One of the common concerns we hear from women is the development of unwanted areas of fat called “saddle bags.” This problem occurs in the area of the outer thighs and around the buttocks and hips. The difficulty with saddle bags is that the problematic area may not respond to exercise alone, at least not as quickly as one would wish.
In the Manhattan area of NYC, one can easily find viable treatment options for saddle bags. Dr. Ron Shelton and his aesthetic team are extensively experienced in a number of different procedures. In addition to winning the approval of discerning men and women all over New York City, our office has been recognized in reputable outlets such as the New York Times magazine, which named Dr. Shelton as one of 2014’s Top Doctors in the area.
Under our care, you can find your best solution for saddle bags and other areas of concern. Essentially, saddle bags develop as fat cells accumulate in the area of the upper thighs and buttocks. Unfortunately, with our way of life being so sedentary, this problem can be difficult to avoid. Healthy eating habits and regular exercise can be well complemented by treatment for the reduction of unwanted fat. In our practice, patients have options for surgical and non-surgical body contouring.
Liposuction for saddle bags
The liposuction procedure has been performed for decades. The common method used today, tumescent liposuction, is known for its gentleness, safety, and efficiency at removing the right amount of fat from the treatment area. The results of tumescent liposuction are natural looking and much more immediate than non-invasive treatments. In our state-of-the-art surgical center, the procedure is completed with local anesthetic. Tumescent fluid also contains anesthetic for advanced numbing. The effect of the tumescent fluid on fat cells results in swelling which aids in quick elimination through a very small cannula.
Non-invasive treatment for saddle bags
For those who want to avoid surgery, there is the option to reduce unwanted fat naturally by treating cells with intense cold. Dr. Shelton has been recognized as a certified provider for the performance of CoolSculpting™ by ZELTIQ™. In one to three hours, without incisions or the need for recovery, the destruction of unwanted fat cells can be achieved. Results from this non-invasive technology develop gradually as fat cells are metabolized and eliminated. Upcoming off-label uses of Ultrashape fat reduction using non-painful ultrasound energy is promising.
Feel great about your body. Call our Midtown Manhattan aesthetic center for your consultation with one of New York Magazine’s Top Doctors.
The New York Aesthetic Consultants in NYC, directed by Dr. Ron Shelton, has been performing the CoolSculpting fat reduction treatment since it was first made available. Dr. Shelton constantly upgrades the device and obtains the latest software and applicators so that the treatment his patients receive in his practice is the most current. Dr. Shelton is well-respected among his peers. He had created the Division of Dermatologic Surgery at The Mount Sinai Medical Center in 1993 and maintains an active teaching role. His book on Liposuction was published by Penguin Putnam and he has published many scientific articles in medical journals.
The great number of applicators allow a better chance to produce a good fit on the desired area of fat reduction. The fat cells freeze earlier than skin and the fat cells die as a response to the cold temperature. Approximately 20% of fat cells are gone forever at four months post treatment. CoolSculpting truly has evolved into a sculpting treatment. No longer is it merely applying one large applicator to the belly, but seeing the different bulges and mapping out different shaped and sized applicators that overlap and produce a better, flatter and more widespread shaping of the abdomen, or love handles and other parts of the body that the doctor can use as an off-label procedure.
Some patients need a second treatment which can be as soon as a month later, whereas others prefer to wait for four months. It is important to maintain a healthy diet and exercise regularly as CoolSculpting, nor liposuction, can prevent weight gain if one consumes too many calories for their needs.
Each applicator takes one hour and the number of applicators needed will be reviewed with each patient for their customized CoolSculpting plan during their consultation with Dr. Shelton so the patient will know how to schedule their treatments.
Dermal fillers have been around since about 1900. These compounds, which are injected beneath the skin to add youthful volume and soften the appearance of wrinkles, are constantly evolving – becoming more effective and even safer.
One of the newest kids on the non-invasive rejuvenation block is Belotero Balance, brought to us by Merz Aesthetics. The FDA approved this transparent hyaluronic acid formulation in November 2011. It improves the appearance of moderate to severe wrinkles and folds, especially those around the nose and mouth.
What makes Belotero different? And why are women and men in NYC so anxious to give it a try? Let’s take a look:
- Belotero integrates into your unique facial contours, enhancing individuality for a very natural look.
- It is versatile. This one product is delicate enough to treat fine vertical lip lines, and sufficiently robust for deep nasolabial folds (the smile lines that form around your mouth).
- The hyaluronic acid (HA) in Belotero is a natural part of your skin’s composition. After injection, HA binds with water to plump and smooth wrinkles even more.
- There’s no waiting – results are instant and last about six month; longer for some patients.
- Belotero is convenient. Treatment sessions are brief (usually an hour or less), and are performed right in our office.
- There is zero downtime! You may return to work or other activities right away. Some patients experience a little redness or minor bruising at injections sites, but it is quite temporary and easily concealed with makeup.
I am very pleased to bring Belotero to NYC, because I believe in its effectiveness and safety – otherwise I wouldn’t offer it to patients of The New York Aesthetic Consultants. I find that Belotero works well alone, and in combination with Botox and fillers. When I design an individualized non-surgical facial rejuvenation program for a patient, I use Belotero Balance to complement techniques such as Fraxel and Portrait Plasma, and advanced skin tightening methodologies such as Pellevé, Ultherapy, and Thermage.
Click on the above image to watch the Zeltiq/Coolsculpting video.
CoolSculpting™ is a procedure which is mainly used to eliminate the pouch in the lower abdomen as well as love handles by cooling it; the fat actually gets frozen. Created by the company Zeltiq™, CoolSculpting™ makes use of a non-invasive device which leads to the loss of fat cells without having to go under the knife. The concept behind CoolSculpting™ was initially discovered in children who kept frozen popsicles in their mouth too long and permanently developed a thinner cheek from fat loss (popsicle necrosis).
When performing the procedure, the skin as well as fat component is inserted into the CoolSculpting™ device by means of suction. The whole procedure for treating one area will take roughly an hour. Every treatment session will involve cooling the fat. This procedure usually entails no recovery period and most patients do not experience any significant pain. There is a common sensitivity and patchy numbness temporarily in many people which is not disabling, lasting not more than a couple of days or few weeks. Ultrasound studies proved that the majority of patients exhibited 20% reduction of fat volume at the forth month, after one treatment. There is apparently an additive effect as the patient undergoes subsequent treatments that can be performed every four to six weeks apart.
Nevertheless, CoolSculpting™ does need some patience from the patient as its outcomes are not instantly visible; it normally takes around three weeks for the outcomes to start appearing. The reason behind this is that the body eliminates the fat cells that die from the freezing of the CoolSculpting™ procedure in a natural way. However, the most remarkable outcomes of the CoolSculpting™ procedure can be seen after around four to five months.
By undergoing a CoolSculpting™ procedure, patients can look better when in jeans, a bathing suit, or any other type of tight clothing. This procedure is ideal for people who are close to their ideal weight but are in need of help getting rid of certain stubborn areas of fat. With the introduction of CoolSculpting™, patients no longer have to opt for the invasive liposuction procedure to eliminate back (bra) fat, upper arm fat, love handles, tummy or a muffin top. The bra fat and upper arm fat are off-label uses; the CoolSculpting device not having been formally cleared by the FDA for those purposes but physicians can treat these areas legitimately after discussion with their patients about the treatment and its risks.
When you see wrinkles developing, you probably don’t think about what type of wrinkles they are. However, the cause, severity, and location of wrinkles, lines, or folds dictate the appropriate treatment.
Crow’s feet, lines between your eyes, and forehead wrinkles are most often the result of rigid facial muscles. This type of wrinkling can be treated effectively with Botox, which works by relaxing the facial muscles.
Diminished facial contours, thinning lips, and wrinkles around the mouth may be caused by the loss of facial volume. Dermal fillers can replace what has been lost, smooth winkles, and enhance facial contours.
Lax, hanging skin, such as jowls, may genuinely be excess. If the problem is mild to moderate, we may be able to treat it with minimally invasive procedures such as Ultherapy, which tightens and lifts skin with ultrasound technology. An excessive amount of sagging skin may require a surgical facelift procedure.
Aesthetic enhancement is highly individualized, requiring a customized treatment plan. For many patients, the best results are achieved through a combination of procedures, to address all issues effectively. It’s never too late to improve your skin, and take years off your appearance.
A one hour, less or more, procedure as an outpatient, without surgery and without down time delivers deep focused ultrasound energy to the deep dermis causing contraction of the connective tissue and tightening / lifting of the face and collagen production that continues to occur over six months after the treatment.
Ultherapy http://www.thenyac.com/ultherapy/index.html is not a facelift, nor can it generate the same amount of lift that the skin will be raised in a face lift, but young patients and older patients are candidates for this treatment. A young person may just start to see the descent of their facial features. The eyebrows lose their arch and become flatter bringing down the upper eyelids which then develop a little hooding or crease. The mid cheek falls creating a mound over the smile crease and the jowls form over the jawline bringing down the corners of the cheeks. The skin of the neck under the chin becomes floppy or the muscle bands become prominent. Patients in their late thirties and early forties may seek such treatment to delay the time that there would be prominent sagging. People in their late 60s and 70s might have developed medical conditions or take medications that make a surgical facelift more risky.