Most people struggle with stubborn pockets of fat in some place on the body, such as a double chin, armpit bulge, belly pooch, love handles, banana roll and many more. Unfortunately, these pesky fat collections may not resolve even with the strictest of diets and exercise plans. This can be extremely frustrating for patients who have implemented these lifestyle changes to improve their overall physical appearance and emotional well-being, without the success they hoped for. Fortunately, advances in technology have led to the invention of non-surgical, FDA-approved fat reduction therapies that can help tackle this issue.
To find out whether a non-surgical fat reduction treatment can help give you the results you are seeking, visit Dr. Hooman Khorasani at our New York City practice. To request a consultation, text message us securely, or contact our Manhattan office by phone at 212-230-3378.
truSculpt iD is a non-invasive body contouring treatment that utilizes radiofrequency energy that provides clinically-proven results tailored to your personal aesthetic goals. This newcomer to the body sculpting market far outpaces its predecessors CoolSculpting® and SculpSure®, as multiple research studies have demonstrated that truSculpt iD destroys a greater percentage of fat cells in a shorter period of time than these competing devices. Always pursuing the best possible treatment options for his patients, Dr. Khorasani constantly invests in acquiring and mastering the latest technologies. Consequently, he has extensively studied and evaluated truSculpt iD’s mechanism, efficacy, and clinical technique to provide you with optimized, personalized results.
Kybella®, or deoxycholic acid, is another FDA-approved and non-invasive therapy that can help reduce unwanted collections of fat. This injectable therapy is directly administered to the target areas and dissolves unwanted fat under the skin in a matter of minutes. Deoxycholic acid is a naturally occurring substance in our body and is an important component of the fluid excreted via the biliary system during digestion. It helps our body with dissolving fatty acids after the ingestion of a high-fat meal. The fat-melting powers of Kybella are FDA-approved to specifically treat a double chin; however, Dr. Khorasani’s commitment to advancing therapeutic options available to his patients has led to his pioneering work in using Kybella off-label to successfully treat other problem sites as well. As such, Dr. Khorasani is able to work with your specific health profile and aesthetic goals to create a non-invasive treatment plan tailored to your needs.
Armed with an arsenal of non-invasive fat reduction treatments, Dr. Khorasani and his staff can help you banish unwanted fat that refuses to budge. These therapies can also be used to help fine-tune previously attempted body contouring procedures to achieve an ideal level of symmetry. Regardless of your particular aesthetic objective, we will work with you as a team to transform your goals into reality.
Although excess fat in these areas is frequently attributed to weight gain, there are many other factors that can cause these problems. Genetics is one such culprit, along with the natural aging process. Even your posture can contribute to developing these conditions! Since the causes of these unwanted fat pockets are multifactorial, diet and exercise may not be enough to eliminate them entirely.
truSculpt iD is an innovative and non-invasive fat reduction treatment that harnesses monopolar radiofrequency energy to melt fat that is sandwiched between the skin and muscle layers. Using truSculpt iD’s proprietary technology, heat is evenly distributed to the entire fat layer being treated while simultaneously protecting your skin’s surface. A single 15-minute treatment, on average, destroys approximately 24% of your fat cells in the target area.
Aside from its clinically-proven efficacy, truSculpt iD treatments are tailored to the needs of each patient. Six individual handpieces allow for treatment that is customized to the individual curves of your body and, if desired, targeting multiple areas simultaneously. Efficient targeting of the radiofrequency energy leads to treatments that are shorter in duration and more comfortable than other body sculpting devices like CoolSculpt or SculpSure. Patients can, therefore, treat their love handles, belly pooch or banana rolls all in one short, comfortable session with minimal to no downtime. Dr. Khorasani has experience working with both the CoolSculpt and Sculpsure devices and has come to the conclusion that truSculpt iD may be more effective and is reported to be more tolerable than these older competitors.
TruSculpt iD is best suited for patients who are engaged in an active and healthy lifestyle, but still can’t shake problem areas like the armpit bulge, belly pooch, muffin top, love handles, banana roll, etc. It is important to note that non-surgical fat reduction is not a substitute for a weight-loss program or treatment; rather, it compliments and enhances the results of consistent exercise, a healthy diet, and/or surgical interventions.
Depending on the size and number of areas being treated, the procedure requires twenty to thirty minutes to complete. This time accounts for the ten to fifteen minutes needed to place and secure the handpieces to your body. Many patients liken the procedure to a “hot-stone massage” as the radiofrequency energy selectively heats the targeted fat. We will remain with you for the entirety of the treatment and will adjust the device settings as needed to provide you with an optimal fat burning level. If at any point the heat sensations become uncomfortable, please be sure to let us know. We will be able to immediately lower the heat settings if necessary and/or provide you with other comfort measures. One option includes our in-office Pro-Nox system which employs nitrous oxide (“laughing gas”) to reduce the experience of pain. Pro-Nox can be self administered by you, as needed, to address any discomfort.
One truSculpt iD session yields, on average, the destruction of 24% of the fat cells in the targeted area. These demolished fat cells are then slowly removed by the body over time. Visible differences in body contour are first appreciated approximately six weeks after your treatment. Maximal results will usually be reached within three months following therapy. Although some patients will achieve their aesthetic goals with one treatment, other patients may opt for multiple sessions to compound their results.
Once the fat cells are destroyed and removed following treatment with truSculpt iD, they are permanently eliminated. Consequently, the results of truSculpt iD last indefinitely if you are diligent in maintaining a healthy lifestyle and stable weight.
The targeted technology of truSculpt iD allows for maximum fat reduction with no downtime. Some patients may experience redness and/or sensitivity in the treated area; however, these effects should subside within a few hours. As dictated by your personal comfort, you may resume your normal activities (including exercise) immediately after treatment.
Kybella is the first and only FDA-approved injectable treatment used to dissolve fat beneath the skin’s surface. The medication first received approval in 2015 and has since become a staple of modern cosmetic practices. The main active ingredient in Kybella is a naturally occuring compound in our body called deoxycholic acid. Deoxycholic acid plays a major role in our body’s ability to dissolve fatty acids after the ingestion of a high-fat meal. This same molecule also has the ability to dissolve fat cells and their contents in other parts of the body. In addition to the immediate liquefaction of fat, Kybella also helps to prevent future accumulation of fat by destroying the cellular storage sites in the areas that are targeted.
During your treatment visit, Dr. Khorasani will carefully mark the areas to be treated and overlay it with a grid-like patterned stencil. After numbing the treatment zone, each section of the grid will receive a small injection of Kybella directly into the fat cells. The number of injections per treatment varies according to the target area, but typically ranges from twenty to thirty injections. Most patients will require two to five treatments, spaced six weeks apart, for optimal results. Fortunately, the pay-off from these injections is steep, as once the fat is removed, you will remain fat-pocket free forever.
Since its FDA-approval in 2015, Dr. Khorasani has studied and worked extensively with Kybella to help non-surgical patients achieve their aesthetic goals. His commitment to advancing therapeutic options available to patients has led to his pioneering work in using Kybella off-label to successfully treat other problem sites in addition to the double chin. As such, Dr. Khorasani is able to work with your specific health profile and aesthetic goals to create a non-invasive treatment plan tailored to your needs.
The ideal candidate for treatment with Kybella is someone with a minimal to moderate amount of fat and good skin elasticity. If you have previously undergone other treatments or surgery in these problem areas, please disclose this information to Dr. Khorasani so he can determine a treatment plan that is most appropriate for you. Women who are pregnant or breastfeeding cannot receive treatments with Kybella.
1. Kybella does not treat loose skin (Visit our Skin Tightening page to learn more about procedures to treat loose skin)
2. Kybella does not treat platysma (neck) bands (Visit our Non-surgical Face and Neck Lift page to learn more about treatment for severely pronounced neck bands or our Wrinkle and Line Reduction page if you have mildly pronounced neck bands)
3. Kybella does not treat enlarged salivary or thyroid glands
The results of Kybella are progressive and additive, meaning that they improve over time and with multiple treatments. The targeted fat cells gradually disappear over the course of four to six weeks, at which time you will observe a visible improvement in the treated area. The benefits of Kybella last far longer than the initial result, as the destruction of fat cells prevents the future storage of any additional fat. Therefore, you can expect to have improved contouring of the treated area for multiple years after completing your treatments.
Expect to be with us for about an hour. The actual treatment itself will span thirty to forty minutes, which encompassess the marking process, local injections with lidocaine (numbing medication), and the Kybella injections.
Following the injection of the numbing solution (which may sting for five to ten seconds), you should not experience any pain; however, you may continue to feel sensations of pressure from the injections. If at any time during the procedure this pressure becomes too uncomfortable, please inform Dr. Khorasani and he will provide you with additional measures to ensure your comfort. One option is our in-office Pro-Nox system which employs nitrous oxide (“laughing gas”) to reduce anxiety and the experience of pain. Pro-Nox can be self administered by you as needed, to address any discomfort.
Aside from its efficacy, patients love Kybella treatments because they are associated with little downtime. However, in the first few days after treatment, you will experience significant swelling and redness as well as some tenderness in the treated area. This swelling and redness is due to the inflammatory response induced by the destruction of fat cells by deoxycholic acid. Inflammation, however, is critical to the success of Kybella therapy, as this process helps remove the liquified fat cells from the treatment area. These effects peak within forty eight hours after treatment, but can last up to fourteen days.
Other less common side effects of treatment may include soreness, numbness and bruising. Fortunately, these resolve shortly after treatment. Male patients are advised to take care while shaving their neck as this area might be numb for a few weeks. You are free to resume normal activities immediately after treatment, as dictated by your own comfort level. We do, however, recommend avoiding exercise for twenty-four hours following your visit.
As with any cosmetic treatment, be sure to plan your procedure so that it does not coincide with any major events. Please remember that there will likely be noticeable swelling for a few days, so this treatment should be planned at least two to three weeks before an important event. In anticipation of treatment in highly visible areas like the double chin, we encourage you to purchase a turtleneck, high-necked sweater, or thin scarf to cover the swelling during the recovery period.
Additionally, if permitted by the prescribing physician, be sure to avoid any blood thinners (ibuprofen, aspirin, etc.) for at least 7 days prior to your treatment. Smoking should also be avoided as it will slow down your healing process and may compromise your outcome.
Evoke is a brand-new, non-invasive technology used for structural renewal of the facial and submental tissue, meaning the face, neck, and cheeks. By remodeling these areas, patients will see a youthful, vibrant, and tightened appearance. The best part of Evoke is that it is a completely customized treatment, tailored specifically to you and your needs — all without any downtime.
The Evoke treatment uses a hands-free facial applicator to send bipolar radio frequency energy through the lower cheeks, neck, and jawline. The energy penetrates deep into the tissue to rejuvenate the skin and subdermal tissue for more defined facial features and a tighter, refined profile.
The ideal candidate for Evoke is someone with minimal to moderate loss of skin elasticity in the facial area. It is designed to address sagging skin in the jowls and neck.
It is recommended for patients who are looking for non-invasive facial remodeling. What is great about Evoke is that it can be used on all skin types and skin tones.
Evoke technology uses the first hands-free applicators in the industry, designed to lift and tighten the cheeks, jowls, and neck. It uses the power of radio frequency energy to heat either the demis or the subcutaneous tissue depending on the temperature selection. The heat stimulates collagen production in the dermis. The heat can also breakdown fat cells during optimal conditions. For instance, the dermis is the main target when lower temperatures are used (40-41℃) during a short treatment time (approx. 25 min). The subcutaneous tissue is targeted when higher temperatures are used (42-43℃) during a longer treatment time (45 min). Therefore, Evoke may be used for both skin tightening and fat reduction in order to achieve a natural-looking, restored facial appearance.
Not at all. During the treatment patients may experience a warming of the skin, similar to a facial. The process is quick and pain-free, and can be done over a lunch break. The device is designed with a patient call button so that the treatment can be paused at any time, just in case adjustments need to be made to the settings.
Dr. Khorasani will work with you to determine the number of treatments that will deliver the optimal results. Most patients will require four 45 min treatments for fat reduction. Treatment times and frequency are specifically tailored to each patient, however you will begin to see gradual improvement after the first couple of sessions.
Easy. There is no recovery period or downtime.
As a quadruple board-certified, fellowship-trained cosmetic and skin cancer surgeon, Dr. Khorasani has spent over a decade helping patients banish unwanted fat through surgical interventions like liposuction. In 2015 and 2018 respectively, Kybella and truSculpt iD revolutionized this area of medicine to allow non-surgical patients to achieve their aesthetic goals too. Committed to helping patients of all types, Dr. Khorasani dedicated himself to perfecting his Kybella injections and truSculpt iD technique, studying each therapy’s mechanism and pioneering novel applications for these medical advances. Most recently, Dr. Khorasani has added the non-invasive Evoke technology to his selective list of procedures. Evoke is the first hands-free technology in the industry that lifts and tightens the cheeks, jowls, and neck through the pain-free power of radiofrequency.
Armed with this expertise, Dr. Khorasani is able to provide you with a tailored therapy plan that addresses your individual needs and employs the latest therapeutic advances. Additionally, his office staff provide personalized care and are available 24/7 to answer any questions you may have before, during, and after your treatment.
Dr. Khorasani and his highly-specialized team look forward to working with you to transform your medical or aesthetic goals into reality. To expedite a request for a consultation, message us securely, or contact Dr. Khorasani’s Manhattan office by phone at 212-230-3378. For more information about how to get in touch:CONTACT US