5 Reasons Injectables Should Not Be A DIY Project

5 Reasons Injectables Should Not Be A DIY Project

Who doesn’t love a new beauty trend? From mud masks to contouring: it’s exciting to try out a promising new beauty regimen for yourself. There are fads that are safe to try at home, and there are others that should only be performed by a doctor. Injectables like neuromodulators and dermal fillers belong in the latter category, never the former.

At Spring Street Dermatology, we use only the best FDA-approved injectables on the market in our New York City skin care clinics. Our team of board-certified dermatologists and physician assistants understands that safe treatment is just as important as beautiful results, and that’s why our entire staff is highly trained and uses cutting-edge technology for all our treatments. Our aesthetic philosophy is to achieve natural results using the simplest, least invasive techniques possible, including with cosmetic injectables.

DIY Cosmetic Injectables: What Are They?

Cosmetic injectables include neuromodulators like Botox® and Dysport® that treat dynamic wrinkles and dermal fillers like Juvéderm® and Restylane® that fill in areas of lost volume and smooth fine lines. Neuromodulators work by relaxing facial muscles that create wrinkles when they contract. Dermal fillers can be used on the face, neck, lips, and even hands to restore youthful contours and minimize the appearance of fine lines.

DIY Cosmetic Injectables are not the same. These injectables are sold online and are intended for at-home use. The products are manufactured and sold outside of the US, and they’ve gained popularity through YouTube channels and TikTok videos that feature people trying them out for themselves. There is even a new start-up offering to “guide” consumers through the injection process virtually, right here in the US.

These products are created to mimic the effects of neuromodulators and dermal fillers used at dermatological offices, but they are not the safe, effective products you’re familiar with. Below are five reasons cosmetic injectables should never be a DIY project. Visit ncbi.nlm.nih.gov to find out more information about the harm associated with DIY injectables. 

1. Injecting Is Not As Easy As You May Think

While YouTube and TikTok tutorials may make application look simple enough, proper placement and injection technique is far from straightforward. The trained physicians at our SOHO, Tribeca, and Uptown offices understand that each of our patients has a unique facial anatomy, skin structure, and aesthetic goals, so we are able to select the best product and place it in the exact spot it should be so you can leave with the results you desire. When injecting a DIY cosmetic into yourself, you run the risk of using too much product or placing it incorrectly, and you will likely not achieve the results you were hoping for.

2. You Don’t Know What’s In That Needle

Even if you are able to use the correct amount of product and inject it into the right place, the DIY cosmetic product you are using is itself unsafe. The injectables sold online have not undergone the rigorous testing that FDA-approved ones have. The ingredients, as well as how the DIY injectables are made, is a mystery. There is also no assurance that these products are stored and shipped properly, such as being kept at a safe temperature during the transport process.

The injectables offered at Spring Street Dermatology’s three NYC offices are Botox Cosmetic, Dysport, Juvéderm, and Restylane. These FDA-approved products have been in use by doctors for years, and they have proven results. Botox and Dysport are similar in the results they produce, but our physicians can recommend the best option for you. The Juvéderm and Restylane family of fillers consist of several formulations that are specially created for certain concerns. When you choose to use these products, you can receive a specialized treatment plan for your specific goals.

3. Some Side Effects Can’t Be Reversed

Not only will you likely not achieve the results you hoped for by using a DIY cosmetic injectable, but you can also harm yourself in ways that may not be reversible. Some known side effects of these products are:

  • Allergic reactions (sometimes severe and lead to amputation)
  • Disfigurement
  • Ptosis (droopy eyelids and eyebrows)
  • Bell’s Palsy or facial paralysis
  • Diplopia (double vision or difficulty with eyesight)
  • Blindness
  • Permanent scars
  • Stroke
  • Dysphagia (difficulty swallowing or trouble with speech)

While some of these side effects are curable, the cost of their treatment will far outweigh the money you may have saved by using DIY injectables.

4. Comprehensive Care is Available At Our Skin Care Clinic

At Spring Street Dermatology in NYC, you can experience safe, expert care and achieve your beauty goals. We can perform injectable treatments, as well as laser resurfacing, microneedling with PRP, and chemical peels for anti-aging and rejuvenation treatment. We can also combine therapies to give you more complete, longer-lasting results.

5. There Are Safe Medical-Grade Products You Can Use At Home

We at Spring Street Dermatology understand the desire for at-home treatments, which is why we have an online professional skincare store with products that are safe to use at home. These physician-curated, tailor-made, and scientifically-proven products are available to anyone, and we even offer a free skincare assessment.

Schedule Your Injectables Treatment in New York City Today

If you are ready to receive safe, quality injectable treatments, contact our skin care clinic today and schedule an appointment at our SOHO, Tribeca, or Uptown office.

Turn Back the Clock On the New Year with Botox and Dysport

Turn Back the Clock On the New Year with Botox and Dysport

New Year celebrations might be looking a little different for everyone this year, but the desire to start fresh and look one’s best as we ring in the new year hasn’t changed. There are many cosmetic options that you could select to rejuvenate your appearance before 2021, but one of the most well-known treatments might be your best option: Botox.

At Spring Street Dermatology, our board-certified dermatologists and physician assistants offer the latest in medical and cosmetic dermatological treatments in our New York City offices. We provide our patients with non-invasive treatments that will produce beautiful, natural results, including Botox Cosmetic and Dysport injections. 

Natural Results Your Friends Won’t Question

When seeing friends and family for the first time after a cosmetic treatment, you might be worried that they will notice your changes right away and want to ask questions. Neuromodulators like Botox and Dysport are sometimes associated with creating a “frozen” appearance, which can happen when you go to an inexperienced injector for your treatment. By selecting a practice with board-certified medical professionals, you can trust you’ll receive enough product to correct your wrinkles, but not so much that your face will look unnatural.

During your consultation, our doctors will discuss the problem areas you’d like addressed to determine the best option for you. Both Botox and Dysport are mainly used to treat dynamic wrinkles, or wrinkles that appear when you make certain facial expressions. As you age, these wrinkles remain even when your face is at rest. These products work by blocking nerve signals to the muscles being used to make these expressions, relaxing them and the skin covering them.

botox wrinkle treatment in NYC, NYResults That Last into Next Season

You may be getting Botox or Dysport to start your new year with a fresh appearance, but the results will last beyond the ball drop on New Year’s Eve. Results from these injections typically last between 3-4 months, and even longer for some people, so your results could extend all the way into spring. You won’t have to worry about coming in for treatments again until the snow has melted and you’re ready to get out of your home to enjoy the warmer weather.

To maintain your results through the rest of the year, you can schedule your treatments ahead of time. We can help you create a treatment schedule at our SOHO, Tribeca, or Uptown offices in New York City so you can keep your fresh look as long as you’d like. You may also sign up for the Alle loyalty program so you can earn points and save on future treatments. To find more information about joining the Alle loyalty program, visit alle.com

The Procedure Won’t Interrupt Your New Year Plans

Whether you’re busy with New Year’s plans or are trying to stay indoors as much as possible during the ongoing pandemic, you won’t have to sacrifice your time for your neuromodulator treatment sessions. Injections take about 15 minutes. We use the smallest possible needles for our injections, ensuring you stay comfortable during your treatment. Most patients say Botox and Dysport treatments are very tolerable, and some say they do not feel any discomfort at all. We provide topical numbing cream and other options to minimize discomfort.

This is a popular time to start treatments, so be sure to schedule your session as soon as you know when you are available. That way, you can be sure to get your treatment at the best time for you. 

minimize forehead wrinkles with Botox in NY, NYTreatments Now Can Minimize Wrinkles Later

Your dynamic wrinkles may not be very severe now, but starting treatments at the onset of facial wrinkles can help minimize their appearance later. Created by Allergan, Botox Cosmetic is used to relax facial muscles that tense up and create wrinkles, as is Dysport. By relaxing these muscles at the beginning of their formations of wrinkles, these muscles will create less intense or fewer wrinkles later in life. These wrinkles include:

  • Frown lines (glabella)
  • Crow’s feet (lateral orbital lines)
  • Bunny lines (transverse nasal)
  • Smoker’s lines (perioral lines)
  • Forehead lines/horizontal forehead creases (frontalis muscle)
  • Marionette lines (depressor anguli oris / trangularis muscles)
  • Chin “dents” (mentalis dysfunction)
  • Neck wrinkles

Get Botox or Dysport For More Than Just Wrinkles

Botox most commonly treats wrinkles, but it can also be used to treat other symptoms of aging:

  • Gummy smile
  • Enlarged masseter (chewing) muscle
  • Platysma (neck) bands

If you have excess movement of your upper lip that reveals your teeth and excess gum tissue when you grin or laugh, you can receive a small amount of Botox to target the muscles that raise the upper lip, preventing full movement. This can significantly soften and improve a gummy smile.

Botox can also relax the masseter or chewing muscle. This muscle often becomes enlarged with age as it is frequently used. When injected with Botox, the muscle slims and creates a more contoured jawline. 

Botox also treats neckbands–one of the more common signs of aging. These bands tend to become more visible as the delicate neck skin thins over time. We can inject Botox directly into the neck bands to weaken the muscles and minimize the appearance of the bands. When started early, Botox can prevent banding in the neck from worsening.

Know Your Options

If Botox and Dysport do not seem like the right treatments for you, you can try other cosmetic treatments we offer in our New York City offices:

  • Fillers: Our doctors use hyaluronic acid-based fillers like Juvéderm and Restylane to augment the cheeks, reduce wrinkles, enhance lips, and give patients a natural, more youthful appearance.
  • Laser Resurfacing: We have both ablative and non-ablative lasers, which can provide dramatic and more subtle results. We will help you select the best device for your treatment based on your goals and availability for recovery time.
  • Microneedling/PRP: Also known as a “vampire facial,” this treatment stimulates the production of new collagen, which can tighten your facial skin, minimize fine lines and acne scars, and refresh your face’s appearance.
  • Ultherapy: This treatment uses ultrasound technology to tighten skin by stimulating new collagen growth. Results gradually appear and improve over several months.
  • Secret RF: This latest advancement in the treatment of wrinkles, stretch marks, and acne scarring combines microneedling and radiofrequency technology to remodel and tighten facial tissue.

Schedule A Botox or Dysport Treatment in NYC Today

Don’t wait for the New Year to reveal a “new you.” Schedule a cosmetic injectables treatment or consultation at our SOHO, Tribeca, or Uptown offices today to start the new year as the best you that you can be.

Reshape Your “Quarantine 15” with TruSculpt

Reshape Your “Quarantine 15” with TruSculpt

The “Quarantine 15,” also known as those extra pounds you might have gained during quarantine, is real and is affecting many. As we have remained indoors much more than usual these past several months, we have not been able to move and burn calories naturally. Our normal walks around the office to see co-workers have been replaced with sitting in our home offices or living room; instead of browsing around the mall or our other favorite shops, we’re clicking through online stores on our computer. We’ve adapted to a less active and more sedentary lifestyle, and some of our bodies have responded with retaining weight.

With no sure end in sight, some might feel like there is nothing that can be done about their changing body, but here at Spring Street Dermatology, we offer several options for concealing unwanted and stubborn fat deposits. With our many TruSculpt options, we may be able to help you make your “Quarantine 15” seemingly disappear.

stubborn fat removal in new york


At our three comprehensive medical and cosmetic dermatology treatment centers here at Spring Street Dermatology in New York City, our dermatologists aim to help you achieve natural, beautiful results using the simplest, least invasive techniques available. With our highly trained physicians and cutting edge technology, we may be able to help you say goodbye to stubborn fat bulges you have accumulated during this quarantine season at our SOHO, Tribeca, and Uptown offices.


trusculpt body contouring in new york

TruSculpting offers body contouring without invasive techniques. It uses heat from radiofrequency energy to target and destroy stubborn, unwanted fat deposits. This is different from CoolSculpting, which uses controlled cooling (cryolipolysis) to freeze fat cells. Both devices offer a nonsurgical option for body contouring. TruSculpt is ideal for targeting stubborn areas such as:

  • Lower abdomen
  • Double chin
  • Bra fat
  • Back fat
  • “Love handles”
  • “Muffin tops”
  • “Saddle bags”

We usually recommend 2-4 treatment sessions spaced 4-6 weeks apart for optimal results. Many of our New York patients see results within four weeks, with optimal results typically achieved at 12 weeks. You may require minimal downtime after a TruSculpt procedure, and most patients resume regular activities immediately after treatment.

TruSculpt iD

TruSculpt iD, also called WarmSculpting, is the latest noninvasive TruSculpt technology from Cutera that targets problem areas of fat and cellulite that are resistant to diet and exercise. With just a few treatments, you may be able to sculpt your body and walk with confidence, whether you’re inside or finally outdoors.

Like TruSculpt, TruSculpt iD uses radiofrequency energy to heat and melt stubborn fat. TruSculpt iD is designed to be used on the abdomen and flanks, as well as more challenging areas like the upper arms. The TruSculpt iD machine uses slow heat, administered in cycles to melt the fat layers. 

The treated areas each require just 15 minutes of heat, keeping this a relatively comfortable procedure. This treatment requires minimal downtime. The treated areas may redden somewhat, but this side effect should disappear quickly. Many patients see results in up to six weeks, and optimal results may be able to be seen after 12 weeks. 

This treatment is available exclusively at our Uptown office.

TruSculpt Flex

TruSculpt Flex focuses on your muscles, rather than fat reduction. It stimulates the muscles that haven’t been strengthened during quarantine to tone and sculpt them. A single, 45-minute body sculpting session can simulate hundreds of crunches, possibly accelerating the results you would typically see from a series of intense workouts. This non-surgical device is adjusted to your unique fitness level and personal goals. It works in three modes:

  • Prep Mode – where the machine replicates the twisting motions you might make during a warm-up exercise, stretching your muscles and slowly building a tolerance to muscle contractions
  • Tone Mode – where the machine contracts your muscles until they are exhausted, mimicking strength training to increase strength and endurance
  • Sculpt Mode – where the machine aims to develop new muscle fibers and increase your muscle mass and basal metabolic rate (BMR)

By stimulating muscles with an electric current, this treatment can give you the drive you need to strengthen and tone your abdomen, buttocks, and/or thigh muscles, even while stuck at home. This machine uses multi-directional stimulation (MDS), making it possible to target specific muscle groups. Results may be seen within 45 minutes. Optimal results are usually visible 8-12 weeks after the last session. To learn more about TruSculpt Flex, visit cutera.com

This treatment is available exclusively at our Uptown office.


kybella double chin treatment in new york

Kybella™ is another treatment that can help address stubborn fat deposits. It is ideal for reshaping submental fat, or a double chin that’s appeared during quarantine. Kybella has made correcting double chins much less invasive, as previously you could only correct this with liposuction, which requires anesthesia and a few days of recovery time.

Kybella is a prescription medication that our dermatologists can inject into unwanted fat at any of our NYC offices. The medicine’s active ingredient is deoxycholic acid, which is a naturally-occurring molecule in the body that aids in fat breakdown and absorption. When injected into submental fat, Kybella can destroy fat cells, which may then be naturally eliminated from the body. Once destroyed, these cells can no longer store or accumulate fat. Most patients need multiple treatments to attain ideal results. Final results can take more than six weeks to be evident. After an ideal aesthetic response is achieved, it is unlikely you will need a repeat treatment.

Schedule Body Contouring Treatment with Spring Street Dermatology Today

No matter where you’ve gained your “Quarantine 15,” our dermatologists can help reshape your body and face. Contact our New York City office or call (646) 906-9614 to schedule your body contouring procedure.

Clean Skin is Healthy Skin: Tips for the Face and Scalp

Your skin is the largest organ of your body, so keeping it in top condition should be a priority throughout life. A healthy skincare program begins with a cleansing regimen designed for your specific needs and skin type. Dr. Charlotte Birnbaum of Spring Street Dermatology in New York City has the tips you need to keep your skin healthy and beautiful.

healthy skin tips in new york, new york

Cleansers 101

A trip down the skin care aisle of your local grocery store can be an overwhelming trip today. The sheer volume of choices can make it almost impossible to select the best product for your skin. Should you go with a cleanser or quick, convenient cleansing wipes? What ingredients do you look for? 

Dr. Birnbaum helps to break it down, so you can understand how each of these methods works.

Cleansers and makeup remover wipes use surfactants to break down the interface between oil, water, and dirt, removing them and cleaning our skin. When we use cleansers, we tend to rinse off this debris more effectively with water. Using a wipe can often leave residue on your skin. This residue can include cleansing ingredients like surfactants, solubilizers, emulsifiers, and preservatives, leading to irritation or an allergic reaction. 

While Charlotte Birnbaum, MD recommended cleansers over wipes as a general rule, she recognizes that there are times when wipes are the more practical option. She recommends rinsing off your face with water, if possible, after using the wipe. If rinsing is not possible, her recommendation would be to use micellar water instead of a makeup remover wipe. It is a milder formulation than makeup remover wipes, and the residue is less likely to cause a reaction on the skin. 

When selecting a cleanser, remember that the skin on your face is more sensitive than the skin on your body. Choose a gentle formulation that does not include alcohol in the list of ingredients. You can also skip the exfoliating ingredients since daily exfoliation can be irritating and even damage the face’s delicate skin. 

Getting on a Schedule

Once you have selected your cleanser, you need to know how to use it correctly. The American Academy of Dermatology recommends washing your face twice a day or after you sweat. More frequent washing can end up causing more harm than good by irritating the skin. Always wash with lukewarm water, rinse thoroughly, and pat your skin dry with a towel. 

If you choose to exfoliate your skin, don’t use these cleansers more than once or twice a week. Think of exfoliation as a treatment, rather than a daily part of your skincare program. You can also opt for professional exfoliating procedures at Spring Street Dermatology in New York City periodically for safe and effective treatments.

tips for a cleaner scalp in new york, new yorkGuidelines for a Cleaner Scalp

The scalp is often an area that gets neglected in a regular skincare routine. You may wash your hair regularly, but if you do not focus on the skin below, you may be missing an essential step in your hygiene program. Dr. Birnbaum explains that if you have an oily scalp, it may require additional care.

Our oil glands, also known as sebaceous glands, produce an oily substance called sebum on our skin. Sebum improves the barrier of our skin and scalp, protecting them from damage and drying out. Some of us naturally produce more oil than others, which can lead to a greasy scalp.  Oil production is related to our genetics, hormones, humidity, and stress. If you are naturally prone to oily skin, you likely encounter it on both the face and scalp. 

For an oily scalp, Dr. Birnbaum recommends more frequent, regular shampooing up to once a day. It is a common myth that your scalp can overcompensate with oil if you shampoo too often. Of course, you don’t want to overdo it as this can lead to dryness and irritation, so it is crucial to find your sweet spot number of times a week to wash your hair. Those with coarse, curly hair can wash their hair more infrequently.

Here are a few additional tips Dr. Birnbaum recommends for an oily scalp:

  • Clarifying shampoos have more potent surfactants like sodium lauryl sulfate to clean an oily scalp.
  • Shampoos with salicylic acids, such as Neutrogena T/Sal, can also be used a few times a week.
  • Dry shampoo can help control the oil and keep hair looking clean and shiny.
  • Place conditioner only at the ends of the hair, never on the scalp.

Dr. Birnbaum advises against using shampoos containing sulfates if your hair is color-treated.

If these at-home treatments do not help after several weeks of use, Dr. Birnbaum suggests an evaluation by a board-certified dermatologist. Prescription treatment options include topical retinoids, spironolactone, oral contraceptive pills, and even Accutane. Neuromodulators like Botox can also decrease oil production. These products can be injected directly into the scalp to keep oil at bay. 

The Next Level: Professional Treatments

While a good home skincare regimen is essential for healthy skin, professional treatments can take you to the next level. At Spring Street Dermatology in New York City, we offer various cosmetic procedures to keep your skin at its absolute best. Some of your options include: 

  • Laser treatments to brighten skin and create more even texture and tone
  • Exfoliating treatments to stimulate cell turnover for fresher, more radiant skin
  • Injectables to smooth away wrinkles and restore youthful volume
  • Light and laser therapies to address sun damage and early signs of aging
  • Skin tightening treatments to reverse jowl formation and firm up sagging skin

Our board-certified dermatologists have the experience and expertise to customize your treatments to your precise needs and goals. Whether you want to turn back signs of aging, treat a specific skin condition, or brighten the complexion for an upcoming event, our team can help you look your best throughout every season. 

We are Committed to Skin Health

Healthy skin is our specialty. For more information about the treatments we offer, contact Spring Street Dermatology in New York City today.

Can Face Masks Cause Yeast Infections?

acne from wearing face masks in new york

Face masks have become a mainstay this year, thanks to COVID-19. You can find masks in an assortment of styles and colors as they have become a necessary fashion accessory to add to your wardrobe. But when the mask comes off, what is waiting underneath?  Some mask wearers are finding that the regular use of facial coverings are beginning to exacerbate skin conditions like acne and rosacea. Others are finding rashes on their faces they have never seen before. It turns out the warm, moist environment under the mask can be the ideal place for a yeast infection to develop.

Yeast Infections? On the Face?

Many women are all too familiar with yeast infections as they can be a common vaginal issue. However, most of us have never heard of a yeast infection affecting visible areas like the face. It is the introduction of regular mask wearing that has brought this issue to light.  Dr. Sapna Palep, founder of Spring Street Dermatology in New York City, recently broached the issue of yeast infections from mask wear. She has some basic facts about why they occur and what you can do to lower your risk.

Q: Is it possible to get a yeast infection on your face from wearing a mask?

Yes, absolutely! Dr. Palep warns that a yeast infection can occur anywhere there is warm, moist, creased skin. Candida albicans is the most common culprit that takes advantage of this environment, which can be created by masks to create a superficial fungal infection. Yeast is present on the skin and usually causes no ill effects. However, the right combination of factors can allow it to develop into an infection. It’s not the mask itself that causes the problem. But wearing a mask for extended periods of time, particularly in these hot, sticky days of summer, can encourage the factors that lead to infection. 

Q: Does the summer heat play a role here in determining if a yeast infection will develop?

Dr. Palep explains that the area under the mask can generate heat and moisture, which creates an environment that is hospitable to a yeast infection. Hot weather and humidity make it even easier for yeast to grow as these factors up the heat and moisture that builds underneath the mask. Pay special attention to those skin creases around the nose and mouth that are hidden under your mask. While you may appreciate the ability to cover up those aging symptoms, they are also the places where yeast infections will thrive. If you notice any changes to the skin within those creases, contact your dermatologist. 

Q: Are there certain skin types who are more predisposed to developing an infection like this?

Dr. Palep says that oilier skin types, acne and rosacea-prone skin are more predisposed to a potential infection. On the flip side, drier skin types can also be susceptible to yeast infections. In addition, people that suffer from other types of skin conditions are likely to see flare-ups with mask wearing that could raise their risk for infection. Conditions like eczema, in addition to rosacea and acne that Dr. Palep mentioned, can all become more problematic when under a mask for prolonged periods. 

Q: Are there certain mask materials that are more predisposed to spreading this kind of infection?

Dr. Palep said the best thing you can do is look for a mask that uses a breathable fabric, like cotton.  A lot of people can’t tolerate certain synthetic fabrics on their face.  Cotton is the best fabric for masks, as it’s the most comfortable and breathable on skin so you can wear it all day long. The worst materials to use are merino wool, cashmere, and lightweight ramie (like linen). It is essential to wash your masks regularly, in a gentle detergent that is less likely to irritate the skin. Avoid soaps that have harsh chemicals or strong fragrances, as these are likely to set off a reaction that could make you more prone to bigger issues. 

Q: Does the length of time in the mask make a difference in how likely you are to experience a reaction?

Most definitely. Dr. Palep explains that the longer you wear your mask, the more humidity, moisture, and sweat builds up, creating the perfect environment for yeast. In addition, the constant pressure of a mask causes cracks and fissures in the skin, which also produce an ideal environment for yeast.

Q: How do I know if I have a yeast infection?

Dr. Palep lists some of the warning signs as small raised blisters, pustules, rash, soreness, and chaffing. It’s important to see a board certified dermatologist immediately when you start to see the signs of it as it can worsen very quickly. 

Q: How do I treat a yeast infection if I get one?

The good news is you can usually treat a yeast infection at home, using topical products. Dr. Palep recommends over-the-counter antifungal medications like miconazole, clotrimazole, or lotrimin. She warns that you should never use serums and oils on a yeast infection as they could worsen the condition. 

Contact Spring Street Dermatology in Manhattan, New York Today

A yeast infection could be an unwanted byproduct of mask-wearing, but the good news is that if you catch it early, it can be treated easily with simple over-the-counter topical medications. If you are concerned about any changes to your skin as a result of your mask, contact our office today to schedule an appointment.