1. Home
  2. Service

Sun Damage – Photorejuvenation, Skin Resurfacing

There are several treatments available for sun-damaged skin. These include:

CHEMICAL PEELS

SkinCeuticals Gel Peel, Jessner’s, Mesoestetic Cosmelan Pack

  • Customized for your skin type to target hyperpigmentation, uneven texture, loss of elasticity, lines and wrinkles

FIBROBLAST THERAPY with PLASMA PEN

  • Plasma Pen is the most advanced, non-invasive, skin rejuvenation device used to treat discolorations, wrinkles, and sagging skin by stimulating production of collagen and elastin in the skin

GLOBAL SKIN REJUVENATION

Aerolase, GentleMAX

  • ND-Yag lasering technology gently and effectively targets a variety of skin concerns including pigmentation, giving the skin a luminous glow with no downtime

IPL (INTENSE PULSED LIGHT)

  • Light-based therapy that rejuvenates while improving the overall appearance of the skin for a clear, radiant, even-toned complexion
  • Repairs the look of photo-aging freckling, age spots, blotchiness, irregular pigmentation and broken capillaries
  • Improves redness, sensitivity and flushing of the face, neck, and/or chest.

MESOPUNCTURE

  • Bio-stimulatory peptides stimulate collagen to create volume in the skin and antioxidants and amino acids create an anti-inflammatory effect that encourages healing and optimal rejuvenation and uniform pigmentation

MICRONEEDLING RADIOFREQUENCY (RF) VIVACE, GENIUS

  • Minimally invasive procedure that uses radiofrequency energy to precisely deliver heat into the deeper layers of the skin for new collagen stimulation. Ideal for fine wrinkling of the skin, lifting.

PHOTODYNAMIC THERAPY

  • FDA-approved treatment for pre-cancerous skin lesions, including actinic keratosis and early skin cancers including superficial basal cell carcinomas and squamous cell carcinomas
  • Evens out skin texture and minimizes imperfections. Normalizes acne and rosacea-prone skin

PRP (PLATELET RICH PLASMA)

  • Cutting-edge therapy that harnesses the body’s own growth factor-rich platelets, injected or micro-needled into the skin for optimum repair

RESURFACING LASER TREATMENTS

Clear & Brilliant Non-Ablative Resurfacing, Fraxel DUAL Non-Ablative Resurfacing, Coolpeel CO2 Resurfacing, Lumenis UltraPulse CO2 Ablative Resurfacing

  • Stimulates new collagen synthesis for a radiantly smooth complexion
  • Promotes skin repair and regeneration
  • Minimizes the appearance of pores, discolorations, fine lines and wrinkles
  • Reduces pore congestion to eliminate acne and prevent it from forming

 

 

Sun Protection

Sunscreen should be worn every day, regardless of the weather or season. Sun exposure occurs all day long, through clouds, through regular glass windows of our homes and cars, and in the time spent walking to the grocery store or driving in the car.

Limiting sun exposure, by wearing hats/gloves/sun protective clothing and avoiding exposure between 10am-2pm, is essential. You should wear sunscreen every day on exposed areas (i.e., face, neck, V-neck, chest, hands/forearms, and legs) for both skin cancer protection and defense against photo-aging.

SPF (Sun Protection Factor) is defined as a ratio of time in the sun required to sunburn with sunscreen on to the length of time in the sun required to burn without sunscreen.

  • SPF30: blocks 96.7% of ultraviolet radiation
  • SPF50: blocks 98% of ultraviolet radiation

Choose a daily sunscreen that is at least SPF30 (if you have dark skin) or SPF40-50 (if you have light skin) and has both UVA and UVB (i.e. broad spectrum) coverage. If you have a personal or family history of skin cancer, or if you are often outdoors, consider using a sunscreen with higher than SPF 50.

There are two basic types of sunscreen:

  • Mineral sunscreen (physical blocker):

physically blocks ultraviolet radiation. Active ingredients include zinc oxide or titanium dioxide.

  • Chemical sunscreens:

contain special chemicals that absorb ultraviolet radiation such as oxybenzone, avobenzone, ecamsule, padimate O,PABA, octyl methoxycinnamate, octyl salicylate, phenylbenzimidazole sulfonic acid, homosalate, octisalate, octocrylene, octinoxate.

There are now many different types of sunscreen products, and it is recommended that you choose one that matches your daily activities and/or skin-type.

For face: UVA/UVB (broad spectrum) coverage higher than SPF30 is recommended

  • There are now many facial moisturizers that contain sunscreen, and this is adequate for regular daily use if the majority of your day is spent indoors and/or out of direct sunlight. Re-apply the sunscreen every few hours throughout the day.
  • Choose a non-comedogenic (non-pore clogging) sunscreen with zinc oxide and/or titanium dioxide if you have acne-prone skin or if you experience skin irritation with other chemical-containing sunscreens. Consult your doctor if sunscreens cause persistent significant skin irritation, or if you believe that you have a sunscreen allergy.
  • There are now several powder-based products containing mineral sunscreens that can be applied over moisturizer or make-up. Tinted (skin-colored) products are available.

For lips: lip-balm containing SPF30 is recommended

For body: UVA/UVB (broad spectrum) coverage greater than SPF50 is recommended

  • lotion, cream, gel is recommended over spray
  • consider using SPF30-50 UV-blocking articles of clothing as an alternative to sunscreen

What about sun protection for sports and outdoor activities?

For water sports, a wetsuit or UV-proof (SPF50) water jersey is recommended. Other sun-exposed areas require special sunscreens that will stay on in the water or after sweating. They need to be reapplied often, especially after sweating, toweling off or after extended periods of time when skin is immersed in water.

  • Very water resistant sunscreens: SPF is maintained after 80 minutes water immersion
  • Water resistant sunscreens: SPF is maintained after 40 minutes water immersion

 

 

Treatments for Aging Skin

The natural aging process can be divided into photoaging and structural aging. Structural aging has two components – gravitational and volumetric. As a result of structural aging, shape and facial proportions change.

Age associated structural changes include:

  • Dermal thinning and loss of elasticity
    • Photoaging and exposure to environmental pollutants are associated with reduction in collagen and elastin leading to clinically visible as fine lines and wrinkles

Therapy Options: sun protection, topical retinoids, chemical peel, microdermabrasion, intense pulsed light (IPL), photodynamic therapy (PDT), non-ablative and ablative lasers 

  • Gravitational aging
    • Leads to drooping of the skin
    • Common manifestations include rhytids, grooves, wrinkles, and jowls (“sags and bags”)

Therapy Options: BOTOX®, Dysport®, fillers, neck and jowl liposuction, contour thread lift, S-lift, blepharoplasty, facial implants, brow-lift, CO2 and erbium: YAG laser resurfacing, Thermage®

  • Volumetric aging
    • Leads to development of deep hollows and furrows and thinning of the face
    • Loss and redistribution of fat
      • Loss of temporal fat resulting in loss of natural convexity
      • Loss of lateral cheek (malar, zygomatic) fat leading to sagging and soft tissue loss in the mid face
    • Skeletal and bone remodeling
      • Decreased brow support leading to sagging eyebrows
      • Increased orbit size
      • Sunken maxilla

Therapy Options: fillers, autologous fat transfer, facial implants

Soft tissue injections can be used in many ways to address your individual concerns. Areas of possible augmentation include:

  • Lateral eyebrows to provide adequate brow support, “brow lift” and shaping
  • Periorbital volumizing diminishes appearance of infraorbital hollows, under-eye dark circles
  • Nose – shape and structural irregularities can be address by non-surgical filler rhinoplasty
  • Nasolabial fold – facial “parentheses”, the lines that run from the nose to the corner of the mouth
  • Chin – shape and structural irregularities can be addressed by non-surgical filler chin implant
  • Lips – soft tissue fillers are used to fill in and augment thin lips. Improve border and volume.
  • “Marionette lines” – sad, downward expression that appears at the corners of the mouth with advanced age
  • Lift up jowls or plump up volume along the jawline where definition has been lost.
  • Acne and depressed scars
  • Static wrinkles – wrinkles at rest, caused by aging, overexposure to the sun, environmental exposures and/or cigarette smoking

While it is not a soft tissue filler, botulinum derivatives BOTOX® and Dysport® are very popular injectable treatments that work synergistically with fillers for wrinkle treatment and overall facial rejuvenation. 

BOTOX® cosmetic and Dysport® are meant for “dynamic” wrinkles that are caused by repeated muscle movements and increase the effects of fillers that actually plump up wrinkles and facial depressions. Soft tissue filler and BOTOX®/Dysport® injections can be performed on the same day, during a single session.

There are a variety of treatments available to improve the appearance of damaged skin:

  • Dermal fillers, or soft-tissue fillers, can be injected into the skin to fill areas that look hollowed or wrinkled such as nasolabial folds, marionette lines, under eye dark circles.
  • Botox®/Dysport® –a purified form of botulinum toxin, is injected into targeted facial muscles to prevent and correct wrinkles related to certain repeated facial expressions (such as squinting, smiling or frowning).
  • Chemical peels are chemical solutions that, when applied to skin, remove damaged outer layers, leaving smoother contours and an overall improved appearance. Chemical peels have many dermatological uses, including the treatment of wrinkles, brown age spots and scars.
  • Intense pulsed light (IPL) photofacial is effective in removing age spots, freckles, fine wrinkles, broken capillaries, telangiectasias (red, purple or blue small veins on the face), hemangiomas, sun damage and some flat birthmarks. IPL might also be useful in reducing facial flushing and redness.
  • Photodynamic therapy (PDT) with Levulan® is a two-step FDA-approved procedure for the treatment of precancerous actinic keratoses and superficial basal cell skin cancer. Off-label uses of PDT include treatment of acne, rosacea, sebaceous hyperplasia and skin rejuvenation.
  • Laser resurfacing effectively removes the epidermis and a portion of the dermis, thereby removing unwanted epidermal changes and initiating regeneration of new epidermis, collagen, and elastic tissue. In addition, heat deposition offers the additional benefit of tissue tightening and collagen shrinkage. This translates clinically into the smoothing out of superficial irregularities, including wrinkles, acne scars, age spots, seborrheic and actinic keratoses as well as tightening the skin and improving overall appearance.
  • Liposuction is a way to reduce visible effects of aging by removing unwanted fat deposits that don’t respond to diet or exercise. Common target areas include the face, chin, neck, hips, and buttocks.
  • Dermabrasion is a common treatment in which the top layer of skin is abraded so that a new, smoother layer grows in its place. It’s used for many skin conditions, including acne and acne scarring, skin cancer, and photoaging.
  • Microdermabrasion is a minimally invasive, superficial resurfacing procedure that gently scrapes away the most superficial damaged and aged layers of the skin to trigger the growth of a new healthy epidermis.
  • Topical retinoids have been shown to reduce fine wrinkles, uneven pigmentation and other signs of chronic sun damage.
  • Unwanted facial and body hair can be removed through laser hair removal.
  • “Cosmeceutical” are products containing biologically active agents designed to reduce the signs of aging, such as alpha-hydroxy acids, anti-inflammatory agents and/or antioxidants.
  • Topical moisturizers

Topical Retinoids

Topical retinoids are the cornerstone of skin care. Retinoids are a class of chemical compounds derived from vitamin A. Clinically, retinoids reduce the appearance of fine lines and deep wrinkles, reduce pore size, and are helpful in evening pigmentary changes (brown spots).

The over-the-counter form of retinoid is called retinol.  Retinols are available without prescription in pharmacies and at cosmetics counters.

To obtain the much-stronger version, retinoic acid, you will need a doctor’s prescription. The biological strength and activity of retinoic acid (Tretinoin, Differin, Retin-A Micro, Atralin) is 100 times that of retinol.

Here are some tips on introducing a retinoid product with minimal side effects.

  • Use retinoids at night.
  • When you first start using a retinoid, apply it every other night or every third night. Increase frequency to every night as tolerated.
  • Wash the skin with cool or lukewarm water. Do not use hot water.
  • Cleanse skin with a non-detergent gentle cleanser. Pat skin dry.
  • Wait 20 minutes before applying a topical retinoid.
  • Apply a pea-sized amount of medication to the entire face by dotting around the face and then gently connecting the dots with your fingertips. Only a very thin layer of retinoid is needed.
  • Avoid application near the eyes and lips, as this can cause irritation and scaling. Do not rub the retinoid preparation in vigorously.
  • Apply moisturizer with sunscreen SPF 30 or higher anytime you are in the sun even for a short amount of time. Retinoid may make you more susceptible to sunburn.

If you are experiencing mild irritation or dryness, you may try the following strategies to minimize irritation:

  • Decrease frequency of use
  • Wash the medication off after 1 hour of application
  • Apply a non-comedogenic (not clogging pores) moisturizer after 1 hour of retinoid application.
  • Avoid astringents and abrasive products.
  • If you experience severe irritation, discontinue retinoid use and wait until irritation completely resolves before restarting retinoid.

Skin Aging Basics

The face, the most expressive part of our body, is also the most exposed to environmental factors, and therefore ages faster than the rest of the body. The facial aging process can be divided into two broad categories: photoaging/textural aging and structural aging. As a result of photoaging, brown age spots (liver spots) and coarse wrinkles develop on sun-exposed areas. On the other hand, with structural aging, the face shape and facial proportions change. For best results, both environmentally induced and age-associated structural changes should be addressed simultaneously.

Age-associated changes in the skin

Dermal Thinning and Loss of Elasticity

There are many factors associated with the reduction in collagen and elastin that can lead to clinically visible fine lines and wrinkles. Among them are: photoaging (related to sun exposure); exposure to UVA, UVB, and infrared sun radiation; chronological aging; smoking; and exposure to environmental pollutants.

Therapy Options

Sun protection, cessation of smoking, healthy diet, and an appropriate skin care regimen with topical retinoids are cornerstones of the therapy. Other beneficial procedures include chemical peels, microdermabrasion, intense and pulsed light (IPL), BroadBand Light (BBL), photodynamic therapy (PDT), and non-ablative and ablative lasers.

Dr. Reszko’s Tip: More aggressive laser treatments are usually associated with increased downtime, but offer greater clinical benefit with fewer treatments.

Textural Irregularities

Benign and premalignant and malignant growths, acne scars, dilated pores, and enlarged oil (sebaceous) glands may give the skin irregular texture and a less desirable appearance.

Therapy Options include: surgical removal of growths, chemical peel, microdermabrasion, non-ablative and ablative lasers.

Dr. Reszko’s Tip: Consult a physician prior to the removal of any skin lesion. Superficial melanoma may camouflage as a skin freckle, and basal cell carcinoma may be easily mistaken for a benign mole, proliferation of sebaceous glands or even a skin tag.

Pigmentary Changes

A youthful face demonstrates uniform pigmentation. Photoaging results in the appearance of freckles, sunspots, and melasma or other darkened patches. In addition, photoaging can contribute to the development of prominent blood vessels visible on the surface of the skin and vascular lesions, appearing as tiny blood-filled blisters, or even a constant flush of facial redness.

Therapy Options: Sun protection and an appropriate skin care regimen with topical retinoids are key. Other beneficial procedures include chemical peel, microdermabrasion, IPL, BBL, vascular (PDL) and pigment targeting lasers (Q- switched NdYAG), photodynamic therapy (PDT), non-ablative and ablative lasers, resurfacing lasers.

Gravitational Aging

This leads to the drooping of the skin, manifesting in the development of lines, grooves, wrinkles, and jowls (“lines, sags, and bags”).

Therapy Options: botulinum products (BOTOX®, Dysport®, Xeomin®), fillers, neck and jowl liposuction, contour thread lift, S-lift, blepharoplasty, facial implants, brow-lift, ablative CO2 and erbium: YAG laser resurfacing, skin tightening technologies (Thermage®, Ultherapy®).

Volumetric Aging

Facial volume loss combines with inelastic, aging skin that is unable to accommodate underlying structural changes, leading to the look of a “deflated balloon.” This leads to the development of deep lines, hollows, furrows, and thinning of the face. The loss and redistribution of fat in the temples results in the loss of natural convexity of the area. Loss of lateral and mid-face cheek fat leads to sagging and soft tissue loss in the mid face. Bone remodeling also plays a role. Decreased lateral brow support leads to sagging eyebrows, sunken maxilla (upper jaw) and deepening of nasolabial folds (“laugh lines”).

Therapy Options: fillers, own (“autologous”) fat transfer, facial implants.

Photodynamic Therapy for Acne

Photodynamic Therapy™ (PDT) is a simple two-step treatment protocol for the treatment of moderate to severe acne and skin photorejuvenation.

Levulan®  PDT with continuous Blue light (Blu-U) or red light kills acne-causing bacteria in the skin, exfoliates the skin to unclog pores and reduces capabilities of oil-producing glands in the skin. PDT can help patients who have failed or are unwilling to take Accutane.  In addition to acne, PDT treatments can help treat acne rosacea, sebaceous hyperplasia and improve the appearance of some acne scars. PDT decreases oiliness of the skin and improves skin texture and smoothness by minimizing pore size.

Photodynamic therapy (PDT) involves the use of photochemical reactions mediated through the interaction of photosensitizing agents (Levulan®, ALA, 5-aminolevulinic acid), light and oxygen. PDT is a two-step procedure.  In the first step, the thin layer of photosensitizer is applied to the affected skin. In the second step the photosensitizer is activated in the presence of oxygen with a select wavelength of light (Blu-U, red).  Because the photosensitizer is preferentially absorbed by inflamed and damaged skin and the light source is directly targeted on the lesional skin Levulan®  PDT achieves dual selectivity, minimizing damage to adjacent healthy structures.

A clear liquid called Levulan® Kerastick® is applied to the skin.  After a selected period of time (incubation period) the skin will be exposed to a blue light called a BLU-U.

 

Indications

The only FDA-approved indication for Levulan® PDT in dermatology currently is the treatment of actinic keratoses (AKs). Common off-label uses include the treatment of superficial basal cell carcinoma (sBCC), photoaging, and squamous cell carcinoma in situ (Bowen disease). 

 

Forms:

levulan pdt consent form

Pre-procedure instructions

Post-Photodynamic Therapy (PDT)form

Post-procedure instructions

Post-Photodynamic Therapy (PDT)form

Microdermabrasion

Microdermabrasion is a minimally invasive, superficial resurfacing procedure designed to manually abrade the skin. Microdermabrasion may increase epidermal thickness, decrease epidermal pigment production and potentially affect upper dermal collagen matrix remodeling.

Complications of microdermabrasion are infrequent and generally mild.

Indications for microdermabrasion include:

  • Irregular skin pigmentation (dyschromia)
  • Fine lines and wrinkles
  • Superficial scarring including acne scarring
  • Superficial texture irregularities
  • Acne
  • Photoaging (sun-related skin aging)

Microdermabrasion is contraindicated in patients with an active infection (bacterial or viral) within the treatment area.

Microdermabrasion is generally performed as a series of treatments approximately 3 to 4 weeks apart. Depending on the condition being treated, roughly 4 to 8 treatment sessions may be recommended. Optimal results may not be achieved until several treatments have been completed. Periodic “maintenance” treatments may be needed after the initial series. Some degree of redness is commonly seen with each treatment and redness usually lasts for up to two days.

Deeper problems, such as severe wrinkles, are unlikely to be substantially improved. Patients should discontinue topical retinoids and alpha-hydroxyacid containing products at least 3 days prior to each treatment. Topical retinoids and alpha-hydroxyacids can be resumed once the erythema and any perceived sensation of skin irritation have subsided.

Patients with a positive history of herpes simplex virus (HSV, herpes labialis) may require antiviral prophylaxis.

Patients with a positive history of herpes simplex virus (HSV, herpes labialis) may require antiviral prophylaxis.

Forms:

microdermabrasion_consent_form (PDF)

PRE-TREATMENT INSTRUCTIONS

  • Do not take isotretinoin (Accutane) for one month before your treatment. Do not take Oracea, Doxycycline or topical retinoids (Renova, Retin-A, Atralin, Ziana, Refissa, Tazorac, Differin) for one week prior to treatment.
  • Do not apply makeup or lotions on the day of your treatment, or be prepared to remove them at our office.
  • If you have a history of cold sores (herpes simplex virus, HSV, herpes labialis), take your medication (e.g., Valtrex, Famvir, Zovirax) as prescribed.
  • Inform us before each treatment session if you
    • take any new medications
    • developed allergies to new medications
    • have beauty marks that you do not want treated
  • Inform us immediately if the area being treated feels hot, painful or burning.

POST-TREATMENT INSTRUCTIONS

For a few hours after treatment, you may experience redness, slight swelling and a “sunburned” feeling.

To achieve the best results and minimize the risk of complications:

  • Apply non-comedogenic moisturizer (CeraVe, Cetaphil) at least 2 times a day or as often as needed when your skin feels dry.
  • If you plan to be outdoors, driving or in close proximity to windows, apply sunscreen with SPF of 30 and higher. Avoid prolonged sun exposure between 10 AM and 3 PM.
  • In caring for the treated areas, use a gentle soapless cleanser like CeraVe, Cetaphil until healing is complete. Avoid scrubbing or using a washcloth.
  • DO NOT PICK OR PEEL OR SCRATCH the treated area as permanent scarring may result.
  • Do not undergo any other treatments in the same area for at least 14 days after the microdermabrasion treatment.
  • You may apply cosmetics a day after microdermabrasion treatment unless a blister or a superficial ulcer develops.   If a blister, a superficial ulceration or a scab develops, apply an antibiotic ointment, Bactroban, until the blister dries or new skin forms. Do not pick the blister or a scab because a scar may form.
  • Restart topical retinoids 7 days after the microdermabrasion treatment.
  • Ice packs and cool compresses can help to reduce post-procedural discomfort and swelling.
  • To limit post-peel swelling, sleep on your back with your head elevated on a few pillows for the first few nights.

Call our office 646-759-8449 if any problems, questions, or concerns arise.

IPL

Intense Pulsed Light (IPL) photorejuvenation is a new method to rejuvenate and improve the overall appearance of the skin for a more even skin tone and radiant complexion. IPL provides gradual improvement over 2 to 4 treatments, spaced at 3 to 4 week intervals with very low risk, little discomfort and no downtime. IPL treatments are safe and effective for application on the face, neck, chest and hands.

The IPL photorejuvenation system treats a wide range of skin conditions, including:

  • Photoaging or sun-related skin damage
  • Freckling, brown age spots, skin blotchiness and irregular pigmentation
  • Broken capillaries, telangiectasias (small dilated superficial blood vessels)
  • Redness and flushing of the face, neck and/or chest
  • Rosacea; many people with rosacea see an improvement in facial redness, skin sensitivity, number and duration of rosacea “breakouts”
  • Melasma
  • As an adjunctive procedure to laser resurfacing, chemical peeling, microdermabrasion, Botox®, Dysport®, fillers and other non-ablative treatments.

PRE-TREATMENT INSTRUCTIONS

  • Do not take isotretinoin (Accutane) for one month before your treatment. Do not take Oracea, Doxycycline or topical retinoids (Renova, Retin-A, Atralin, Refissa, Ziana, Tazorac, Differin) for one week prior to treatment.
  • If you are tanned please reschedule your appointment.
  • Do not apply make-up or lotions on the day of your treatment, or be prepared to remove them at our office.
  • If you have a history of cold sores (herpes simplex virus, HSV, herpes labialis), take your prescribed medication (e.g., Valtrex, Famvir, Zovirax) as prescribed.
  • Inform us before each treatment session if you
    • take any new medications
    • developed allergies to new medications
    • have beauty marks that you do not want treated
  • Inform us immediately if the area being treated feels “too hot”.

POST-TREATMENT INSTRUCTIONS

For a few hours after treatment, you may experience redness, slight swelling and a “sunburned” feeling. Pigmented areas may appear darker. Superficial pigmented lesions darken, dry, and slough off in 7 to 10 days.

To achieve the best results and minimize the risk of complications:

  • Apply non-comedogenic moisturizer at least 2 times a day or as often as needed when your skin feels dry.
  • If you plan to be outdoors, driving, or in close proximity to windows, apply sunscreen with SPF of 30 and higher. Avoid prolonged sun exposure between 10 AM and 3 PM.
  • Use a gentle soapless cleanser like CeraVe, Cetaphil until healing is complete. Avoid scrubbing or using a washcloth.
  • DO NOT PICK OR PEEL OR SCRATCH the treated area as permanent scarring may result.
  • Do not undergo any other treatments in the same area for at least 14 days after the IPL treatment.
  • You may apply cosmetics a day after IPL treatment unless a blister or a superficial ulcer develops. If a blister, a superficial ulceration or a scab develops, apply an antibiotic ointment Bactroban until the blister dries or new skin forms. Do not pick the blister or a scab because a scar may form.
  • Restart topical retinoids 7 days after the IPL treatment.
  • Ice packs, cool compresses can help to reduce post-procedural discomfort and swelling.
  • To limit post-peel swelling, sleep on your back with your head elevated on a few pillows for the first few nights after the treatment.

Forms:

IPL consent form PDF

Pre-Treatment Form PDF

Post-treatment Form PDF

Call our office 646-759-8449 if any problems, questions, or concerns arise.

 

Fat Reduction

The truSculpt™ system is quickly becoming a gold standard for non-invasive radio frequency (RF) face and body sculpting.  RF energy allows for deep tissue heating that promotes

  • non-invasive removal of fat
  • tightening of the overlying skin
  • improve the appearance of cellulite

MUSCLE TONING AND FAT REDUCTION

NEW Emsculpt®

  • FDA-approved non-invasive muscle stimulation and fat removal that targets localized pockets of fat.
  • Average 16% increase muscle mass and 19% reduction of fat after 4 treatment sessions
  • Recommended treatment areas: abdomen, buttocks, thighs, arms, legs

 

Clear + Brilliant And Permea

Clear + Brilliant is gentle, safe, fractional laser technology that may help prevent and address early signs of aging skin such as fine lines, skin discolorations and loss of radiance. It’s comfortable, fast and effective.