Eczema Treatment

Consultations offered at our two convenient locations in Carnegie Hill and Flatiron, NY

Eczema Treatment New York, NY

Eczema is an inflammatory skin condition that is characterized by recurrent itchiness, redness, and flaking skin. This condition affects more than 200 million people, including up to 20% of children and 10% of adults, making it one of the most common skin conditions worldwide. (1)

At Dermatology, Laser & Surgery of Carnegie Hill and Dermatology, Laser & Surgery of Flatiron, our board-certified experts offer several eczema treatments to help you find relief from eczema and achieve smoother skin.

To get started, please contact us online or call the practice most convenient for you:

About Eczema

Eczema typically first appears during childhood, but often persists throughout adulthood. (2) It is considered an immunological condition because it results from immune system disruptions triggered by allergens, environmental factors, and other irritants. Eczema can occur in several areas, including the face, neck, inner elbows, behind the knees, as well as the hands and feet.

Types of Eczema

There are several different forms of eczema, and it is possible to have more than one type:

  • Atopic Dermatitis: Atopic dermatitis is the most common form of eczema, often attributed to genetics, a compromised skin barrier, and environmental causes. It manifests as a red rash with dryness, scales, and irritation.
  • Contact Dermatitis: Contact dermatitis is caused by direct contact with an irritant, often causing red, itchy patches. There are several subtypes of contact dermatitis, including irritant contact dermatitis (chemicals), allergic contact dermatitis (allergens), and contact urticaria. Common triggers include soaps, detergents, metals, certain plants, fragrances, and latex.
  • Dyshidrotic Eczema: Dyshidrotic eczema looks like small blisters filled with fluid, typically on the hands and feet.
  • Nummular Eczema: Nummular eczema looks like circular rashes, often occurring on the arms and legs.
  • Seborrheic Dermatitis: Seborrheic dermatitis primarily affects the scalp and results in flaky, red, or oily-looking skin. This type of rash may also affect the face, upper chest, and back.
  • Stasis Dermatitis: Stasis dermatitis is caused by fluid buildup in the legs. The skin in the affected areas can appear thicker and discolored.

During your consultation, your specialist will evaluate your skin and medical history to determine what type of eczema you are experiencing and the most effective way to address it.

Available Treatments

We offer several eczema treatments aimed at helping you feel more comfortable and confident in your skin. While eczema could be a chronic condition, treatments are designed to reduce recurrent flare-ups and relieve uncomfortable symptoms. Available treatments include:

Steroidal and Nonsteroidal Topical Ointments, Creams, and Foams

Topical products can be applied to the skin directly to provide relief from eczema symptoms. Common topical medications include the following:

  • Hydrocortisone
  • Triamcinolone
  • Clobetasol
  • Tacrolimus
  • Pimecrolimus
  • Petrolatum
  • Ceramides

These are designed to soothe inflammation, reduce redness, and diminish flare-ups. (2) Pimecrolimus and tacrolimus are non-steroidal treatments. They are a class of medications called calcineurin inhibitors, meaning they disrupt the activation of T-cells, a type of white blood cell that plays a role in inflammation. (3) Hydrocortisone, triamcinolone, and clobetasol are topical steroids that reduce inflammation and immune activity in the skin. Ceramide and petrolatum-based creams and ointments are non-medicated products that help restore the skin barrier and lock in moisture.

Topical creams and ointments can vary in strength depending on the severity of your eczema.

Oral Medication

We can prescribe oral medications if you are experiencing more severe concerns or if topical treatments have been inadequate. Oral medications can quickly control severe flare-ups or reduce symptoms resistant to other treatments, such as bothersome nighttime itching. Options might include cyclosporine, methotrexate, prednisone, mycophenolate, and azathioprine.

Skincare Routines

Our specialists can help you manage symptoms by creating a new skincare regimen. When treating eczema, it is ideal to avoid any products that contribute to irritation, including harsh soaps, fragrances, preservatives, and more. Our team can create a new routine using effective, moisturizing, and lipid-replenishing products to prevent your skin from becoming too dry. By enhancing your skincare routine, you can not only reduce the frequency of flare-ups but also potentially reduce the need for more intense products or medications. (4)

DUPIXENT®

DUPIXENT® (dupilumad) is an injectable biologic that can be prescribed for moderate-to-severe cases of eczema in patients 6 months of age and older. This biologic works from the inside out by inhibiting the immune signaling pathways that lead to inflammation and itchiness, allowing your skin to restore its barrier. (5)

JAK Inhibitors

Janus kinase inhibitors (JAKi) are a class of medications that work by blocking the signals along the immune system’s signaling pathways that may lead to atopic dermatitis. For patients with atopic dermatitis, immune system messengers (cytokines) send signals through the JAK pathway, telling the body to overreact and create inflammation. JAK inhibitors block these signals to calm the inflammation, allowing for relief from symptoms. (6)

Crisaborole

Crisaborole (brand name EUCRISA®) is a non-steroidal topical treatment for mild to moderate eczema for adult and pediatric patients. It works by blocking an enzyme called PDE4, helping to lower inflammation and relieve itching by reducing certain inflammatory signals in the body. (7)

Tralokinumab

Tralokinumab (ADBRY®, Adtralza®) is a human monoclonal antibody that blocks the IL-13 signaling protein that is often responsible for inflammation and allergic responses. In recent studies, this treatment has been shown to reduce itching after just one week of treatment, with many sustaining their results for up to a year. (8)

Ultraviolet Phototherapy

Ultraviolet phototherapy uses controlled ultraviolet (UV) light to target and suppress inflammatory cells. It can also have an antimicrobial effect on the skin, reducing harmful microorganisms like bacteria, fungi, or viruses that live on the skin and worsen irritation or infection. (9)

Candidates

Candidates for our eczema treatments include most patients who have been diagnosed with eczema and are experiencing lesions, redness, dry or cracked skin, or itchiness that interferes with their quality of life. Patients may benefit from our professional treatments if they have failed to see substantial results with over-the-counter solutions.

Personal Consultation

The best way to determine which treatment is most appropriate for you is by attending a personal consultation. During this meeting, one of our specialists will ask you about your medical history, eczema symptoms, and treatment goals. They will also evaluate your skin and visible symptoms.

To schedule your consultation and receive your tailored eczema treatment, please contact us online or call the practice most convenient for you:

Corresponding Procedures

Eczema Treatment New York, NY

These procedures, while not primary treatments for active eczema, can help improve the overall appearance and quality of your skin once flare-ups have subsided.

Intense Pulsed Light (IPL)

Intense Pulsed Light (IPL) therapy uses concentrated pulsed light energy to improve the appearance, health, and quality of your skin. This treatment can address several skin concerns that can remain after an eczema flare-up has subsided, such as scars, hyperpigmentation, and more, leaving you with clearer, glowing skin.

Laser Skin Resurfacing

Laser skin resurfacing targets dead and damaged skin cells, reducing uneven pigmentation and visible damage caused by past eczema flare-ups.

Microneedling

Microneedling stimulates the production of collagen and elastin by creating controlled micro-punctures in the skin. After eczema has healed, this procedure can help improve skin texture, soften thickened patches, and promote a healthier, more even appearance.

Cost of Eczema Treatments in NYC

The cost of eczema treatment can vary. Your specialist will provide a comprehensive cost estimate for your treatment during your consultation.

To learn more, please contact us online or call the practice nearest you:

FAQ

What is eczema?

Eczema is a chronic skin condition that is typically characterized by inflammation, irritation, redness, and itchiness. This condition is believed to be caused by a combination of both environmental and genetic factors.

Can eczema be cured completely?

There is no permanent cure for eczema, as the condition is chronic. However, many children who have eczema in their younger years do outgrow their eczema as they get older. For chronic eczema, there are treatments available that can significantly reduce and manage symptoms and recurrent flare-ups, allowing you to live more comfortably and confidently.

How long will it take to start seeing improvements in my eczema?

Most patients start seeing improvements after several weeks of consistent treatment, although many patients will need to continue their treatment for long-term management.

Are there any eczema treatments that are safe for children?

Yes, many eczema treatments have been tailored to be appropriate and safe for younger patients and children. These options may vary depending on your child’s age, skin sensitivity, and the severity of his or her symptoms. Common options for pediatric patients include gentle moisturizers and emollients to maintain skin hydration, low-potency topical steroids for flare-ups, and non-steroidal calcineurin inhibitors. For these regimens, our specialists often emphasize avoiding known triggers, using mild cleansers, and establishing a consistent skincare routine to help prevent flare-ups.

Can my lifestyle affect my eczema symptoms?

Yes, eczema is often impacted by stress levels, allergens, certain foods, and environmental factors, each of which can trigger flare-ups. Your specialist can help you pinpoint certain lifestyle factors that might be worsening or triggering your eczema symptoms. This will help you adjust your habits and potentially reduce the recurrence of eczema flare-ups.

Can multiple eczema treatments be combined?

Yes, your specialist may combine certain treatments depending on the severity of your eczema symptoms. If you are interested in combining your treatment with another, we recommend discussing this during your consultation for further information and personalized suggestions.

Can eczema come back after treatment?

Yes, eczema is a chronic condition. Flare-ups can return, even after successful treatment. While treatments can control symptoms, reduce inflammation, and improve skin health, ongoing skincare routines, trigger management, and sometimes maintenance medications are needed to prevent frequent recurrence. Early intervention at the first sign of a flare-up can help minimize severity and discomfort.

References

  1. Chovatiya R. Atopic Dermatitis (Eczema). JAMA. 2023;329(3):268. doi:https://doi.org/10.1001/jama.2022.21457
  2. Nemeth V, Evans J. Eczema. PubMed. Published 2022. https://www.ncbi.nlm.nih.gov/books/NBK538209/
  3. Safarini OA, Patel J. Calcineurin Inhibitors. PubMed. Published 2020. https://www.ncbi.nlm.nih.gov/books/NBK558995/
  4. Information NC for B, Pike USNL of M 8600 R, MD B, USA 20894. Skin Care for Eczema. Institute for Quality and Efficiency in Health Care (IQWiG); 2017. https://www.ncbi.nlm.nih.gov/books/NBK424900/
  5. Gade A, Ghani H, Rubenstein R. Dupilumab. PubMed. Published 2023. https://www.ncbi.nlm.nih.gov/books/NBK585114/
  6. Samuel C, Cornman H, Anusha Kambala, Kwatra SG. A Review on the Safety of Using JAK Inhibitors in Dermatology: Clinical and Laboratory Monitoring. Dermatology and Therapy. 2023;13(3):729-749. doi:https://doi.org/10.1007/s13555-023-00892-5
  7. PubChem. Crisaborole. pubchem.ncbi.nlm.nih.gov. Accessed October 3, 2022. https://pubchem.ncbi.nlm.nih.gov/compound/Crisaborole
  8. Wollenberg A, Blauvelt A, Guttman‐Yassky E, et al. Tralokinumab for moderate‐to‐severe atopic dermatitis: results from two 52‐week, randomized, double‐blind, multicentre, placebo‐controlled phase III trials (ECZTRA 1 and ECZTRA 2)*. British Journal of Dermatology. 2020;184(3):437-449. doi:https://doi.org/10.1111/bjd.19574
  9. Grundmann SA, Beissert S. Modern Aspects of Phototherapy for Atopic Dermatitis. Journal of Allergy. 2012;2012:121797. doi:https://doi.org/10.1155/2012/121797