Feel free to listen to the youtube sometimes reading it and hearing it is even more helpful. Plus there is a lot more detail in the video since its 26 minutes compared to a 2 minute read. Plus you can see my beautiful face from every angle.

Please excuse the self referential stories. I dont know how else to explain actual events and dates and the significance without telling the actual story. I am trying to give the best advice I can based on my learning over the past 20 years my personal experiences with the technologies and researching the technologies. My tens of thousands of phone calls with new patient inquiries (each call beginning with me asking and surveying what treatments they have done, what worked and what didnt)

Funny when I made the video I remembered that after my first Thermage treatment my skin got so much tighter that I didnt have to pull on it to shave. I completely forgot that. To this day I dont have to pull my skin taut because it is taut. Men know what I am talking about and probably so do some of you women who have watched a man shave.

Ill have to make a video of me shaving LOL

DONT GET FOOLED AGAIN.

Especially by med spas that dont even offer the most effective treatments stronger medical grade devices that absolutely must be operated by someone with at least 15 years experience. They havent been around that long LOL.

The most effective medical grade devices have to be operated at a very high temperature by a highly qualified and experienced person. PS that is not the doctor. The doctor doesnt operate a machine every day. That is absurd. That is not why they went to medical school. Often when a patient insists the doctor operate the machine the first question out of the doctor’s mouth is how do I turn this on? Do you think that is the most experienced person?

IN THE BEGINNING
First there were lasers. They were used in cosmetics for getting rid of superficial red spots. You can even get rid of tiny superficial veins. Not bigger veins like on the body. Those veins require being surgically removed. It is called vein stripping. Even small veins that are removed by lasers sometimes grow back.

The first technology to revolutionize the “non surgical” market was Thermage. It utilizes radio frequency to tighten the skin. If you tried to turn up a laser to do this you would burn the skin before you reached the collagen layer to tighten the skin. The genius behind Thermage who holds the patent for this technology is the same principle you see every day in your microwave oven. In the sense that the skin on your chicken will never brown. It can bypass it and go straight to the middle. In the same manner Thermage is calibrated to go to the collagen layer. There is an immediate tightening and then for the next three to six months the stimulated collagen grows for even greater results after the original tightening. The result for many, including myself is maintaining a smooth lower face and jaw. One could even refer to it, as a non surgical face lift. Lets just call it a quarter of an inch to give you an idea. There are many before and afters on the internet to give you an idea of great results from Thermage.

There are so many other technologies that now utilize radio frequency, profound, velashape, ultrashape. Actually I think there are over 50 of them. You need the person who has the most experience. You need to operate these devices at a very high temperature to get the best possible treatment. That will never happen at a med spa. In fact most med spas do not even have devices like these that are truly medical grade devices. Since we were the first in 2007 with Thermage NXT in New York we actually have the most experience. We also delivered the most treatments in New York multiple years. Apologies that it is about us, but it also explains the experience with which I speak.

Then came Exilis. Ironically made by BTL who later became famous for Emsculpt the ab machine everyone happily shares on videos. Exilis utilizes radio frequency as well but it is calibrated to go to the fat layer to melt fat, for body shaping. It also has another handpiece that is calibrated to tighten the skin but not as deep as Thermage. To be accurate the body shaping hand piece actually incorporates ultrasound and radio frequency for greater results. Dr Lisa explained to me fat cells look like a cluster of grapes so the ultrasound, shakes them loose and makes it more effective.

We brought the first BTL Exilis device to NY in 2009. So literally no one has more experience than we do. Dr Lisa was lecturing at the Monte Carlo Anti Aging Congress, because we just introduced tne Thermage CPT in 2009 and did a study on it. At that conference we met the President of BTL Jan Zarksky who gave us the Exilis to bring to New York, recognizing our expertise. It doesnt get better than that for experience. And we are the same team 17 years later.

In 2010 we got a call from Jan Zarsky of BTL he explained that the women who were doing acoustic wave therapy for physical therapy were swearing their cellulite was disappearing. Who ever heard of that? Can you imagine that the unexpected side effect was that obvious, that women wanted to continue treatment? Usually the opposite happens. Most of our new patients came to us because they did not get the promised effect some place else. In life in every profession always underpromise.

So the President of BTL sent us the acosutic wave device to do a study. Sure enough it was more effective than the Thermage we were doing at that time which was a much more expensive treatment. But the acoustic wave required many more treatments. But the acoustic wave didnt have consumables So we dropped the price by 80% and offered acoustic wave therapy. Just FYI acoustic wave didnt require expensive consumables. So even though the results were better we fairly dropped the price and passed on the savings to our grateful clients.

Fast forward 2020 BTL added radio frequency to the acoustic wave for skin tightening as well as cellulite reduction and called it Emtone. We happily took the first one in New York in 2019 and were crowned the doctor’s training facility due to our extensive contribution to the research and development of the technology. Sadly it was only a month before we were shut down for the pandemic and they never really marketed it much. They were having too much fun with Emsculpt the ab machine, since everyone was happy to share their abs on social media vs showing off their before and after cellulite? Who would have thought. LOL?

I skipped Emsculpt because I was telling the continuous story of the best cellulite treatment which started with our research in 2010 and culminated in Emtone in 2020. BTL actually released Emsculpt in 2018. That is the device everyone brags about and shows off their abs. It is muscle stimulation. But to be clear this is not stick on skin. Its electro magnetic and engages the whole muscle group with 20,000 crunches. After four or six treatments ( we immediately went to six) Do the math 50% better results. Actually probably more we didnt do a study before and afters but its cumulative. Their reported results after only four treatments was plus 16% muscle and minus 19% fat in the area. And if you heard of Emsculpt Neo they added radio frequency to it for even better results. You may have heard of Cutera TruFlex. I was interested in that machine and got a demo. So there are a dozen pads that are stuck on the skin. I thought it made sense but you cant go that strong and engaging the whole muscle group is better. I even spoke to an orthopedic surgeon at a seminar and asked him if it would be better to heal muscles in legs or backs. He said, “no its better to engage the muscle group” He had used emsculpt to help a girl avoid knee replacement. A big aside but it is relevant as to which technology is more effective.

In 2022 BTL offered a few Emface machines to New York. We happily signed up to be the first. To make it short and sweet is emsculpt for the face. What better way to lift your face then to restore your muscles. After 75,000 muscle contractions six times, as we offer. You can really see the lift in your lower face. I dont own an MRI or an ultrasound but by their research even four treatments offer 37% restoration of muscle, 23% lift and 37% wrinkle reduction. for our best clients we also combine Emface with Thermage for the kind of results I got.

Sorry backwards again in time. Back in 2005 Dr Lisa also did the United States research on Carboxytherapy before we opened Precision Aesthetics. It was being used extensively in Europe and South America. It is simply magic for stretch marks of any color on any color skin. For those of you who are familiar with microneedling. Imagine microneedling on steroids. The needle is approximately the same as used for taking blood. It is used to break up the stretch mark, then a drop of Co2 gas is inserted. As you might remember from High School biology, every cell in your body is excreting Co2 and bringing in Oxygen. That is what makes it magical. Because the body now rushes oxygenated blood to the area. The increase in circulation really multiplies the effect of the treatment for truly great results. We have people fly in from all over the country to get treated by us. Using a laser for stretch marks is pretty much malpractice in my opinion. You are merely striping the body to camouflage the stretch mark. Worse yet you could get hypo or hyperpigmented. Its a total no no for dark skin. A stretch mark is like a scar. The skin has ripped at a deep level. Carboxy is also great for scars.

Its that simple. If there was anything else that would give our clients great results with little to no down time, we would have bought it yesterday, we have many thousands of clients.

PS lets talk about No Nos. Coolsculpting just google paradoxical hyperplasia and google paradoxical hyperplasia and Linda Evangelista. You dont have to take my word for it. PS why are there 5 law firms doing class action law suits against Coolsculpting? Lawyers dont waste their time. They will take on a case if you were run over by a Fedex truck and they will sue Coolsculpting. Do the math.