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Helping patients in NYC prepare for wrinkle treatment with ThermiSmooth™

ThermiSmooth™ is a member of the ThermiAesthetics™ family of ThermiRF™ FDA cleared aesthetic devices. That’s a lot of “thermis,” but the important thing to remember about ThermiSmooth™ is it’s effectiveness as a non-surgical, non-invasive wrinkle treatment.

This system improves the appearance of wrinkles through controlled radiofrequency (RF) technology. Regulated, precise delivery of RF energy at the surface heats deep layers of skin, shrinking collagen and engaging the body’s natural healing processes – specifically the production of new collagen bundles. Skin becomes firmer right away, and wrinkles continue to smooth for several months.

There’s no downtime following treatment and no specific recovery protocol. However, I like to be sure my patients follow this simple pre-treatment advice for the most satisfying experience and results that are long lasting:

  • Please don’t smoke. Your skin responds better to any type of rejuvenation treatment when it has not been exposed to dehydration and toxic chemicals from smoke. A six week respite is ideal to speed healing from ThermiSmooth™ treatment, and your whole body will thank you for quitting completely.
  • Avoid anti-inflammatory drugs and supplements for two weeks. ThermiSmooth™ is very gentle treatment, but aspirin and other anti-inflammatory medications and herbal remedies (including fish oil, vitamin D, capsaicin, glucosamine sulfate, and others) increase risk of undesirable side effects from treatment – temporary redness and swelling.
  • Tell me about other medications you are using. Even topical creams can influence the outcome of ThermiSmooth™, so it is important that we discuss any medications you are using, before treatment.
  • Hydrate! Plenty of plain, fresh water before and after treatment helps you feel great and provides hydration your body needs to rejuvenate efficiently.
  • TNS Essential Serum’s growth factors augment the ability of ThermiSmooth™ to stimulate collagen production. Don’t purchase this product from the internet as the source is not reliable. This company does not sell to third parties, and even on “trusted” sites the seller may have stored the product in a hot, non air-conditioned warehouse or truck which deactivates the fibroblast growth factor. Saving a few dollars will, in the end, cost more money if the product is counterfeit or rendered ineffective from inappropriate storage. Our practice dispenses only products that are obtained directly from the manufacturer.

Remember, call 212-561-5808 and ask for me by name – Dr. Ron Shelton.

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

Do New York City patients really need Voluma™


Dermal fillers aren’t new. Soft tissue augmentation for cosmetic improvement was pioneered in the 1800s. The first FDA-approved injectable filler became commercially available in the United States in 1981. Today we use an assortment of safe, effective dermal fillers from a number of reputable manufacturers to lift, soften wrinkles, augment lips, and contour facial planes.

So you may be wondering why patients in New York City need Voluma™, yet another dermal filler. The answer is that no one product is right for every patient, every treatment area, or type of enhancement. Voluma™ is the first and only injectable filler approved by the FDA for a very specific purpose – instant correction of volume loss in the midcheek area. It has a longevity that may be double normal fillers – Voluma™ can last up to two years.

As we age our faces lose hydration, fat, muscle tone, and even bone. That causes youthful, smooth contours to become more angular, and allows hollows to develop beneath the cheek bones. Without supportive volume, skin sags into wrinkles and folds.

Voluma™ is a smooth, clear gel formulated with hyaluronic acid (HA). This substance occurs naturally in skin and binds to water to provide plumpness. But HA levels decrease as we age, and in response to UV exposure, environmental pollutants, and smoking.


Voluma™ replenishes HA at this precise area, providing instant uplift that softens the appearance of wrinkles and restores rounded contours. A treatment session takes only about 30 minutes, and there is essentially no downtime. Results are long-lasting – about two years in clinical studies.

Yes, as an experienced, Board certified dermatologist I already have a variety of weapons in my arsenal of non-surgical, minimally invasive rejuvenation techniques. And yes, there is room for one more. I use Voluma™ along with neuromodulators and other types of soft tissue fillers, in customized combination protocols specifically designed for each individual patient.

Voluma™ is a powerful tool for a younger looking you.

Patients in New York City ask how ThermiRF ™ is different


The U.S. News and World Report’s doctor finder service lists 1,197 dermatologists in New York City. The majority of those doctors offer a variety of non-surgical, minimally invasive devices and techniques for face and body rejuvenation. While treatment choice is ultimately the patients’, it is natural for them to rely on advice from the dermatologist on how to proceed. I find myself recommending ThermiRF ™ with increasing frequency. Here is more information for patients who want to know why.


What is ThermiRF ™ ?

This is a versatile FDA-cleared device that uses radiofrequency (RF) technology to generate heat in deep layers of skin without harm to the surface. We apply the focused RF to induce metabolic changes that tighten skin, improve body contours, and soften wrinkles.


How is it used?

The ThermiRF ™system is a console with a hand piece and several application tips.

ThermiRase relaxes frown lines and tightens skin on the forehead, between the eyebrows. A micro-invasive tip delivers RF energy. It causes an interruption of impulses from nerves that tell muscles to contract. That softens the appearance of wrinkles in much the same way as Botox® Cosmetic, without the use of drugs.

ThermiTight can help lift the sagging lower face, including smile folds, jowls, jaw line, corners of the mouth, and the neck.

For fat reduction and body contouring, a very small probe is passed through the skin into the fatty tissue layer. The probe sends a controlled dose of RF energy to melt targeted fat cells, which are then flushed harmlessly from the body over the next few months.


What makes ThermiRF ™ different?

ThermiRF ™ is an “in between procedure” – in between non-invasive treatments such as Ultherapy®, Pellevé®, and Thermage®, and surgically invasive procedures like face or neck lift. The difference lies in the technology and the results. It is the only temperature controlled aesthetic therapy that penetrates to subdermal layers, with a thermal camera to monitor surface temperature and  an internal probe that records actual temperature achieved by the tissues that the physician intends to tighten. That allows deep heat for maximum collagen remodeling and fat reduction, without the limitation of temperature tolerance of surface skin. The difference is a high safety profile, precise application with effective outcomes.

NYC patients ask if Restylane is better than other soft tissue fillers


Dermal fillers are an extremely popular aesthetic treatment in NYC for very good reasons. The procedure is minimally invasive, requiring only injections so there’s none of the risks or recovery time associated with cosmetic surgery. Fillers effectively add volume to improve facial contours and smooth the appearance of wrinkles. However, the change is subtle and natural. It is also temporary, with duration depending on the type of filler used. That can be comforting to first timers. In my experience, though, patients love the results and are eager to schedule periodic touch-ups.

One of the questions I often get from patients new to the soft tissue filler experience is, “Which dermal filler is best?” or sometimes more specifically, “Is Restylane better than other fillers?”

No one product is best. I work with a variety of soft tissue fillers because I believe that each patient deserves a customized program of injectable treatment designed to resolve his or her specific concerns. Each type of filler is FDA approved for a specific purpose, and safe to use off label in experienced hands. I also integrate neuromodulators like Botox and Dysport and light and laser resurfacing techniques into those protocols for maximum rejuvenation.

Restylane, from Medicis, is popular because the brand name gets a lot of marketing exposure, although, Juvederm from Allergan, has been gaining a considerable market share and has developed name-branding. I enjoy working with Juvederm around the mouth because of its versatility, soft-to-the touch feel after its in the skin, and how easy it flows during the treatment. The hyaluronic acid formulation grabs many times its own weight in moisture to add volume and definition to lips. I use it to further enhance the mouth by smoothing nasolabial folds (from nose to mouth) and sad mouth corners. In some cases it is appropriate for forehead lines and crow’s feet, and contouring the chin, nose, and forehead.

No, Restylane isn’t better than other dermal fillers. But it has been one of my powerful tools for delivering more youthful complexions.

Patients in New York have questions about ThermiRF

I have answers. There are all kinds of products, gadgets, and services that make rejuvenation claims, but now and then a solution comes along that is truly exciting in its effectiveness and ease of use. ThermiRF is one of those breakthrough treatments.

Since this is new technology, let’s look at some of the questions patients in New York have been asking about ThermiRF.

What is ThermiRF?

ThermiRF is a family of compact devices that deliver a therapeutic dose of electrical and radiofrequency energy through a hand piece. It is non-surgical, and depending on the application, a non-invasive or micro-invasive technique.

What does it do?

For wrinkle reduction, ThermiRF relaxes muscles in a way similar to Botox or Dysport, but without injected medications. It tightens tissues by stimulating collagen synthesis. With the use of a tiny cannula, ThermiRF can melt fat in very specific areas. I use it for long-term reduction of frown lines, wrinkle treatment, skin tightening, to provide lift, and to improve contours.

Where can it be used?

ThermiRF is ideal for small areas and those that are difficult to treat with conventional procedures:

  • Forehead frown lines
  • Under the chin
  • Arms
  • Abdomen
  • Love handles
  • Knees

Is it safe?

ThermiRF is very safe. It is cleared by the FDA, and the device is the first of its kind with exclusive temperature control technology. This feature eliminates thermal spikes, helping to ensure patient comfort and reliable outcomes. The controls and monitoring system are built-in, and I and my staff have special training in administering ThermiRF treatment. Only local anesthetic is needed, if any. Treatment time is brief, and there is no downtime. My patients return to their regular activities right after an appointment.

ThermiRF is effective, convenient, and results are long lasting. It’s how New York is looking great without surgery.

Voluma – the injectable NYC has been waiting for


There’s a common misconception about wrinkles. Plenty of people believe that skin stretches over time, drooping into folds. While that can happen to the body in the case of extreme weight gain and loss, facial wrinkles are formed in a different way.

The amount of skin on your face remains fairly static throughout your adult life. What changes is the volume supporting it. That volume comes from hydration, fat, muscle, and bone, all of which naturally diminish as you age. You might imagine it as removing the stuffing from a pillow. Voluma is a new injectable solution to lost facial volume, from the manufacturer you know and trust – Juvederm. My patients in NYC have been waiting for this breakthrough, and I’m pleased to deliver it.

Voluma is a smooth, clear gel formulated with hyaluronic acid. The “acid” word sounds scary, but HA is natural component of your body, found in joints, connective tissues, and eyes. The amazing thing about HA is that it captures about 1,000 times its own weight in water. That gives Voluma incredible capacity to plump facial tissues immediately, and to continue to hold volume long term.

I identify areas of your face such as the apex of your cheek, the “apple,” and the hollow beneath your cheek bone that need additional volume. A few injections into precise points restore youthful lift and give an appearance boost to the whole face. Voluma works very well in conjunction with neuromodulators like Botox and Dysport, and other dermal fillers as part of a customized rejuvenation program. There is essentially no downtime – my patients typically return to normal activities the next day.

Why else might you want to consider Voluma? It is currently the only dermal filler approved by the FDA to add instant volume to the cheek area, and it lasts up to two years!