Hand Rejuvenation

Our hands are one of the first places to show signs of aging and are frequently neglected during our skincare routines. Our hands are a tell-tale sign of age since they deal with sun exposure, constant washing, and frequent use for all sorts of activities. As we age, wrinkles, sunspots, loss of volume, loss of elasticity, and prominent veins can develop on the backs of our hands. While most patients understand the importance of facial rejuvenation, the hands also need special attention. Luckily, Dr. Michele Green in New York City offers a vast range of innovative, non-invasive treatments to revitalize your hands. With over 25 years of experience, expert board-certified dermatologist Dr. Green can formulate a particular hand rejuvenation protocol to get your hands looking and feeling younger than ever.

Noninvasive hand rejuvenation treatments are an excellent alternative to plastic surgery. They offer long-lasting results with minimal downtime or side effects. Dermal filler injections can restore lost volume to the skin, reducing the appearance of wrinkles, veins, and tendons. Laser treatments, including Fraxel, AlexTrivantage, and IPL, and chemical peels can reverse sun damage, age spots, and sunspots. The VBeam laser reduces redness and broken blood vessels on the skin. For skin tightening, the Thermage laser is excellent for restoring lost collagen to firm and smooth the skin. Regardless of your specific skin concern, Dr. Green is here to help you rejuvenate your hand to refresh and renew your skin for a more youthful look.

Dr. Michele Green is a world-renowned, board-certified dermatologist who is an expert in minimally invasive cosmetic procedures such as Botox®, VBeam, dermal fillers, Fraxel® laser treatment, and Thermage. With over two and a half decades of experience, she is consistently rated as a top NYC dermatologist by Castle Connolly, Super Doctors, New York Magazine, and The New York Times. Dr. Green embraces a holistic philosophy to cosmetic dermatology, utilizing a “less-is-more” approach to provide natural-looking, revitalized skin. With Dr. Green’s hand rejuvenation treatments, your hands will be refreshed and restored to a more youthful appearance with lasting results.

What is hand rejuvenation?

Hand rejuvenation treatments aim to revitalize the hands and restore a youthful appearance, improving skin laxity, elasticity, firmness, and plumpness. During the natural aging process, collagen and elastin production decreases, leading to thinner skin, fine lines, wrinkles, skin laxity, and increased visibility of tendons and veins. The hands also receive as much sun exposure as the face but are often neglected regarding sun protection. Sun damage can create sun spots and hyperpigmentation and speed up aging, making your hands look even older. Thankfully, a range of non-invasive treatment options can rejuvenate them without significant downtime. Dr. Green uses several techniques to improve the appearance of aging or sun-damaged hands, including laser treatments, dermal fillers, and chemical peels. Unlike plastic surgery or fat grafting, these cosmetic treatments are non-invasive. They are associated with little to no downtime or side effects, making them an excellent option for hand rejuvenation.

Who is a good candidate for hand rejuvenation treatment?

The best candidates for hand rejuvenation are patients aged 21 or older who are unhappy with the appearance of their hands and want to restore tone, texture, and volume to the skin. Additionally, patients who suffer from a great deal of sun damage and have sunspots, hyperpigmentation, and age spots on their hands or have any signs of crepiness, bony prominence, or protruding veins are good candidates for hand rejuvenation treatments. To determine the safest and most effective treatment options, it is best to talk to a board-certified dermatologist like Dr. Green before engaging in hand rejuvenation treatments.

Hand Rejuvenation Treatment Options

Various cosmetic treatments are available for hand rejuvenation. The best treatment option for you depends on your concerns, whether skin laxity or hyperpigmentation. After a consultation with expert dermatologist Dr. Michele Green, she will decide the best treatment option for your needs. Dr. Green will also consider your skin tone since specific treatments can cause adverse side effects like post-inflammatory hyperpigmentation. Possible hand rejuvenation treatment options include:

• Fraxel laser—The Fraxel laser is a skin resurfacing laser that uses fractional laser technology to create microscopic treatment zones on the skin. The laser heats the inner layers of the dermis to stimulate new collagen while leaving the surrounding skin unaffected. The Fraxel laser employs a 1550nm wavelength to improve fine lines, wrinkles, skin texture, and tone and a 1927nm wavelength to treat sun spots and sun damage.
• Alex Trivantage laser — The Alex Trivantage laser is a gentle Yag laser designed to erase discrete sun spots from the skin. This laser emits wavelengths of light that are absorbed by the pigment in pigment-rich lesions; the light energy is then converted to heat, eliminating the pigmentation and stimulating new, healthy skin cell production.
• IPL (Intense Pulsed Light) — IPL is a photo rejuvenation therapy that uses different wavelengths of light to specifically target skin concerns on the hands and undo visible damage caused by the sun, pollution, and environmental stresses. It can treat dark spots, sun damage, skin laxity, and aging skin.
• Hand Fillers — Dermal fillers are an excellent option for restoring lost volume to the hands to create youthful-looking skin. Radiesse and Restylane Lyft are FDA-approved for hand rejuvenation, while Juvederm and Sculptra are commonly used off-label to revitalize the hands. Although these fillers are different in composition and formula, they can all plump and volumize the skin and minimize the appearance of wrinkles, prominent tendons, and veins.
• Thermage—The Thermage® FLX laser is the gold standard for noninvasive skin tightening across all body areas, including the hands. It uses radiofrequency (RF) energy to heat the deeper dermal layer of the skin, stimulating collagen regeneration and reducing skin laxity. This results in tighter, firmer skin with fewer visible wrinkles that look and feel younger.
• VBeam Laser—VBeam® Laser is a pulsed dye laser treatment used for over 20 years to treat red pigmentation, broken blood vessels, rosacea, vascular birthmarks, and red acne scars. This laser uses a 595nm wavelength that safely and effectively removes only the red pigment within the skin while keeping the rest intact.
• Chemical Peels—Chemical peels use chemical solutions to exfoliate the skin’s top layer, remove dead skin cells, unclog pores, and stimulate new collagen. By revealing healthy, new skin cells, chemical peels help improve discoloration, pigmentation, and fine lines. The result is a healthier, brighter complexion that is more even in skin tone and texture.

Hand fillers for youthful-looking hands

When it comes to aging, volume loss is one of the most common concerns. Volume loss can lead to creepy, loose skin on the back of the hands. With age, the skin also loses fatty tissue, collagen, and elastin, causing the appearance of more prominent veins and tendons on the skin’s surface. Thankfully, hand fillers are available to restore volume to the skin and revitalize the hands with little to no downtime.

Dermal fillers can be injected into the back of your hands for complete rejuvenation, volume restoration, and a plumping effect. Restylane Lyft and Radiesse are the only two dermal fillers that are FDA-approved for hand rejuvenation and augmentation. However, other hyaluronic acid fillers like Sculptra and Juvederm are commonly used off-label by dermatologists and plastic surgeons for hand rejuvenation. Hyaluronic acid fillers like Restylane and Juvederm produce an immediate plumping effect and hydration, stimulating collagen synthesis for firmer, youthful-looking skin. Radiesse is a calcium hydroxyapatite injectable filler that utilizes calcium microspheres to increase natural collagen production. Sculptra contains the active ingredient poly-L-lactic acid (PLLA) to stimulate fibroblasts that contribute to collagen synthesis. While their formulations may be different, each of these dermal hand fillers can be used to reduce the appearance of wrinkles, veins, and tendons on the back of the hands without significant downtime.

Some plastic surgeons prefer fat grafting or fat transfer for the hands, transferring unwanted fat from other body areas to the hands for soft tissue augmentation and to replace lost volume. Dr. Green doesn’t perform fat grafting or recommend plastic surgery since this technique requires liposuction first and then fat transfer to the hands on the same visit. She believes in creating increased accessibility to minimally invasive cosmetic procedures that do not require unwanted downtime and have fewer health risks than invasive procedures. For the best cosmetic results, Dr. Green often layers different dermal fillers to effectively replace the loss of volume and refresh the appearance of your hands. The only side effect of this hand rejuvenation procedure is occasional bruising and swelling from the dermal fillers, so there is minimal downtime.

Age spots and brown spot treatment for hand rejuvenation

Excessive sun exposure and sun damage affect our skin, including the back of our hands. The hands are often neglected regarding sun protection and sunscreen application, and the effects of sun damage are often noticed later with age. Many effective treatment options are available to remove sun spots and age spots from sun exposure. Depending on the degree of sun damage and your skin type, several different laser treatment options exist to remove these sunspots.

The Fraxel Dual laser is a popular laser treatment for laser skin resurfacing. It can employ its 1927nm wavelength to remove superficial pigmentation, sun damage, and brown spots on the skin surface with minimal downtime. The Fraxel laser also has a 1550nm wavelength setting to treat fine lines, wrinkles, texture, and scars. Fraxel is associated with two days of redness after treatment, and multiple sessions spaced one month apart are required for the best cosmetic results. Dr. Green utilizes Candela’s AlexTrivantage laser for deeper and more discrete sunspots. The AlexTrivantage laser is able to erase individual sunspots in as little as one or two sessions with minimal downtime. Dr. Green’s protocol for age spot and sunspot removal on the hands often employs a combination approach to treatment, first utilizing the Fraxel laser for fine lines and sun damage, followed by the AlexTrivantage laser for individual sun spots for complete hand rejuvenation. Another prevalent method is Intense Pulsed Light (IPL), as this type of light can treat wrinkles, sun spots, and redness on the back of hands with no downtime.

Like chemical peels for facial discoloration and sun damage, chemical peels can treat sunspots on the hands. One of the benefits of having chemical peels on distinct treatment areas, such as your hands, face, arms, back, or neck, is that you can customize your treatments to the specific area of damage. With each session, you can improve tone, texture, pigmentation, and fine lines for younger-looking skin. Peels and laser treatments require minimal downtime and are the most popular hand rejuvenation procedures.

With any laser treatment or chemical peel, it is essential to practice proper sun protection. Avoid excessive sun exposure and wear a broad-spectrum sunscreen with an SPF minimum of 50. Sunscreen should be reapplied every 90 minutes and applied even during cloudy, rainy, or snowy conditions.

Skin tightening for hand rejuvenation

Thermage is a gold-standard treatment option for skin tightening and can be used to restore any area of the face or body, including the hands. It is an excellent option for hand rejuvenation and can help reduce the appearance of crepey skin on the back of the hands, which often appears as we age. New collagen is formed through radiofrequency heat, creating thicker, firmer, younger-looking skin. The best results are seen within six months of the procedure since collagen takes time to accumulate. Only one treatment of Thermage is necessary for long-lasting results that can last up to two years, although maintenance sessions are recommended once a year for consistently youthful hands.

Dr. Green offers the latest technology by providing her patients with the new Thermage FLX. Thermage FLX builds off the radiofrequency innovations of the first Thermage device but has enhancements to improve patients’ comfort and treatment speed. Thermage FLX’s handheld device has a broader treatment tip that can cover 25% more surface area, offering increased coverage and comfort. Thermage FLX has AccuREP™ patented algorithmic technology that delivers real-time adjustments on a per-pulse basis, helping create greater precision in every treatment.

How do I prepare for my hand rejuvenation treatment?

Preparations for treatment will depend on the specific procedure being performed. If you are scheduled for laser treatments, strict sun avoidance is necessary, as laser treatments such as Fraxel and IPL cannot be performed on tanned skin. If dermal filler procedures are scheduled, it is advised to refrain from aspirin, Motrin, Advil, Motrin, St. John’s Wort, oral Vitamin E, multivitamins, herbal supplements, and any blood thinners for at least ten days before your procedure to avoid bruising. Additionally, patients will apply a topical numbing cream to the office one hour before their appointment to minimize discomfort during the procedure. When you consult with Dr. Green at her private NYC dermatology office, she will assess your hands and medical history to choose the best treatment option for your hand rejuvenation. At this time, your specific pre-procedure instructions will be provided.

How to rejuvenate hands at home

Regarding hand rejuvenation, various skincare options can help revitalize the hands. Skincare ingredients such as retinol and skin-lightening creams can help improve overall skin condition. They can provide optimal results when combined with cosmetic procedures to remove sun damage and sunspots.

Retinol is the gold-standard anti-aging ingredient backed by decades of research and anecdotal evidence. Retinoids and retinol-based creams and serums can help rejuvenate the skin by promoting cell turnover, stimulating collagen production, and decreasing unwanted pigmentation to create a youthful appearance. Prescription lightening creams generally contain a 4% concentration of hydroquinone for optimal skin lightening. Hydroquinone is a skin-lightening agent that can be used on the hands to improve the appearance of sun spots, age spots, and other hyperpigmentation. Hydroquinone and retinoids can also be combined with chemical peels to rejuvenate the skin, reduce pigmentation, increase skin turnover, and improve skin tone and texture. With both retinol and hydroquinone, avoiding excessive sun exposure and wearing broad-spectrum sunscreen is essential, as these ingredients make the skin more photosensitive.

Regarding anti-aging solutions for the skin, vitamin C serum is excellent for nourishing the skin and preventing free radical damage and oxidative stress that contributes to aging. Vitamin C is a powerful antioxidant that stimulates collagen production and increases skin cell turnover. This works to reduce the appearance of wrinkles, dark spots, and acne while slowing down early skin aging and preventing sun damage. Dr. Green’s MGSKINLABS offers her popular Vita-C serum to help her patients rejuvenate skin on the face, hands, neck, and chest.

The most effective approach for patients seeking to prevent further signs of aging is using a daily non-comedogenic moisturizer and a broad-spectrum sunscreen with an SPF of 50 or higher. For optimal sun protection, sunscreen should be reapplied every two hours or after swimming or hand washing. MGSKINLABS offers a variety of helpful moisturizers and moisturizing sunscreens, including Absolute Recovery Anti-Wrinkle Cream for ultimate hydration and skin rejuvenation and Broad Spectrum SPF 50+ Sunscreen, a top-rated sunscreen due to its non-greasy formulation and quick absorption.

What is the best treatment for hand rejuvenation?

The best treatment for hand rejuvenation depends on the specific skin concerns you want to address and your skin type. No one “best” technique works for all patients. Depending on your needs, you may benefit more from specific treatments than others, though most patients prefer non-invasive treatment options instead of surgical procedures. If you struggle with loose skin on the hands, the Thermage FLX skin tightening treatment may suit you. If you are dealing with sunspots and discoloration, skin resurfacing lasers like the Fraxel or the AlexTrivantage laser may be the most helpful treatment option. For redness on the hands, the VBeam laser is the gold standard for reducing red pigmentation. If prominent veins are a concern, dermal fillers may be appropriate. When you work with Dr. Green, she carefully considers your medical history, current skin condition, and individual aesthetic goals to create a custom treatment plan that best meets your needs.

59 Year Old Male, AlexTrivantage for sun spots, 2 month post treatment, 2 treatments

Is hand rejuvenation safe?

Yes! Hand rejuvenation is a safe and effective way to reverse the signs of the natural aging process on aging hands. Dr. Green will start the hand rejuvenation treatment process by examining the treatment area and discussing your aesthetic goals. She will then determine the treatment or series of treatments that best meet your needs. Patients can turn to dermal fillers, such as Restylane Lyft and Radiesse, to restore lost volume in the hands, reducing the appearance of wrinkles, bones, and visible veins. Both Radiesse and Restylane Lyft are FDA-approved for hand rejuvenation, meaning they have undergone rigorous clinical trials demonstrating that they are safe and effective for their intended use. Laser resurfacing treatments are also safe and effective for tightening the skin and eliminating the appearance of hyperpigmentation. However, patients with darker skin are at a higher risk of developing post-inflammatory hyperpigmentation due to laser treatment. Dr. Green is an expert at treating patients of all skin types and carefully chooses safe treatment options. To avoid the risk of serious adverse events, it is essential to seek treatment from an expert, board-certified dermatologist such as Dr. Green.

How much is hand rejuvenation?

Hand rejuvenation costs depend on the treatment option, geographic location, and doctor’s experience. Laser treatment can vary in price from $1,000 to $2,000, depending on the type of laser needed. The price for chemical peels can begin at $600 per treatment, depending on the type of peel. Dermal fillers differ in price based on the type and amount of filler needed to restore the lost volume. Dermal fillers are often priced per syringe and can vary from $1000 to $1400. These prices vary greatly depending on your state and city and whether you are going to a board-certified cosmetic dermatologist or a MedSpa. While MedSpas may charge lower prices than a dermatology office, they do not have the experience and expertise that a board-certified dermatologist like Dr. Michele Green has. Studies have shown that the risk of developing unwanted side effects is significantly reduced when a board-certified dermatologist performs cosmetic dermatological procedures. Dr. Green has over 25 years of experience in cosmetic dermatology and is an expert injector and skincare specialist. She will help create a customized hand rejuvenation plan that will yield optimal, long-lasting results while minimizing unwanted side effects.

Is hand rejuvenation permanent?

Hand rejuvenation is a long-lasting treatment option for patients looking to reverse signs of the natural aging process in the hands, including wrinkles, volume loss, age spots, hyperpigmentation, and visible veins and bones. Several treatment options address different concerns, including dermal fillers for volume loss, the VBeam laser for redness, and the Fraxel laser, chemical peels, and IPL for pigmentation, uneven skin, tone, and texture. While these treatment options are not permanent, the effects are long-lasting and can be repeated annually to maintain the treatment results.

How to rejuvenate hand skin

The first step towards hand rejuvenation is to schedule an initial consultation with a board-certified dermatologist like Dr. Michele Green. During the consultation, you will discuss your aesthetic hand goals, such as sun spots, skin tightening, volume restoration, or all of the above. Dr. Green will then review treatment options and answer any questions you may have. Afterward, you will schedule an appointment, and pre-procedure instructions will be provided. Some hand rejuvenation treatment options require a topical anesthetic to minimize discomfort or pain during the procedure. In these cases, Dr. Green will prescribe numbing cream that must be applied in a thick layer one hour before the appointment.

If you are undergoing hand fillers, you will be advised to avoid blood thinning agents like aspirin, Coumadin, Warfarin, fish oil, vitamin E, and multivitamins for one week before to minimize bruising and swelling. For similar reasons, it is best to avoid alcohol 48 hours before injections, as alcohol acts as a vasodilator and contributes to bruising and swelling. Multiple treatment sessions may be needed to achieve optimal cosmetic results depending on the type of treatment, the severity of the sun damage and skin concerns, and your personal aesthetic goals.

Does hand rejuvenation really work?

Yes! Although brown spots, wrinkles, and prominent veins on the hands are all-natural aspects of the aging process, non-invasive hand rejuvenation techniques can safely and effectively reduce the appearance of aging on the hands. Hand rejuvenation treatments like laser skin resurfacing, sclerotherapy, chemical peels, topical treatments, and dermal fillers are all highly successful methods to rejuvenate the hands. These treatments offer long-lasting results, and Dr. Green performs regular maintenance sessions to retain and enhance the treatment results. If you are looking for a hand rejuvenation option, consult a board-certified dermatologist, like Dr. Michele Green in NYC, to achieve the best cosmetic results without unwanted side effects. Dr. Green has over two decades of experience in non-invasive skin rejuvenation techniques and has helped countless patients revitalize the appearance of their hands.

What is the best laser for skin rejuvenation?

The best laser for skin rejuvenation will depend on your exact skin concerns. The Fraxel, AlexTrivantage, and Intense Pulsed Light lasers can help revitalize the skin for those struggling with sun damage, brown spots, or age spots on the hands. Fraxel laser is typically used to treat an entire area, while the AlexTrivantage laser treats individual pigmented lesions. The VBeam laser is best for treating redness and broken blood vessels on the skin. Additionally, if you’re dealing with sagging skin, crepey skin, or skin laxity, Thermage FLX can help boost new collagen and restore the firmness of the hands. These lasers can also be used in conjunction with one another for optimal hand rejuvenation results. Regardless of your hand rejuvenation needs, Dr. Green will assess your hands and devise a skin rejuvenation plan best for your hands to create radiant, youthful-looking skin that lasts.

Restylane for hand rejuvenation – 3 months

How long does hand rejuvenation last?

The length of time hand rejuvenation lasts depends on what treatment is used. The Fraxel and IPL are used to reverse environmental damage to your hands and can have long-lasting results. However, proper sun avoidance and sunscreen application are crucial to prevent new sun damage from occurring. Furthermore, some laser treatments increase the photosensitivity of the treated areas and make the skin more prone to sun damage and sunburn. Therefore, we recommend that patients incorporate a lightweight SPF 30 or higher sunscreen into their daily skincare routine to maintain and prolong any hand rejuvenation treatment results. With no new sun exposure, combined with laser skin resurfacing, chemical peels, or doctor-recommended topical treatments, the dark spots and sun damage on the back of the hands will be reversed.

Other treatments that add volume to the hands, like dermal fillers, can last from at least six to 12 months, depending on which type of dermal filler is utilized. Restylane Lyft lasts approximately six to nine months, whereas Radiesse can last up to two years. Most patients return for touch-up injections periodically to maintain these cosmetic results. For patients engaging in Thermage FLX treatment, results can also last up to two years. Patients often return for touch-up treatments to improve skin elasticity and maintain the best cosmetic results.

Can you rejuvenate your hands?

Absolutely! Several different treatment options can be used for hand rejuvenation. After carefully assessing your hands and aesthetic goals, Dr. Green will help you navigate the best cosmetic treatments. These treatments may include the Fraxel laser, Intense Pulsed Light, AlexTrivantage laser, chemical peels, Thermage, and dermal fillers. These procedures are non-invasive, working to treat sunspots, sun damage, wrinkles, skin laxity, and volume loss with minimal downtime or side effects. Results are long-lasting, and patients often undergo regular maintenance sessions to retain and enhance the effects of the procedure. After treatment, Dr. Green may recommend specific skin care products or a skincare protocol to maintain and prolong your ideal cosmetic results.

How can I get rid of large veins on my hands?

One of the most noticeable signs of aging in the hands is broken blood vessels and prominent veins. Though prominent veins cannot necessarily be “cured,” many undesirable effects can be reversed and reduced via non-invasive hand rejuvenation treatments. Prominent veins can often lead to redness and discoloration on the skin, which can be treated via skin resurfacing lasers. Additionally, the appearance of veins can be treated via sclerotherapy, which can shrink blood vessels and significantly reduce the spider veins. Dermal filler injections are also a popular hand rejuvenation option. By injecting hyaluronic acid fillers like Restylane Lyft and Juvederm, the skin’s volume and plumpness are restored, and prominent veins in your hands become much less noticeable. Dermal fillers will replenish lost volume, increase collagen production, and restore a youthful appearance. Additionally, any redness, broken capillaries, and broken blood vessels can be treated with IPL and the VBeam laser.

Is hand rejuvenation worth it?

Absolutely! Hand rejuvenation treatment offers long-lasting results to reverse signs of aging on the back of the hands for natural, more youthful-looking skin. Dermal filler injections can restore volume to the hands, minimizing the appearance of wrinkles and prominent veins and tendons. Chemical peels and laser treatments, including the Fraxel laser, can reverse sun damage, remove brown spots, and improve skin texture and tone. For patients experiencing skin laxity, the Thermage laser can tighten and smooth the skin in as little as one treatment. No matter your skin concern, Dr. Green offers many non-invasive treatments in her private NYC dermatology office to make your hands look and feel younger.

AlexTrivantage for sun spots, 1 month post treatment

How to rejuvenate aging hands

The hands are often one of the first places that the signs of aging begin to appear due to years of sun exposure, hand washing, cleaning, and daily activities. Collagen and elastin production also decreases with age, resulting in dull, creepy skin and the appearance of sun spots, age spots, wrinkles, and prominent veins and tendons on the hands. Thankfully, various non-invasive cosmetic treatments are available for ultimate hand rejuvenation with minimal downtime or side effects. To restore lost volume on the hands, Dr. Green often turns to dermal fillers like Radiesse and Restylane Lyft, which are FDA-approved for hand rejuvenation. High skin laxity may also require a skin tightening treatment, such as Thermage laser, for tight, firm, youthful-looking skin. To reduce the appearance of hyperpigmentation, sun spots, or age spots, Dr. Green may employ the Fraxel laser, Intense Pulsed Light (IPL) laser, Alex Trivantage laser, or chemical peels for clear, radiant skin. If you are ready to rejuvenate your hands and create healthy, youthful skin, Dr. Green is here to help.

Dr. Michele Green is an internationally renowned expert in the field of cosmetic dermatology, with over 25 years of experience providing her patients from around the globe with the best non-invasive treatment options available, including dermal fillers, laser treatments, and chemical peels to reverse aging signs on the hands. Dr. Green is consistently voted as one of NYC’s best dermatologists in New York by Castle Connolly, Super Doctors, New York Magazine, and the New York Times due to her expertise and dedication to her patients. Her “less is more” philosophy, holistic approach, and utilization of the most updated technology are just a few reasons patients from all over the country come to Dr. Green for skin rejuvenation. To learn more about hand rejuvenation treatments and which procedures would be best for you, please call the office of Dr. Michele Green today at 212 535 3088 or contact us online to schedule a consultation to discuss your concerns.