Dermatology circle PLLC

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Can men have a version of PCOS?Dr. K recently discussed this fascinating, and still controversial question with Men’s He...
09/27/2026

Can men have a version of PCOS?

Dr. K recently discussed this fascinating, and still controversial question with Men’s Health Men's Health.

Men cannot, of course, have polycystic ovarian syndrome. But PCOS is more than a disorder of the ovaries. It is associated with a complex interplay of genetics, androgen signaling, insulin resistance, and metabolic abnormalities.

Researchers have been asking whether a related phenotype might exist in men. It has been noted that male relatives of women with PCOS may have higher rates of insulin resistance, hyperinsulinemia, acne, and early-onset androgenetic alopecia.

Researchers have proposed terms including a “male PCOS equivalent” and, more recently, polyendocrine metabolic syndrome (PMOS).

While this remains a working hypothesis rather than an established diagnosis, it is fascinating to watch this concept evolve, and to see where future research takes us.

Clearer skin isn’t always the end of acne treatment.This patient was treated with isotretinoin for active acne. The infl...
09/20/2026

Clearer skin isn’t always the end of acne treatment.

This patient was treated with isotretinoin for active acne. The inflammatory lesions improved significantly, but acne scars remain.

And that’s an important distinction: isotretinoin treats acne. It does not erase scars that have already formed.

In this case, scar treatment was not pursued at the time for financial reasons, and that’s completely reasonable. Dermatology doesn’t always have to happen all at once.

Now that the active acne is controlled, this would be an ideal time to reassess the remaining texture and develop a scar-specific plan.

Acne scars aren’t all the same, either. Depending on scar type and skin characteristics, treatment may involve resurfacing, microneedling, subcision, injectable treatments, or a combination approach.

First, stop the disease. Then decide what, if anything, you want to improve afterward.

CO₂ season is here. And lately, more patients are coming in asking for CO₂ laser resurfacing.But CO₂ resurfacing is not ...
09/15/2026

CO₂ season is here. And lately, more patients are coming in asking for CO₂ laser resurfacing.

But CO₂ resurfacing is not one treatment.

It can be performed more aggressively to address deeper wrinkles, significant photodamage and certain acne scars, with a correspondingly more involved recovery.

Or it can be used more lightly for texture, early signs of aging and overall skin quality, when the goal is improvement without an unnecessarily aggressive treatment.

Patients sometimes ask me for the exact settings we plan to use. Settings matter, of course. But they are only part of the treatment.

The same numbers do not necessarily produce the same result in different hands, or on different skin.

Depth, density, number of passes, overlap, treatment pattern, how the tissue responds during the procedure, the areas we intentionally treat differently, and knowing when to stop all matter. So do patient selection, preparation, aftercare, and recognizing and managing complications if they occur.

This is why we don’t think of laser settings as a recipe that can simply be copied and reproduced elsewhere.

The device provides the energy. The physician determines how to use it.

Autumn and winter are wonderful times to think about resurfacing because we generally have less intense sun exposure, but the conversation should start with what we are trying to improve, not simply how strong a treatment we can perform.

At Dermatology Circle, CO₂ resurfacing ranges from lighter fractional treatments to deeper resurfacing, selected according to the skin, the concern, and the amount of recovery that makes sense for the patient.

Sometimes something discussed in the press walks straight into the clinic.A few weeks ago, Dr. Kazlouskaya spoke with Al...
09/13/2026

Sometimes something discussed in the press walks straight into the clinic.

A few weeks ago, Dr. Kazlouskaya spoke with Allure Magazine about follicular eczema: a presentation of eczema that can be easy to miss, particularly in children and patients with darker skin tones.

Instead of the classic red, scaly patches many people associate with eczema, the skin showed numerous tiny bumps centered around the hair follicles, with very little obvious redness.

This is what follicular eczema can look like.

It is also a reminder that dermatologic conditions do not always follow the “classic” textbook picture. Skin tone, morphology, symptoms and clinical history all matter.

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Facial redness can come from visible blood vessels, persistent vascular redness, rosacea, inflammation, acne, Demodex, o...
09/08/2026

Facial redness can come from visible blood vessels, persistent vascular redness, rosacea, inflammation, acne, Demodex, or photodamage.

Lasers may frequently be helpful to address redness. But even when a laser or light treatment is appropriate, the device matters.

Vbeam is a pulsed dye laser that specifically targets blood vessels and can be particularly useful for persistent redness, telangiectasias and visible facial vessels.

IPL can be a better choice when redness is accompanied by brown spots, photodamage and uneven pigmentation.

At Dermatology Circle, treatment for facial redness and visible vessels may include Vbeam, IPL, long-pulsed Nd:YAG, medical therapy, or a carefully selected combination, depending on the diagnosis, vessel characteristics, skin tone, pigmentation and clinical presentation.

The goal is a calmer, clearer, more even complexion, with a treatment plan chosen for the skin in front of us.

No oral finasteride. No oral dutasteride.This patient was already using minoxidil, but we wanted to address another impo...
09/06/2026

No oral finasteride. No oral dutasteride.

This patient was already using minoxidil, but we wanted to address another important pathway in androgenetic alopecia: DHT inhibition.

Instead of adding an oral DHT inhibitor, we incorporated dutasteride mesotherapy, delivering dutasteride directly into the scalp as part of his hair-loss treatment plan.

The before-and-after shows a meaningful improvement in visible coverage at the crown.

One reason Dutasteride mesotherapy is interesting is that hair-loss treatment does not always have to be all-or-nothing. For selected patients who don’t want or aren’t good candidates for an oral DHT blocker, localized treatment may be something we discuss.

Hair restoration is rarely about finding one “miracle” treatment. It is about understanding the biology, choosing the right combination, and staying consistent long enough to see what it can do.

Individual results vary. Treatment recommendations depend on diagnosis and medical history.

09/03/2026

Considering a laser for rosacea? Here’s what Vbeam treatment actually feels like.

Vbeam is a pulsed dye laser that specifically targets blood vessels and redness in the skin. We use it for concerns such as persistent facial redness, visible blood vessels and some of the vascular changes associated with rosacea.

A few things patients often want to know before their first treatment:

✅ It can feel slightly uncomfortable, but most patients do not need numbing.
✅ Treatment is relatively quick.
✅ For many settings, there is little aftercare beyond gentle skincare and diligent sun protection.
✅ Temporary redness or swelling can occur. With more aggressive settings, bruising is possible.
✅ Most patients need a series of treatments, rather than expecting one session to erase years of redness.

One important distinction: Vbeam can treat the vascular component of rosacea, but it doesn’t “cure” rosacea. If there are also bumps, pustules, sensitivity or other symptoms, those may need their own treatment plan.

The best laser treatment for rosacea is not simply about owning the right device. It’s about choosing the right patient, settings and treatment strategy.

Vbeam rosacea treatment is now available at Dermatology Circle in NYC.

Low-dose Accutane sounds almost too good: clearer skin, smaller doses, often fewer side effects. But there is a trade-of...
09/01/2026

Low-dose Accutane sounds almost too good: clearer skin, smaller doses, often fewer side effects. But there is a trade-off.

The duration of treatment is usually longer, some patients may stay on isotretinoin for a year or two. And low dose does not mean low maintenance.

Regular dermatology visits are still part of treatment. In the USA dermatologists are only legally allowed to prescribe 30 day prescriptions for Isotretinoin. Pregnancy prevention and testing requirements still apply. Blood work may still be appropriate, although in healthy patients it generally does not need to be performed every month.

For women planning a pregnancy, timing deserves particular consideration. Isotretinoin cannot be used during pregnancy, so a prolonged course may affect when treatment comfortably fits into your plans.

And there is a practical consideration we don’t talk about enough: a lower dose may mean a longer course, more appointments, and ultimately a greater time and financial burden.

“Walking through the Botero exhibition at Sotheby’s, I kept thinking about how quickly our relationship with body size i...
08/30/2026

“Walking through the Botero exhibition at Sotheby’s, I kept thinking about how quickly our relationship with body size is changing.

Botero made volume monumental. His figures occupy space unapologetically. They have presence.

Now GLP-1 medications are changing bodies at a speed that culture has rarely experienced before. And with that come new conversations about weight, health, facial volume, aging, and what we consider beautiful.

As a dermatologist, I see those physical changes up close. But as someone who loves art, I find the cultural shift just as fascinating.

So I left Sotheby’s wondering: What would Botero paint in the Ozempic era?”

Dr. K

08/27/2026

Sometimes the best cosmetic treatment is the one we don’t do. Aesthetic dermatology is first of all medicine!

You can come in asking for filler, Botox, a laser, or the treatment your friend swears changed her life, but the plan should still start with your face, your anatomy, your proportions, and what will actually make sense long term.

And occasionally it means saying, “You really don’t need this procedure”. That’s the consultation doing its job.

Would you trust a dermatologist more if they talked you out of a procedure?

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801 Madison Avenue 4th Floor
New York, NY
10065

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Monday 9am - 5pm
Tuesday 9am - 5pm
Friday 9am - 5pm
Saturday 9am - 2pm

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