The world of cosmetic dermatology has seen remarkable growth over the past decade. Today, treatments including injectable fillers, laser procedures, and chemical peels can beautify and enhance the skin, while medical-grade products bring quality skin care home. Our cosmetic dermatology specialists in Westchester, NY, understand that good skin health is a crucial component of lifelong beauty. Let our doctors help your skin reach its true potential.
To discover all of the ways we can enhance the health and beauty of your skin, request a consultation online or call our practice in Mt. Kisco at
(914) 241-3003. Women and men visit for cosmetic dermatology services from Greenwich, Danbury, Ridgefield, New Fairfield, and New Canaan, CT; White Plains and Manhattan, NY; and other surrounding cities.
Because cosmetic dermatology is a rapidly changing field, we hear a lot of questions about these treatments from our patients. For some of our most popular services, our doctors have provided answers to the most frequently asked questions.
My skin is rough and dull and has these brown patches. What can I do about this?
The cause of the most common cosmetic complaints (dull, patchy skin, pigmentation, fine wrinkling) is sun damage. Throughout our lifetimes, most adults have had enough sun exposure to cause damage-related problems that can range from dry skin to cancer. Fortunately, there are solutions to most of these concerns.
For cosmetic issues, the first recommendation is to use appropriate skin products and preparations, either over-the-counter or prescription. We often recommend products containing effective ingredients such as alpha hydroxy acid, glycolic acid, vitamin A- or vitamin C-derived ingredients, and moisturizing components. Proper protection against the sun is also very important.
Another highly effective treatment is one of a series of facial peels that are designed to combat precancerous skin cells, exfoliate, reduce acne breakouts, reduce fine wrinkling, and bring a brighter, fresher, smoother appearance to the skin. Lasers, such as our Fraxel® fractional laser, are also used to resurface lines, wrinkles, scars, and sun-damaged skin.
What products should I use for my face?
The answer to this question depends largely on your specific skin type, concerns, and medical or cosmetic conditions you wish to treat. In general, your dermatologist can recommend specific products, either over-the-counter or by prescription, to suit your needs. Here at The Center, we carry products that we have found to be safe and effective for treating a variety of skin concerns.
What can I do about these wrinkles around my eyes?
Wrinkles, crow's feet, laugh lines, and frown lines are caused by a number of factors, including sun damage, repetitive muscle movements, and loss of elasticity in the skin. Some wrinkling can be improved by the use of certain skin products, especially those containing alpha hydroxy acid and vitamin A.
Treating the underlying muscle is also highly effective. This can be done with BOTOX® Cosmetic, which relaxes the muscles and reduces the appearance of wrinkles.
We also use an erbium laser to remove the top layers of the skin through a process called vaporization. This stimulates the production of fresh collagen and allows the skin to heal quickly.
What do you recommend for blackheads?
Pores on the skin, called sebaceous follicles, can become clogged and blocked with oil, dirt, makeup, or other debris, and become darkened. These are commonly known as blackheads. Blackheads can stay as a blocked pore or can become inflamed into a pimple. Topical products can be very effective in preventing pores from becoming blocked, as can glycolic skin treatments.
Another effective treatment is microdermabrasion or Derma Peel®. Aluminum oxide crystals are sprayed on the skin in a gentle "sandblasting" process, and then vacuumed up, leaving the skin soft and smooth. The vacuum is particularly helpful in loosening blackheads.
I've heard that any sunblock with an SPF of more than 15 is not effective. Is that true?
A sun protection factor (SPF) of 15 means that you can stay in the sun without burning 15 times longer than you would if you had applied no sun protection at all. Higher levels of SPF may not have incrementally higher percentages of sun protection, but they are still more effective at protecting your skin from the sun's harmful rays. A good sunscreen must be broad spectrum, meaning it protects against UVA and UVB rays, and have some percentage of a total block ingredient. A sunblock that is waterproof, water-resistant, rubproof, or sweatproof is also helpful in making your sun protection effective.
Remember, there is no such thing as a "safe" tan. All tanning is a result of sun exposure, and all sun exposure results in the cumulative effects of aged skin, wrinkles, loss of elasticity, and perhaps even skin cancer.
David E. Bank, M.D.
Founder and director of The Center for Dermatology, Cosmetic & Laser Surgery, Dr. Bank has achieved many impressive accomplishments, including:
Yale and Columbia University graduate
Certified by the American Board of Dermatology
Over 25 years of experience in nonsurgical facial rejuvenation
Principal investigator for numerous FDA clinical trials
Nationally recognized BOTOX expert
Frequently featured in the local and national media
What kind of lasers do you use? What are they for?
Here at The Center, we have several state-of-the-art lasers, all designed for a variety of uses. Lasers ("light amplification by the stimulated emission of radiation") work by producing an intense beam of bright light that travels in one direction. The newest lasers are remarkably precise and selective, allowing treatment results and safety levels not previously available.
Our erbium laser is for skin resurfacing. It is designed to remove or noticeably decrease wrinkles and to improve the overall color and texture of the skin. It is used also to achieve an improved cosmetic result on scars and to resurface aged or sun-damaged skin. It is a newer and improved version of the carbon dioxide, or CO2, laser.
The Sclero Plus Laser, or pulsed-dye laser, is used to treat vascular (vein) lesions. Conditions treated by this laser include facial or leg spider veins, port wine stains, warts, scars, stretch marks, and rosacea. This laser treats the lesions by passing through the skin. The HGM laser is also used for broken blood vessels, as well as sunspots and birthmarks. It can target small individual vessels and is also a procedure that is most effective when done in a series.
The LightSheer® diode hair removal laser is used to remove unwanted hair. This is the only hair removal laser allowed by the FDA to claim "permanent reduction." The light emitted by the laser is absorbed by the pigment in the hair follicle. The laser vaporizes the pigment, disabling several follicles at a time to eliminate or significantly impede the hair's regrowth. This procedure should be done at least 3 times to achieve the best results.
What can I do to make my hands look younger?
The back of your hands often show signs of aging before your face. RADIESSE for Hands is the only dermal filler approved by the FDA to restore volume to the hands. If you are concerned about the appearance of veins or tendons, wrinkles, and crepey skin, ask Dr. Bank about this unique treatment.
What can I do about my thinning hair?
Some products are available over the counter or by prescription, including topical preparations such as ROGAINE®. Hair can also be surgically implanted by hair transplantation. Small clusters of hair follicles, just 2 or 3 together, are removed from the back of the head and transplanted to the front or top. Hair from the back and sides of the head is genetically less likely to fall out, so by transplanting that hair to areas that are thinning out, it will take hold, grow, and stay there.
What can I do about leg veins?
Unsightly veins on the legs, called spider or varicose veins, can be treated in a variety of ways. They appear in both men and women, but more frequently in women. Hormones, puberty, pregnancy, and hormone replacement therapy all play a role in their development. One method of treatment is by injection, called sclerotherapy. A solution, usually saline solution, is injected into the veins with a tiny needle. Over a period of weeks, this solution causes the vein to become irritated and close up, and the treatment causes no pain or irritation to the patient. Patients need to wear medical-grade compression stockings for several days after injection. These stockings will greatly aid in the success of the procedure. Injection is usually most effective when done in a series of 2 to 4 treatments, spaced at a minimum of 4 weeks apart.
Another method of treating spider veins is by laser. A pulsed-dye laser is used on the smallest of spider veins, those too small for injection. It works by destroying the vein without damaging or cutting through the skin. The veins heal and fade within a few weeks. This laser treatment, too, is most effective when done in a series of treatments.