The Center for Aesthetic and Preventative Dermatology
at Park Avenue and East 61st Street in Manhattan
Where the goal is healthy skin from inside out
From routine checkups to acne to cosmetic treatments, The Center for Aesthetic and Preventative Dermatology, founded and directed by Sheryl Clark, MD, is equipped to handle all your dermatological needs.
The Center for Aesthetic and Preventative Dermatology provides these services to ALL age groups, both sexes, and ALL skin types. We understand the unique needs and characteristics of patients of diifferent ages and ethnicities, and both women and men.
Procedures in Men
For example, did you know that because of the effect of higher androgen levels, men have thicker skin but less underlying fat? Their skin actually ages differently, with more and deeper furrows (except in the area around the mouth, whereas women develop more of the finer, more superficial wrinkles. Men tend to have a larger skull with a prominent ridge above the brows, wider space between the brows, and a prominent, protruding jawline. The eyebrows are flatter and do not arch. Men have more volume in the central face and relatively less under the lateral eyes (the zygomatic area). The facial muscles are larger in men. These differences mean fillers must be injected in a different pattern, as must botulinum toxins such as Botox, and in different doses.
We are seeing many more men come for aesthetic procedures. Injection of botulinum toxin is the most common cosmetic procedure in men, with almost 400,000 treatments in men in 2011, and even more in 2012. Men are also loving the benefits of localized fat reduction with CoolSculpting, for example, to reduce the waistline or love handles. Dr. Clark is very experienced and skilled in treating men to achieve a natural and masculine effect, with minimal downtime.
Procedures in Skin of Color
People with darker skin may have less aging from the sun because of the protective effects of the higher amounts of melanin in their skin. Skin of color shows mostly intrinsic aging, therefore, with volume loss from fat and bone atrophy. These patients are less lilkley to develop fine wrinkles and brown spots such as solar lentigines and more likely to present with deep furrows than Caucasians.
Many times, skin of color hyperpigments even with the most minimal trauma. Therefore procedures have to be modified to prevent this. Lasers might be used at lower energy settings, with not too much nor too little protective cryogen during the laser pulse. Curettage, shaving, or snipping might be employed rather than cryotherapy. Topicals such as the retinoids, green tea polyphenols, and topical steroids might be used pre- and postop.
Skin of color may be more prone to keloidal scarring as well. Excisions are performed with minimal trauma to the skin. Tiny needles are used. Topicals are used pre- and post op, to prevent this complication.
Asian skin is a special case. Asian patients may want a more open eye that retains an almond shape, for example. It is possible to place a small amount of botulinum toxin just under the eye and around the brows to retain ehtnic character while making the eye a bit fuller and more open. The central face may be naturally a bit flatter so one might not want to put filler in the central cheeks, Some patients want to reduce their prominent jawline to create a less square face, which can be achieved with botulinum toxin in the jaw muscles.
To help you understand your treatment options, we've included descriptions of some of the following services on this page and the linked pages.
We provide the following services and evaluate and treat these problems, and more:
- CoolSculpting Fat Reduction
- Pellevé and PelleFirm Skin Tightening and Wrinkles
- Ultherapy for Skin Lifting
- Kybella for Submental Fat Reduction
- Laser Hair Removal
- Laser Treatment of Brown Spots
- Laser Treatment of Blood Vessels
- Dermal and Deep Fillers
- Botox, Dysport, or Xeomin
- Chemical Peels, including DermaCeutic Spot Treatment
- Microneedling with Eclipse Elite Micropen, with PRP if indicated (the Plasma Lift)
- Microdermabrasion with MegaPeel
- Scar Treatments with Lasers, Eclipse Elite Micropen, Eclipse PRP, and dermal fillers including BellaFill
- CoolTouch Laser Treatments for Acne and Acne Scarring
- Treatment of Stretch Marks with Microneedling, Pellevé, lasers and topicals
- Wrinkle Reduction
- Microneedling with PRP for hair loss
- Mole Removal
- Cyst and Lipoma Removal
- Skin Tags
- Complete Skin Exams
- Referral for MoleSafe
- Referral for Whole Body Photography
- Skin Cancers and Precancers
- Atypical or Dysplastic Moles
- Connective tissue disorders and other autoimmune diseases
- Unusual or difficult to diagnose or treat skin problems
- Systemic Inflammation leading to skin disorders
- Complications of chemotherapy, radiation, or immunosuppression
- Drug rashes
- Ingrown hairs
- Poison Ivy
- Hair Loss
- Pruritus Ani
- Insect bites
Laser Hair Removal
Using the Alexandrite laser, all types of hair, from coarse to fine and dark blonde to black, on fair to Asian, Hispanic, and even many Black skin types, in men and women, can safely and effectively be treated. One cannot be tanned, but otherwise the choice of area to be treated is yours! We can evaluate you to ensure you don't have an untreated endocrine disorder, and then proceed with 3 to 6 treatments at regular intervals. , Unlike treatments given at spas using light devices, not lasers, or using fluences too low to be effective, the hair that is treated should not return. You will see results. The consultation is often covered by insurance if you have excess hair.
Dermal Fillers for Wrinkles and Deep Fillers for Facial Recontouring
There is a wide variety of products available to the cosmetic dermatologist to treat wrinkles, folds, skin laxity, and loss of the normal contours of the face and other areas of the body. Fortunately for all of us, there is finally a solution for almost any problem that might be troubling you. If you feel that you look less vigorous or healthy than you feel, perhaps you should consider discussing fillers with Dr. Clark to try to restore some of the vitality to your appearance as well.
For more information, click on the links below:
If you are concerned about pain, bruising, or looking strange and unnatural afterward, perhaps you needn't be. Dr. Clark is skilled at creating a very natural result, often using photographs of you from a slightly younger age to better understand your facial structure and unique characteristics. Many different areas of the face, as well as the hands, can be treated, depending upon where you have lost volume. Each treatment is highly individualized to ensure that you will leave the office feeling that you have attained a more revitalized appearance while retaining a completely natural look. You can even consider having your correction in stages, with only a small amount of filler employed at each session.
She is adept at the new and advanced use of microcannulas, which are blunt-tipped, rather than sharp needles, to minimize discomfort and bruising, wherever possible. She will counsel you on what to avoid and the use of medicated products to minimize the possibility of bruising, and will provide laser treatments free of charge should you develop a bruise, to hasten its resolution. With these measures, bruising is not common or severe. Since lidocaine can be mixed with the fillers prior to injection, discomfort is minimal, but Dr. Clark will work with you if you are particularly sensitive.Topical anesthetics, the use of ice and vibration, and even nerve blocks can be helpful in such cases.
To learn more, schedule your consultation today. Contact Us
Tiny amounts of Botox, Xeomin or Dysport can be injected directly into or above tight muscles to relax them and allow you face to assume a more relaxed stance. Areasmost often injected include the frown lines, smile lines, forehead lines, and bunny lines. Dr. Clark has been injecting since the early 90's and is adept at specialty areas as well. Read more: Botulinum Toxins for Muscle Relaxation
Acne is the most frequent skin condition seen by medical professionals. It consists of pimples that appear on the face, back and chest. About 80% of adolescents have some form of acne and about 5% of adults experience acne. In normal skin, oil glands under the skin, known as sebaceous glands, produce an oily substance called sebum. Read More »
Moles are brown or black growths, usually round or oval, that can appear anywhere on the skin. They can be rough or smooth, flat or raised, single or in multiples. They occur when cells that are responsible for skin pigmentation, known as melanocytes, grow in clusters instead of being spread out across the skin. Generally, moles are less than one-quarter inch in size. Most moles appear by the age of 20, although some moles may appear later in life. Read More »
Psoriasis is a skin condition that creates red patches of skin with white, flaky scales. It most commonly occurs on the elbows, knees and trunk, but can appear anywhere on the body. The first episode usually strikes between the ages of 15 and 35. It is a chronic condition that will then cycle through flare-ups and remissions throughout the rest of the patient's life. Psoriasis affects as many as 7.5 million people in the United States. About 20,000 children under age 10 have been diagnosed with psoriasis. Read More »
"Rash" is a general term for a wide variety of skin conditions. A rash refers to a change that affects the skin and usually appears as a red patch or small bumps or blisters on the skin. The majority of rashes are harmless and can be treated effectively with over-the-counter anti-itch creams, antihistamines and moisturizing lotions. Read More »
Rosacea is a chronic skin condition that causes facial redness, acne-like pimples, visible small blood vessels on the face, swelling and/or watery, irritated eyes. This inflammation of the face can affect the cheeks, nose, chin, forehead or eyelids. More than 14 million Americans suffer from rosacea. It is not contagious, but there is some evidence to suggest that it is inherited. There is no known cause or cure for rosacea. There is also no link between rosacea and cancer. Read More »
Skin cancer is the most common form of human cancers, affecting more than one million Americans every year. One in five Americans will develop skin cancer at some point in their lives. Skin cancers are generally curable if caught early. However, people who have had skin cancer are at a higher risk of developing a new skin cancer, which is why regular self-examination and doctor visits are imperative. Read More »
Warts are small, harmless growths that appear most frequently on the hands and feet. Sometimes they look flat and smooth, other times they have a dome-shaped or cauliflower-like appearance. Warts can be surrounded by skin that is either lighter or darker. Warts are caused by different forms of Human Papilloma Virus (HPV). They occur in people of all ages and can spread from person-to-person and from one part of the body to another. Warts are benign (noncancerous) and generally painless. Read More »
Wrinkles are a natural part of the aging process. They occur most frequently in areas exposed to the sun, such as the face, neck, back of the hands and forearms. Over time, skin gets thinner, drier and less elastic. Ultimately, this causes wrinkles - either fine lines or deep furrows. In addition to sun exposure, premature aging of the skin is associated with smoking, heredity and skin type (higher incidence among people with fair hair, blue-eyes and light skin). Read More »