September 1, 2022 Women

When taking birth control or oral contraceptives, as with anything that changes the way your body functions, you’ll need to know the answers to some very serious questions. For instance, does taking birth control lead to additional weight gain? Do birth control pills lead to water retention, or interfere with the body’s normal interactions with estrogen? These questions are at the core of the side effects of birth control, and worth exploring in greater detail to anyone considering taking it—especially hormonal birth control.


Does Birth Control Make You Gain Additional Weight Breakdown?

Does Birth Control Make You Gain Additional Weight Breakdown


To answer the first question off the bat, extensive reviews of birth control methods like oral contraceptives have found that hormonal birth control’s relationship with weight gain is difficult to establish. It’s true that older types of birth control methods and oral contraceptives in the past had higher levels of estrogen and progestin, which could potentially lead to issues like gaining weight. However, birth control has evolved over time, leading to different and potentially milder side effects.


For starters, individual response to birth control will always vary. And there may be some water weight fluctuations that come with birth control options like these. For the most part, some fluid retention will be generally harmless, although if you’re concerned about these issues, you should certainly talk them over with your healthcare provider.


Understanding Different Forms of Birth Control

Understanding Different Forms of Birth Control

Hormonal contraceptives are only one type of birth control. The truth is, issues like weight loss and weight changes can be avoided depending on the style of birth control you seek out. Let’s explore some of these forms of birth control so you can better understand them:


  • IUD. An IUD, or Intrauterine Device.  is a small device implanted into the uterus designed to prevent pregnancy. Intrauterine devices have obvious differences to contraceptive pills in that you won’t be taking contraceptives overally. However, some IUDs do come with hormones, so this is not always a hormone-free method of birth control. Copper IUDs may not have hormones. These are reversible devices too, meaning that when you want to begin having a family, you have that option.
  • Birth control pills. This is a wide-ranging category, which makes it hard to rate it as the “best birth control” option, as you will want to consult with a professional health care provider to ensure that you’re using the best options for your specific situation. Birth control pills can come in the form of combination pills, which have both estrogen and progestin, or progestin-only pills, which are less common. The hormones in birth control pills work by preventing ovulation, which in turn prevents a pregnancy from taking place.
  • Diaphgram. The diaphragm is a small, flexible cup that can be put inside the vagina during sexual intercourse. This covers the cervix to prevent pregnancy, rather than preventing ovulation or interfering with the menstrual cycle.


These are just a preview of the different types of birth control available. Other types, such as the vaginal ring, also can interfere with the fertilization process. However, for those concerned about the birth control pill’s effects on weight gain, it helps to focus in on combined oral contraceptives and their potential influence on the body.


How Might Birth Control Make Someone Gain Weight?

How Might Birth Control Make Someone Gain Weight

Not all forms of birth control have the same effects on women’s health or lead to weight gain. The primary concern for women isn’t whether a device like an IUD or a diaphragm is going to lead to weight gain—although an IUD may have hormones that affect the body. For many women, the primary concern is the effects of combined oral contraceptives on their long-term fertility and their overall health.


The truth about oral contraceptives and weight gain is complicated. The first question is: will hormones cause permanent weight gain or not? Most sources will likely tell you that oral contraceptives don’t cause permanent weight gain, as weight can fluctuate up and down over the long run. However, some birth control methods may directly lead to weight gain, such as medroxyprogesterone, according to GoodRX.


Another question is: what type of weight gain is this? Is it water weight, or do some people put on body fat as a result of taking birth control pills? Water weight fluctuations can be normal and even part of everyday life, being diet-dependent. Longer-term weight gain is typically the result of increased body fat.


You do have to be careful about the feelings of excess water causing bloating, which in turn adds to the “feeling” of weight gain.


Hormones will affect different processes in your body, which is important for anyone to consider. Non-hormonal birth control doesn’t have these same effects, but will have other trade-offs that you’ll want to weigh as you consider your options. While it’s possible you will experience weight gain as a result of taking birth control, individual responses always vary. Some other common side effects to hormonal birth control methods, for example, include migraines.


Why Does Birth Control Make Someone Gain Weight?

There is some thought that the hormones in birth control increase appetite and water retention, leading to the changes in body fat and body weight over time. It’s also possible that this relationship isn’t yet fully understand—hormones do have an effect on appetite, and not always in predictable ways.


To better understand your body and what it goes through when taking birth control, you’re going to want to know everything involved. Taking pills with estrogen and progestin can stop ovulation, and there can be side effects to the dramatic changes going on in your body to make this happen. That’s why it’s important to talk these side effects over with a licensed medical professional before you seek birth control. Understand what goes on in your body and you’ll have a better chance of knowing the best path forward for you in your particular journey.


Schedule your next birth control exam and more at Great City Medical today!


August 30, 2021 Women

Visiting a gynecologist can be a bit uncomfortable, especially for the first visit. But gynecologists are an essential part of any women’s health care. They can help answer any questions and make sure that you stay healthy down there.


If you aren’t sure what to talk to your gynecologist about, keep reading for some ideas to help you get the most out of your next doctor’s visit and take care of your reproductive health.


What should I talk to my gynecologist about?

A gynecologist specializes in women’s reproductive health needs. They provide regular check-ups, including pelvic exams, pap smears, breast exams, testing for sexually transmitted diseases, treating urinary tract infections, and more. They can help you figure out what birth control options might be suitable for you.


And there is no need to be embarrassed! Your gynecologist is there to answer any questions that you might have about your sexual and reproductive health. 


Typical discussion topics people have for their gynecologist include:


  • Painful periods
  • Irregular periods
  • Other questions about the menstrual cycle
  • Birth control and contraception
  • Vaginal discharge
  • Vaginal dryness
  • Sexual activity
  • Pain during sex
  • Low libido
  • Pimples caused by hormonal acne
  • Sexually transmitted diseases
  • Yeast infections
  • Ingrown hair
  • Endometriosis
  • Ovarian cysts
  • Uterine fibroids
  • Menopause 
  • And much more!


If you’re feeling nervous or confused, you can also ask your gyno to explain everything they are about to do before doing it.


What questions do they ask you at the gynecologist?

If you are getting ready for your first visit to the gynecologist, you might be wondering what kind of questions your doctor might ask you. As far as questions go, a visit to the gynecologist should not differ too much from other doctor’s visits.


A gynecologist will start by asking you questions about your medical history and your family history. These questions will help give the doctor some background on your health and bring awareness to any potential health issues that they should test you for. 



Questions about your medical history and family history might include:

  • Has anyone in your family had breast cancer?
  • Has anyone in your family had cervical cancer or uterine cancer?
  • Have you been vaccinated for HPV?
  • Do you have any concerns about your sexual health?


After they ask about your medical history, questions a gynecologist might ask you include:

  • When was your last period?
  • How long does your menstrual cycle typically last?
  • Do you experience irregular or painful periods?
  • Are you sexually active?
  • How many sexual partners have you had?
  • When you are sexually active, do you use condoms or any other form of birth control?
  • Do you experience any pain or bleeding during or after sexual activity?
  • Are you looking for a new birth control method?


It is vital to find a gynecologist that you feel comfortable talking to. Any questions they might ask you intend to provide the best medical care for you. The questions are designed to evaluate for any medical conditions. The doctor will not pass any judgment on your personal sex life.


What should I wear to a gynecologist appointment?

Wear whatever clothing makes you feel comfortable to your gynecologist appointment. Most gynos will ask you to take off your clothes privately and wear a special robe or gown for the exam, so it should not matter what you wear into the appointment. The only type of clothing to avoid might be difficult for you to remove by yourself.


Many people might feel the need to prepare ahead of time for their appointment out of anxiety or embarrassment. This is a personal choice, but it is best not to shave wax or groom before your gynecologic exam excessively. A simple shower is all that is needed to prepare for your exam. Again, the doctor is there to evaluate you for medical conditions rather than pass any judgment on your physical appearance.


Please make an appointment with our gynecologists today

At Great City Medical, our women’s health specialists are here to talk to you about your sexual and reproductive health. Call and talk to our specialists today to learn more about how to prepare for your first NYC gynecology appointment.


August 23, 2021 Women

NYC Labiaplasty is a plastic surgery procedure, commonly known as a type of vaginal rejuvenation, that is used to reduce the size of the labia minora tissue. This surgical procedure is growing in popularity with women in NYC and across the U.S. 


The labia minora, also known as the inner labia or inner lips of the vulva, come in all shapes, sizes, and colors. Some women have very small vaginal lips that might be hard to see, and other women have very large vaginal lips that overflow to the outside.


The appearance of the labia minora can change naturally as women age, lose a lot of weight, or go through childbirth. Some women might even experience pain, discomfort, reduced sensitivity, or low self-confidence from certain anatomical conditions. 


At Great City Medical, gynecologists are here to help you look and feel your best. We provide personal labiaplasty consultations and perform some of the best labiaplasty procedures in NYC.


When is labiaplasty medically necessary?

Excess tissue can make it difficult for women to feel comfortable wearing form-fitting clothing, such as yoga pants or bathing suits. It can also make women feel self-conscious in the bedroom.


But, the most common reason for women to get labiaplasty is not actually for cosmetic reasons. While it can be a cosmetic surgery, most women who get labiaplasty do so because it can be medically necessary.


Excess tissue can cause severe pain, irritation, chafing, and itching during activities such as exercise, sexual intercourse, and more. Women with enlarged labia minoras may not be able to participate in physical activity such as riding a bike or jogging, which can be reasons that the surgery is medically necessary. Labiaplasty is also considered medically necessary when the labia minora tissue gets tucked or pulled into the vaginal opening during sexual intercourse.


Excess labia tissue can also cause difficulties for maintaining proper hygiene and increases a woman’s risk of urinary tract infections. Many women with this condition may suffer with infections their whole life. Increased risk of infection is another reason that labiaplasty can be medically necessary.


What does a labiaplasty consist of?


The goal of labiaplasty surgery is to reduce the size of the labia minora so that it does not hang down below the labia majora. Labiaplasty is a relatively minor, minimally invasive  outpatient procedure that is performed under general anesthesia (sedation). 


The most common type of labiaplasty is the trim procedure. With a trim labiaplasty, the extra labia tissue is trimmed off linearly around the outside edge of the labia minora. 


Another popular labiaplasty is the wedge procedure. With the wedge procedure, the surgeon will remove a v-shaped section, or a wedge, of the labia minora and then suture the tissue back together. This method helps maintain some of the natural shape and wrinkles of the labia minora.


When getting a labiaplasty, a clitoral hood reduction can be performed at the same time if you also suffer from extra tissue folds around the clitoris.  Either surgical method can help reduce the overall size of the labia minora. Both methods can also help remedy asymmetry.


Since it is a surgical procedure, patients must allow for some recovery time after labiaplasty. After surgery, you should allow 1–2 weeks for recovery time at home and avoid any strenuous physical activity for several days after your procedure. Do not use tampons or have sexual intercourse of any kind for 4–6 weeks following their surgery, or until cleared by a doctor.


Labiaplasty patients may experience some discomfort for a few days after surgery. Some swelling and bruising around the operation site is common. Your doctor may prescribe pain medication to help manage any pain or swelling. Most swelling will disappear within 6 weeks of surgery. Any scars from the surgery will be nearly invisible once fully healed.


How common is labiaplasty surgery?

Labiaplasty is not the most common plastic surgery (when compared to surgeries such as rhinoplasty or breast augmentation), but its popularity is on the rise.


While many women may opt for labiaplasty as a cosmetic procedure, the most common reason women receive this surgery is for medical reasons and to improve sensation. As this surgical procedure grows in popularity, women who have perviously struggled with labial pain, discomfort, and infections are now aware that labiaplasty can be a great solution for them.


Does labiaplasty affect sensation?

Naturally, many women are concerned about reduced sensation after getting labiaplasty, but in general there is nothing to worry about. As with any surgery, there is some risk of decreased sensitivity, numbness, dryness, and permanent scarring, although these risks are relatively very minor.


Many women who opt for labiaplasty do so because they already suffer from discomfort or reduced sensation during sexual activity, so labiaplasty will actually enhance sensation for these women. The excess labia tissue, especially when paired with excess folds in the clitoral hood, can interfere with sensation in the bedroom. 


Getting labiaplasty to remove that excess labial tissue should actually increase sensation and pleasure for women. Many women report that removing the excess tissue is positively life-changing.


Book a labiaplasty consultation

Call us at Great City Medical today and book your labiaplasty consultation our gynecologists will discuss labiaplasty and help you determine if this surgical procedure is right for you! 


We want you to look and feel your best, so we will provide you with the best medical advice and treatment we can offer. 


If you do decide to book a labiaplasty procedure with us, our NYC gynecologists will walk you through it every step of the way. We care about your recovery and provide follow-up appointments after the procedure to make sure everything heals properly and you are completely satisfied.



August 23, 2021 Women

Intrauterine devices (IUDs) and birth control pills are two of the most popular birth control methods for women. Both methods are highly effective contraceptives.


They work similarly. Birth control products deliver hormones to your body that help prevent pregnancy. By preventing ovulation IUDs cause the uterine lining to thin, and cause the cervical mucus to thicken. These effects help prevent sperm from fertilizing an egg and prevent an egg from implanting in the uterus.
There are several women’s health factors to consider when deciding on which forms of birth control might be right for you. No one option is better than the other. It all depends on your lifestyle and your unique medical situation.


It is best to make an appointment to talk to your primary care doctor or gynecologist for medical advice on your reproductive health, but here is some information to help you start thinking about whether an IUD or birth control pills might be the right choice for you.


Which is better IUD or birth control pills?

Both the IUD and birth control pills are highly effective birth control options.


When taken perfectly at the same time every day, birth control pills are about 99% effective at preventing pregnancy. However, with average or “imperfect” use, birth control pills are closer to 91% effective. Both hormonal and copper IUDs are close to 100% effective at preventing unwanted pregnancy.If you are someone who can be responsible to take a pill at the same time every day, birth control pills might work well for you. If you do not want the responsibility or cannot take a pill each day, an IUD might be a better method for you because it can last for years after IUD insertion is performed by a doctor.


Both methods can help regulate your menstrual cycle, lighten period flow, reduce painful cramping, and help manage the symptoms of conditions such as endometriosis.


Negative side effects are rare, but they are possible. Birth control pills can increase your risk of blood clots. This risk is lower with pills with low doses of estrogen. Birth control pills might not be safe for people with high blood pressure.


IUDs do not increase your risk of blood clots or complications from high blood pressure because they do not contain estrogen.
Neither of these contraceptive methods protects against sexually transmitted diseases (STDs), so a secondary barrier method of contraception, such as condoms, should always be used to prevent the spread of disease.


Do IUDs have less hormones than the pill?

There are two main types of IUDs: hormonal IUDs and copper IUDs.


Copper IUDs do not contain any hormones, and therefore are a non-hormonal method of birth control. The most common copper IUD is called Paragard. Once inserted by an Ob/GYN, copper IUDs can be effective for up to 10–12 years.


Hormonal IUDs are a type of hormonal birth control. They are a long-acting form of birth control that slowly releases low levels of the hormone progestin or levonorgestrel. There are several options for hormonal IUDs, including Mirena, Skyla, Kyleena, and Liletta. Once inserted by an Ob/GYN, each IUD option lasts for 3–7 years, depending on which one you choose.


Combination pills usually contain a combination of low levels of estrogen and progesterone. The minipill only contains progesterone. There are many options for birth control pills. Some pills have higher doses of hormones while others have extremely low levels of hormones. Different levels of hormones will work better for different people and their unique medical situations.


The hormones from IUDs are delivered locally to the uterus and cervix, so there may be fewer side effects. The hormones from oral contraceptives are distributed in the bloodstream throughout the body so there is an increased risk of side effects from the hormones.


Is the IUD the safest form of birth control?

IUDs are one of the most effective birth control methods for preventing pregnancy. They are almost 100% effective in most cases. One of the reasons that they are so effective is because they are implanted by a doctor and then you are set for several years. No need to remember to take a pill every day!


Other forms of birth control, such as the pill, vaginal rings, birth control patches, implants or condoms rely more on perfect use to be effective.


So, if you are solely concerned about preventing unwanted pregnancy, IUDs might be considered the most effective birth control option for you. If you are concerned about the potential side effects of starting hormonal birth control, you should discuss your concerns with your doctor. Using a barrier method, such as condoms, diaphragms, or cervical caps with spermicide is recommended in the meantime. These methods are not as effective as IUDs or birth control pills at preventing pregnancy, but they are generally effective when used as directed. Barrier methods can prevent unwanted pregnancy without delivering any hormones to the body. They also protect against STDs.


Talk to your doctor today

At Great City Medical in NYC, we have a team of Ob/GYNs who are ready to discuss your birth control options and figure out which is best for you. Call us to make an appointment today!



July 13, 2021 Women

Nonsurgical cosmetic procedures like lip fillers are very popular with both men and women. Dermal fillers can help create a fuller, more defined lip with just one 30-minute appointment.
At Great City Medical, we use top-quality products such as Juvéderm Ultra XC. Our lip fillers contain hyaluronic acid, which locks in moisture in the lips and has been shown to increase the body’s production of collagen.

Hyaluronic acid lip fillers are long-lasting, natural-looking, and safe for most people.

There is no downtime needed after receiving a lip filler procedure. But since it is an injectable treatment, the body does undergo a small healing process around the injection site. So, it is important to follow the best lip filler aftercare practices in order to minimize swelling and receive the best aesthetic results.


How Long Does the Swelling Last after Lip Fillers?

how long does the swelling last after lip fillers

While there are very few common side effects associated with lip injections and recovery time is very quick, you may experience some temporary soreness, redness, bruising, or swelling in the area immediately after injection.

If you experience some swelling in the treated area, don’t worry! This is perfectly normal and only temporary. Once the swelling goes down, your lip augmentation will look and feel great.
Patients tend to report that lip swelling is the worst the first day after their injection, particularly in the morning. Swelling should go down within 2–3 days after your lip filler treatment, and should subside completely within 2 weeks post-treatment.

In the meantime, there are some things you should do to help manage swelling and discomfort.


What Helps to Reduce Swelling after Lip Fillers?

After receiving lip filler injections, swelling can be easily managed by applying ice to the lip area. Gently apply an ice pack wrapped in a towel or a cold compress to the lips. Be sure to use soft cloth and do not to use anything that could stick to the lips, as this could worsen the discomfort.

Talk to your doctor if you feel you need to take any medication for the pain. Generally, Tylenol is recommended. Other common medications such as ibuprofen, Motrin, or aspirin are not recommended because they are blood thinners, which can impact the healing process and increase the risk of bruising. Over-the-counter antihistamines may also help reduce swelling, and arnica cream may be appropriate to help reduce the appearance of bruising.

It is recommended that you drink plenty of water and eat lots of healthy fruits and vegetables after your procedure. Avoid very salty or spicy foods, as these can irritate the lips. Staying hydrated and eating well can help the body heal.

At night, you may wish to sleep with your head elevated to reduce blood flow and fluid retention in the area overnight. Avoid sleeping on your face.


Should You Exercise After Lip Fillers?

should you exercise after lip filler

You should also avoid strenuous exercise, saunas, steam rooms, hot showers, or any high temperatures for 24–48 hours post-treatment.
The increased physical activity and high temperatures can increase your heart rate and blood flow to the area, worsening any swelling, bruising, or discomfort. Heavy sweating can introduce bacteria to the lip area and increase your risk of infection at the injection sites. Sweating can also cause dehydration, so be sure to drink lots of water to replace any fluids.
If you must exercise within the first day or two after getting lip fillers, try to stick to walking or other light activity. Try to exercise early in the morning, late in the evening, or in an air-conditioned climate to avoid the heat.


Can you Kiss after Lip Filler?

It is important to let your body rest and heal after a lip filler treatment. Therefore, it is recommended that you avoid activities such as kissing for 48 hours after receiving lip injections.
Kissing can put a lot of pressure on your lips, causing pain, swelling, and bruising. Kissing can also increase your risk of infection by introducing bacteria to the injector sites.
Other activities, such as drinking from a straw, sleeping on your face, massaging the area, or having dental procedures done can carry the same risks. Avoid any activities that put pressure on your face or cause irritation after getting lip fillers.


Can you Wear Makeup after Lip Filler?

can you wear makeup after lip filler

Be sure to keep the injection area very clean to avoid any risk of infection. Keep your face clean and use a gentle skincare routine. Avoid wearing lipstick and other makeup around your lips until they have healed.

If you must put any sort of lip product on within 48 hours of your lip fillers, be sure to use only new, clean products and apply them very gently. Don’t leave lip products on longer than necessary and clean your lips after wear.

Some patients may not like the look of their swollen lips, but others may enjoy the plump, fuller look. If you find that you enjoy a fuller-looking lip and are disappointed with the results once the swelling goes away, talk to your doctor about getting a top-up injection to increase the fullness of your lip filler.


Make an Appointment for Lip Filler in NYC today!

At Great City Medical, our medical professionals are trained in providing top-quality cosmetic treatments. They are ready to help you look and feel your best.

When you are looking for a lip augmentation procedure, skip the plastic surgeon and use injectable lip fillers instead to get the beautiful, natural-looking, full pout you’ve always dreamed of.

If you are in New York, call us and make an appointment for your consultation for lip fillers today!


July 13, 2021 Women1

Botox injections are a very popular anti-aging treatment for both men and women. Botox is great for reducing the signs of aging and can even prevent fine lines and wrinkles like crow’s feet from forming in the first place. Botox can take years off of your appearance!

Botox injections are a quick cosmetic treatment with virtually no downtime after. Injections can be performed by our medical professionals at Great City Medical in New York City.

While there is no downtime and little risk of side effects of Botox, there are a few key do’s and don’ts after your appointment. The biggest concern post-Botox injection is facial bruising. Luckily, there are some things you can do to minimize the risk of facial bruising.

If you receive Botox injections with us, here is everything you need to know to give yourself the best Botox aftercare.

Can you Wash your Face after Botox?

You can wash your face after getting Botox. It is important to keep your face clean, especially around the Botox injection sites, to avoid any irritation or risk of infection. Just be very careful when washing your face.

Use gentle cleansers only. Avoiding massaging or scrubbing your face, as this can cause irritation. Instead, use a light touch when washing your face. To avoid heat exposure, use warm or cold water instead of hot.

Avoid any additional facial treatments, such as massages, chemical peels or microdermabrasion, within 24 hours of your appointment.

You may also wish to avoid using makeup and other topical creams like Retin A for at least 24 hours after botox injections.

How Soon after Botox can I Exercise?

It is best to avoid any strenuous exercise for at least 24 hours after getting a Botox injection for several reasons.

Physical activity increases your blood flow, which can cause the Botox to break down more quickly. It is better to let the Botox settle first so the skin tightening effects have time to take place.

Strenuous activity also increases your blood pressure. Increased blood pressure can also increase swelling in the face. There is the chance of swelling around the injection sites, so it is best to avoid strenuous activity for 24 hours or until any swelling from the injection subsides.

Finally, exercising can cause you to sweat. Sweat can increase your risk of infection and irritate the injection sites. To avoid sweating, it is best to also avoid using saunas, sunbathing, or other exposure to heat for 24 hours after getting Botox.

In most cases, excising after 24 hours post-Botox injection should be fine. If you can, waiting up to a full week to exercise post-injection is recommended. This will allow plenty of time for your Botox to settle, optimize your results, and significantly decrease your risk of any side effects from exercise.

If you do need to exercise after getting Botox, try to stick to light exercise such as walking. Consider exercising when temperatures are lower or indoors in an air-conditioned space to keep heart rate and sweating low.

Are there any Foods or Drinks I Should Stay away from after Botox?

There are no foods or drinks that you need to avoid when getting Botox and no special diet is required. However, some food, drink, or supplements can increase your risk of bruising so you may wish to avoid them in the days immediately before and after your appointment.

It is recommended to avoid drinking alcohol, especially red wine, for 24 hours before and 24 hours after your procedure. Drinking alcohol has been shown to increase your risk of bruising and can cause you to be dehydrated. Dehydration can negatively affect recovery.

You may also wish to avoid drinking excessive caffeine before or after your appointment, as caffeine can also cause you to be dehydrated and can increase your heart rate. As with strenuous exercise, increased heart rate and blood flow can cause the Botox to break down more quickly before the skin tightening effects have time to take place.

Foods containing garlic and supplements like vitamin e have also been shown to increase the risk of bruising.

Are there any Medications I should Stay Away from After Botox?

Avoid taking blood thinners for 24 hours before or after your Botox appointment, unless recommended by your doctor.

Also avoid taking aspirin or NSAID pain relievers (such as ibuprofen) for 24 hours before or after getting Botox. These painkillers can act as blood thinners.

Blood thinners all increase your risk for bruising or bleeding after your injection.

Instead, Tylenol is recommended for managing any pain and swelling.

You may also wish to use arnica gel around the injection sites several times per day for the first 24 hours to reduce the risk and appearance of bruising.

Key takeaways for Botox aftercare

• DO ice the treated areas
• DO gently wash your face
• DO drink plenty of water
• DO take Tylenol if needed
• DO use arnica gel if needed
• AVOID additional facial treatments, like massage or chemical peel
• AVOID drinking alcohol or excessive caffeine
• AVOID taking blood thinners and NSAID pain relievers
• AVOID strenuous exercise or excessive sweating
• AVOID heat exposure

Book an appointment for Botox injections today!

At Great City Medical, our medical professionals provide appointments for Botox, dermal fillers, and other non-surgical cosmetic procedures.

We can work with you to achieve and maintain the youthful appearance you’re looking for. Skip the plastic surgeon! Add Botox to your skin care routine and get the best NYC Botox treatment now!

Schedule an appointment with our medical professionals today.


July 13, 2021 Women1

Hyaluronic acid lip fillers like Juvéderm Ultra XC are a very popular lip enhancement product that creates a fuller, youthful, more defined pout.

Hyaluronic acid lip fillers are long-lasting, natural-looking, and safe for most people. The procedure is quick, there is no downtime after, very few side effects, and aftercare is very easy!

At Great City Medical, our doctors provide top-quality, non-surgical lip augmentation procedures like lip fillers and other cosmetic treatments in just 30 minutes or less.

While lip injections are a quick and easy cosmetic procedure (especially compared to plastic surgery), there are definitely some do’s and don’ts after getting a filler treatment. Follow these lip filler aftercare instructions and avoid a few key things to get the best results for your new lips.

Can you Eat After Lip Fillers?

can you eat after lip filler

Yes, you can eat after lip fillers with a few considerations.

If you received a numbing treatment, it is best to wait until the numbing has worn off before eating. Eating while numb can be very difficult and dangerous, but luckily the numbing should wear off in a couple hours or less.

Avoid foods that are messy or hard to eat. You want to keep your face clean and avoid rubbing or wiping your face, so stick to foods that are easy to eat. You also may want to avoid stretching or pursing your lips to much.

It is also recommended to avoid very salty or spicy foods. Salty or spicy foods can irritate the lips and cause you to touch or rub your lips.
Keep your lips clean and stick to foods that are easy to bite and chew.

Drink plenty of water. Do not drink from a straw, as puckering your lips can put pressure on your lips and cause pain and swelling. Otherwise, there are no restrictions on what you can eat after lip fillers.

Can you Smoke or Drink After Lip Fillers?

It is best to avoid drinking alcohol or smoking for 24 hours after getting lip fillers.

Alcohol can act as a blood thinner, which increases the likelihood of bruising, inflammation, and swelling. Drinking alcohol can also dehydrate you, and it is recommended to drink lots of water and stay hydrated after getting lip filler.

Smoking has been shown to increase your risk of infection after getting lip fillers, so it should be avoided. Smoking also causes your lips to pucker, which can apply pressure on the lips and be painful after injections. Try to avoid smoking for at least 24–48 hours after getting lip fillers.

Can you Shower After Lip Fillers?

There are no restrictions on showering after getting lip filler injections. Keep your face clean to decrease the risk of infection. But there are a few considerations.

Use gentle, unscented skincare products and cleansers. Be careful when washing around your face. Avoid exfoliation products. Do not touch your lips directly when showering.

Avoid hot temperatures. Use lukewarm water in your shower and avoid using steam rooms, saunas, or hot tubs. Hot temperatures can increase blood flow and blood pressure, which can worsen swelling and bruising. Sweating can also irritate the lips.

Can you Kiss After Lip Filler?

Kissing can apply a lot of pressure to the lips and increase risk of infection (there is a lot of bacteria in the mouth!), so it is best to avoid kissing for 48–72 hours after getting lip filler treatment. Your lips will probably be a bit tender and swollen, so kissing might not be that appealing anyway!

Massaging the lips should also be avoided.

Once your lips have had some time to heal, kissing is fine and there should be no impact on this activity.

Can you Exercise After Lip Filler?

can you exercise after lip filler

Strenuous exercise should be avoided for 24–48 hours after getting lip filler.

Increased physical activity and body temperature can cause blood flow to the lip area, worsening any swelling, bruising, or discomfort. Sweating during exercise can introduce bacteria to the lip area and increase your risk of infection at the injection sites.

Sweating can also cause dehydration, so be sure to drink lots of water to replace any fluids.

If you must exercise within the first day or two after getting lip fillers, try to stick to walking or other light activity. Try to exercise early in the morning, late in the evening, or in an air-conditioned climate to avoid the heat.

Can you Take Painkillers After Lip Filler?

Painkillers like Tylenol are generally fine to manage any pain or swelling after getting lip filler. NSAID pain relievers like ibuprofen or Motrin should be avoided because they also act as blood thinners, which can increase bruising and swelling.

Arnica cream may be used to decrease bruising in the treated area. Vitamin e supplements can worsen bruising, so they should be avoided for a couple of days after injection.

The best treatment to manage any pain and swelling is to ice the lips. Gently apply an ice pack wrapped in a towel or cloth several times per day.

Key Takeaways for Lip Filler Aftercare

key takeaways for lip filler aftercare

• DO ice your lips
• DO keep your lips clean and shower carefully
• DO take Tylenol if needed
• DO eat easy-to-eat foods and drink plenty of water
• DO make a follow-up appointment with your doctor if you have any questions or concerns
• AVOID strenuous exercise
• AVOID high temperatures
• DON’T take NSAIDs or blood thinners
• DON’T smoke or drink alcohol
• DON’T drink with straws
• DON’T touch your lips
• DON’T kiss or massage your lips

Get Lip Filler today!

At Great City Medical, our medical professionals provide lip filler injection appointments and other cosmetic procedures.

We want to help you get the beautiful, natural-looking, full pout you’ve always dreamed of.

If you are in New York, call us and make an appointment for lip fillers today! You’ll love the final result!


April 25, 2021 Women

Getting pregnant and starting a family is an exciting and important decision in a woman’s life, but it can sometimes be difficult. You might have a lot of questions preconception about how to have a healthy pregnancy. Our NYC ob/gyns are ready to help answer your questions and make your pregnancy journey as easy as possible for you and your little one. 

In the meantime, here are some answers to a few of the most frequently asked questions about getting pregnant and what affects fertility.

What lifestyle changes should I make?

Whether you are just considering getting pregnant or have been trying for a while, it is a great idea to talk to your health care provider about lifestyle changes you can make to increase your chances of conceiving and having a healthy pregnancy. 

Even if you don’t intend to get pregnant any time soon, it is important to have family planning conversations with your doctor or gynecologist to be sure you are informed about your reproductive health and how lifestyle choices can affect your chances of conceiving.

Having a healthy diet and eating nutrient-dense food is important for every one, but women considering getting pregnant may especially want to follow a healthy diet. Getting lots of protein and nutrient-dense fruits and veggies can be critical lifestyle changes if you want a healthy menstrual cycle and to get pregnant. 

It is also important to be at a healthy weight, have low blood pressure, and exercise regularly, but strenuous exercise or over exercising should be avoided. Over excising can lead to decreased progesterone production and even amenorrhea (loss of your period).

In addition to a healthy diet, supplements such as prenatal vitamins and folic acid are important to take preconception. These supplements can help prepare your body to support conception and healthy growth and development of the baby. Your gynecologist can help determine what vitamins and levels of supplementation are best for you to take.

If you are thinking of getting pregnant, it is best to also consider reducing or stopping any alcohol, drug, cigarette, and caffeine consumption. It is best to avoid these substances while pregnant or trying to conceive for both your health, your reproductive health, and the health of the baby.

You may also want to consider the health and beauty products that you use, as well as other products you use around the home. Some products may expose you to harsh chemicals, hormones, or other substances that might not be recommended for pregnant women.

Finally, it is a good idea to reduce stress as much as possible and get lots of restful sleep.

Talk to your doctor about these questions and evaluate what lifestyle changes you might need to make if you are considering getting pregnant or having trouble conceiving.

What health conditions affect my chances of getting pregnant?

There are several women’s health conditions that may affect fertility, such as PCOS, endometriosis, STDs, ovulation disorders, irregular periods, thyroid problems, uterine or cervical abnormalities such as fibroids, diabetes, autoimmune disorders, and more.  

Fertility does decrease as you get older. Women over the age of 35 are more likely to have trouble conceiving, although not all women will necessarily have issues getting pregnant. If you have any concerns about your fertility, you can also receive fertility testing to determine if you have a normal ovarian reserve and are healthy enough to conceive.

If you have a medical history or family history of any of these conditions or are over the age of 35, you should speak with your obstetrician or fertility specialist about your options for getting pregnant, and if fertility treatments such as IVF might be required. 

Does my partner’s health affect my chances of getting pregnant?

Yes, your partner’s health can affect your chances of getting pregnant! To increase your chance of getting pregnant, your partner should take care of their reproductive health too and talk to their doctor about any existing medical conditions or family history of health issues. 

There are many similar lifestyle changes that your male partner can make to increase fertility.

Being a healthy weight and eating a nutrient-dense diet is not only good for you, but it can increase the health of the man’s sperm as well. It is a great idea to start eating healthy and working out together as a couple to make sure your reproductive health is great.

It is also a good idea to cut back on alcohol and drug use and smoking. These substances can decrease sperm count and health, decrease testosterone production, and affect fertility. It is also best for you to avoid second-hand smoke and being around these substances.

And just like it is good for you to reduce stress and get lots of sleep, your man can benefit from this as well!

Finally, it is best to avoid sources of high heat, such as saunas, steam rooms, hot showers, and hot tubs. Extreme hot environments can reduce sperm count and increase infertility.

If I’m on birth control, how soon should I stop?

If you are on any type of birth control but want to get pregnant soon, you should talk to your gynecologist about when you should stop taking birth control and how long after stopping until you can safely try to get pregnant. 

If you are taking the pill, you might be able to stop right away. If you have an IUD or implant device, you may be able to stop soon but will need to make an appointment to get it removed.

Luckily, most birth control methods allow you to try to get pregnant shortly after stopping and you should not face any long-term effects. Your regular menstrual cycle should return quickly. 

Schedule a preconception checkup 

Discuss these questions and more with our obstetrics specialists so that you are prepared once your are ready to conceive. We will review your health history and help you determine the best lifestyle changes you can make before starting a family. Schedule your preconception visit with us today!



April 24, 2021 Women

Birth control pills, also known as “the pill,” is a very popular oral contraceptive used to prevent pregnancy. The pill is a very effective form of birth control when taken regularly. It is 99% effective at preventing pregnancy with perfect use, and approximately 91% effective with almost perfect use — which is a more realistic number for most women. 

The better you are at taking the pill every day, the more effective it will be, but no method is 100% perfect so it is important to learn more about the pill and proper birth control. This article answers some FAQs about the birth control pill and how to know if the pill is working for you.

What is the Birth Control Pill?

The birth control pill is type of hormonal birth control that needs to be taken orally at the same time every day. It is a very small, round pill that is easy to swallow. Some pills are even chewable!

Combination birth control pills work by delivering a small dose of estrogen and progestin that signals to the body to reduce or stop ovulation, to thicken the cervical mucus to prevent sperm from entering the uterus, and to thin the lining of the uterus to reduce the likelihood that an egg would be able to attach to the uterine lining if it were fertilized. 

There are also progestin-only pills, known as the mini-pill, that are a better option for some women, including women who are breastfeeding, are at high-risk for blood clots, or who cannot otherwise take estrogen.

In addition to preventing pregnancy, the pill can lighten or stop your menstrual cycle, help reduce hormonal acne, reduce painful cramping, reduce the risk of ovarian and cervical cancer, treat endometriosis, as well as other reproductive health benefits.

Birth control pills often come in a pill pack that includes four weeks of pills. There is usually three weeks (21 days) of active pills and one week (7 days) of inactive pills or placebo pills. Some pill packs can include 24 days, 90 days, or even up to 365 days of active pills. The active pills and inactive pills are often different colors so it is easy to keep track of where you are in the cycle.

Most women will have a menstrual cycle or spotting while taking the inactive pills and may experience some spotting if taking a pill pack with a longer active pill section.

How Do you Know if the Pill is Working?

Based on what type of pill you are taking and when you start, your doctor can help you figure out how long it will take for your pill to start working.

It can take up to seven days for the combination pill to be effective and up to two days for the progestin-only pill to be effective at preventing pregnancy after you take the first dose. If you have intercourse during this time period after starting the pill, be sure to use another form of contraception to be sure you are protected against unintended pregnancy. 

There might not be any obvious external signs that the pill is working, but if you are taking it at the same time every day and not experiencing any adverse side effects then the pill should be effective.

If you are using the pill for other reasons, such as controlling irregular bleeding or hormonal acne, it can take up to four months to see signs that the pill is working. Be patient as your body adjusts to the new treatment and stay consistent with taking it regularly.

Long-term signs that the pill is working might include clearer skin, regular periods, and lighter and less painful periods.

Is it Possible for Birth Control to Not Work?

With perfect use of the birth control pill, it is possible but very unlikely to have an unintended pregnancy. Unintended pregnancies while on the pill can be serious and in case of ectopic pregnancy life-threatening, so call your NYC gynecologist or women’s health professional right away if you have missed a period or think you might be pregnant. Your doctor can discuss emergency contraception and pregnancy test options with you.

Of course, sometimes you forget a pill. If you forget a pill, take it as soon as you remember. If you missed a whole day, take the previous day’s pill plus your regular dose. Be sure to use a backup method of contraception or abstain from intercourse until you’ve gotten back on a regular regimen with your pill pack. It is a good idea to set calendar reminders or an alarm on your phone to help you remember to take your pill each day.

It is recommended to always use a backup birth control method while on the pill, such as condoms, especially if you have any missed pills. It is also important to use a barrier method of birth control, such as condoms, to protect against sexually transmitted infections (STIs). 

How Do you Know if your Birth Control isn’t Working for You?

There are many different types of birth control pills so it is possible you will need to try a couple different kinds before you find the one that is right for your body. If you’re experiencing negative side effects from the pill, you may need to switch to another type of pill with different hormone dosages.

If you are experiencing any side effects, such as headaches, nausea, irritability and mood swings, breast tenderness, or abnormal spotting or breakthrough bleeding, speak with your health care provider about your birth control options. These side effects are common and can usually be resolved by a doctor.

If you don’t think birth control pills are working for you and you are interested in trying another method, ask your health care provider about other birth control options such as a hormonal intrauterine device (hormonal IUD), a non-hormonal copper IUD, or a vaginal ring such as the NuvaRing. These options are great for women who struggle with taking the pill on a regular daily basis because they are inserted into the body rather than taken orally. The vaginal ring can be used for three weeks at a time and IUDs can last for years.


February 10, 2021 Women

There are several doctors that women should see annually to ensure general wellness and prevent future health concerns. The most important doctors a woman should see every year should be her primary care physician and her gynecologist. However, there are a few other doctors, like dentists and dermatologists, that women should also see regularly. Keep reading to learn what type of doctor a woman should see annually and how these regular visits contribute to overall wellness and disease prevention.

Scheduling a Visit with your Primary Care Physician

Most people know they should have a yearly physical exam with their primary care provider (or PCP) to ensure they are in good health and keep track of any known risk factors before becoming more pressing concerns. Visiting your primary care doctor regularly is a great way to prevent major illnesses and build a comprehensive medical history that can follow you to every specialist you see.

Most PCPs are family medicine doctors or general physicians, which means that they can perform a wide range of medical functions. Your yearly physical generally starts with measuring your vital signs like pulse rate, blood pressure, height, and weight. These key indicators are the first signs of the state of your health and can help the doctor assess your wellness during your checkup. Keeping a record of these vital signs means your doctor can track any changes that may indicate the onset of illness, giving them the opportunity to act proactively. 

Since most people visit their PCP regularly, these doctors are usually well-versed in your family history. They can provide guidance regarding hereditary conditions like high cholesterol, high blood pressure, cancer, or diabetes. If you have a family history of these illnesses and start to show risk-factors that could progress, your doctor may order some tests or give you a referral to follow-up with a specialist.

For example: If you’re over 45 or have a family history of colon cancer, your primary health doctor will likely refer you to a gastroenterologist to get a colonoscopy. This regular cancer screening isn’t an annual requirement, and most people only need to have one every ten years. However, you might need them more frequently if you have a family history of colon cancer.

Your yearly physical exam also is an opportunity to bring up any concerns about your health. For example, you can discuss mental health concerns like depression or fatigue with your doctor. Telling your doctor about these troubles can put you on a path to finding the right mental health professional for you, so you can start building a plan to feel better.

Your Yearly Visit With Your Gynecologist

Most women start having regular gynecologic appointments after puberty to make sure they have a full picture of their reproductive health. Generally, a woman should see her gynecologist every year for a regular pelvic exam. This routine check-up is essential for staying well and preventing disease in the future. 

Your yearly exam with an ob/gyn will include some of the same features as an annual physical, including the gathering of vital signs like blood pressure, height, and weight. After that, your doctor will do an internal pelvic exam, which usually includes a pap smear. This procedure involves scraping the cervix to collect cells that are sent for testing. Results from a pap smear can be used to diagnose sexually transmitted infections like HPV. It can also be used to detect cervical cancer and other abnormalities.

Of course, gynecologists also oversee the prescribing and use of birth control. Doctors don’t prescribe hormonal birth control just for contraception. Women can also use it to manage hormone levels. If you use hormonal birth control, your doctor may add a round of blood tests to your yearly check-up to ensure that your levels are consistent.

While a gynecologist is a doctor who specializes in women’s health, an obstetrician is a kind of doctor that takes care of pregnant women. Many doctors combine these specialties as ob/gyns. All three of these doctors are overseen by the American College of Obstetricians and Gynecologists, making sure that these doctors are practicing with the best information and care for their patients.

Other Doctors You Should See Regularly

While you may already see your primary care physician and NYC gynecologist annually, there are a few other doctors you should visit regularly. These doctors fit into a holistic healthcare plan that treats your whole body, preventing mild symptoms from becoming more significant concerns.


Visiting a doctor accredited by the American Dental Association is a great way to make sure that you’re taking care of an integral part of your health. While most people see their dentists several times a year for cleanings, it’s essential to visit at least once a year for regular x-rays of your mouth and preventive services. Poor dental hygiene is linked to health concerns outside of the mouth, such as heart disease, diabetes, and certain types of cancer. A regular dental exam can be an early screening for different types of health issues. 


Most women know that dermatologists are important for preventing signs of aging, but they also serve an essential role in preserving your overall health. Many dermatologists do skin cancer screenings as part of their regular checkups, which can help prevent melanoma, which is one of the most dangerous cancers in women. Several other health concerns have risk factors that show in your skin, like liver complications or diabetes, so visiting a dermatologist for an annual visit is a great way to ensure your well-being.


You should schedule regular eye exams even if you have 20/20 vision. Living with an incorrect eyeglass prescription (or not having glasses when you need them) can headaches or result in dangerous situations while driving. Annual visits with your optometrist can also prevent eye disease, ensuring that your future always looks bright.

Visiting the Doctor During the Covid-19 Pandemic

Every doctor is well-versed in the signs and symptoms of Covid-19 and is doing everything they can to prevent the spread of coronavirus. Some doctors have noticed their patients are avoiding regular appointments during the pandemic to avoid visiting medical offices. This is causing a secondary healthcare crisis, as people aren’t engaging in the preventive care needed to prevent significant health issues.

If you’re worried about transmission of the coronavirus during regular checkups, call your doctor’s office ahead of time and ask them about the measures they’re implementing to ensure all patients are safe from the virus. Personal health practices like wearing a mask and washing your hands are generally enough to ensure your well-being and make sure you can get the health screenings you need to stay well.

If you haven’t had a checkup in a few years, finding a new provider can be a stressful experience. However, it doesn’t have to be. If you reach out to us at Great City Medical, we can get you scheduled for an annual exam with one of our primary care doctors or gynecologists to get you on a long-term healthcare plan that will serve you for years to come. We believe that regular wellness appointments don’t have to be stressful or inconvenient. Contact us today to learn how we can help you get on the path to better health.

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February 10, 2021 Women

Most experts recommend that women have both an annual physical and yearly visit to the gynecologist to ensure their overall health and wellbeing. However, it can seem overwhelming to keep track of so many doctor visits throughout the year. If you’re worried about frequently going to the doctor, you might wonder if it’s possible to combine your yearly checkups into one with a visit to your NYC gynecologist.

Generally speaking, it’s best to have both a primary care physician and a gynecologist. This is because gynecologists and ob/gyns specialize in women’s health and may not provide care for more general medical conditions. Having both a primary care doctor and a gynecologist is a great way to build a health team prepared to assist you in all stages of your life.

Keep reading to find out how gynecologists and primary care physicians differ and how you can make the most of your regular healthcare visits with them.

The differences between a Gynecologist and a primary care physician 

Gynecologists and primary care physicians have different specialties that help them treat their patients. Here is what you need to know about these specific doctors so you can tell the differences between them. 

Gynecologist or OB/GYN

Gynecologists are doctors that focused on women’s health, or gynecology, during their residency after medical school. These doctors can cover a wide range of women’s health concerns, from prescribing contraception to regular checkups and hormonal monitoring.

Gynecologists may share their practices with obstetricians, who focus on pregnancy, labor, and delivery. These doctors can provide pre-pregnancy health checks, such as ultrasounds of the ovaries and uterus, or consultations throughout pregnancy. Your obstetrician will likely work with you throughout your entire pregnancy and may even deliver your baby.

Primary Care Doctors

Primary care physicians (or PCPs, which most people call them) are doctors with the broadest range of specialization. Most primary care doctors focus on internal medicine or family medicine as a specialty, which gives them the versatility to be a one-stop-shop for most healthcare needs. 

Most people will go to their PCP before seeing a specialist when something goes wrong. That’s because these general practitioners can handle anything from a cold to diabetes and joint pain. However, a primary care doctor’s real value comes from yearly physical exams where they can offer preventative services like monitoring vital signs and cholesterol screenings.

Pediatricians are specialized primary care doctors for children, but they can provide medical guidance for the whole family as family medicine doctors. These medical professionals can provide vaccinations and immunizations for common illnesses like chickenpox or measles. Regular visits to your child’s pediatrician are a great way to build a robust medical history that can help them later in life.

Should I have a primary care physician and a gynecologist?

While there may seem to be some overlap between primary care physicians and gynecologists, it’s typically a good idea to have both of them as part of your care team. Since these two doctors are relatively specialized, they provide the best care when performing services in their specialty.

Having both a PCP and a gynecologist helps ensure that all of your specific care needs are met before they become more significant health issues. 

Should I see a gynecologist or regular doctor?

If you’re not sure what kind of doctor you should see, there are a few things you can consider before making your appointment. Are you interested in getting advice regarding birth control, menopause, or other reproductive health concerns? In that case, you should reach out to an ob/gyn.

Suppose you’re worried about something more general, such as a cold, or are interested in a yearly physical, or are looking for more general medical advice. In that case, it might be best to visit a primary care physician or general practitioner. 

You shouldn’t worry about picking the wrong doctor when it comes to medical care. If you accidentally go to the wrong doctor, it’s generally not a big deal. Both general practitioners and ob/gyns can provide referrals to another specialist to ensure you get the best care. For example, while primary care providers may provide some guidance during pregnancy, they are not experts. Your doctor may suggest you follow-up with an ob/gyn for more specialized care, like monitoring fetal development or testing for genetic defects.

Similarly, your gynecologist may recognize that you have high blood pressure while taking your vital signs during an appointment. Since they do not specialize in internal medicine outside of women’s health, they may refer you to an internist to ensure that there is no underlying cause of heart disease. Your gynecologist may also refer you to a dermatologist if they notice a rash during a physical exam.

Can a primary care physician do a pap smear?

Some primary care physicians can do exams that a gynecologist would typically do during your yearly physical. If you’re interested in getting a pelvic exam or pap smear as part of your regular wellness check, ask your doctor if they provide that service. 

Typically, a family practice doctor will provide these services if they see younger patients. However, if they tend to work with older patients, they may not offer these services. It’s important to ask a general practitioner if they will perform well-woman exams, such as breast cancer screenings, pelvic exams, and pap smears, before building a relationship with them, so you know what to expect during your yearly visits.

Even if your PCP does provide these services, you should still consider having a full-time gynecologist specializing in women’s healthcare. If any of the test results done by your general practitioner come back suspicious, your doctor may refer you for a gynecological consultation for further investigation. 

Your health can’t be guaranteed by just one doctor, which is why you need both a gynecologist and a primary care physician. While your gynecologist can give you great insights into your health, you still need a PCP to provide guidance for more general health issues. Many women have a closer relationship with their gynecologist than their PCP, making it attractive to use them as their sole medical professional. 

It’s important to realize that even the best ob/gyn may have limited resources when treating conditions outside of reproductive health. Going to a gynecologist for chest pains or a cold is not ideal, and you might not get the best care. That’s why you need to have a full team of health professionals in your corner to ensure that you get the best care possible.

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I went to Great City Medical for an immigration medical exam. Very friendly staff! The lady who worked with me was so sweet, explained everything and answered all my questions. I spent 15 min in my first visit there (blood work and fill out forms).Bring your immunization records to avoid extra charges for vaccine shots.UPD: I received I-693 in a sealed envelope as well as a copy of I-693. The whole process was smooth and straightforward.
Ksenia K
Ksenia K
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Amazing service and fast !!!
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Our experience was great we had great service and would recommend anyone with immigration medical examination to try this service. Thank to Great City Medical.
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The wait was a little long, but worth it. They were great. Very nice ladies😁
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Nicanor N.
Nicanor N.
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From the front desk to the medical assistant, to the lab, and down to the doctor and whoever you passed by, it was excellent customer service. It was topnotch. I think the entire staff took extra customer service classes.Even the way they accommodate those who do not speak clear English is impressive. I must confess, I have never seen nor experienced such courtesy, patience and civility amongst healthcare professionals.The quality of service was also excellent. Very humble people. The doctor, very humble, accommodating, and HIGHLY professional.I’m glad I found this place. I highly recommend! 👍
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Bevelynn T.
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21:11 06 Apr 23
Always good service and kind people over there. I had 3 year’s going to there and I had good service with good doctors. Thank you for all the staff.
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Yaneth P.
22:45 05 Apr 23
As a holistic & integrative practitioner, my PCP, Dr. Marly Grana is Amazing, has ALWAYS been & Is totally Respectful, Wise, patient, Gifted, extremely Understanding & smart treating me!Her staff, from the front desk-to-the-back is always accommodating & Extremely Professional as well!The facilities are clean.I’m blessed to have been invited to this new establishment when they began building.In this community, I’m fortunate to visit Amazing Acupuncturists, & GrowNYC.Sometimes it’s a win-win excursion.The gynecologist & her NP, on the other hand, does not support my insightful wholistic approach to healing & sustaining.
Bonita B.
Bonita B.
21:03 05 Apr 23
This is the best doctor office I have ever been ,the staffing it’s so professional and welcoming specially patricia I love her she’s amazing. My doctor Mikhail AkselRuD it’s the best ,he always give all the details about what you have and what treatment you need god bless all of them.
adalgisa S.
adalgisa S.
00:04 31 Mar 23
Great staff and service. Dr. Tsyba is the best!
Jackie L.
Jackie L.
20:05 30 Mar 23
Fast service, understanding. My Questions were answered and I felt very comfortable. Will definitely go again for follow up. Many blessings 🙌 🙏
Juanita E.
Juanita E.
23:17 29 Mar 23
I had a deadline to submit my I-693 and Great City medical came through just right for me. Timely and speedy process and the best customer service nurses I’ve experienced.
Ralph M.
Ralph M.
14:06 24 Mar 23
I received such courteous and expedited services from Great City Medical, Staff was so friendly and helpful, The best for immigration medical forms!!
gayle W.
gayle W.
15:15 22 Mar 23
Great service. Fast turnover. Reasonable prices. Highly recommend for immigration services.
Ania P.
Ania P.
16:20 15 Mar 23
Una atención muy buena, gracias por su ayuda, en especial a Antony , me aclaro todas las dudas. Muy buena atención
Martha Echeverri I.
Martha Echeverri I.
18:12 10 Mar 23
La doctora y todos los que me atendieron muy amables y educados
virginia F.
virginia F.
22:51 21 Feb 23
Siempre están para uno ! El personal es muy amable y servicial y mi Doctora siempre dispuesta ayudarme , gracias Marly grana por siempre estar ahí para mi 🙏
21:53 20 Feb 23
I’ve been using Great City Medical for more than 5 years now. I use their services because their staff is professional, and Drs Grana and Axelrud are caring, compassionate, thorough and take their time. The facility is spotless and clean. They follow up and make referrals when necessary. There are always patients but never overcrowed or long wait times. What more do you need? They’ve got it all!! I highly recommend them.
21:13 14 Feb 23
I really appreciate you guys
deboria G.
deboria G.
20:21 13 Feb 23
Todos bien.,Me la atención de mi doctora y las muchas son muy amables.
Mildred E.
Mildred E.
22:12 09 Feb 23
Been going to Dr. Yelena Tsyba for my Reproductive health for years, I see her and/or other medical staff/NPs who are just as wonderful and attentive as her I feel comfortable with them all. Im grateful to have found Great City Medical and wont change them for the world. They take great care of me, their clinic is clean and cozy, and their bedside manner and staff is exceptional!
Shay L.
Shay L.
15:20 08 Feb 23
Excelente atención
18:02 24 Jan 23
I think Dr. Akselrud’s bedside manner is exceptional. It mimics the hospitality depicted in movie, s yet rarely experienced in actual life. As such, I appreciate his expertise and welcome his opinion regarding my health and well-being.I consider him to be a Grade A physician without question!
latia H.
latia H.
20:23 19 Jan 23
Me gusta mucho ir a esta consulta todos son muy profesionales y amable.
Aurys H.
Aurys H.
17:21 13 Jan 23
It was a good experience.
Randy G.
Randy G.
21:29 12 Jan 23
They are so polite and pay very close attention. They know how to make you feel comfortable.
aggie U.
aggie U.
19:35 06 Jan 23
The place is very clean and nice and staff is very professional the doctors are Great I have been going there for few years now all is good
04:37 06 Jan 23
Gilberto P.
Gilberto P.
20:55 04 Jan 23
Excelente servicio
Paola A.
Paola A.
18:03 20 Dec 22
friendly staff 🙂 and its a quick transaction. thank you
Mark Anthony L.
Mark Anthony L.
21:39 14 Dec 22
My experience is always top notch here! Thank you…
18:58 07 Dec 22
These team of professionals are the best, so happy they are taking care of me.
Elsa N.
Elsa N.
21:46 06 Dec 22
They are very professional and treat with care.
Uptothe T.
Uptothe T.
19:31 05 Dec 22
I saw Dr. Yelena Tysba and she was very professional and courteous. She took her time with me and listened to my concerns. In addition, she was very gentle during my procedure and was very knowledgeable on various gynecological conditions. The ultrasound tech, Pat, was also very professional. During my ultrasound she was very kind, patient, and gentle. The two receptionist at the front desk and the nurse were also very professional while making my follow up appointment. I have been to this doctor’s office before and her diagnosis was accurate. I would recommend the GYN office to my family and friends.
Mary S.
Mary S.
22:09 01 Dec 22
Excellent service it’s a lot better than what it used to be and I am grateful for that.. doctor is wonderful.. and the PCA’s that work there are the best all of the women are caring and patient.. they make you feel welcomed..🙇‍♂️
Thomas R.
Thomas R.
22:30 28 Nov 22
Awesome service & very professional staff. I highly recommended this place.Specially Patrisha she is so helpful.Thank you so much!!
21:43 28 Nov 22
Everyone at the office is always very pleasant. The office is always clean, which is always top on my list. The doctor is always very thorough when explaining herself and also takes her time with you. I would highly recommend great city medical.
Luisa M
Luisa M
16:36 23 Nov 22
It was a great visit.
Willie E. A.
Willie E. A.
18:57 17 Nov 22
This is the best clinic I’ve been! The nurses and doctors treat you with kindness. They are all super friendly. Will definitely keep doing my check ups here!
Yikaury H.
Yikaury H.
23:56 15 Nov 22
I’ve been coming here for years and my doctor shows true concern about all my health issues staff here are also great
Trina M.
Trina M.
23:35 10 Nov 22
My visit was very quick for the first time I didn’t have to wait,
23:21 09 Nov 22
Great service.
Diego V.
Diego V.
21:16 07 Nov 22
Todos el personal es muy amable gracias
Tony D.
Tony D.
23:52 02 Nov 22
Great hospital
Fatoumata K.
Fatoumata K.
20:02 02 Nov 22
Professional, clean, not wait depend on time schedule appointment. I love evening hours appointment that do rush morning when traffic lot cars out there. I get keep my same doctor when Montefiore Oscar because not in New York so happy that my doctor professional his work, losing 200 pounds so happy after 410 for longest time. My diabetic 2 improve so much went from 8.9 too 5.7 that very jump. So his staff for very professional, and polite with me.
Bevelynn T.
Bevelynn T.
20:38 28 Oct 22
Very professional and friendly. Offices and waiting rooms are always clean, the employees work fast and effectively. They make sure your comfortable and understand what’s going on.
18:26 28 Oct 22
Very nice always very professional
Madeline C.
Madeline C.
23:52 25 Oct 22
Great experience each time I go . Professional clean and very respectful office. Staff always pleasant. Doctors very caring.
Juanita R.
Juanita R.
17:40 05 Oct 22
Amazing staff. Little to no wait time. Worth the experience was in and out within a heart beat and all my questions and concerns were answered. MA and Doctor made me feel really comfortable. 10/10
Fatoumata K.
Fatoumata K.
22:17 04 Oct 22
Muy buena atención y el personal muy amable.
Linet Leyva B.
Linet Leyva B.
18:28 03 Oct 22
Great attentions !!!!!👍🏼👍🏼👍🏼👍🏼
Jonathan S.
Jonathan S.
17:15 12 Sep 22
I have a great experience this was my first time and I recommend the staff are all welcoming
Oneisha R.
Oneisha R.
19:55 09 Sep 22
I’m very happy that I choose this clinic for my medical exam for green card. I was afraid about my not perfect english and that I can’t understand everything correctly but all nurses and doctor were very patient and attentive. All procedures were made very professional and quick.
iren H.
iren H.
19:28 08 Sep 22
Very Professional Thanks
Saury G.
Saury G.
21:02 07 Sep 22
I love they how the staff was really friendly to me. Making me feel more comfortable with my visit, just love how pretty the place was and clean💕.
Andala M.
Andala M.
21:30 06 Sep 22
Great service. The intake with the nurse was pleasant and fun. The time with the doctor was very comfortable, she listened very attentivet all my concerns, she was very gentle and professional.They have late afternoon appointments wich is a plus.The final step was the scheduling of the next appointment wich was fast!My mom was right to recommend her and I recommend them as well.
Juana G.
Juana G.
22:07 30 Aug 22

Doctor in New York City

Looking for a primary care provider in New York City that you can depend on? Make your appointment with the physicians at Great City Medical by calling (212) 281-8600


68e 131st Street Suite 100, New York, NY 10037

Phone: (212) 281-8600

Monday: 9am-5pm
Tuesday: 9am-5pm
Wednessday: 9am-5pm
Thursday: 9am-5pm
Friday: 9am-5pm


1513 Voorhies Ave 3rd Floor, Brooklyn, NY 11235

Phone: (212) 281-8610

Wednessday: 9:00AM-5:00PM
Thursday: 9:00AM-5:00PM


68 East 131st Street, Suite 100
New York, NY 10037

Call us anytime

Phone: (212) 281-8600
Fax: (212) 281-8601

Patient Portal

Copyright © 2020 Great City Medical. All Rights Reserved.

Copyright © 2020 Great City Medical. All Rights Reserved.