Mohs Micrographic Surgery–How It Works

Mohs surgery, Mohs micrographic surgery (MMS), developed by Dr. Fredrick Mohs in the 1930s, is a technique that uses both pathology and surgery to remove skin cancers in a doctor’s office. During the surgery, the tissue is removed, sparing as much normal skin as possible and while the patient waits, 100% of the surgical margin of the specimen is examined in the laboratory located in the doctor’s office to determine if any more cancer remains. If the margins are involved, the orientation of the residual skin cancer is mapped so the surgeon knows where exactly to trim more around the spot removed in the prior Mohs stage. This continues until all of the skin cancer is removed. Dr. Mohs is credited for inventing this ingenious technique of creating the most minimal size defect while providing the highest cure rate. Reconstruction can then be accomplished the same day immediately after Mohs Micrographic surgery.

mohs

Click here to see more before/after images.

Today, Mohs surgery has come to be accepted as the single most effective technique for removing Basal Cell Carcinoma and Squamous Cell Carcinoma, the two most common
Read More at: http://www.thenyac.com/mohs-micrographic-surgery-and-reconstruction/

 

Patients in Midtown New York secure wrinkle-smoothing benefits, with little to no risks or downtime via Thermage™

At Dr. Ron Shelton’s office in Midtown Manhattan, wrinkles may be treated with fillers, lasers, or plasma skin resurfacing. Radio frequency (RF) energy may also be applied to treat lines and wrinkles on most parts of the body, including the face, neck, arms, and legs.

RF stands out from other electromagnetic frequencies. Instead of creating a surface effect in which the heat from the energy can be felt on the skin, RF may be applied and absorbed under the tissues painlessly without any heat sensation.

There are more than a few ways Dr. Shelton safely and effectively uses Radiofrequency energy to improve patients’ appearance. Generally, Thermage™ treatment involves the application of RF via a specially designed treatment tip. The energy comfortably and precisely penetrates tissue. Treatment areas ranging from around the eyes to the jawline are heated.

As the areas are heated, existing collagen is remodeled and new collagen is made. This protein is responsible for skin firmness. It is abundant in younger skin, but with age, the production of collagen decreases. This process contributes to sagging, wrinkling, and surface irregularities over time.

What to expect from a session

Depending on the size of the area to be treated, a Thermage™ treatment session may be completed within 45 to 90 minutes. You might see improvements immediately following treatment, but the real results will occur gradually as some of the underlying changes to your skin take place.

You can enjoy results with no surgery, little to no recovery and downtime, and no injections. Those improvements can last for years, depending on the condition of your skin and the way you age. Ultherapy utilizies ultrasound energy and has been very promising in showing tightening and lifting of facial skin, and other sites.

Not all patients demonstrate improvement with Thermage radiofrequency in our NYC practice.

Radio frequency energy is also applied via the ThermiTight™ system, which is a minimally invasive way to reduce notoriously stubborn pockets of fat that haven’t budged with rigorous exercise and diligent nutrition, such as the sides, abdomen, back, thighs, and back of the arms. It may also be used to reduce the dimples, lumps, and backs characteristic of cellulite.

In the past, invasive or drastic procedures like facelifts or liposuction might have been your only option if you wanted to smooth wrinkles, reduce stubborn fat, or tighten saggy skin. These procedures carry significant risks of complications, and require significant downtime.

To secure desired, natural results from Thermage™, call the New York City office of Dr. Ron Shelton at 212-561-5808.

Don’t buy another cellulite cream; schedule an appointment with NYC dermatologist to get results

Like many products with big claims in glossy magazines, those designed to treat cellulite often don’t live up to those big promises.

After the umpteenth store-bought cellulite cream hasn’t worked, Dr. Ron Shelton and his team are there to deliver a safe treatment that actually makes a difference in those lumps, bumps, and dimples.

To understand why many products advertised as “miracle” creams don’t work is to understand a little about what’s going on underneath the surface of your uneven skin.

How cellulite is made

 

Your skin is connected to underlying muscle by way of fibrous cords. Fat is sandwiched between the tissue and muscle. While fat cells push up against the skin, sinewy cords pull down.
This tension creates the uneven surface characteristic of cellulite

Since the accumulation of fat cells exacerbates tension against the skin. For this reason, you may notice cellulite more after periods of weight gain or inactivity. That said, it’s estimated that around 90 percent of women of all shapes and sizes have this condition.

Think of how many times you have seen photos of otherwise skinny celebs with those familiar dimples on their backsides. While firming up with diet and exercise can help, due to the nature of women’s skin and body contours these habits alone probably won’t eliminate all your cellulite.

How techniques help

 

Instead of reaching for another cream with dubious claims, reach for the phone and dial 212-561-5808.

Dr. Ron Shelton and his team have helped patients with cellulite in Midtown NYC achieve smoother skin with both ThermiTight™ and Cellfina™.

ThermiTight uses radio frequency energy to reduce fat pockets that haven’t budged with diet or exercise and to tighten skin.

The heat derived from RF energy is a multi-tasker; it both destroys fat cells and stimulates the production of firming collagen to reveal a tighter, smoother surface.

Tension makes cellulite more visible. Cellfina™ takes direct aim at this process. This FDA-approved treatment releases those taut fibrous bands by way of a small, needle-sized device applied to the treated area. As affected skin bounces back, the peaks and valleys are smoothed out.

There are cellulite treatments that work; you just need to know where to look. Experience results by scheduling an appointment at the Manhattan office of Dr. Ron Shelton today.

Dr. Shelton will examine your condition and tell you if you’re a candidate for the procedure. Furthermore he will tell you if the dents in your skin are cellulite or rather normal anatomic linear bands that are not suited for treatment.

Cellfina™ system is a technique-driven way to reduce NYC patients’ cellulite

Whenever the effectiveness of OTC cellulite creams is brought up, some ingredients such as caffeine keep occurring. These ingredients are often designed to give the appearance or illusion that cellulite looks better.

Caffeine, for example, makes cellulite look better temporarily by increasing blood flow and removing moisture from the skin. These characteristics can result in fleeting firmness and smoothing.

It is no wonder your creams may have been a disappointment when you understand exactly what these products do. As a board-certified dermatologist and  dermatologic cosmetic surgeon, Dr. Ron Shelton has the knowledge and training to prescribe effective and safe treatments for a wide range of conditions.

When it comes to cellulite, powerful treatment comes not in a jar but in a technique. Dr. Shelton offers Cellfina™, a minimally invasive way to eliminate cellulite by affecting the root cause of these peaks and valleys.

Dr. Shelton, in his NYC practice personally examines and evaluates all of his cellulite patients himself and will tell you if you are or are not a candidate for cellulite treatment.  It’s not uncommon for women to have a combination of cellulite as well as normal anatomic linear anchoring bands and the latter are not suitable for treatment with Cellfina.

Using a needle-sized device, Dr. Shelton will gently release the fibrous bands responsible for your cellulite. There is minimal discomfort for most patients during this process as the treatment area is numbed prior to the procedure. As fat cells push up on the skin and the fibrous connective bands pull down towards the muscle, this tension creates dimples. By releasing the fibrous bands, your skin bounces back in the same way a rubber band might spring back once it is no longer pulled taut. Free of tension, your skin’s surface can become smooth in as little as three days.

In fact, 85 percent of patients were satisfied with the results of the Cellfina™ system in 3 months. Within 1 year, 94 percent of patients were happy with reduction in their cellulite. You can expect to see these results for at least 1 year, which is reportedly the longest FDA clearance for any cellulite treatment.

The procedure takes around 45 minutes and results in minimal side effects such as fleeting soreness, bruising, and discomfort. Speaking of other therapies, Dr. Shelton also treats cellulite with ThermiTight™. Heat applied to the treatment area in the form of radio frequency energy pulls double duty by both destroying fat cells and stimulating the production of firming collagen to create a smoother, firmer appearance.

It’s estimated that as many as 90 percent of women have cellulite, but is ThermiTight™ or Cellfina™ right for you? Find out by calling 212-561-5808 to schedule an appointment at Dr. Ron Shelton’s office, now in Midtown NYC.

It is possible to speak to a NYC dermatologist before committing to care

Each year millions of cosmetic procedures are performed on thousands of women and men in the NYC area. Taking charge of appearance can be an empowering and rewarding experience. It represents an investment in self worth and confidence. It is also a big decision, with plenty of options. I recommend a three step approach to get the best return on your investment.

Step 1 – Decide between an aesthetician and a dermatologist.

Today it’s easy to find aesthetic treatment at mall kiosks, day spas, and salons, but the qualifications of the person treating you matter a great deal. Complications can occur despite the credentials and experience of any physician or aesthetician, but it is important prior to having a procedure, that a Board-certified dermatologist evaluate your skin’s condition and create a treatment plan. This may involve laser devices, fillers, and Botox® Cosmetic, along with involvement of an aesthetician for facial care.

The most critical difference between an aesthetician and a dermatologist is training. A dermatologist has attended college and medical school, and completed a medical residency. Following these 12 to 14 years of formal education and clinical training, the dermatologist is considered an expert in care of skin, hair, and nails, qualified in medical and cosmetic treatments.

While state requirements vary, an aesthetician typically completes up to two years of training focused on cosmetic skin care, facials, and noninvasive procedures. An aesthetician is not qualified to identify or diagnose medical issues with skin, hair, or nails.

The safest and most effective treatment is designed and administered by a board certified Dermatologist whose sub-specialties include cosmetic dermatology and dermatologic surgery.

Step 2 – Set up a stress free consultation.

You should not feel pressured to schedule treatment without a consultation. I prefer to conduct an unhurried, stress free consultation as a separate appointment, prior to any commitment to receiving care. This is an opportunity to talk about concerns you have with the condition of your skin. It gives me the chance to delve into pertinent aspects of your current and hereditary medical situation, and to understand your lifestyle. I answer questions, use educational visual aids, and show real before and after photos.

I feel that this step in treatment planning is vital. So important that I offer free consultation for patients who call this number – 212-561-5808, ask for me by name, mention this blog, and schedule treatment with me. Free consultation valid till December 15, 2014.

Step 3 – Take part in creating a transformation plan.

It’s an exciting time to be a dermatologist. Never before have we had so many options to offer patients seeking skin rejuvenation and body sculpting. I’m thrilled to discuss innovative minimally-invasive or noninvasive technique such as Cool Sculpting®, ThermiRF™ (ThermiTight™ and ThermiSmooth™) , Ultherapy®, Pellevé®, Fraxel® laser therapies, Portrait® Plasma, Botox® Cosmetic and dermal fillers (Juvéderm®, Voluma™, and Belotero®). However, ultimately treatment must be right for your face, your body, your health, your schedule, and your budget. It is essential that you take an active role in the design of your treatment plan.

Yes, it is possible to speak to a NYC dermatologist before committing to care. Your transformation is waiting to begin, so give me a call today at 212-561-5808 to get started.

Dr. Ron Shelton, formerly having practiced on the Upper East Side of Manhattan, NYC, is now located in Midtown Manhattan.