Our practice accepts most major insurance plans for evaluation and treatment of medical conditions. Please note that we DO NOT accept any insurance plans obtained through the New York Health Exchange.
For your convenience, we accept the following insurances…
Aetna, Cigna, Empire Blue Cross Blue Shield, Medicare, Oxford, United Healthcare.
Attaining referrals is the responsibility of the patient. If a claim is denied due to a missing or an invalid referral, the patient is responsible for the cost of the visit.
New patients should bring their photo ID and insurance cards to the office. We recommend new patients to complete the intake forms prior to their appointments.
There are so many wonderful, effective cosmetic procedures available now, each with specific applications and benefits. In order to determine which is best for you, we start with a consultation, which is your opportunity to ask questions and learn more, and our opportunity to help you decide the right way to proceed.
To get the most out of your consultation, ask yourself a few questions beforehand:
What are my goals?
When you look in the mirror, what would you most like to change? It’s difficult to see yourself objectively, so that can be a difficult question, but it’s one that you need to be ready to answer when you’re speaking with your dermatologist. Bring a flattering photograph of yourself from five or ten years ago, if you like — this can be a great tool for conveying your goals.
What is my budget?
Figure out the amount that you’re prepared to spend, and do your homework on the current costs of various procedures. (Remember that many, such as peels and laser treatments, require a series of appointments.) Once you decide on a potential course of action, ask your doctor if it’s realistic to accomplish within your budget.
What are my expectations?
It’s important to understand the limitations of what these procedures can do. We can’t achieve total transformation, nor do we want to. Our goal is to capture your own individual beauty and enhance it in subtle ways, to make you look fresher and more youthful — not to completely change your face.
What are my fears?
Your fears probably fall into one (or both) of two categories. The first can be summed up as “duck lips and a frozen face” — many people are terrified that they’re going to end up looking like an alien or a plastic mask. That is not where we’re going to take you! Part of our role as dermatologists is to act as a voice of reason, advising patients when to back off and do less in order to achieve natural-looking results. The second common concern is the fear of pain, and the consultation is the perfect time to bring this up. When we understand your fears, we can reassure you and help prepare you, all so that we can provide the best possible care.
Preparing For Your Procedure
Before any procedure, discontinue the use of chemicals on your skin for three days ahead of time; that means retinoids, acids, scrubs, benzoyl peroxide, cosmeceuticals, and chemical sunscreens (switch to mineral ones). Take off any makeup before the procedure. If you are prone to herpes, fever blisters, or any kind of infection on your face (even acne), treat it with the Valtrex/valacyclovir before and after your procedure, since any treatment can cause stress to the skin that may trigger a flare-up.
Three to six days prior to treatment, patients should avoid agents with anti-coagulative potential to further help reduce the risk of significant bruising after hyaluronic acid injection. This includes avoidance of aspirin (unless therapeutically indicated otherwise) and non-steroidal anti-inflammatory drugs, as well as supplements such as vitamin E, fish oil, mega-3 fatty acids, garlic, Ginkgo biloba, ginger, ginseng, glucosamine, kava kava, celery plant, and green tea, all of which can interfere with platelet adhesion and/or coagulation and further increase the risk of bruising.
Lasers zone in on darker pigment in your skin, so a tan (even from a self-tanner) can affect the outcome of the procedure and perhaps cause side effects such as post-inflammatory hyperpigmentation. You should not have a tan, and stop using self-tanner at least two weeks beforehand.
An emollient ointment forms a protective barrier that allows the skin to heal faster. Do not pick at peeling skin; this dead surface layer is retained by the body as long as it’s needed, and pulling it off can cause damage and leave a scar. Stay out of the sun completely for at least seven days.
Keep the skin moist with an emollient wound-healing ointment. When the skin begins to flake, use a wet washcloth with lotion to massage it off. No fancy creams, and no sun exposure for one week. See the lasers section for additional information on post-procedure care.
Neurotoxins (Botox, Dysport, Xeomin & Jeuveau)
To minimize bruising and decrease trauma to the skin, apply topical creams and tinctures with the herbal remedy Arnica montana and take homeopathic arnica tablets before and after the treatment. Eating foods containing vitamin K, such as spinach and broccoli, may also reduce bruising by helping blood coagulate. Don’t take a nap or press on the area for the first eight hours – pressure can push the neurotoxin to a different muscle.
Again, topical or systemic Arnica montana can be helpful to diminish bruising. A cold ice pack will reduce any swelling, and you can also elevate your head on a couple of extra pillows when you sleep.
Photodynamic therapy (PDT)
For one to five days after the treatment, the affected areas may be pink like a sunburn and dry. Moisturizer and sun protection are essential after treatment. For 48 hours after the treatment you will be very sensitive to the sun and should avoid extensive sun exposure by wearing a hat and protecting your skin.
Marmur Medical is committed to providing all of our patients with exceptional care. When a patient cancels without giving enough notice, they prevent another patient from being seen.
We require a notice prior to cancelling or rescheduling an appointment. Monday appointments should be notified by noon on the previous Friday. Cancelling or rescheduling your appointment within 24-hours of the scheduled time may result in a $50 cancellation fee for non-cosmetic appointments or 50% of the fee for the scheduled cosmetic procedure(s). If you are unable to give sufficient notice or miss an appointment, a cancellation fee may automatically be billed to your account. The cancellation fee is non-refundable. By making an appointment with us, you are agreeing to this policy.
12 East 87th Street
New York, NY 10128
1050 Park Avenue
New York, NY 10028