As we age, collagen breaks down in the skin and leads to an overall loss of elasticity. This causes the skin to sag and wrinkle, resulting in a face or body that may betray your true age. Skin tightening treatments are a great option for patients who desire a more youthful appearance without undergoing surgery. These non-invasive skin procedures help patients improve “crepey” skin texture and restore its previous smoothness. Ideal for working professionals, these treatments result in rapid benefits with minimal to no downtime required. Therefore, busy patients can easily schedule future maintenance treatments that are necessary to keep their skin ahead of the aging process.
An area of constant study and research, modern skin tightening treatments harness the power of ultrasound, radiofrequency or plasma energy to provide optimal results to patients. Over the course of his decade-long career, Dr. Hooman Khorasani has helped improve the skin’s appearance for thousands of patients of all ages and skin types. Always pursuing the best possible treatment options for his patients, Dr. Khorasani consistently invests in the latest technology and mentors other professionals who have sought him out for his expertise in this area. As such, Dr. Khorasani will be able to provide you with a tailored therapy plan that addresses your individual needs and employs the latest therapeutic advances.
To find out whether skin tightening can give you a renewed and refreshed look, visit Dr. Hooman Khorasani at our New York City practice. To request a consultation, message us securely, or contact Dr. Khorasani’s Manhattan office by phone at 347-574-8500.
Radio-Frequency (RF) microneedling is a safe, non-surgical aesthetic procedure that tightens the skin. This cutting-edge device combines two therapies into one treatment. The first, microneedling, involves the passage of tiny needles into the skin to cause controlled micro-injuries. The body is then stimulated to produce new collagen to heal these small wounds and consequently, improve the skin’s elasticity. The second component involves radiofrequency energy which is emitted by the small needles as they are inserted into the skin. This energy also stimulates the production of new collagen while simultaneously improving the blood supply to the area to fuel and sustain the production of new skin structures. This two-in-one device is best suited for patients who desire improvement in skin laxity or wrinkles, but it can also target other structural problems. These include, but are not limited to, cellulite, acne scars or stretch marks.
Age-induced decrease in collagen production leads to the thinning of your skin and the appearance of fine lines and wrinkles. The radiofrequency energy emitted by the device heats the deep layers of the skin to activate collagen producing cells and their associated enzymes. This begins a cycle of increased collagen production, as each activated cell stimulates its neighboring cells to activate. The radiofrequency energy is delivered to the target areas via tiny needles that penetrate the skin to a precise depth. These needles serve to break-up scar tissue and also induce controlled micro-injuries. The body is then stimulated to increase its production of collagen which, in addition to healing the small areas of trauma, will also serve to tighten the skin. The controlled heat and injury induced by this device is balanced by microscopic areas of skin that are left untouched by the treatment. These untreated areas serve as a scaffold to accelerate wound healing and decrease overall downtime.
RF microneedling can help improve multiple skin issues, as it targets problem areas with both microneedling and radiofrequency energy in one treatment. It is an excellent treatment option for patients looking to improve skin texture, tone or elasticity of the face, neck, or any area you feel these issues are present. Additionally, RF microneedling can improve the appearance of acne scars, stretch marks or cellulite. Patients of all skin types can consider treatment with RF microneedling, as there is no risk of post-procedural skin darkening (hyperpigmentation) that may be associated with other devices.
The results of RF microneedling are progressive and additive, meaning that they improve over time and with multiple treatments. You may see some tightening within the first week, but several weeks and repeat sessions are required to induce significant changes. Your results will continue to improve over the course of six months, as the body ramps up collagen production and remodels the skin.
Overall, you will notice a tighter, smoother, and more youthful appearance to your skin. There will be marked improvement in skin texture and a reduction in pore size. Fine lines and wrinkles will become smoother, but will not vanish entirely. Scarring and stretch marks will also become less visible and bothersome.
On average, you will likely need two to six treatments administered four to six weeks apart to obtain optimal results; however, the exact number of treatments depends on your age and particular issues you wish to address.
35-45 years old: Begin with two treatments spaced four to six weeks apart, then follow-up with one annual maintenance treatment.
45-55 years old: Begin with four treatments spaced four to six weeks apart, then follow-up with maintenance treatments twice a year.
55 years old+: Begin with six treatments spaced four to six weeks apart, then follow-up with maintenance treatments twice a year.
Acne scars, stretch marks and cellulite: Depending on the severity of the issue, we recommend anywhere from two to eight treatments spaced four to six weeks apart.
Aside from its great results, patients also appreciate RF microneedling treatments because they are associated with little to no downtime. Most patients receiving facial treatments should expect to be red for a few hours immediately after the procedure, especially over bony areas like the cheek bone; however, the redness should subside by the end of the day. Patients requiring deeper treatments may have redness that persists for up to seven days. Swelling can also occur, but it is not common unless a more aggressive treatment plan is desired. Additionally, you may notice a sandpaper-like texture over the treated areas and tiny marks from where the needles were inserted. These particular skin findings are not readily visible unless you are looking extremely closely.
For patients receiving treatment on the body, the after-treatment effects are similar; however, they may last up to two weeks, since the body heals much slower than the face as it is less vascular.
To prepare for your RF microneedling treatment, avoid consuming alcohol, ibuprofen, or aspirin containing medications for at least 48 hours prior to therapy. This will reduce your risk of bruising from the procedure. Following your treatment, it is important to regularly apply sunscreen and avoid direct sunlight as much as possible for the first few days. You will also need to moisturize the treated areas at least twice a day with an emollient like Aquaphor.
All in, expect to be at the office for about two hours on the day of treatment. When you arrive, we will numb the treatment area with a topical anesthetic cream. This cream requires approximately 30-60 minutes to exert its full numbing effect. During this time, Dr. Khorasani will review the goals of the treatment with you and customize the device settings to account for your particular needs. The procedure itself takes approximately 30-45 minutes depending on the size and number of areas being treated.
Other than safety, your comfort is our number one priority. Following the application of a topical numbing cream, you should not experience any pain; however, you may continue to feel sensations of pressure and/or heat from the tiny needles and radiofrequency energy. If at any time during the procedure you are experiencing discomfort, please inform Dr. Khorasani and he will provide you with additional measures to ensure your comfort. These include 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 the patient as needed to address any discomfort.
After the treatment, you will relax in the office with a mask to cool and soothe the treated area. Finally, we will apply a specialized serum to deliver vitamins and nutrients to your skin, which will enhance the treatment effects and speed up the healing process.
Renuvion (J-Plasma) is a non-surgical skin tightening and resurfacing device that utilizes the energy of helium-derived plasma and radiofrequency energy to remodel your skin, promote collagen production, and improve your overall appearance.
This device can be used both on superficial and deep skin. When used on the skin’s surface, the helium-derived plasma and radiofrequency energy selectively remove columns of superficial skin layers and stimulate the deeper layers to completely replace these areas with new, healthy skin. The combination of heat from the radiofrequency device and cooling of the plasma serves to contract the skin so it adheres more closely to the underlying surface. These combined effects lead to an improvement in discoloration, fine lines, and texture, coupled with mild skin tightening. Using the device under the skin’s surface (subdermally) has more pronounced skin tightening effects but is not accompanied by the other benefits seen with superficial treatments. This subdermal treatment is particularly efficacious when coupled with a liposuction procedure.
Throughout his decade-long medical career, Dr. Khorasani has dedicated himself to the development and application of innovative therapies to help patients achieve their aesthetic goals. Renuvion (J-Plasma) capitalizes on his extensive experience with energy devices, skin resurfacing, and facial/body contouring to provide you with a comprehensive treatment that is tailor-made to address your needs.
Resurfacing the superficial skin with Renuvion (J-Plasma) is best suited for patients looking to improve mild to moderate signs of aging like wrinkles, discoloration, and texture abnormalities. Additional benefits of resurfacing with Renuvion (J-Plasma) include mild skin tightening, an effect not typically seen with other resurfacing devices.
Skin tightening with deep (subdermal) Renuvion (J-Plasma) is ideal for patients with moderate to severe skin laxity of the face, neck, stomach, knees, buttocks or arms. Subdermal application of this energy allows for a much greater degree of skin tightening, but does not improve superficial irregularities like wrinkles or discoloration. Typical candidates for Renuvion (J-Plasma) therapy include postpartum females wishing to target loose skin in the abdominal area, patients who have lost an abundance of weight and are now burdened with extra skin, or those for whom time has led to excessively saggy skin. Patients undergoing liposuction may also benefit from concurrent Renuvion (J-Plasma) treatment, as the energy from the device tightens the loose skin that once covered the excess fat that was removed.
The benefits you will reap from a Renuvion (J-Plasma) treatment varies according to whether the device is used on the superficial or deep (subdermal) surfaces. During your initial consultation with Dr. Khorasani, he will incorporate your personal aesthetic goals as well as limitations, to recommend the appropriate modality that is tailored to your specific needs.
With subdermal Renuvion (J-Plasma) treatment, most patients experience a dramatic improvement in skin laxity with just one treatment. These effects can begin to be seen within the first week after treatment, but will peak within six months after therapy. Most patients will require only one session to achieve maximal results.
Superficial Renuvion (J-Plasma) treatments yield a marked improvement in overall skin appearance by correcting fine lines, deep wrinkles, discoloration and texture. Patients will also benefit from a mild degree of skin tightening. As with a subdermal Renuvion (J-Plasma) treatment, you will usually require only one session; however, you must have patience and wait at least six months to appreciate the maximal results.
Subdermal Renuvion (J-Plasma) treatments require the creation of an entry site (port) to allow the device to reach under the skin’s surface. Each port site will be thoroughly numbed with an injectable anesthetic fluid to ensure maximum comfort. Following anesthetization, the Renuvion (J-Plasma) device will be inserted under the skin to begin treatment. The helium-derived plasma and radiofrequency energy will be emitted from the device and evenly applied in strokes to the target area under the skin. Depending on the size and number of areas to be treated, subdermal Renuvion (J-Plasma) requires two to five hours to complete.
Superficial treatment with Renuvion (J-Plasma) involves the meticulous application of helium-derived plasma and radiofrequency energy to the skin’s surface. To ensure your comfort during this procedure, the treatment area will be numbed with a topical anesthetic cream. If at any time during the procedure you are experiencing pain, please inform Dr. Khorasani and he will provide you with additional measures to ensure your comfort. These include 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. Other measures include injections of local anesthetic to provide an even greater degree of numbing. In total, the superficial Renuvion (J-Plasma) treatment takes approximately forty-five minutes to an hour.
The downtime associated with Renuvion (J-Plasma) varies according to the method used. For superficial treatments, patients can expect to experience redness, minor swelling, itching and peeling for at least seven to fourteen days. Many patients have persistent redness for two to three months after treatment, but this subsides with time.
Deep (subdermal) Renuvion (J-Plasma) requires much less (visible) downtime. Patients may experience mild swelling and bruising that resolves within five to seven days; however, these effects diminish significantly within two to three days, such that most patients are able to resume normal activity within this time frame. Combining Renuvion (J-Plasma) with liposuction does not significantly increase the normal downtime required to recover from the surgical procedure, which is approximately two weeks.
We understand this recovery time can be difficult. Our office staff is available for you at any time during this process to discuss your concerns. We are always here for you!
The Ultherapy device derives its name from the technology it uses: ultrasound energy. The ultrasound energy released from the device selectively heats the deep layers of the skin to awaken your body’s natural collagen producing systems. As your cells generate new, fresh collagen, your skin will begin to recover its elasticity that was gradually lost with age. The result? Tighter, smoother and more youthful appearing skin.
Ultherapy is FDA-approved for non-invasive lifting of the eyebrows, cheeks, chin, neck and upper chest; however, Dr. Hooman Khorasani has always been committed to advancing the number of therapeutic options available to his patients. As such, he has extensively studied the Ultherapy technology and has pioneered novel off-label applications of the device to address skin laxity in areas like the arms, abdomen or buttocks. Armed with this expertise, Dr. Khorasani is able to work with your specific health profile and aesthetic goals to create a non-invasive skin tightening treatment plan tailored to your needs.
Since its FDA approval in 2009, Dr. Khorasani has studied and worked extensively with Ultherapy to help non-surgical patients achieve their aesthetic goals. Regardless of your age, skin type, or particular problem area, Dr. Khorasani will collaborate with you to devise a treatment plan that best addresses your specific needs.
Ultherapy candidates span a wide breadth of ages, skin types, and degree of skin laxity. Those seeking correction of loose skin typically complain of a mild to moderate degree of sagginess; however, many of our younger patients without loss of elasticity have received treatment as a preventative measure to preserve their youthful, tight skin. Other patients have undergone Ultherapy to help prolong and maintain the effects of other cosmetic procedures.
The ultrasound energy released from the Ultherapy device selectively targets and heats structures in the deep layers of your skin. Previously, these structures were only reachable through invasive surgical measures. Using the device’s specialized imaging system, a diagram of the exact thickness of each of your skin layers is rendered. Dr. Khorasani will then customize the device’s setting to ensure the ultrasound energy is precisely reaching your deep skin structures. This personalized heating pattern stimulates the production of collagen, which helps renew the skin’s elastic abilities. Recovery of the skin’s elasticity leads to skin that is tighter, firmer and more youthful in appearance.
Depending on the size and number of areas being treated, the procedure requires sixty to ninety minutes to complete. During the procedure, you may feel discomfort or heat as the energy targets the underlying structures. The experience of discomfort or heat varies from patient to patient; however, If at any time during the procedure these sensations become uncomfortable, please inform Dr. Khorasani and he will provide you with additional measures to ensure your comfort. These include 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.
The targeted functionality of the Ultherapy device prevents heating of the superficial skin. As a result, patients can expect minimal to no downtime and will be able to resume normal activities as dictated by their own personal comfort. Some patients may notice faint redness that resolves within a few hours. You may also experience slight swelling or tenderness in the treated area. These too, however, will also resolve within a matter of hours.
Production of collagen is a gradual process and will require time and multiple treatments in order to yield visible results. We recommend starting with two treatments spaced three to six months apart from each other. You can expect to see noticeable improvements in skin tightness two to six months after therapy. To maintain these youthful effects, we recommend repeating Ultherapy treatments every one to two years, or as needed.
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 347-574-8500. For more information about how to get in touch:
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