women. Research has also shown that genetics play a big part in the development and persistence of acne, so your family history
is a valuable prediction tool as well when considering the various causes of acne. One of the best weapons in the fight against
acne, however, is knowledge; if you know what causes acne, it's easier to formulate a good plan
of attack. There are five primary culprits contributing to this process. Each of these factors may vary dramatically between
individuals. While you don't have control over these factors, understanding them can help you in your search for the proper
acne treatment. Acne Causes - Culprit #1: Hormones.
For the majority of acne sufferers, the trouble begins at puberty, when the body begins to produce hormones called androgens.
These hormones cause the sebaceous glands to enlarge, which is a natural part of the body's development. In acne sufferers,
however, the sebaceous glands are overstimulated by androgens, sometimes well into adulthood. Androgens are also responsible
for acne flare-ups associated with the menstrual cycle and, on occasion, pregnancy. Acne Causes - Culprit #2: Extra
sebum. When the sebaceous gland is stimulated by androgens, it produces extra sebum. In its journey up the follicle
toward the surface, the sebum mixes with common skin bacteria and dead skin cells that have been shed from the lining
of the follicle. While this process is normal, the presence of extra sebum in the follicle increases the chances of clogging
— and can cause acne. Acne Causes - Culprit #3: Follicle fallout.
Normally, dead cells within the follicle shed gradually and are expelled onto the skin’s surface. But in patients with
overactive sebaceous glands — and in nearly everyone during puberty — these cells are shed more rapidly. Mixed
with a surplus of sebum, the dead skin cells form a plug in the follicle, preventing the skin from finishing its natural process
of renewal. Acne Causes - Culprit #4: Bacteria. The bacterium
Propionibacterium acnes, (P. acnes for short) is a regular resident of all skin types; it’s part of the skin’s
natural sebum maintenance system. Once a follicle is plugged, however, P. acnes bacteria multiply rapidly, creating the chemical
reaction we know as inflammation in the follicle and surrounding skin. Acne Causes - Culprit #5: Inflammation.
When your body encounters unwanted bacteria, it sends an army of white blood cells to attack the intruders. This process is
called chemotaxis; or, simply put, the inflammatory response. This is what causes pimples to become red, swollen and painful.
The inflammatory response is different for everyone, but studies have shown that it is especially strong in adult women.
What can I do?
Fortunately, you have options! There are many kinds of acne treatments available today. But first, you should
try to determine the type and severity of your condition. Acne, like a person, is highly individual — it can take
many forms, and have a highly variable response to treatment. The more you know about your specific form of acne,
the more likely you are to find a treatment that works for you.
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.- Do you peer in the mirror each morning and play little face
games?
- Do you find yourself raising your brows, smiling wider, stretching wrinkles, pursing your lips,
or lifting the droopy corners that weren’t there last month?
- Are 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. Rothfeld, 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. Rothfeld quickly and effectively helps you see dramatic improvements in the appearance and health of your skin.
Dr. 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. Rothfeld has a 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. Rothfeld himself." |
Dr. Rothfeld is featured as a Top Dermatologist in
Black and White Photography of New York. Dr. Rothfeld is known for "innovative
treatments for Acne, Aging and Rosacea as administered with good old-fashioned attention.. Dr.
Rothfeld has exceptional skill in performing Laser and Botox procedures.
The most common
medical condition that Dr. Rothfeld treats is Acne. 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 technology at NYC Dermatology
has initiated his interest and involvement in Laser Dermatology. He has the latest proven lasers to treat Acne
& Acne Scars , Facial Blood Vessels Rosacea , Unwanted
Hair , Wrinkles , Age and Brown Spots & Sun
Damage , and Loose Facial Skin . These laser procedures provide tremendous results
with little downtime. All laser procedures are performed personally by Dr. Rothfeld.
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!
Rejuvenating 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.
Your Health 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 overlooked by patients. Since we live with a high risk
of skin cancer with its almost year-round exposure to the sun, skin checks are especially important. 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
Open 7 Days A Week — Se Habla Español We accept all credit cards as well as debit cards for payment of services
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 What's new
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