Additional Services


 

 

Contact Dermatitis

Contact Dermatitis is an inflammation of the skin that happens when it is touched by an irritating substance. The rash is usually just in the area of the skin that touched the substance.

Contact dermatitis occurs when the skin touches a substance that irritates the skin or causes an allergic reaction. Common causes of contact dermatitis from irritants are soaps, detergents, solvents, waxes, polishes, and hand cleaners. Common causes from allergic reactions are hair dyes, jewelry, fingernail polish, and deodorants. Some of the other substances that might cause contact dermatitis are rubber, poison ivy, and nickel.

The symptoms of contact dermatitis include itching, swelling, and redness of the skin. Loucas Dermatology specializes in the diagnosis and treatment of contact dermatitis. We offer a comprehensive test for diagnosing a topical allergy with the North American Patch test series, which will test for over 80 topical potential allergens. Over the years, we have diagnosed many people who have an underlying skin allergy by patch testing. If we successfully find the aggravating agent on patch testing, we can offer a list of products that an individual can use to avoid the offending agents.

 


 

PhotoFacials

What is a PhotoFacial?

PhotoFacial is an innovative way to quickly, safely and comfortably improve your skin’s texture, tone and color. Through a non-invasive method of photo-rejuvenation, PhotoFacial treats photo-aged skin, removes age spots (sun-induced freckles), most benign brown pigments, and redness caused by broken capillaries. PhotoFacial helps restore a more youthful appearance, leaving skin clearer and healthy looking without any downtime. Photofacial, is somewhat of a misnomer, as it is a procedure perofromed on many different body parts by a Intense Pulse Light (IPL) rejuvenation device.

 

How do PhotoFacials Work?

PhotoFacial utilizes a non-laser medical device that delivers a series of gentle pulses of visible light onto the surface of your skin. In a series of treatments, pulses of visible light target the surface of your skin to effectively eliminate redness, broken capillaries, brown spots, sun damage, large pores, fine lines. It also helps to treat Rosacea and Melasma, common, chronic conditions that are often difficult to treat with conventional topical therapies, Upon assessing the degree of skin damage, Dr. Loucas will often customize your treatment settings to ensure a safe and effective treatment protocol. Unlike many dermatology practices and medical spas, Dr. Loucas performs all procedures himself to try and ensure good results, in a safe, competent environment. Dr. Loucas will often combine Photofacials, along with chemical peels, and several laser systems to try and maximize each individuals results. He will often utilize the V-beam laser, Smoothbeam laser, and Gentlelase laser systems, along with the IPL system to ensure the best possible outcome. Dr. Loucas also offers his own cosmetic skin care line, which he often recommends before, duiring, and after treatments to help maintain your results.

 

What areas can PhotoFacials treat?

Virtually any part of your body with uneven skin tone, diffuse redness, or sun and age spots can be safely treated. The face, chest, shoulders and arms are the most popular areas for PhotoFacial treatment because they have typically had the most sun exposure. Discrete brown spots, excessively ruddy complexions, excessive redness, broken blood vessels, and skin densely covered with freckles respond well to PhotoFacial treatment as well.

 

How many PhotoFacial treatments will I need?

The number of treatments needed are often dependent on ones skin type and extent of sun damage. On average, 4 to 6 PhotoFacial treatments are recommended. Treatments are often performed at 3 to 6 week intervals.Each PhotoFacial session usually lasts about 20 minutes, with patients usually returning to normal activity immediately afterwards.

 

What happens after PhotoFacial treatment?

Immediately following a PhotoFacial treatment, you may notice a slight reddening of the surrounding skin which typically subsides within a couple of hours. Signs of sun damage and age spots temporarily darken but over the course of the next one to three weeks, darkened spots will fade and flake off and your mottled complexion will clear.

 

When will I see results?

Many patients see significant improvement within two to three weeks of your treatment. Your complexion will be clearer, skin texturing will be smoother, and younger looking. PhotoFacial provides gradual, natural improvement with excellent long-term results. You will notice a reduction in redness, flushing and dilated capillaries and your skin will look healthier as sun damage, fine lines, pore size, freckling and irregular pigmentation is minimized when outdoors to minimize sun damage and the appearance of new spots and excessive redness. Dr. Loucas finds most patients are extremely satisfied with their results.

 


Restylane

Restylane is FDA approved and is one of the most popular fillers in the US today. Restylane adds to your own natural hyaluronic acid to make treated areas fuller and contoured providing a natural, smooth, and attractive look.

Restylane is a gel-like substance that is injected into the skin, where it restores the fullness that is lost during the aging process. Restylane is the most frequently used filler, and is made from synthetic (non-allergenic) hyaluronic acid, a sturdy complex sugar that is a natural component of the dermis (the middle portion of the skin). Our own supply of hyaluronic acid gets depleted as we age. The injected Restylane binds to water and replaces volume lost with sun damage and aging. Restylane not only replaces lost volume, but more exciting, is that it has been shown to stimulate your own body’s collagen production. The results can last anywhere between 6 to 12 months, but over time, Dr. Loucas finds that patients do not require treatment as frequently to maintain their results, probably due to their own skin’s production of collagen.

Restylane is excellent starter filler for those in there thirties and forties who are beginning to lose volume in their face. Restylane is an excellent volumizer and contouring product that can be used in the following areas:

  • Nasolabial folds (the area between the nose and mouth)
  • Lip enhancement and shaping
  • Lines around the mouth/eyes ( pucker lines and crow’s feet)
  • Marionette lines (lines between the lateral lip and chin)
  • Cheek and chin contouring and fine line correction
  • Acne scar correction
  • Infraorbital depression (lower eyelid depressions and creases)
  • Earlobe shaping and contouring

 

   

*Photos courtesy of Restylane*

 

Restylane is non-allergenic so skin testing is not necessary and it can be used immediately. It is a totally non-animal product so that there is no risk of transmitting disease or eliciting an allergic reaction in patient’s sensitive to beef, chicken, or eggs. It can safely be used on people allergic to collagen. Restylane now includes an anesthetic in the product, making it a more comfortable procedure. Dr. Loucas prides himself on making sure the patient is as comfortable as possible. He will often anesthetize the area before the treatment with a topical and/or injectable anesthetic. We often use ice before and after treatment, which helps to minimize the risk of bruising. If possible, people consider injectables should try and avoid aspirin, motrin, advil, and alcohol for one week before treatment to help minimize the risks of bruising injectible.

 


Dysport

Dysport ( abobotulinumtoxin A) was FDA approved for the treatment of facial lines in 2009. Dysport was the second FDA approved purified substance that temporarily blocks muscular nerve signals. Injecting small amounts into specific facial muscles diminishes facial muscle activity resulting in softening and resolution of unwanted facial lines. Dysport is also used to treat excessive sweating (Hyperhidrosis) of the underarms, palms, and soles.

Loucas Dermatology has been using Dysport since its release. It is a very effective treatment to reduce forehead lines, glabellar lines (the 11 lines between your eyebrows), and crow’s feet around the eyes. Dysport is also effective to help reduce neck bands/lines, chin wrinkles, help elevate droopy eyebrows, and help turn up a down-turned mouth.

Dr. Loucas does not like to use this product around the mouth to reduce lip lines, but finds Botox more useful and predictable for this treatment.

The one advantage of Dysport over Botox is its very rapid onset of action. It starts to take effect within hours of injection, whereas, Botox can take 2 to 7 days to take effect. This makes Dysport appealing in those instances when you need results quick. The one disadvantage is that it usually does not last as long as Botox. We do find there are patients who respond better to Dysport and those who do better with Botox. Dr. Loucas would be happy to discuss which might be best for you.

 


Xeomin

Xeomin ( incobotulinumtoxin A) is the newest form of botulinum toxin released in 2012. It is very similar in structure to the original Botox product.
Injecting small amounts into specific facial muscles, diminishes facial muscle activity resulting in diminished, and even resolution of unwanted facial lines. Botox is also used to treat excessive sweating (Hyperhidrosis) of the underarms, palms, and soles.

The company states that because if its structure, it can be stored at room temperature( which may result in sustained potency), and patient’s may be less likely to develop resistance to the product over time, as compared to Botox and Dysport. Dr. Loucas finds this may be an important feature, but in his practice and in the literature, the incidence of true resistance developing to Botox or Dysport is very low. In saying that, we have seen patients who may do better with one product over another. Overall, Dr. Loucas feels that it is always nice to have other options in the treatment of facial lines.

 


Fillers & Injectables:

Sculptra

Sculptra was approved by the FDA in 2004 to treat facial fat loss (lipoatrophy) in people with HIV and has been clinically proven to be an effective, well-tolerated and long-lasting treatment for the signs of this condition. It was then used to restore lost volume in people’s faces and hands due to sun damage and the normal aging process. Sculptra is the only filler on the market that is a “volumizing” agent designed to add volume and contour to the face and hands. It does so by stimulating your own bodies collagen production, so that long-term, sustained improvement is seen in most patients. Dr. Loucas has been using Sculptra since 2006 with great success, and feels Sculptra is a unique product, that gives predictable results.

Over the years, we have learned that many people seeking consultation for a surgical facelift, may only be lacking in volume that can be restored using Sculptra, along with other fillers, such as Restylane and Juvederm. Dr. Loucas states that our thinking of facial symmetry has evolved. Most faces should have an “upside down egg” appearance-meaning your face should be wider at the top then at the bottom of your face. In the past, many cosmetic surgeons concentrated only on filling the lower face. That means, we should be restoring lost volume in the temple region and cheek region to give that needed lost volume that will lift the lower face as well.

Sculptra is known as “poly-L-lactic acid”. Sculptra is biocompatible (a material that does not harm the body) and biodegradable(able to be broken down by the body). Poly-L-lactic acid has been widely used for many years in dissolvable stitches, soft tissue implants, and other type of implants, and has been shown to be a safe and effective product. Sculptra is best described as a volumizer. It is injected below the skin in areas of fat loss, allowing you to safely place it in large areas. Because it is injected as microscopic particles diluted in water, it will cause the body to produce its own tissue in the form of collagen over a series of treatments. The most common areas to treat are the mid face, nasal folds, temples, and chin area.

Dr. Loucas describes the use Sculptra as building a“good foundation” that is often needed when building any structure. It is often used in conjunction with other fillers, such as Restylane and Juvederm, which can be used to fill in more superficial lines and depressions. Dr. Loucas has found that people who undergo a series of Sculptra treatments to replace lost facial volume will require smaller volumes of other fillers to fill superficial lines and get better results, because they have “laid down a good foundation to work on”.
Dr. Loucas goes on to say, Sculptra does require a series of 2-5 injection sessions to get a good result. Following injection of the Sculptra mixed with water, you can see the fullness caused by the water. This will often dissipate within days. The micro particles will remain and begin to stimulate collagen growth. The first effects of Sculptra injections will be noticeable about 1 month following injection, and collagen growth will continue for about 4-6months. The volume achieved with Sculptra often lasts 2-3 years, and patients may only require touch-up sessions thereafter to maintain their results. A topical anesthetic is often used to numb the area prior to treatment, but the injections often are painless due to the fact the product has anesthetic mixed in with it at the time of treatment.

Make an appointment for a free cosmetic consultation.

 

Juvederm Ultra & Juvederm Ultra Plus

Juvederm Ultra & Juvederm Ultra Plus
Juvederm Ultra and Juvederm Ultra Plus are fillers that we frequently use to smooth out facial lines, wrinkles, and acne scars. Fillers “fill" depressions and crevices on the skin surface, thus restoring it to it’s original, smooth state. A frequently asked question, is what is the difference between Juvederm and Restylane? The answer is that they are very similar, with similar effects. Dr. Loucas often likes the flow characteristics of Juvederm Ultra Plus over Perlane( the thicker hyaluronic acid fillers). Whereas, he favors the flow characteristics of Restylane of Juvederm Ultra (the thinner products).

Juvederm Ultra & Juvederm Ultra Plus are injected just beneath the skin’s surface, and produce an immediately visible difference in the appearance of your skin. Juvederm Ultra Plus is a thicker product used for deeper lines and depressions, whereas, Juvederm Ultra is used for finer lines. New studies have also shown that J uvederm Ultra & Juvederm Ultra Plus stimulate new collagen production by the skin, resulting in long lasting effects over time. Dr. Loucas has found that over several treatment sessions, patient will often require treatments less often and use smaller amounts of these products to maintain their results. He feels this is probably due to the individual’s own production of collagen.

The most commonly treated areas are:

  • Nasolabial folds (the area between the nose and mouth)
  • Lip enhancement and shaping
  • Lines around the mouth/eyes ( pucker lines and crow’s feet)
  • Marionette lines (lines between the lateral lip and chin)
  • Cheek and chin contouring and fine line correction
  • Acne scar correction
  • Infraorbital depression (lower eyelid depressions and creases)
  • Earlobe shaping and contouring

 

Periodic re-treatments are recommended to maintain the improvements achieved. Unlike the older fillers like collagen, Juvederm Ultra & Juvederm Ultra Plus require no skin tests and lasts much longer, on average 8-12 months. In addition, both products now contain a local anesthetic, making treatment sessions very comfortable. Dr. Loucas prides himself on making sure the patient is as comfortable as possible. He will often anesthetize the area before the treatment with a topical and/or injectable anesthetic. We often use ice before and after treatment, which helps to minimize the risk of bruising. If possible, people considering injectables should try and avoid aspirin, motrin, advil, and alcohol for one week before treatment to help minimize the risks of bruising. People often will return to their daily routines immediately after treatment.

Make an appointment for a free cosmetic consultation. Call Dr. Loucas, M.D., a board certified dermatologist to see if Restylane, Perlane, or other cosmetic procedures are right for you.

Location
Loucas Dermatology
69 East 76th Street
Upper East Side

New York, NY 10021
Phone: 212-461-4461
Fax: 212-988-4374
Office Hours

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212-461-4461