Dr. Gilberto Alvarez del Manzano is a professional dermatological expert at Downtown Dermatology in New York City – highly skilled and experienced in performing dermatological procedures.

Dermatology Services

Our new state-of-the-art clinic provides a range of surgical suites where our doctors provide you with the best surgical services. The dermatological procedures we offer are a wide range of non-invasive and minimally invasive treatments designed to correct skin imperfections such as wrinkles, age spots, blemishes and other hyperpigmentation conditions.


Cysts can be found nearly anywhere in the body and the most common type of cyst that you can experience are sebaceous and epidermoid cysts. They typically appear as small round bumps that may sometimes have small openings that appear like clogged pores.

These bumps can be found on the face, neck and even on your bikini line. Even though these are normal types of cysts, there are also some that may have abnormal symptoms like those that form deep within your tissues. This kind of cyst is usually formed when a part of your body or any organ gets trapped in another part which  results in the growth of a bubble which is known as an encapsulated cyst.

Acne Cysts

Acne Cysts usually develop deep underneath your skin and usually result from clogged hair follicles or oil glands. The severe form can be identified by several red bumps that have swollen tissues surrounding it. These types of acne cysts are often difficult to treat especially when it has reached an advanced stage.

Pilar Cyst

Pilar Cyst is a cyst that forms on the hair follicle and most likely to appear around the head area. This type of cyst can affect people from all ages and when they form, it will result in a very small, firm bump under your skin. It’s possible for you to notice these bumps because they usually appear in a group which are known as poliosis. The reason why this kind of cyst can form is still unknown and it does not have any symptoms that can be associated with it.


Cysts are usually harmless, but sometimes it is possible for them to become infected or inflamed. Surgical excision is the most common tool for cyst removal, and it involves a small incision being made at the site of the cyst and the cyst itself along with nearby tissue being removed surgically to ensure complete excision. This is usually done under local anesthesia. The surgery is known as a cystectomy. If the patient has multiple cysts or they are very large, this can result in scarring of the skin and cosmetic issues that could be improved if these were removed. Cosmetic plastic surgery techniques such as abdominoplasty (also known as a tummy tuck), can remove the scars from this surgery.

Removing Scars After Cysts Removal

However, not everyone wants to have a scar removed surgically. Patients who wish to avoid the pain and risk of surgery or simply don’t like the idea of having an incision made in their skin are turning to laser technology as an alternative treatment. In order for a scar to fade, new collagen must be produced and the skin must be healed properly. The laser treatment stimulates the production of collagen by heating up the tissue which causes a process called photothermolysis to take place. This involves the absorption of light energy by cellular chromophores in the mitochondria that is converted into cellular heat which then triggers chemical processes to initiate cell repair.


The usual laser used for scar removal usually produces flashes of light that are absorbed by the red hemoglobin pigment which is found in blood cells and certain other tissues such as bones, muscles and connective tissue. The heat generated from these absorbs light energy causes the destruction of superficial layers of skin tissue through photothermolysis which then stimulates the growth of new collagen in the scar as the skin is healed from this injury. The heat also helps to make any pre-cancerous cells within a cyst more susceptible to treatment by other means such as surgery or medication.

Laser Scar Removal Side Effects

There are some side effects associated with laser scar removal such as redness of the treated skin, swelling and blistering. Some patients may experience a burning sensation during treatment that could cause them to feel faint or nauseous. In some cases there can be permanent lightening of the surrounding skin which means that people who have tanned or dark-skinned skin will have difficulty achieving good results with this type of treatment, so they may need to have multiple treatments to achieve their desired results.

People who smoke before and after laser scar removal will not get the best possible treatment for their scars because smoking is known to reduce the flow of blood within the body which can weaken the effectiveness of this surgery. The skin around a scar can be easily damaged if it is exposed or unprotected during treatment which is why it’s important to wear protective clothing before having laser scar removal performed.


NHS guidelines state that people should not have more than three treatments at a time or have them too close together as this may increase the risk of side effects and damage to the skin.

The most effective way to achieve good results with laser scar removal is to have multiple sessions of treatment. The exact number you will require will depend on the type and severity of scars that you have, their size and location on your body.

The number of treatments you may need can range from between 3-6 depending on many factors that are specific to each individual patient. It also depends on whether these lasers are used in different technology such as PicoSure, which is a type of laser used to reduce the size of your pores and smooth out your skin.

Fractional lasers are becoming increasingly popular for scar removal because they allow the practitioner to treat smaller areas that traditional methods and they can be used on scars that have not healed properly yet.

They can also be used to precisely remove tattoos or other permanent marks that people might wish to get rid of. This type of laser treatment is particularly effective on darker pigmentation such as sun spots and stretch marks because it can help the skin produce more collagen which will make scars less noticeable over time.

Laser Scar Removal Recovery Time

The recovery time for fractional laser scar removal is usually around 2-3 weeks and in many cases patients can resume normal activities within a day or so of treatment. Some common side effects associated with this type of laser scar removal include redness, swelling, bruising or tenderness to the skin. Patients may also notice small white spots developing on their skin as the area recovers from treatment.

Recovery Time And Side Effects 

These side effects should go away within 2-3 weeks and patients are advised to protect the skin by wearing sunscreen or using aloe vera lotions if they develop a sunburn like appearance.

Laser scar removal is generally considered to be extremely effective for most types of scars, but it has been reported that darker pigmentation on skin such as a freckle or mole can interfere with the laser’s ability to work properly.

Treatment And Sun Damaged Skin

Scar removal lasers are also not recommended for people who have sun damaged skin because these treatment types may cause further damage and reduce the chances of achieving good results in patients with very dark pigmentation. They are also not ideal for treating raised scars that haven’t healed properly.


There are no medications or products that can prevent scars from appearing on the skin other than using sunscreen regularly to avoid sunburns and long term use of topical Vitamin E. There are also a range of natural home remedies which have been reported to be effective for fading old and new scars including lemon juice, aloe vera gel and basil leaves.

These remedies are not generally recommended for people who have recently had surgery, but they can be used in combination with anti-scar removal treatments to improve healing and reduce the severity of scars.

Scar removal treatment is widely available worldwide and laser technology has improved substantially over the past decade meaning that this treatment option is likely to continue to become more popular.



As the single most common type of cancer in the United States, most cases of skin cancer are a result of excessive sunlight exposure or use of tanning beds. The three most common types of skin cancer are squamous cell carcinoma, melanoma and basal cell carcinoma.

Our doctors will first biopsy a lesion suspicious for cancer using local anesthesia and sampling the lesion. Once the skin specimen is sent to a laboratory, a trained dermatopathologist will examine it under a microscope.

If the presence of cancer cells is confirmed, our dermatologists will recommend a customized solution to you based on the type of skin cancer that you suffer from, your medical history, and the area of infection. Surgical excision is the most common recommended solution for skin cancer removal. Excision is performed within a surgical suite using local anesthesia.

Other possible surgical solutions include ED & C (electrodessication and curettage), Mohs surgery and cryotherapy. Some medications could also be prescribed in some circumstances in addition to surgery.


Skin tags are a type of small growth that appears like a small piece of extra skin that typically develops in areas such as the neck, groin, eyelids, beneath the breasts.

Although not dangerous, they can still be removed for cosmetic and comfort purposes. They can be removed through either surgery, freezing or electrocautery.

Skin tags are common noncancerous skin growths that usually measure around 2-5 millimeters in length. They normally appear on the neck, armpits and groin area of both men and women. Although harmless, these small patches of extra skin can be irritating and many prefer to have them removed for cosmetic reasons. There are several ways in which skin tags can be removed, with the option you choose usually dependent on your health and preference.


These three are types of skin bumps caused by viral infections. The human papillomavirus (HPV) causes both warts and condyloma, and the Molluscum Pox virus causes molluscum. These skin bumps can be removed using chemical treatments, cryosurgery, or electrocautery. Especially large bumps may require surgical removal.

Warts are a common type of skin bump caused by the human papilloma virus (HPV). There are over 100 different types of HPV, with around 40 infecting the genital tract. HPV-3 and 7 cause warts in the genital area. Infection can occur through sexual contact or touching an infected surface such as towels or locker room floors.

Warts are skin bumps that grow on the surface of the body. Warts appear more frequently in people who have a weak immune system and can be spread through skin contact with an infected surface or person. High-risk factors for HPV infection include having multiple sexual partners, younger age and cigarette smoking.

Dermatological Surgery FAQs

What are dermatological procedures?

Dermatological procedures are surgeries or minimally invasive cosmetic treatments that dermatologists perform. Procedures include mole removal, laser hair removal, and other skin cancer treatment.

What factors determine the cost of dermatological procedures in New York?

Time spent performing a procedure in a medical setting is one factor that determines how much you’ll pay for it. The price also depends on whether there’s a need to use any special pieces of equipment.

What are the benefits of dermatological procedures?

Dermatological procedures can treat different symptoms or conditions. They can reduce or eliminate signs of aging (wrinkles, acne scars), help control bleeding, clear up skin problems and alleviate pain in the area treated. Prolonged relief from certain symptoms may be possible after these surgeries.

What are the risks involved in dermatological surgeries?

As with any other medical procedure, there are always some risks involved with dermatological surgeries. For instance, bruising or infection can result from mole removal. In terms of laser treatments, side effects may include redness at the site of treatment or broken capillaries (small blood vessels) on your skin. To reduce these risks as much as possible, tell your dermatologist about your medical history and follow his/her instructions to minimize your risks prior to treatments.

How long does a dermatological procedure take?

This varies depending on the type of procedure. Downtime after dermatological procedures also varies, but it’s typically less than a day. Sometimes dermatologists ask patients to stay out of work or school for one to three days after mole removal.

Is dermatological surgery dangerous?

Dermatologic surgical techniques are very safe, and they’re usually performed by board-certified dermatologists in medical settings with access to anesthesia equipment.

What makes a mole abnormal?

Any mole that is thicker than the rest or looks different from the others might be abnormal. Moles that look irregular under a microscope and moles with an uneven border could also be cancerous. If you have any doubts about a mole’s appearance, see your dermatologist for further review. Other signs to watch for: bleeding, itching, thickening of the skin, and changes in hair growth around a mole.

What should I expect during an initial consultation?

During the first visit, you’ll meet with a dermatologist and go over your medical history. He/she might perform a skin exam in order to get more information about your skin issue. The dermatologist will then show you some possible treatment options and explain which one he/she recommends for you based on your age, overall health, and other factors. Deciding if surgery is right for you may take some time, so be sure to ask the dermatologist any questions that you might have.

What should I do before a mole removal surgery?

You might need to stop taking certain medications prior to procedures such as mole removal (see your doctor for more details). If you have a history of bleeding disorders, tell your dermatologist during the initial consultation. He/she will tell you what precautions are necessary in your case and may ask you not to eat or drink anything eight hours before an in-office procedure. Finally, make-up and lotion should be avoided on the area to be treated before and after surgery.