WELCOME 

Gramercy Park Dermatology is unique among skin care practices. We have a 75-year reputation as a New York institution and destination practice for all aspects of skin health. Our goal is to not only make your skin look good, but to help you feel better about your overall appearance.

We offer the latest advances in skin science and technology, from wrinkle reducers and fillers, to a full complement of state-of-the-art imaging tools and lasers--essential for 21st century dermatology diagnostics and treatments.

Our greatest pride is in our high levels of patient satisfaction-offering each of our patients unhurried care. We may be specialists, but we take a global view of our patients' health needs. So while we are future-oriented, we understand the importance of hands-on, personal care. Our unwavering focus is on total skin health, because everyone should feel comfortable in his or her skin.

If you've yet to experience our type of service and professional care, please schedule an appointment today.

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ASK DR. SCHAFFER...(view our Q&A archive)

QUESTION:

I am new to injectables and my main concern is that if I start, I’ll have to regularly continue to get injected. Am I always going to require the same amount? 

ANSWER:

This is a great question with a lot of fascinating science behind it. Over the years, physicians using injectables were finding that as patients returned for follow-up sessions; they required less volume.  Further study found that the placement of product, whether hyaluronic acid, calcium hydroxylappatite, or poly-l-lactic acid, not only causes fibroblasts to stretch; it also engages a cellular pathway (TGF-β). Through these two mechanisms, your own body makes more collagen. 

Fibroblasts are cells in our dermis, our middle layer of skin, which make collagen.  Collagen is the main structural protein in the scaffolding of the dermis. When we see sagging skin, most of what we see is loss of volume in the dermis, movement of normal fat pads, and loss of facial fat.  In an interesting read, you’ll see that gravity was acquitted of playing a role in sagging skin (O’Connor, A., NY Times, Oct 26 2004).  In this article, Dr. Lambros explains that what robs people of their youthful appearance is deflation; “it’s the loss of subcutaneous fat and volume.”  While sun-damaged skin gets thinner and some of its elasticity decreases, it’s the volume loss that gives sagging skin.

Once your facial volume is repleted and your skin milieu is restored; you will not need the same amount.  Patients are intrigued by the science behind injectables, as are many of my co-physicians in other specialties.  These treatments are not simply aesthetic and passive but active biostimulatory treatments. 

 

 

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*Please note questions are randomly selected. For General Administrative Questions please contact robyn@gramercyparkdermatology.com

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