aesthetic plastic surgery procedures

What is UltraShape?

Posted on January 2nd, 2015
Posted by Julene

You all know how fond we are of VASER Shape. We still are. Now 4 years later, there still isn’t a better nonsurgical method of tightening skin and melting fat on any area of the body in fewer treatments than VASER Shape…until now! With all nonsurgical methods of fat cell destruction, the body safely deals with the cellular products which result from fat cell death by eliminating them through the liver, kidneys and intestinal tract. With VASER Shape (now re-branded under the name “Quanta Shape“), 4 or more treatments may be needed to lose inches, although effects are seen immediately and are additive after multiple treatments (as well as long lasting). The only thing we have wished for is that VASER Shape could be even stronger!!! Or that it could be paired with a technology that could augment its fat reduction effect so that more inches are lost in fewer treatments, and in an even more permanent fashion. And now UltraShape is finally here! After spending years in the FDA clearance process, UltraShape uses highly focused ultrasound technology to permanently destroy fat cells which are then safely eliminated by the body without harmful elevations of blood lipids. Over 30 clinical trials in over 750 patients have shown that up to 2 inches or more of fat can be lost circumferentially after just 3 treatments performed at 2 week intervals. Each treatment takes about 45 minutes, is performed in the office, is painless, and there is absolutely no down time involved. Results begin to be realized in as few as 2 weeks, and can be performed over most body areas where at least 1 inch of fat thickness exists. The ultrasound energy is focused, much as a magnifying glass focuses light, to affect fat cells at a certain depth by mechanical effects which implode the fat cells (permanently killing them) without high temperatures needed. This is why UltraShape is so comfortable and also why its effects are immediately seen, unlike other focused ultrasound body contouring technologies which are painful due to high temperatures created, and which also require 6 to 8 weeks of healing in the tissues to see any fat reduction. The cellular debris resulting from an UltraShape treatment is then eliminated safely by the body. Most patients see up to 2 or more inches of circumferential fat reduction, and results are additive with more treatments. Since there is no associated thermal effect with UltraShape, there isn’t a great degree of skin tightening seen with UltraShape alone, so in my practice, if a patient does indeed desire both skin tightening as well as fat reduction, we will recommend coupling UltraShape with VASER Shape so that we achieve the best skin tightening and fat reduction results possible with any nonsurgical treatment modality.

One of the reasons I think it is important for surgeons to offer nonsurgical body contouring treatment options is that while surgery is wonderful in its own right, and there is no other more thorough way to remove fat in a single treatment than with surgical liposuction, some surgical patients may desire touch up options to lose more fat or maintain their results without further surgery; if patients choose a nonsurgical option first and then figure out that they want more thorough treatment, they are able to proceed to liposuction itself; and finally, there are just some patients who don’t want surgery at all. After an initial consultation with patients in our office, we discuss whether surgery or nonsurgical options would offer the best results. For some patients, we offer in-office surgical VASER liposuction under local anesthesia for localized fatty deposits when a patient desires the quickest and most thorough measurement reduction, outpatient surgical VASER liposuction for larger fatty areas and a quick result, and tummy tucks with liposuction. The choice to be the leader in offering not only the newest but the most effective nonsurgical body contouring options was easy for me. As a surgeon, it takes a lot to impress me in terms of excellent results…so who better than a surgeon who achieves excellent contouring results with surgery to critique and then offer a companion nonsurgical method as a cost effective no down time alternative? Voila!…VASER ShapeUltraShape…or a combination of the two. I even love the name!

Don’t worry that you have to live with that stubborn fat forever. Call in or come in and see how affordable we can make it for you to “lose inches lying down”!

Happy New Year to all!


What are “$500 Fridays”?

Posted on November 5th, 2014
Posted by Julene

In order to introduce more patients to the value of “Low-(or No-) Downtime” lasering options, we have instituted “$500 Fridays”! For a limited time, we are offering our favorite “Low- or No-Downtime” Sciton and Fraxel laser treatments for the incredible price of $500. All of the laser procedures offered are valued at over $750 to $1500 normally. Our favorite “no- or low-downtime” laser treatments are:

 Sciton Forever Young BBL

Sciton Skin Tyte

 light Sciton microlaser peels

light Sciton ProFractional and now,

 light Fraxel 600 treatments.

To get started, interested patients need to schedule a complimentary skin care evaluation with Dr. Samuels and her nurses where patient desires and treatment goals are set and any preparatory or maintenance skin care recommendations can be discussed (a skin care prep is not usually necessary for our no downtime treatments, but being on a maintenance prescription skin care program enhances longterm results).  The laser procedure will be outlined to you and scheduled to occur on a “$500 Friday”.  Our next one is Friday November 21st, so don’t delay!

And did you know that a new study has proven that with as few as 2 to 4 Sciton BBL treatments per year (with or without Skin Tyte), that not only is the health of the skin improved and any red and brown pigmentation problems corrected, but that also the treated  skin experiences DELAYED AGING???  Skin of all age group patients treated with as few as 2 to 4 BBL treatments per year as maintenance looked 10 years younger than a decade previously. The changes occurred at the cellular level and were demonstrated by skin biopsy to reveal better tone, texture, fewer wrinkles, and less laxity than pretreated skin.  All layers of the skin were thicker and younger, and there was evidence of new and remodelled collagen!  With just BBL!!!  This is very exciting!  All patients interested in healthier skin and delayed aging, even without pigment problems, should now consider 2 to 4 annual maintenance BBL treatments.  BBL is the most affordable laser treatment we offer ($350 to $500 for face and neck), so there you go!  Call our office for more information.  We look forward to seeing you!


FILLERS: Juvederm, Restylane and Perlane

Posted on August 12th, 2014
Posted by Julene

One of my all-time favorite “quick-fixes” has to be a quick injection of Juvederm, Restylane or Perlane. It’s a fast, affordable, no down-time procedure to remove folds, scars, wrinkles, and fine lines…or a quick way to lift the corners of the mouth… or give shape or volume to the lips…or erase lip lines. Fillers are used in localized areas of the face to plump things up a bit. They are naturally-occurring sugars, well-tolerated by the body, because they are normally found in the deep layer of skin known as the dermal layer (or collagen layer).  A natural consequence of the aging process is loss of collagen and fat, and fillers provide a quick way to restore both. The ideal place for a filler is in the nasolabial folds outside the mouth, the prejowl sulcus, the tear trough (although I prefer Sculptra here), and the lips (my favorite!). Because they are made of a material naturally found in the dermis, there is no need for skin testing and few side effects have been reported. It takes about 20 minutes to inject these products, results are seen immediately and last up to 9 to 12 months or more. The only side effects seen include slight bruising at the injection site in about 10% of patients, although if patients consume aspirin or non-steriodal anti-inflammatories on a regular basis, we advise patients to discontinue these medications for several days prior to an injection. For the heavy bruiser, we administer an herbal combination of arnica and bromelaine 2 days before injection. Juvederm and Restylane are similar, with slight differences in the amount of crosslinking of the hyaluronic acid gel, and are also used in the lips, either to smoothe fine lines at the vermilion border, or to give shape and/or fullness to the lips themselves. Beware…fillers to the lips can be addictive if performed correctly (ie, artistically)! My least favorite thing is poorly done lips…and my most favorite thing is well treated lips! Fillers to the lips can smoothe the fine lines as well as give that “Cupid’s Bow” shape back. The goal is not always to enhance volume, although we can certainly shoot for that result in the thin-lipped patient. But too often, I see big lips that have become larger at the expense of shape. In the attempt to add volume, loss of all of the pretty Cupid’s Bow shape might occur…I call these lips “sausage up and sausage down” = UGH. Hence, my affinity for injecting lips…it requires an artist’s eye.

The typical cost of a filler injection is anywhere from $500 to $650 per syringe, and most injections require one to two syringes…occasionally more, depending on the patient. Perlane is a product used for fine lines, but is also a naturally occurring sugar well-tolerated by all patients. Many patients combine these products in a single treatment.

So if you are not quite ready for a facelift…don’t despair! Cheating is always allowed! Call us and see what you might have been missing!


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