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 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.
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.
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
- Love handles
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.
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!
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.