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About My Practice
What sets your practice apart?
As a training center for other physicians, we hold our AAAHC-accredited practice to the highest standards. We are distinctive because we continue to evolve by adding new, cutting-edge products, technologies and services.
What sets your practice apart?
As a training center for other physicians, we hold our practice to high standards. We are distinctive because we continue to evolve and grow. By adding new products and services, we enhance our patients' experience.
When treating superficial sun damage is it only aesthetic or would you be treating something that is potentially cancerous?
Certain treatments like certain peels would do something that's called porodynamics therapy and that peel will address the precancerous spot. In something like that if the patient has a lot of precancerous spots, and skin cancers I'm sure it's covered by insurance. Some of the laser treatments, because they do the reversal of the skin damage, will help prevent skin cancers in the future.
What can people do to look younger?
Invest in good skin care and sunblock.
How do I prevent skin cancers?
A lot of patients come for sun damage and won't come in the summer but I tell them it's a commitment. If you're going to make an investment and spend money and you're not even going to use sunscreen it's not worth your investment because everything is going to come right back. You really need to be committed.
If you use sunscreen and you still get color on your skin are you not using enough?
That's ok, if you're using sunscreen you're getting color but you're not getting sun damage. Normally patients get very freckly if they get sunburn. It's very important to use sunscreen, not just SPF 8 but 15 or higher. If you have regular moles or have family or personal history of skin cancers a lot of times I will recommend something that has a physical block like zinc oxide or titanium oxide in the sunscreen because that gives a better protection. You need to reapply. One time in three hours is not enough. Put it on every 30 minutes. There's a lot of education to give to patients. Like breast exams you need to do mole exams.
What kind of routine should I use to wash my face?
It's very important when you come home to wash off your makeup. Don't go to sleep with your make up on. I recommend a routine that has mild cleanser with something that will exfoliate the skin. If you have a tendency to break out your skin is probably oily, so then I would recommend you use astringent pads with glycolic and salicylic acid. Then, depending on how bad you break out, I would suggest either topical prescription medication or oral medication to control the breakouts.
Does it hurt to remove spots in a bony part of the body?
Is there a preventative time to start getting face treatments? If someone comes in in their 30s with beautiful skin and their skin looks beautiful would you say now is the time to start doing this?
The earlier you start the better. I love when patients come in and they don't need anything yet and they say they want to be sure they can keep their skin looking young. I just tell them 'perfect, let's talk about skin care, what products you may want to use, what are the products that have peptides or something that will stimulate your collagen?' Use cleanser, moisturizer, night cream, eye cream and then definitely use sunscreen.
Is there a point where you're beyond fixing your face?
People come in who are very neglected and very wrinkled. The two things I ask are do you smoke and do you abuse the sun? A lot of times it's genetic some people just don't age well but most of the time it's lifestyle habits. People who don't really care and don't put on sunscreen and smoke and drink it will show on the skin. It's hard to reverse that. We have to make a commitment and change lifestyle habits.
What is your core sub-specialization?
While cosmetic enhancements like liquid facelifts are among my specialties, I offer full spectrum skin-care services, treating everything from acne to psoriasis. Getting the skin healthy is always the first step to making it look beautiful.
In what ways is your treatment style comprehensive?
I'm as apt to suggest a new shade of lipstick as I am to prescribe treatments for unwanted lines and wrinkles.
What is your main goal when treating patients and how do you achieve it?
Above all else, I want to create symmetry while enhancing the patient’s natural beauty. I employ a global approach because it is important to treat the entire face and not just one line or wrinkle so that results look balanced and not overdone.
What is Spatique?
Spatique is a full-service medical spa that offers patients noninvasive aesthetic treatments like facials, chemical peels, microdermabrasion, dermaplaning, makeup and massage services, along with fillers, Botox, lasers and laser-assisted liposuction.
Do people with darker skin show scars more than those with lighter skin tones?
Not necessarily, although people with darker skin may have a little more tendency to form keloids, which are really thick scars. But no, in general either skin type will show scars.
What are you excited about for the future of your practice?
We recently opened a second practice called Skinfluence at 1047 Park Avenue on Manhattan’s Upper East Side.
Why is a long-term treatment plan important?
I try to stress to patients that skin care is not just a one time deal— it’s a continuous relationship that starts with one treatment and progresses to at-home care and additional treatments over a longer period of time so the results are gradual and natural. I educate my patients about each step as we create their treatment plan so that they never feel overwhelmed
What new procedures are you most excited about?
I am using a technique called Beautiphication™. Using a caliper measuring tool, I can map out areas for cosmetic injectables and dermal fillers to restore symmetry, harmony and balance to the face. The precision of this technique enhances each individual’s natural beauty.
How would you characterize yourself?
I'm a fan of all things new and noteworthy, carefully balancing high tech with high touch, in addition to educating my patients.
How would your patients describe your approach?
I'm very artistic and have been described as a 'Michelangelo' by patients.
How do you spend your free time?
One of my personal passions is sculpting, which complements and enhances my work as a cosmetic dermatologist. That creativity plays a positive role in the outcome of the care my patients receive, and is complemented by the Beautiphication technique.
American Board of Dermatology
Affiliation:American Academy of Dermatology, American Society for Dermatologic Surgery
A Minute With
Nonsurgical facial enhancements,
particularly through the use of
injectables. Some of my patients
have fondly referred to me as
How i would spend extra time in a day
Taking a walk in a garden,
reading a book and having
lunch with friends
Celeb photo my patients most often bring in
Angelina Jolie for her lips
What sets my practice apart
Passion for what I do,
integrity and the vision
of a true artist
Sade, Michael Bublé and Andrea Bocelli
My greatest achievements
Raising my children—I’ve
enjoyed watching them
become who they are now
How i make the best first impression
With a strong handshake and eye contact and by being a good listener
My dream innovation
A product that would reverse gray hair back to its original color
Most inspirational thing i learned this year
To make more time for family and friends
What i love most about my profession
I have the ability to restore a person’s confidence
My happiest professional moments
Being a three-time recipient of the Teacher of the Year award from Mount Sinai School of Medicine
Why do you employ a less-is-more philosophy?
You don’t need a thousand products
to look beautiful. Our work here is
to help individuals enhance their
natural beauty rather than change
how they look entirely
What new services are you excited to offer?
We are excited to offer platelet-rich
plasma for hair loss, ESKATA™ to
treat raised seborrheic keratosis
and Firmatherapy for the face,
neck and chest
What are you doing differently today for facial rejuvenation?
Firmatherapy is our exclusive
technique that gives patients a
customized approach for a variety
of aging concerns. With this treatment
I can offer both long-term lifting and
tightening, which helps turn back the
clock on a patient’s face or body
What accolade means the most to you?
Being a five-time recipient of the
“Teacher of the Year” award from
Mount Sinai School of Medicine
What is the one thing your practice offers that is really unique?
At Skinfluence, we see beauty
through science and balance. We
see it with an artist’s eye. We work
to reveal each person’s unique self
without relying on a one-size-fits-all
fix for your face or body
- Botox® Cosmetic, Dysport®, Xeomin®
- Juvéderm Voluma®
- Juvéderm® Ultra
- Juvéderm® Ultra Plus
- Restylane® / Restylane Silk
- Radiesse® / Sculptra®
- Belotero® / Perlane®
- Laser Resurfacing (Wrinkles Acne Scars / Sun Damage / Uneven Pigmentation)
- Ultherapy® Skin Tightening
- Clear + Brilliant®
- Silhouette InstaLift™
- Platelet-Rich Plasma Therapy For Skin and Hair
- Nonsurgical Facial Rejuvenation
- Tattoo Removal
- Geneve™ by Viveve
- Body Contouring
- “Dual” CoolSculpting®
- Futura Fit™
My skin has so much sun damage and lots of brown spots. I’d like to do something on the surface only. What kind of peel goes deepest and is most refreshing?What our experts say:
You can either do a superficial chemical peel or a combination of things like microdermabrasion, that uses crystals, or there is light treatment called IPL that also works great for superficial sun damage. There are a variety of procedures that can be done.
Do injections like Botox, Dysport, Restylane and others hurt? Do you bruise when you get them? And do you have to stay home from work for a day or two after getting them?What our experts say:
It is a needle so I would say it's slightly uncomfortable but for Restylane normally patients get numbed with a topical anesthetic. It's tolerable. You rarely bruise from Botox and Dysport but occasionally you will from filler. With Botox and Dysport you don't need to stay home from work. With fillers if it's a small bruise most of the time it can be covered with concealer. Most patients do not stay home from work when they get injections.
Which laser treatment can get rid of broken blood vessels on my face? There are some tiny vessels near my eyes and some bigger ones on my cheeks. Are these removable with the same laser or do I need multiple appointments?What our experts say:The Vbeam® pulsed dye laser is excellent for treating broken capillaries and any other vascular lesions, whether they are tiny capillaries or larger ones. Usually several treatments are required, and I normally space them four to six weeks apart for my patients.
I have random veins on my nose and other parts of my body. Are they spider veins and can they be removed?What our experts say:
They can be called spider veins. Normally that term is mostly used for the leg veins. On the face normally we do it with lasers, not injections. With the legs we use sclerotherapy.
I got one Botox injection, how long should it last and will I need to get others to maintain the look?What our experts say:
On average Botox injections should last 3-1/2 to four months. Studies actually show that if for the first year they put Botox injections on a schedule and consistently do them every 3-1/2 to four months they're going to last a lot longer because they will get better longevity and that's what I suggest to my patients.
Are there any prescription brands as good as Retin-A for wrinkles?What our experts say:
Over-the-counter retinol products are pretty good. They're not as good Retin-A because they're not as strong. Prescription brands that are as good as Retin-A are other retinoids such as Ziana, which is a combination of Retin A and clendomyacin. We use it a lot of times for acne patients, or Tazorac. Those are prescription strength formulas that are going to be as good if not better.
How can you remove wrinkles from a neck?What our experts say:
The neck is one of the toughest areas. The face is easy and hands, which can totally give away your age are also easier to treat. Most patients will have to get a neck lift. The thing I do non-surgical for the neck is a combination is Botox into the pores to try and soften the area and a lot of rejuvenation laser that will tighten the skin and stimulate collagen production.
How do you get rid of stretchmarks 30 years after they happen?What our experts say:
It's very difficult. For stretchmarks there is nothing great on the market but there are some lasers that may help.
How do you treat spotty or wrinkly hands?What our experts say:
Hand veins can be removed with injections. To treat sun damage on the surface of the hand I would use a laser.
How long does it take to get rid of spider veins? Can I do it in the office? Does insurance cover the procedure?What our experts say:
On average it takes 3-4 treatments and we do them about a month apart, in the office. Insurance doesn't cover Spider veins are considered cosmetic. Insurance occasionally will cover, not always, painful varicose, the big blue veins, but not spider veins.
I am 39 and my chin is still breaking out. Shouldn't I be past the pimple stage? What is best way for me to treat and prevent them?What our experts say:
Any time there are hormonal changes or hormonal fluctuations you can still break out. If it is mild breakout try over-the-counter benzoyl peroxide, cleansers and maybe retinol products. If it doesn't get better with that, get professional help.
I have lines on my face and they bother me. What should I do?What our experts say:
It depends on your age. For someone who comes in their 20s or 30s, it's more about prevention, good skin care, sunscreen use and good products, something to keep your skin looking young. Someone who comes a little bit later and, depending on their concerns, if they have a lot of sun damage, is looking for what to do to reverse it. We start with microdermabrasion and chemical peels and see whether they need lasers and then prevention. Now that you have invested all this money in treatments, you need to maintain them.
I want to relax the wrinkles on my face and make my skin look tighter, should I use a filler like Juvéderm or a relaxer like Botox? Are there other brands or things I should consider?What our experts say:
It depends where the wrinkles are. Botox normally works well for the upper part of the face, like the forehead between the eyebrows and the eyes. Filler is normally for the cheeks down. But again it depends where the wrinkles are. Sometimes we use a combination of both Botox and filler.
Is there a way to prevent spider veins?What our experts say:
They're mainly genetic so people with that predisposition should try to wear support stockings especially if they work in an occupation that requires a lot of standing. It doesn't necessarily have to be surgical supports but just regular support stockings.
My 15 year old acne scars still bother me. What is a good acne treatment that will make them go away, or at least make them less noticeable?What our experts say:
It depends on what type of acne scars. There's a lot of different types of laser treatments so it's kind of hard to know without looking at them. One is more for uneven pigmentation, more superficial scars. And there is a more aggressive laser treatment for deeper kind of ice pick scars. Some patients have old scars that are more superficial and they can do well, if it's just the pigment, with microdermabrasion, chemical peels or more aggressive laser treatments. There is definitely treatment from more superficial lasers to more invasive lasers that take time to heal from.
What is the difference between spider veins and varicose veins?What our experts say:
The difference is in size and color. Varicose veins are those big blue, bulging, kind of rope-like veins. Spider veins are normally kind of purple and very small, like one to two millimeters.
When you do a fat transfer on a facelift where does the fat come from?What our experts say:
Normally if it's all capillaries, or broken blood vessels, it's the same laser so it can be done all in one treatment, but most people need several treatments to get rid of them, maybe three to five treatments a month apart. And different sized veins on the face can be removed at the same time.
What do you recommend to treat hypertrophic scars that are flat but have a dark purplish/pinkish color?What our experts say:
Hypertrophic scars normally respond well to several sessions of pulse dye laser
I am 52 yrs old and considering ultherapy. How long will it last?What our experts say:
Depending on your skin elasticity, patients can see results last from 1-2 years.
What's the difference between SlimLipo and SmartLipo?What our experts say:
They are both laser assisted technologies in liquifying and removing fat. I think the most important predictor of good results is the surgeon performing the procedure not the laser. Check the credentials of the surgeon before commiting to either laser.
I am 60, had ultherapy 2 weeks ago. Doctor recomend me to have venus freese in 2 weeks after ultherapy to incraese the result. In your opinion, should i have it done?What our experts say:
I don't see any point in adding an additional procedure and expense after having the Ultherapy treatment. Otherwise, how would you know which procedure gave you the results you were seeking? With Ultherapy,patience is key. It can take 3-6 months to see the best results.