Manhattan Retin-A doctors

Ronald Shelton, MD Ronald Shelton, MD
Manhattan Dermatologist
260 E 66th St, New York
5 answers
Michael Eidelman, MD Michael Eidelman, MD
Manhattan Dermatologist
245 West 19th Street Ground Floor, New York
3 answers
Joshua Zeichner, MD Joshua Zeichner, MD
Manhattan Dermatologist
5 East 98th Street 5th Floor, New York
3 answers
Nelson L. Novick, MD Nelson L. Novick, MD
New York Dermatologic Surgeon
500 E 85th St Suite P-1, New York
2 answers
Jordana Gilman, MD Jordana Gilman, MD
New York Dermatologic Surgeon
328 East 75th Street Suite A, New York
2 answers

Recent Answers

Retin-A for Thin Eye Lid Skin and Dark Circles?

Ive had dark circles since i could remeber. There a purple green color and I could see my veins, so I know for sure that its thin eye lid skin. One dermatologist said that Retin A could help if I use it for a long period of time, such as six months or more. So my question is , is it safe to use around the eyes? I have Retin A gel at the strength 0.04% How often should I use it. Thank you so much guys :)

A: Fillers Work Well For Lightening Dark Circles and Improving Crinkles Under the Eyes

A nifty little technique for immediately lightening dark circles and reducing thin skin crinkles under the eyes is to inject a very tiny amount of Radiesse (a calcium-based filler) mixed with a Juvederm Ultra XC.  Being whitish, the Radiesse immediately helps to lighten the dark circles and the combination of these two fillers, when properly placed, revolumizes this area and goes a long way to immediately correcting the fine wrinkles and crinkles. A droplet of Botox injected there, as well, may further help reduce crinkling in properly selected cases. I have been using these techniques now for several years with very gratifying results and very grateful patients--even those who claim to have been born with dark circles. I find that long-term use of Retinoids, like Retin A, can work well for maintenance of the benefits derived from treatment.

Nelson L. Novick, MD
New York Dermatologic Surgeon
Is Retin-A Going to Help with my Crow Feet?

I'm 22 years old and have very fair skin. I didn't use to wear sunglasses or use sunscreen when I was a teen. Now I have wrinkles around my eyes which are visible when I laugh. I've started to use Retin-A 0.25% two weeks ago. My skin tolerates it very well and is so soft now. But will it disappear my crow feet if I'll use it in long terms.

A: Long-Term Use of RetinA Improves Fine Lines and Wrinkles

Long-term use of topical tretinoin (RetinA) will improve fine lines and wrinkles as it helps to build collagen in the skin. I recommend it to all my patients who can tolerate it.  If you are noticing the lines around your eyes when you laugh, these wrinkles are likely more dynamic (secondary to muscle movement) in nature.  Therefore, they may benefit as well from an injectable neurotoxin such as Botox or Dysport. I recommend you consult a local, well-trained, board-certified dermatologist or facial plastic surgeon for consultation of treatment options for these smile lines (crows feet). 

Channing R. Barnett, MD
New York Dermatologist
Can I Use Retin-A in Conjunction with Sculptra

I plan to start a programme of sculptra in two weeks time. Can I use Retin A in conjunction with sculptra. If so should I wait until I see the effects of sculptra before using Retin A?

I am 46 years old and have lost some volume from my cheeks and have developed lines between my nose and mouth.

A: Retin A ( Tretinoin ) and Sculptra

Retin A may help the surface of the skin and even the superficial dermis produce more collagen and better blood flow, but some patients are bothered by their facial redness and have irritable skin and don't tolerate even the milder tretinoin creams.  If you haven't used Retin A and you have Sculptra in two weeks, you might wait until after the Sculptra to apply the cream so that you don't happen to get irritated and run the risk of an eczema flare which could prevent you from having the Sculptra until the eczema disappears. It might be a very small chance, especially if you have never had eczema, but why chance the appointment being cancelled? It is not wise to inject a filler through skin with a broken or inflammed barrier as it may increase the risk of infection.

Ronald Shelton, MD
Manhattan Dermatologist
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