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Dr. Nelson Lee Novick, MD

Dermatologist

Nelson Lee Novick, M.D. is a Clinical Professor of Dermatology at Mount Sinai School of Medicine in New York City, an Attending Physician, and a former OPD Clinic Chief within the department of dermatology of the Medical Center. He is board-certified both in internal medicine and dermatology and is a Fellow of the American Academy of Dermatology (FAAD) and a Fellow of the American Academy of Cosmetic Surgery (FAACS). https://www.realself.com/dr/nelson-lee-novick-new-york-ny#expertise-fillers-and-other-injectables
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44 years Experience
Dr. Nelson Lee Novick, MD
  • New York, NY
  • Mt Sinai Sch of Med of The City Univ of Ny, New York Ny
  • Accepting new patients

My mole looks like it changed colors. Is this melanoma?

Changing colors in a mole, particularly darkening, is considered a warning sign of possible malignant change within the mole. It would be extremely wise to seek dermatologic consultation, READ MORE
Changing colors in a mole, particularly darkening, is considered a warning sign of possible malignant change within the mole. It would be extremely wise to seek dermatologic consultation, so that the mole can be examined under magnification, with the aid of a surface microscope, known as a dermatoscope, and sent for biopsy to rule out the possibility of the development of malignant melanoma (a very serious form of cancer) should this be deemed necessary. This should be checked out asap.

Do cancerous moles itch?

Itching within moles is considered a warning sign that you should seek consultation with a dermatologist who can examine the mole under magnification, with the help of a surface READ MORE
Itching within moles is considered a warning sign that you should seek consultation with a dermatologist who can examine the mole under magnification, with the help of a surface microscope, known as a dermatoscope, and send the mole to a laboratory if it is deemed suspicious to rule out the possibility of a malignant melanoma, a very serious form of mole cancer that need not be deadly at all if caught early.

How can I stop hair loss?

The earlier that you see a dermatologist, the more likely that you can retard the rate of hair loss and even begin to regrow hair. The longer you wait, the more likely that the READ MORE
The earlier that you see a dermatologist, the more likely that you can retard the rate of hair loss and even begin to regrow hair. The longer you wait, the more likely that the follicles under the scalp will atrophy and die, after which it is too late. Don't waste precious time and money on home remedies, vitamin supplements and massages. Seek professional help.

Does mole removal always result in scarring?

Check out "Scalpel Sculpting" for mole removals. With the is technique, which I have been using for nearly four decades, there is no deep cutting and no sutures, which means no READ MORE
Check out "Scalpel Sculpting" for mole removals. With the is technique, which I have been using for nearly four decades, there is no deep cutting and no sutures, which means no chance of stretch scars and no chance of "railroad track" stitch scars. I have personal before and after photos to show how this procedure can even remove perfectly flat moles from the nose.

Can one remove moles without getting surgery?

I absolutely agree with you. So, check out "Scalpel Sculpting" a procedure I have been using for decades to remove moles (beauty marks, birthmarks) without any deep cutting and READ MORE
I absolutely agree with you. So, check out "Scalpel Sculpting" a procedure I have been using for decades to remove moles (beauty marks, birthmarks) without any deep cutting and without the need for any stitches. What this means is that the chance of a scar is minimal and a 0 chance of stretch scars and "railroad track" stitch marks. I have photos to show that even perfectly flat moles on the nose can be removed from the nose with gratifying results.

What could be causing hair loss?

Common causes of hair loss including male pattern baldness, which can start even at younger ages than this if there is a family trait for early hair loss. Other common causes include READ MORE
Common causes of hair loss including male pattern baldness, which can start even at younger ages than this if there is a family trait for early hair loss. Other common causes include stress-induced hair loss (telogen effluvium) and alopecia areata. The bottom line is that you need to be seen by a dermatologist to diagnose and prescribe specific treatments for your particular hair loss. In general, the earlier one intervenes, the better the outcome.

Is skin peeling good for acne?

In-office treaments with full strength glycolic and salicylic are routinely used to treat active acne and to lighten post inflammatory redness and brown blotches once the active READ MORE
In-office treaments with full strength glycolic and salicylic are routinely used to treat active acne and to lighten post inflammatory redness and brown blotches once the active is cleared up.

I have really bad acne scarring- will PRP Facial help get rid of it?

The jury is still out on the value of PRP , and it is expensive (at $800-1000/treatment in Manhattan). I prefer relatively inexpensive, but time-tested proven techniques, such READ MORE
The jury is still out on the value of PRP , and it is expensive (at $800-1000/treatment in Manhattan). I prefer relatively inexpensive, but time-tested proven techniques, such subcision for rolling and boxcar scars; TCA CROSS for ice pick scars. With subcision, a small blood pocket is created under the skin-in this way naturally, providing the growth factors and wound healing factors from the patient's own blood without the added expense of the PRP. Good luck.

How can my daughter treat acne safely?

Early onset acne often portends more severe acne later on. You would be wise to bring her to a dermatologist. Early appropriate treatment may help to control and minimize potentially READ MORE
Early onset acne often portends more severe acne later on. You would be wise to bring her to a dermatologist. Early appropriate treatment may help to control and minimize potentially more serious outbreaks later on.

How can I remove face pigmentation?

There are variety of reasons for facial pigmentary blotchiness. These include postinflammatory hyperpigmentation that follow, such inflammatory processes as acne. Or it can be READ MORE
There are variety of reasons for facial pigmentary blotchiness. These include postinflammatory hyperpigmentation that follow, such inflammatory processes as acne. Or it can be a fairly common condition known as melasma. An in-office series of superficial peels can be quite helpful for fading these conditions, especially when combined with at-home use of prescription strength topicals, containing medications, such as hydroquinone in higher concentrations, arbutin, kojic acid, glycolic acid, and azelaic acid. Strict sun protection is strongly advised, since all hyperpigmentary problems worsen with sun exposure. Melasma is a chronic and recurring condition by definition, so, with this problem, maximal sun avoidance and protection are the order of the day.

What is the best product for shrinking pores?

TCA CROSS, employing high concentration of TCA is an in-office procedure that is useful for shrinking ice pick scars and dilated pores. Professional microneedling followed by the READ MORE
TCA CROSS, employing high concentration of TCA is an in-office procedure that is useful for shrinking ice pick scars and dilated pores. Professional microneedling followed by the application of lower concentrations of TCA is also helpful for this problem and are more permanent solutions. On the other hand. glycolic acid and salicylic acid peels can help temporarily by causing slight swelliing of the pore openings and thereby making them appear tighter and less open.

Do chemical peels remove blackheads?

I routinely use full strength glycolic acid and salicylic acid peels for freshening the face, treating acne and softening up blackheads and whiteheads making removal much easier. READ MORE
I routinely use full strength glycolic acid and salicylic acid peels for freshening the face, treating acne and softening up blackheads and whiteheads making removal much easier.

Does sun exposure cause actinic keratosis?

Actinic keratoses are aka solar keratoses because they are caused by excessive sunexposure especially during youth. Light skin, blue-eyed, fair-haired individuals are more prone READ MORE
Actinic keratoses are aka solar keratoses because they are caused by excessive sunexposure especially during youth. Light skin, blue-eyed, fair-haired individuals are more prone to their development of actinic keratoses since they have less protection, as a rule, to the sun's ultraviolet rays than do persons with skin of color. It is important to treat them, or at very least to be closely followed by a dermatologist, since some may evolve into a certain type of skin cancer, known as squamous cell carcinoma of the skin.

Is acne a permanent condition?

How long acne breakouts continue is written into a person's genetic software. We do know that it is not uncommon for acne to persist into the individual's thirties, forties and READ MORE
How long acne breakouts continue is written into a person's genetic software. We do know that it is not uncommon for acne to persist into the individual's thirties, forties and in some cases even into the early fifties. So, since the field of genetics is in its relative infancy, we cannot say in any individual how long it will last. However, if bad acne breakouts in older genetic relatives persisted into the twenties or thirties, there is a reasonable chance that this will be the case for your son. What we can say is that, especially for severe cases, the early the intervention the better the chance to prevent permanent acne scarring.

What is the best topical cream for acne?

An in-person examination is the ideal way to determine the best topical treatment for your acne. And the particular reatment(s) prescribed can depend upon such factors as the kind, READ MORE
An in-person examination is the ideal way to determine the best topical treatment for your acne. And the particular reatment(s) prescribed can depend upon such factors as the kind, severity and extent of your acne and how likely it is to scar, OTC benzoyl peroxide, salicylic acid and adapalene can be effective products, especially for milder forms of acne. However, again, that really depends upon the above factors. If your acne is severe, seeing a dermatologist asap is strongly recommended in order to minimize or prevent permanent acne scar and prolonged dyspigmentation problems.

How can I effectively fight acne?

Cystic acne should be treated early and aggressively with the help of a dermatologist to prevent permanent scarring. In general a combined at hoem and in-office treatment regimen READ MORE
Cystic acne should be treated early and aggressively with the help of a dermatologist to prevent permanent scarring. In general a combined at hoem and in-office treatment regimen is necessary to control nodulocystic acne. Strong prescription topical medications, sometimes oral antibiotics and the in-office use of intralesional anti-inflammatory injections are needed to control this condition and prevent or minimize scarring. The earlier the treatment is initiated, the better. It is far easier to prevent acne scars than to treat them later on.

How long does Botox last for?

I have been injecting Botox for aesthetic reasons since 1991. Although Botox typically lasts for three to six months, what we have found since those early days is that if an individual READ MORE
I have been injecting Botox for aesthetic reasons since 1991. Although Botox typically lasts for three to six months, what we have found since those early days is that if an individual undergoes a treatment cycle of between four and six Botox treatments (on the same anatomic site) at four month intervals, the results of treatment thereafter may last far longer. Following the initial treatment series, I have personally had patients whose results lasted a year or longer between treatments (I include myself in this). We believe that the reason for this is that repeated treatments actually shrink the muscle and there is likely an element of the Botox retraining the muscle not to overreact as it it did prior to treatments. However, if one prefers not to undergo this initial series of treatments at the fixed four month intervals, the Botox effect can be anticipated to last between three to six months, on average.

When should one get a mole biopsied?

Changes in size, shape or color of moles are warning bells that a mole needs to be checked out by a dermatologist who can examine it under magnificant and with a surface microscope, READ MORE
Changes in size, shape or color of moles are warning bells that a mole needs to be checked out by a dermatologist who can examine it under magnificant and with a surface microscope, called a dermatoscope, and if deemed necessary can biopsy it and send out the laboratory to determine if the change in the mole respresents the develop of a very serious mole cancer, known as malignant melanoma. Bottom line: see a dermatologist asap.

Can vitiligo ever be cured?

Unfortunately, vitiligo is a difficult condition to treat. However, in cases where the loss of pigment is not too extensive, the use of certain prescription topicals may be helpful READ MORE
Unfortunately, vitiligo is a difficult condition to treat. However, in cases where the loss of pigment is not too extensive, the use of certain prescription topicals may be helpful to promote repigmentation. I have also developed a procedure utilizing professional microneedling accompanied by the application of pigment promoters, such as tyrosine and bimatoprost, that has proven quite helpful in some cases of vitiligo and other hypopigmented disorders.

What are skin tags?

Skin tags are little growths of excess skin that stick out on slender stalks. There is often a family trait tendency for their development. They can occur anywhere, but most often READ MORE
Skin tags are little growths of excess skin that stick out on slender stalks. There is often a family trait tendency for their development. They can occur anywhere, but most often appear on fold areas, such as around the eyes, the neck, the under the breast, armpits and groin. They are easy to remove pretty painlessly under local anesthesia. I would suggest that your friend have his growths checked out by a dermatologist, since skin tags on the back would be quite unusual.