New York dermatologist Orit Markowitz, MD is a number one knowledgeable in noninvasive pores and skin most cancers therapies, so she’s capable of get first entry to a few of the latest applied sciences which are altering the way in which medical doctors can penetrate, transform and deal with the pores and skin in progressive new methods. At her OptiSkin observe in Manhattan, she makes use of these modalities to not solely diagnose and deal with skin cancer, but in addition to offer solar harm rejuvenation, erase tattoos and provides her sufferers tighter, extra lifted trying pores and skin. She is the go-to for non-invasive therapies which are trending now. A lot so, her motto is “Reducing Edge with out the Reducing.”

Right here, she shares the highest applied sciences that give her sufferers the most effective outcomes.


Heating beneath the floor of the pores and skin with radio frequency microneedling is an effective way to generate collagen, says Dr. Markowitz, however she additionally likes it as a result of it creates a contraction of the pores and skin. “Once you’re attempting to perform a nonsurgical raise, a few of it is usually textural, so you’ve got radio frequency that may go as superficial as 0.5 millimeters in depth. You’re creating an harm within the pores and skin that the physique now has to enter overdrive to heal itself. You may go as deep as three millimeters in case you’re actually attempting to focus on extra fatty tissue That’s what causes not simply the collagen technology, but in addition the contraction of pores and skin causes that raise.”


When you could be aware of ultrasound therapies of the previous, Dr. Markowitz says Sofwave, a brand new FDA-cleared lifting therapy for the forehead, neck and jawline, is subsequent stage. “This one has much more bells and whistles,” she explains. “It’s the solely gadget that delivers warmth to the depth of 1.5mm within the mid-dermis, which is the place collagen is generated. You can too get a better quantity of warmth, so it takes rather less time to deal with than different choices. Since you’re getting a better quantity of heating, with much less discomfort, it’s simpler for the affected person to bear.”


The latest of all of the PICO lasers, Dr. Markowitz says PicoWay is her go-to laser therapy as a result of it’s quicker and extra environment friendly than others earlier than it. “There are new items that they’ve simply developed, like fusion items, the place you’re capable of mix each the fractionated variety with extra superficial therapies, so that you’re capable of get optimum outcomes. As a result of it has varied wavelengths, you may take a look at the affected person and decide the place the pigment is and select the precise wavelength to focus on so they don’t have to maintain coming again to be handled with varied items, you understand precisely what that you must goal from day one.”

Dr. Markowitz says the PicoWay is the most effective for correcting important hyperpigmentation, darkish spots, or erasing tattoo ink. “It’s picture acoustic power, so it’s simply form of acoustic at totally different depths. So, when you’ve got sure forms of scars, hyperpigmentation, melasma or different pigmentary issues, we’ll additionally use noninvasive imaging to see the place the pigment is and also you get a dedication of how a lot of it’s, whether or not it has a vascular element, after which correctly goal it suddenly versus a trial-and-error method till you get it accomplished.”


The noninvasive imaging Dr. Markowitz is referring to is a brand new gadget that appears on the pores and skin in a three-dimensional perspective, making it simpler to plan and goal different pores and skin therapies.

“We’re the one observe within the U.S. with this expertise and we’re utilizing it to not solely do analysis to higher deal with pores and skin most cancers, but in addition to additional perceive handle different illnesses like pigment, psoriasis, nail fungus and different pores and skin illnesses like eczema.”

For sufferers present process therapies, Dr. Markowitz says it may take months to see how the pores and skin is responding, however with noninvasive imaging, she will begin to inform instantly whether or not that affected person goes to enhance. “Once you need to laser a affected person, you may see what the depth of pigment is, the place are the vessels are, how large they’re, and even decide what’s the most optimum method and whether or not the therapy is working below the pores and skin earlier than we see the end result of the pores and skin.”