Bruce P.Robinson, MD
Just like a precious piece of jewlery or a beautiful piece of furniture, the skin can become dull, weathered and aged. With the modern age of dermatology one can restore the brightness, alleviate lines, get rid of dark marks, erase broken capillaries and scars with no social downtime and superior cosmetic results.
Cosmetic Consultation Reimbursement policy offered to all patients. Schedule an office visit to discuss your concerns and skincare goals with Dr. Robinson and the office visit cost will be applied to the future cost for the "consulted procedure". The "consulted procedure" must be completed within 30 days of your consult visit.
Age spots are small, flat dark areas on the skin. They vary in size and usually appear on areas exposed to the sun, such as the face, hands, shoulders and arms. Age spots are also called sunspots, liver spots and solar lentigines.
Age spots can look like cancerous growths. True age spots don't need treatment, but they are a sign the skin has received a lot of sun exposure and are an attempt by your skin to protect itself from more sun damage. You can help prevent age spots by regularly using sunscreen and avoiding the sun.
Age spots may affect people of all skin types, but they're more common in adults with light skin. Unlike freckles, which are common in children and fade with no sun exposure, age spots don't fade.
Age spots:
Age spots don't require medical care. Have your doctor look at spots that are black or have changed in appearance. These changes can be signs of melanoma, a serious form of skin cancer.
It's best to have any new skin changes evaluated by a doctor, especially if a spot:
Age spots are caused by overactive pigment cells. Ultraviolet (UV) light speeds up the production of melanin, a natural pigment that gives skin its color. On skin that has had years of sun exposure, age spots appear when melanin becomes clumped or is produced in high concentrations.
Use of commercial tanning lamps and beds also can cause age spots.
To help avoid age spots and new spots after treatment, follow these tips for limiting your sun exposure:
If you are tired of looking older or want the spots removed, schedule a laser consultation and restore your skin to its natural beauty. Our Cosmetic Consultation Reimbursement policy is offered to all patients. Schedule an office visit to discuss your concerns and skincare goals with Dr. Robinson and the office visit cost will be applied to the future cost for the "consulted procedure". The "consulted procedure" must be completed within 30 days of your consult visit.
Acne is a skin condition which has plugged pores (blackheads and whiteheads), inflamed pimples (pustules), and deeper lumps (nodules). Acne occurs on the face, as well as the neck, chest, back, shoulders, and upper arms. Although most teenagers get some form of acne, adults in their 20's, 30's, 40's, or even older, can develop acne. Often, acne clears up after several years, even without treatment. Acne can be disfiguring and upsetting to the patient. Untreated acne can leave permanent scars; these may be treated by your dermatologist in the future. To avoid acne scarring, treating acne is important.
Acne is not caused by dirt. Testosterone, a hormone which is present in both males and females, increases during adolescence (puberty). It stimulates the sebaceous glands of the skin to enlarge, produce oil, and plug the pores. Whiteheads (closed comedones), blackheads (open comedones), and pimples (pustules) are present in teenage acne.
Early acne occurs before the first period and is called prepubertal acne. When acne is severe and forms deep "pus-filled" lumps, it is called cystic acne. This may be more common in males. Adult acne develops later in life and may be related to hormones, childbirth, menopause, or stopping the pill. Adult women may be treated at the period and at ovulation when acne is especially severe, or throughout the entire cycle. Adult acne is not rosacea, a disease in which blackheads and whiteheads do not occur.
Acne has nothing to do with not washing your face. However, it is best to wash your face with a mild cleanser and warm water daily. Washing too often or too vigorously may actually make your acne worse.
Acne is not caused by foods. However, if certain foods seem to make your acne worse, try to avoid them.
Wear as little cosmetics as possible. Oil-free, water-based moisturizers and make-up should be used. Choose products that are "non-comedogenic" (should not cause whiteheads or blackheads) or "non-acnegenic" (should not cause acne). Remove your cosmetics every night with mild soap or gentle cleanser and water.
A flesh-tinted acne lotion containing acne medications can safely hide blemishes. Loose powder in combination with an oil-free foundation is also good for cover-up.
Shield your face when applying sprays and gels on your hair.
Control of acne is an ongoing process. All acne treatments work by preventing new acne breakouts. Existing blemishes must heal on their own, and therefore, improvement takes time. If your acne has not improved within two to three months, your treatment may need to be changed. The treatment your dermatologist recommends will vary according to the type of acne.
Occasionally, an acne-like rash can be due to another cause such as make-up or lotions, or from oral medication. It is important to help your dermatologist by providing an updated history of what you are using on your skin or taking internally.
Many non-prescription acne lotions and creams help mild cases of acne. However, many will also make your skin dry. Follow instructions carefully.
Re-think your skin health. Hydrafacial MD, - * Acne Facial, is highly effective for anyone suffering from oily and/or acne-prone skin. It visibly reduces redness, enlarged pores, hyperpigmentation, utilizing LED blue light killing acne causing bacteria. HydraFacial MD - Hydradermabrasion is the latest, non-invasive, "gentle" skin resurfacing and complexion treatment. The immediate, noticeable, long lasting results are achieved with zero downtime and without any discomfort. You can return to school, work, social life, or exercise right after your procedure. HydraFacial MD uses a uniquely shaped spiral tip and patented vortex fusing technology to gently cleanse, exfoliate, and extract, removing impurities and dead skin cells while hydrating the skin and adding antioxidant protection simultaneously.
Acne scars no longer have to be lived with forever. Often occurring on the face, back and chest these scars can now be treated with a variety of lasers (Fraxel®, V-Beam), subcission or chemical peels. These treatments require no social downtime and can be performed on all skin colors.
V-Beam Perfecta laser is the gold standard to target sun damage, rosacea, and a variety of red broken and damaged blood vessels & other vascular skin conditions, with no downtime. V-Beam helps with Rosacea, stretch marks, Keloid scars, leg veins, dilated blood vessels and other conditions. It helps rejuvenate healthy skin naturally and restore a softer, smoother skin texture and tone.
A V-Beam laser is a pulse-dye laser that safely delivers short bursts of light to the treatment area. The light beam targets and coagulates broken and damaged blood vessels and vascular lesions so they my be naturally reabsorbed by your body during the healing process.
After a comprehensive assessment including a skin examination and medical history, Dr. Robinson will design a treatment plan for you. You will be provided with protective eyewear to shield your eyes during the treatment. Using a small hand piece, Dr. Robinson will deliver short bursts of light, lengthening in duration, with puffs of cryogen cooling mist. The treatment is safe and comfortable. Many patients notice improvement after a single treatment, but 3-5 sessions are typically recommended for optimal results. These results can last up to 18 months. Dr. Robinson will recommend a schedule that is right for you.
Our Cosmetic Consultation Reimbursement policy is offered to all our patients. Come discuss your needs and goals with Dr. Robinson and the office visit cost will be applied to future costs for the discussed procedure. Procedure must be completed within 30 days of your consult visit.
You should avoid saunas, hot tubs, and other forms of excessive heat for 48 hours after treatment. For the first two weeks avoid skincare products that may clog your pores or cause skin irritation. As with all skin treatments, it is critical to use a SPF 30 or higher sunscreen every time you go outdoors.
Laser therapy is one of the most exciting treatments for skin resurfacing and rejuvenation. Today’s sophisticated laser technology allows us to achieve excellent, consistent results, without the risk and extended downtime.
Laser energy can be used to target both damaged skin at the surface, as well as aging collagen in the deeper layers of skin. The effect of this treatment is two-fold: first, you’ll see an immediate improvement in skin texture at the superficial level. As the skin heals, the treated area will be resurfaced with the growth of new, fresh skin cells, resulting in smoother, healthier-looking skin. Second, the laser energy also works to improve skin beneath the surface by stimulating the body’s natural healing mechanisms and encouraging the production of new collagen and elastin in the coming months.* Found in abundance in young, healthy skin, collagen and elastin provide natural skin firmness and elasticity.
Laser skin resurfacing can improve skin texture and tone, reduce wrinkles and acne scarring, and promote healthier-looking, more vibrant skin.This treatment is excellent for acne scarring as well as sun damaged or aged wrinkled skin. The laser vaporizes the damaged skin and commences the regeneration of fresh skin during the natural healing process. The thermal heating of the deep tissue stimulates new skin growth, promoting a healthy new collagen growth. This is usually accompanied by a week of healing time.
Absolutely. With a full range of state-of-the-art laser technology at his fingertips, Dr. Robinson can recommend the best treatment or combination of treatments to meet your skin rejuvenation needs. Our HydraFacial MD signature treatment — is a godsend one - two weeks post Fraxel speeds up the shedding process that re-surfacing procedures inevitably induce while deeply hydrating the skin. Once healing is done, it is important to stay out of the sun as much as possible in order to maintain the results. The use of sunscreens, Retinol and skin brightening products will help keep hyperpigmentation at bay. In addition, Dr. Robinson often combines laser rejuvenation with BOTOX® injections and various fillers for maximum cosmetic improvement.
Patients may also take advantage of the unique arsenal of State of the Art Lasers @ The Dermatology Practice of Bruce P. Robinson of NYC. This allows us to combine laser treatments and surgical procedures for the most outstanding results, while minimizing patient discomfort and downtime. For example, patients may choose full facial resurfacing together with Warm Body Contouring.
Schedule an office visit to discuss your concerns and skincare goals with Dr. Robinson and the office visit cost will be applied to the future cost for the "consulted procedure". The "consulted procedure" must be completed within 30 days of your consult visit.
Re-think your skin health. Hydration is the single most important factor in healthy skin. HydraFacial MD - Hydradermabrasion is the latest, non-invasive, gentle skin resurfacing and complexion treatment. The immediate, noticeable, long lasting results are achieved with zero downtime and without any discomfort. You can return to school, work, social life, or exercise right after your procedure. HydraFacial MD uses a uniquely shaped spiral tip and patented vortex fusing technology to gently cleanse, exfoliate, and extract, removing impurities and dead skin cells while hydrating the skin and adding antioxidant protection simultaneously. The additional capability of hydrating the skin after dermabrasion is one of the unique attributes of the HydraFacial MD.
Want the best skin of your life in 3 easy steps? Hydrafacial MD is a relaxing, gentle, non-irritating, fully customizable treatment for all skin types and concerns. Step 1. CLEANSE + PEEL, Deep clean clogged pores and exfoliate gently using a 7.5%, 15% or 30% (physician/medical grade ONLY) glycolic acid chemical peel. Step 2. EXTRACT, HydraFacial MD uses a patented, gentle vortex extraction approach to easily dislodge and remove impurities painlessly. Step 3. FUSE + HYDRATE + PROTECT, infuse & saturate hydration back into the skin’s surface with antioxidants, hyaluronic acid and peptides. Which Immediately improve elasticity, skin tone and minimizes the appearance of enlarged pores, fine lines and wrinkles, leaving your skin feeling smooth, looking bright, radiant & glowing. This makes a HydraFacial MD a great way to safely beautify your skin before special occasions and events. We offer signature Hydrafacial® packages to save you money.
Hydrafacial MD is for everyone! It appeals to all ages, both men and women with different complexions & skin concerns. Each treatment is personally tailored for each client and is suitable for all skin types. This includes young acne prone skin, sensitive, aging or ethnic skin, meaning everyone can reap the benefits of this gentle and revolutionary new skincare treatment. Using HydraFacial earlier on in life, could also mean less need for more drastic skincare procedures later, helping to slow down pollution induced skin damage by ...
- Reducing problematic acne
- Deep clean, oily clogged pores
- Painlessly dislodge and remove impurities
- Remove blackheads
- Achieve an instant gratifying "glow"
- Fight the effects of skin damage from sun exposure and pollution
- Hydrate
- Even out skin tone and texture
- Minimze enlarged pores
- Plump, improve elasticity & firm
- Decrease hyperpigmentation (dark spots)
Hydrafacial MD, - Acne Facial, is highly effective for anyone suffering from oily and/or acne-prone skin. It visibly reduces redness, enlarged pores, hyperpigmentation, utilizing LED blue light killing acne causing bacteria.
LED Light Therapy
Following your HydraFacial MD treatment we can utilize LED light therapy, again personalizing your treatment to the individual, blue light on acne or red light to build collagen and calm redness.
Instant Gratification In Minutes With Zero Downtime
HydraFacial MD offers NO pain and ALL gain! This facial hits the sweet spot- it's more than a facial, but less than a laser treatment, It is a rare unicorn, its payoff is immediately apparent, with unparalleled radiance - imparting properties, which is what makes it so highly requested before red-carpet events and special events - It really delivers that "extra" glow.
HydraFacial uses a unique, patented Vortex-Fusion delivery system to exfoliate, extract and hydrate skin, and, the spiral design delivers painless extractions.
HydraFacial MD Plays Nicely With Other Procedures
The HydraFacial MD can be done the very same day as dermal fillers, Botox, ablative skin resurfacing laser treatments, like the V-Beam and Fraxel laser skin resurfacing and & skin tightening treatments, such as TempSure Envi. It is also a godsend 4-5 days post Fraxel Laser Resurfacing, as it speeds up the shedding process that resurfacing lasers inevitably induce while deeply hydrating the skin.
Hydrafacial MD for lymphatic drainage. This hybrid treatment merges soothing and invigorating spa therapies with advanced medical technology to achieve instant, lasting results. This facial is appropriate for all skin types with no downtime or discomfort.
Have a specific skin concern? Tailor your treatment with super serums to address your unique concerns:
PerkTM is an add-on treatment that can enhance your HydraFacial; it includes take-home products to use at home to help maintain you results. Perk targets areas not treated by the original HydraFacial, such as lips and around the eyes. You get immediate results and long-lasting benefits that fit perfectly into your daily life. What can PerkTM do for you? PerkTM caters to your needs, whether you are in the mood to boost your lips, replenish your eyes, or give your skin that instant glow.
Where some other treatments can be more invasive, harsher on the skin and cause side effects in some cases, the hydra facial is the opposite. It is a totally gentle, non-invasive and non-irritating treatment, which refreshes and hydrates all skin types. There is no recovery time needed.
For anyone who wishes to slow down the aging process and improve skin appearance, Hydrafacial is the solution. Maintenance treatments are recommended to maintain results.
Men and women alike share a common desire to have healthy, youthful skin. Exposure to the sun and the elements in combination with adverse living habits contribute to the appearance of our skin. Chemical Peels are increasingly popular with those who are unhappy about acne scarring, sun-damaged skin, age spots, freckles, fine lines, rough skin and uneven pigmentation. A chemical peel is not limited to the face, and can be performed on the neck, chest, hands, arms, shoulders and leg with little or no downtime.
"All my life I had freckles on my face. Having a Chemical Peel changed that! Now my skin is smooth and clear!"
Chemical Peels are topically applied acids that aid in the restoration and rejuvenation of the skin's surface. They usually create an invisible uniform and controlled shedding of several layers of the skin. Depending on the nature and depth of the peel, a significant number of layers can be exfoliated allowing new growth to be exposed, creating a fresh vibrant appearance.
Your skin type and the results you are aspiring to achieve will determine if you are a candidate, as well as which class of peel is most appropriate for you.
Chemical peels can enhance your appearance by reducing blotchy and uneven pigmentation, fine lines and wrinkles, freckling, age spots, sun-damaged skin, and acne scars in a relatively brief measure of time. Chemical peels accelerate the production of new cells. Enjoy fresh smooth skin immediately after your first treatment.
Chemical peels have become increasingly popular because of the array of advantages and relative lack of complications, Side effects are rare and usually temporary. Some side effects include uneven pigmentation, redness, and very infrequent scarring if the skin is not cared for appropriately. Sun protection is crucial to minimize the risk of side effects. A treatment program of individually suited products and sun protection will benefit your skin's ability to maintain the results of the peel. You can decrease the likelihood of side effects by carefully following your post peel instructions.
Chemical peels are classified as superficial, medium, and deep peels.
This peel is designed to help smoothen coarse, dry skin, improve the texture of sun-damaged skin, and even out skin tone. The recovery is generally rapid and usually involves some minor flaking. A series of treatments is ordinarily recommended to obtain the desired result over a period of time. Typically, there is no down time and with appropriate sun protection, you can resume regular activities immediately.
Medium peels contain a stronger potency of acids. Medium peels target the epidermis and upper dermis and cause the skin to slough within 5 - 7 days. Immediately after treatment the skin has a red appearance and is occasionally accompanied by swelling. Within a day the skin turns brown in color and after 3 or 4 days the skin initiates the peeling process.
Deep peels produce the most dramatic results. This peel is recommended for treating wrinkles, scars, blemishes and, in some cases, precancerous skin lesions. A deep peel targets the dermis. In some cases, anesthesia is required during the procedure to reduce the warm to hot stinging sensation. After a deep peel, the skin is red and can result in some swelling and blistering. A crust may form and the skin will turn brown just prior to peeling. Many layers of the skin will peel over a period of one to two weeks. An ointment may be given to keep the area moist. Temporarily, the new skin will have the color and sensation of significant sunburn, which will gradually fade to your normal skin color.
The Fraxel® DUAL Laser system has the unique advantage of two treatment modes/wave lengths in one Laser which is an improvement from the original single mode Fraxel® Laser system. Fraxel® DUAL laser can treat a broad range of skin damage, such as age spots, sun spots, wrinkles and other signs of aging. The laser treats only a fraction of the skin tissue at a time, leaving the surrounding tissue intact, which promotes rapid healing. This stimulates your body’s own natural healing process replacing the old and damaged cells with fresh, glowing, healthy skin.
Fraxel DUAL Laser Modes/Wave Lengths:
This non-surgical procedure will be tailored to your desired outcome. You can enjoy the full benefits of both/or one mode/wave length. The Fraxel® DUAL Laser treats only a fraction of tissue at a time, leaving the surrounding tissue untouched to enable rapid healing. This stimulates your body's own natural healing process, replacing the old and damaged cells with fresh, glowing, healthy skin. The result is more youthful, radiant skin with minimal down time. Any area of the body can be treated: face, chest, neck and hands. Fraxel Laser protects against skin cancer while making your skin look young again.
How Can Fraxel Dual Laser Make Your Skin More Resistant To Skin Cancer?
New research has shown that, in addition to repairing your skin, Fraxel can actually help you defend against skin cancer while making your skin look young again. Fraxel triggers the healing process, producing collagen which will revitalize your skin with a smoother, younger look, but it also makes use of the older cells of your skin to produce substances that are protective against skin cancer.
How long is the treatment
Depending on the size, location and condition of the area to be treated, a Fraxel treatment can take anywhere between 20 minutes and 2 hours.
Most patients describe an increased sensation of heat during the treatment. Prior to the procedure we will apply a topical anesthetic cream, which helps minimize any discomfort during treatment.
How many treatments will I need?
The number of treatments needed depends on your goals and constraints. Typically, patients require between 2 - 6 treatments.
Fraxel lasers can treat women and men of all ages and skin colors. Any area of the body can be treated: face, arms, legs, back. abdomen and buttocks. Fraxel treatments also work on delicate skin areas like the neck, chest and hands.
Your skin will feel softer, look brighter and improve skin tone. Other benefits of treatment include: reducing the appearance of acne scaring, treatment of actinic keratosis, reduction of fine lines and wrinkles, smoother, fresher, younger looking skin, improved tone and texture, erase unwanted brown spots, age spots & melasma.
There are both immediate and progressive results. Soon after the treatment, the surface of your skin will feel softer, look brighter and show improved tone & texture. The next 3 to 6 months will bring additional improvement as the deeper layers of the skin continue to heal. Results can last for several years depending on your age and skin condition.
You will experience redness and/or swelling resembling a bad sunburn after the procedure that diminishes over the next 3-4 days. The evening after your treatment, your face will feel hot, applying cool compresses will provide comfort. We recommend using the prescribed ointments after treatment during the healing process. Usually by days 4-5 you will begin to peel, revealing smoother, younger looking skin. Total downtime is usually 5-7 days. Dr. Robinson will work with you to determine the best option within your lifestyle and work constraints.
HydraFacial MD is a godsend one week post Fraxel to speed up the shedding process that re-surfacing procedures inevitably induce while deeply hydrating the skin. Once healing is done, it is important to stay out of the sun as much as possible in order to maintain the results. The use of sunscreens, Retinol and skin brightening products will help keep hyperpigmentation at bay.
Fraxel Laser compliments other cosmetic procedures, such as dermal fillers, Botox & TempSure Envi.
Our Cosmetic Consultation Reimbursement policy is offered to all patients. Come discuss your needs and goals with Dr. Robinson and the office visit cost will be applied to future costs for the discussed procedure. *Procedure must be completed within 30 days of your consult visit.
Control of acne is an ongoing process given that acne can be a chronic problem. All acne treatments work to reduce current acne pimples but work better at preventing new acne breakouts. Acne treatments usually take 6 to 12 weeks to become fully effective. During that time existing blemishes may take time to heal and you may experience temporary worsening before improvement. Chemical peels and laser treatments can speed the time to improvement and often help clear pigmentation and scars. . Your treatment will vary according to the type of acne i.e. acne cysts, pustules, whiteheads or blackheads.
Occasionally, an acne-like rash can be due to another cause such as make-up or lotions, or from oral medication. It is important to help Dr. Robinson by providing an updated history of what you are using on your skin or taking internally. Many non-prescription acne lotions and creams help mild cases of acne. However, many will also make your skin dry. Follow instructions carefully.
Dr. Robinson will evaluate your ance and suggest the best treatment regimes considering your age, sex, and the type of acne you have.
Dr. Robinson can treat acne scars by a variety of methods. Skin resurfacing with laser, dermabrasion, chemical peels, or electrosurgery can flatten depressed scars. Soft tissue elevation with subcision or filling agents such as Radiesse, Restyene, Juvederm, Cosmoderm or Cosmoplast can elevate scars. Scar revision with microexcision and punch grafting can correct pitted scars. Combinations of these surgical treatments can make a noticeable difference in appearance.
