New York City dermatologist Gary Goldenberg, MD, has his share of fans â€“ thatâ€™s for sure. And there is good reason for it: He is as adept at addressing the signs of aging in subtle, yet noticeable ways as he is at treating vexing skin conditions such as psoriasis and rosacea, and early detection and treatment of skin cancer.
â€œI practice holistic dermatology â€“ focusing on the medical, cosmetic and surgical dermatological needs of my patients,â€ says Goldenberg, the Medical Director of the Dermatology Faculty Practice at The Mount Sinai Medical Center, and an Assistant Clinical Professor of Dermatology at The Mount Sinai School of Medicine in New York City.
He chatted with Beauty and The Bag about all of the above. Hereâ€™s what we learned:
1. What is your signature procedure?
Itâ€™s a combination that involves improving oneâ€™s appearance with contouring and skin tightening. We start with fractionated skin resurfacing using Fraxel Dual or Clear + Brilliant and then we move to treating dynamic wrinkles and lines with neurotoxins (Botox, Dysport and Xeomin) and then we address volume loss with Radiessse, Sculptra or hyaluronic acid-based fillers. If they need more help with lifting, we can also use Thermage, which delivers radiofrequency energy to the deeper parts of the skin to stimulate the development of new collagen, one of the building blocks of healthy, youthful skin.
2. What does future of anti-aging look like?
Small changes that add up over time are the way forward. Laser resurfacing will continue to improve. Fractional resurfacing is king at this point because it has a pronounced effect on skin rejuvenation. The downtime is
three to five days at the most. A long-lasting toxin to help people stay wrinkle free for seven to nine months or longer will also change the way we approach the aging face. Long-acting toxins are also ideal for needlephobes who donâ€™t want to come in every three or four months for upkeep.
3.What are the factors we should consider when deciding on an anti-aging treatment plan?
This process starts by identifying your area of concern, Are you looking to lift your cheeks or smooth your brows, for example. Another factor is risk. Most treatments are well-tolerated, but if you have a history of allergies to a product, tell your dermatologist. And then thereâ€™s the whole maintenance issue. How often are you willing to go to the office for upkeep? Answering these questions will help guide your decision-making process.
4. What do todayâ€™s men and women want out of their fillers?
Itâ€™s more about contouring and less about filling.
5. Tell us whatâ€™s trending among Manhattanites.
My patients are pretty conservative. No one wants to look fake. They donâ€™t want to look like this celebrity or that one because they think celebrities look fake. They donâ€™t bring in celebrity photos to illustrate what they want done. Instead they bring pictures of themselves 10-15 years ago to see if we can recreate or reshape their face and turn the clock back. We make small changes over time to make patients look like their younger self, more refreshed and less tired with combination of lasers, fillers, and toxins.
6. What are your beauty secrets?
The cornerstone of any skin care routine is protecting yourself from the sun. I use sunscreen every day. I have been using Botox since 2003, and apply retinoid creams regularly. I also use a gentle moisturizer in the morning and heavy duty one before bed.