Anti Aging

NAD, NMN, NR, and Injectable NAD: What Actually Makes Sense?

| johnas9000

If you spend any time around the longevity world today, you will quickly hear about Nicotinamide adenine dinucleotide (NAD) and the supplements that are supposed to raise it.

People talk about NAD like it is the master switch for aging, energy, brain function, and metabolism. Podcasts, clinics, and supplement companies all have their version of the story.

And like most things in health and longevity, there is some real science mixed with a lot of marketing.

Let’s break down what NAD actually is, what NMN and NR do, and where injectable NAD fits into the picture.

What NAD Actually Does

NAD is a molecule found in every cell in your body. It plays a central role in cellular metabolism and energy production.

Without NAD, your cells cannot efficiently convert food into usable energy.

NAD is also involved in:

• mitochondrial function
• DNA repair
• cellular stress responses
• activation of longevity pathways including Sirtuins

One of the reasons scientists became interested in NAD is that levels decline with age. Some research suggests that NAD levels may drop significantly between youth and older age.

That decline has led researchers to explore ways to restore NAD levels in the body.

Why People Don’t Just Take NAD Directly

You might think the simple answer would be to just take NAD itself.

The problem is that NAD is a large molecule, and when taken orally it does not easily enter cells intact. The body tends to break it down before it can be used.

That led researchers to focus on molecules the body can convert into NAD. These are called NAD precursors.

The two most widely discussed are Nicotinamide mononucleotide (NMN) and Nicotinamide riboside (NR).

Both of these compounds exist naturally in the body and are part of the pathway that produces NAD.

Very simply, the pathway looks like this:

Vitamin B3 → NR → NMN → NAD

Taking NMN or NR essentially provides the body with raw material to rebuild NAD through its normal metabolic pathways.

What the Research Shows So Far

The science around NAD and aging is fascinating, but it is still developing.

Animal studies have shown that raising NAD levels can improve mitochondrial function, metabolism, and certain markers associated with aging.

In humans, research has shown that NMN and NR do increase NAD levels in blood.

However, the big question remains unanswered.

Does raising NAD actually slow aging or meaningfully improve long-term health?

The answer today is: we don’t know yet.

The research is promising but still early.

The Rise of Injectable NAD

Because NAD itself is such a critical molecule, many wellness clinics now offer IV NAD infusions or injections.

The idea is that if NAD is delivered directly into the bloodstream, it could quickly boost cellular NAD levels.

These treatments can cost several hundred dollars per session, and patients often report feeling:

• increased energy
• improved mental clarity
• improved mood
• reduced fatigue

There is even some exploration of NAD infusions in addiction medicine during detox programs.

But scientifically, the picture is still unclear.

Even when NAD is injected into the bloodstream, it may still be broken down into smaller components before cells use it. In other words, the body may end up rebuilding NAD through the same pathways it would use with NMN or NR.

Another interesting detail is that NAD infusions often have to be administered very slowly. If the drip runs too fast, patients commonly experience flushing, chest pressure, nausea, or abdominal discomfort.

A Personal Perspective

I have been around the supplement and longevity world for a long time.

One of my close friends is Oz Garcia, who has spent decades advising actors, athletes, and people who are extremely serious about their health.

Oz has seen just about every supplement trend come and go.

When I asked him about NAD injections, his answer was simple and very practical.

He suggested that instead of paying $200–$250 per session for injectable NAD, it makes more sense to take NMN or NR powder and allow the body to build NAD naturally.

In his view, the metabolic pathway already exists. The body knows how to convert these precursors into NAD efficiently.

And from a cost perspective, it is dramatically cheaper.

The Bigger Picture

The NAD story highlights something interesting about the longevity field.

We are learning that aging is closely tied to cellular energy systems, mitochondrial health, and the body’s ability to repair itself.

NAD sits right in the middle of those systems.

But it is unlikely that one molecule alone will solve aging.

The strongest drivers of cellular health are still the basics:

• exercise
• metabolic health
• sleep
• nutrition
• stress management

Supplements like NMN or NR may support those systems, but they are not magic bullets.

My Approach

My personal approach is fairly simple.

I try to combine:

• the emerging science
• advice from people I trust who have spent decades studying nutrition
• and a little bit of common sense

When someone like Oz Garcia — someone who has been working at the highest level of nutrition for decades — suggests using NMN or NR powder instead of expensive NAD injections, that makes sense to me.

It respects the biology of how the body works, and it respects your wallet.

In the end, my philosophy has always been the same.

Blend good science, practical experience, and cost awareness.

That combination often leads to better decisions than hype alone.

Apparently I’m Right About Everything (And I Don’t Even Have a Team of Scientists)

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I just read this article on Apple News—backed by a team of researchers and MDs.
But weirdly… I’m already doing most of what he recommends, and I’d even suggest one simple, obvious upgrade.

[Link to the article]. Its Apple News You will not get it if you are not subscribed.

  • He avoids sugar.
  • He eats dark chocolate with minimal sugar.
  • He takes Metformin—not because he’s diabetic, but because it mimics the effects of fasting.

This is the same stuff I’ve been doing and talking about for a while now—just without the white coat.

Let me make one very obvious correction to his routine though:
Don’t use creamer in your coffee. That’s moronic.
Sorry, but come on—most creamers are filled with weird, nasty chemicals.
Use MCT oil instead. Even better? Add a scoop of chocolate protein powder like I do every morning. You’ll be full, alert, and not craving junk two hours later.

Now, in fairness, when I reread the article, he said cream, not creamer.
Still, most people don’t know the difference—and store-bought creamers are basically poison in a bottle.
I’d still bet MCT oil beats cream if we had the time, money, and long enough human lifespans to do a proper head-to-head study.
But we don’t. So sometimes we just have to use common sense and choose wisely.

And about that dark chocolate—I get it. It’s not dessert.
But let’s be real: you’ve probably acquired a taste for some gross stuff in your life.
Beer? Tasted like piss the first time.
Vodka? Scotch? Same deal.
So… why not dark chocolate?

I’ve got a few bags of Bouchard dark chocolate from Costco—minimal sugar.
I avoided them for months because I had “real” chocolate, cookies, and ice cream around.
But now that I’ve run out of the fun stuff? I’m eating the dark chocolate.
And guess what? It’s not bad. Actually—it’s good.
And it’s loaded with antioxidants.

I also take Metformin. I’ve known about it for over 10 years.
But last year, when I read that type 2 diabetics on Metformin were having better health outcomes than so-called “healthy” people, I nearly fell over. That was the last straw.

Now the FDA has approved the first-ever study of Metformin for anti-aging. That’s historic.
I take one tablet at night. It’s everywhere in the longevity space.
It mimics intermittent fasting—which I’d love to do… except I also love eating. So, Metformin it is.

The rest? Pretty simple:

  • Mediterranean-style eating
  • Less carbs
  • Fewer processed snacks
  • More movement

I’m working hard to take care of myself—not just for me, but because that’s what I do.
I use myself as a guinea pig for safe, tested, proven options.

No, I haven’t jumped on the rapamycin bandwagon (yet).
What I am doing is minimal and safe.
Metformin has been around for over 70 years.

So if you’re reading this, here’s your nudge:
Cut the sugar. Try MCT. Swap the creamer.
And maybe—just maybe—acquire a taste for dark chocolate.

P.S. I’ve been taking Methylene Blue for about a month. And while I’m not ready to recommend it without any caveats, I will say this:
I’ve had double the energy.
Not jittery caffeine energy—clean, focused energy. The kind that lets me sit for long periods and work 14-hour days instead of 8.
It’s been used in medicine for over 100 years, but I’m taking a higher-than-recommended dose—though still less than what’s used clinically.
I’ll wait for my next blood test before reporting back. Since I am taking it at around 80mg a day double the dose recommended for off label. For context it is used as high as 280 mg a day for medical conditions. Stay tuned.

How You Can Jumpstart Your Summer Body—Without the Gym

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Let’s be honest. Nothing boosts confidence like feeling great in your own skin. And nothing says summer like a flat tummy or a hint of muscle definition.

But here’s the truth: you don’t need to spend hours in the gym or force yourself through a hundred crunches a day. In fact, studies show it takes 80,000 crunches to get the kind of ab definition most people are after. That’s where technology comes in.

I tried a treatment that contracts your abs 20,000 times in 30 minutes while you lie down. No sweat. No stress. Just results. It’s non-surgical, painless, and honestly… kind of wild how well it works.

I didn’t just get stronger. I got inspired. When I saw real results—actual visible abs—I started doing pushups again. One became five. Five became fifty. And suddenly, I was building momentum from a place of motivation, not guilt.

If you’re ready to feel that kind of spark again, this might be your answer.

Our setting? Not a med spa. Not a crowded gym. A private, quiet doctor’s office where you’re the focus. It’s discreet, peaceful, and just might become your new favorite place. If you are in New York, why not do your emsculpt in our private doctor’s office. Its a private sanctuary our clients love.

PS: Why not trade your gym membership for a Precision Aesthetics membership? We can treat your thighs, arms, and calves too. Most people say they look forward to it. It takes zero motivation to show up and lie down. That’s the beauty of it.

#FreeHealthAndBeautySecrets #SummerReady #EffortlessFitness #BodyConfidence #NonInvasiveResults #FeelGoodLookGood #YourNewFavoriteHabit

How You Can Jumpstart Your Summer Body—Without the Gym

Let’s be honest. Nothing boosts confidence like feeling great in your own skin. And nothing says summer like a flat tummy or a hint of muscle definition.

But here’s the truth: you don’t need to spend hours in the gym or force yourself through a hundred crunches a day. In fact, studies show it takes 80,000 crunches to get the kind of ab definition most people are after. That’s where technology comes in.

I tried a treatment that contracts your abs 20,000 times in 30 minutes while you lie down. No sweat. No stress. Just results. It’s non-surgical, painless, and honestly… kind of wild how well it works.

I didn’t just get stronger. I got inspired. When I saw real results—actual visible abs—I started doing pushups again. One became five. Five became fifty. And suddenly, I was building momentum from a place of motivation, not guilt.

If you’re ready to feel that kind of spark again, this might be your answer.

Our setting? Not a med spa. Not a crowded gym. A private, quiet doctor’s office where you’re the focus. It’s discreet, peaceful, and just might become your new favorite place.

PS: Why not trade your gym membership for a Precision Aesthetics membership? We can treat your thighs, arms, and calves too. Most people say they look forward to it. It takes zero motivation to show up and lie down. That’s the beauty of it.

#FreeHealthAndBeautySecrets #SummerReady #EffortlessFitness #BodyConfidence #NonInvasiveResults #FeelGoodLookGood #YourNewFavoriteHabit

I Apologize: for Not Sharing the Beauty Secrets I’ve Learned Over 20 Years

Before and After Thermage
| johnas9000

In an ultimate act of selfishness, I’ve been holding back. I was worried—worried that someone might criticize me, that someone might not like me. Protecting my feelings took priority. I haven’t shared the magic I’ve learned about beauty over the past 20 years. Plus, I needed to see 17 years of results to be positive about what the treatments have done for me. Our thousands of clients will never tell. They are too high profile. Let me tell you what’s really going on in the world of non-surgical beauty, and why so many are getting disfigured, overfilled with fillers, or over-paralyzed with Botox.

Non-surgical skin tightening is magical, and we’ve mastered it. Over the years, we’ve achieved results that others can only dream of—results backed by objective proof.

Conversations with Legends

A few years ago, I was chatting with Dr. Brian Kinney, one of the most famous Beverly Hills plastic surgeons (may he rest in peace). During our small talk, I mentioned how many Thermage treatments we perform and shared our little secret: we give patients a painkiller so we can safely reach the highest, most effective temperature. This ensures the best results for a one-time treatment. He admitted something surprising: he’d never trust his technician to do that.

But that’s where we’re different. Danielle, our technician, has delivered more Thermage treatments than anyone in New York for multiple years. We’ve invested over $150,000 annually for years just on the treatment tips. Why? Because every patient deserves great results with zero downtime. Our treatments don’t even cause a slight sunburn. I have videos of myself driving home after my sessions, ready to attend a party if I wanted to. That’s how confident I am in our process.

Innovating Thermage Treatments

Let’s talk numbers: With the NXT device we used 1200-pulse tips for full face and neck treatments. While most others used 600 pulses—not even half a treatment! You dont have to be a geek to understand half a treatment isnt worth much, especially since the results are additive. PS in case any geeks are looking to find fault, the numbers are different with the Newer FlX which we do offer. We’ve gone further, offering two treatments a year (a protocol the company doesn’t officially recommend but that has proven results). The results speak for themselves. Ask the folks at Thermage—Danielle’s track record is unmatched.

Carboxytherapy: Magic for Stretch Marks

While we’re on the subject of Beverly Hills plastic surgeons, let me address a comment from a particularly famous one who’s on not on one but two TV shows. He claimed Carboxytherapy isn’t safe. Want to laugh? Carbon dioxide (CO2) is the most commonly used gas for insufflation during laparoscopic surgeries. Quarts of CO2 are used daily on each patient in operating rooms. We use barely a drop for Carboxytherapy to treat stretch marks. And while you were reading this you exhaled Co2, thats known as breathing. It is something we all learned in grade school. I dont comment on things I dont know.

Here’s how it works: the stretch mark is broken up with a needle, which also delivers a tiny drop of CO2. This encourages circulation and stimulates the area for healing. It’s pure magic. Clearly, our TV celebrity physician has never stepped into an operating room. So yes, in this instance, I’ll confidently say I know better.

Why Expertise Matters

Both Thermage and Carboxytherapy are powerful tools, but they absolutely require expertise. Look up reviews on Thermage, and you’ll see the difference between good and bad practitioners. It’s all too easy to deliver the wrong number of pulses to the wrong areas. Do any of us have perfectly symmetrical faces? Does everyone have the same needs under their chin, on their cheeks, or around their jawline? No.

Now here’s a funny one for you: I’ve had callers ask if we use the grid. The grid! This is something painted on the face on day one of training—20 years ago. It suggests evenly distributing pulses: 200 along the jawline, 200 mid-cheek, 200 upper cheek. That approach? A disaster waiting to happen. Everyone’s face is unique, and a one-size-fits-all approach simply doesn’t work.

Years of Listening

Or that I have answered three calls a day for 17 years—around 17,000 phone calls—and have asked each person what treatments they’ve done and what their results were. So yes, I know better than literally anyone what works and what doesn’t. Take, for instance, the last CoolSculpting seminar I attended. The salesman whipped out his phone, Googled “bad CoolSculpting,” and showed me an image that looked like a shark bite. He explained that you’d need at least eight treatments for the stomach area: four on the front and two on each flank. Even then, you’d have eight shark bites, not a smooth result.

Or consider the Cutera seminar, where their fat-melting treatment involves a dozen pads stuck in place. I asked the doctor lecturing about the difference between that and handheld treatments like Exilis. With a wand, you can keep moving, allowing higher temperatures and smoother results. His response? “I’ve never operated one; I have no idea.”

The Apology

So here I am, finally shouting from the rooftops what thousands of our patients already know. These treatments, when done right, are transformative. But they must be done by someone skilled, someone who knows how to customize every pulse, every injection, every treatment to the individual. I’m sorry for holding back, for not sharing sooner. It’s time to change that.

If you’re ready to experience beauty treatments done right—by someone who truly knows what they’re doing—you know where to find us. Let’s do this the right way.

PS: It is your choice if you want lips, tits, and butt too big and completely frozen faces and want to take out a mortgage for it. Just not what we do.

The Next Wave in Beauty: Embracing a Natural Approach, No Needles Required

| johnas9000

The Filler Dilemma

Are fillers really the answer to a more youthful look? While injectable fillers have become increasingly popular, they come with potential long-term drawbacks:

  • Risk of residual filler accumulation beneath the skin
  • Potential puffiness and uneven texture over time
  • Visible filler becomes more apparent as skin naturally thins with age
  • Doesn’t address root causes of aging:
    • Collagen loss
    • Muscle weakening
    • Skin laxity

Revolutionary Non-Invasive Solutions

Thermage: The Trusted Pioneer

  • Introduced in 2001
  • Specializes in skin tightening through deep collagen stimulation
  • Success depends on:
    • Provider experience
    • Technical skill
    • Quality equipment
  • Proven track record of consistent results when performed by experienced practitioners

Precision Aesthetics: Masters of Thermage

With years of dedicated experience, Precision Aesthetics has established itself as a leader in Thermage treatments:

  • Long-standing expertise since Thermage’s early days
  • Refined and perfected treatment techniques
  • Consistently superior results that few facilities can match
  • Deep understanding of optimal treatment parameters
  • Experienced staff with extensive training
  • State-of-the-art equipment maintenance and upgrades
  • Track record of satisfied, long-term clients

Emface: The Game-Changing Innovation

Launched in 2022, Emface represents a paradigm shift in beauty technology:

  • Comprehensive Approach:
    • Restores facial muscles
    • Tightens skin
    • Reduces wrinkles
  • Key Benefits:
    • No needles required
    • Zero downtime
    • Natural-looking results
  • Innovative Technology:
    • Combines muscle stimulation with radiofrequency
    • Works at foundational level
    • Creates visible, long-lasting lift

The Power of Combination Therapy

When used together, Thermage and Emface offer a holistic approach to facial rejuvenation:

Thermage:

  • Tightens skin
  • Rebuilds collagen gradually
  • Provides long-term structural support

Emface:

  • Rejuvenates facial muscles
  • Adds natural lift
  • Enhances overall facial contours

The Precision Aesthetics Advantage

At Precision Aesthetics, the combination of these technologies is elevated through:

  • Expert assessment of individual patient needs
  • Customized treatment protocols
  • Precision application techniques
  • Comprehensive approach to facial rejuvenation
  • Years of experience in non-invasive treatments
  • Understanding of optimal treatment timing and spacing

Advantages Over Traditional Treatments

  • Avoids common filler-related issues:
    • Visible filler accumulation
    • Lumps
    • Scar tissue formation
  • Works with natural biological processes
  • Maintains authentic facial features
  • Produces refreshed, lifted appearance

The Future of Beauty: A New Self-Care Paradigm

This evolution in beauty treatment represents a significant shift in approach:

  • Lifestyle-Compatible:
    • Minimal downtime
    • Long-lasting results
    • Sustainable maintenance
  • Natural Philosophy:
    • Enhancement vs. alteration
    • Preservation of unique features
    • Focus on holistic rejuvenation

Conclusion

The beauty industry is moving away from temporary fixes toward sustainable, natural solutions. Thermage and Emface lead this transformation by offering:

  • Needle-free treatments
  • Natural-looking results
  • Long-term rejuvenation
  • Minimal recovery time

With Precision Aesthetics’ extensive experience and expertise, patients can trust they’re receiving the highest quality care and most effective application of these revolutionary technologies. This new approach allows individuals to enhance their natural beauty while maintaining their unique features, marking a significant evolution in aesthetic medicine.

Precision Aesthetics: The Ultimate Destination for Scientific Beauty Solutions

| johnas9000

At Precision Aesthetics , we offer the most advanced non-surgical technologies available, expertly designed to deliver exceptional, natural-looking results. Our treatments—Thermage, Emface, Emtone, Carboxytherapy, Exilis, Emsculpt, Emsculpt Neo, and Emsella—are precisely tailored to target the root causes of aging, cellulite, and body contouring concerns. With over 20 years of experience in aesthetic medicine, we combine art and science to ensure our clients receive the highest level of care and results, all within the privacy of our discreet, luxurious office.

Thermage: Sculpting Beauty with Cutting-Edge Skin Tightening

Thermage represents the pinnacle of non-invasive skin tightening. It is trusted globally as an effective solution for clients seeking firmer, lifted skin without the risks and downtime associated with surgery. At Precision Aesthetics, we use this breakthrough radiofrequency technology to precisely target and rejuvenate sagging skin, delivering exceptional results that build over time.

Thermage: The Science Behind the Lift

  • Radiofrequency Precision: Thermage penetrates deep into the skin’s layers, stimulating collagen production and tightening tissue.
  • Natural, Long-Lasting Results: Collagen remodeling continues for months post-treatment, delivering lasting firmness and lift.
  • Versatile Treatment Areas: Face, neck, abdomen, arms, and thighs—all areas where skin laxity is a concern.

We customize each Thermage session to your unique facial structure and body contours, ensuring a subtle, refreshed look that appears completely natural. This is an ideal treatment for those who want a lifted appearance without the telltale signs of surgical intervention.

Emface: Facial Sculpting Redefined

Emface is a revolutionary, needle-free technology that combines radiofrequency and electromagnetic muscle stimulation to simultaneously tighten skin and lift facial muscles. This innovative approach provides a comprehensive solution for clients looking to achieve facial rejuvenation without toxins or downtime. Emface is the perfect blend of science and beauty, harnessing technology to deliver a youthful, contoured appearance.

Why Emface Is the Future of Facial Aesthetics:

  • No Needles, No Toxins: A purely non-invasive approach that respects the skin’s natural structure.
  • Muscle Enhancement Meets Skin Tightening: By lifting and tightening, Emface enhances facial contours in a way that looks and feels completely natural.
  • Quick and Painless: Sessions take less than an hour, allowing you to resume your day immediately.

At Precision Aesthetics, we tailor Emface treatments to enhance your unique facial anatomy, ensuring optimal lift and contour for a refreshed and youthful appearance. This is the ideal choice for clients seeking an effective, non-surgical facelift alternative.

Emtone: Scientific Cellulite Reduction

Cellulite is a challenge that many women face, regardless of fitness level or body type. At Precision Aesthetics, we leverage the power of Emtone—a sophisticated combination of radiofrequency energy and targeted pressure—to treat the underlying causes of cellulite. This dual-action technology improves skin texture, reduces fat cells, and enhances collagen production, resulting in a smoother, more toned appearance.

How Emtone Works:

  • Multifactorial Treatment: Emtone targets enlarged fat chambers, reduced collagen, and poor circulation—key factors contributing to cellulite.
  • Non-Invasive and Painless: No incisions, no discomfort, and no downtime.
  • Visible Results in Record Time: Most clients notice a significant improvement in just a few sessions.

Our advanced understanding of Emtone allows us to design individualized protocols for each client, focusing on areas such as the thighs, buttocks, and abdomen to achieve the smooth, firm skin you desire.

Carboxytherapy: Transforming Stretch Marks with Innovative Science

Carboxytherapy is a minimally invasive treatment designed to minimize the appearance of stretch marks. Using finely controlled injections of carbon dioxide (CO2), Carboxytherapy stimulates the body’s natural collagen production and improves blood flow, promoting skin regeneration and reducing the visibility of stretch marks.

The Precision Aesthetics Advantage:

  • CO2 Technology: A proven method that triggers the skin’s natural healing response, enhancing elasticity and collagen.
  • Versatile Application: Effective on both new and long-established stretch marks.
  • Tailored Treatment Plans: We customize each session to your specific skin type and stretch mark severity, ensuring maximum effectiveness.

At Precision Aesthetics, we have perfected the use of Carboxytherapy to deliver safe, scientifically backed results for stretch mark treatment, providing our clients with smoother, more even skin.

Exilis: Comprehensive Body Contouring

Exilis combines radiofrequency and ultrasound technologies to address stubborn fat, tighten skin, and sculpt the body. This dual-action approach allows us to safely and effectively target and reshape problem areas, creating a slimmer, more contoured physique without the need for invasive surgery.

Why Choose Exilis?

  • Precision Targeting: Exilis delivers controlled energy deep into the tissue, stimulating fat loss and skin tightening simultaneously.
  • No Downtime: A comfortable procedure that requires no recovery time.
  • Customized for Your Body: Effective for the abdomen, thighs, arms, and other areas in need of contouring and tightening.

Our expert team creates tailored Exilis treatments for each client, ensuring that you achieve your desired body contour and skin firmness efficiently and safely.

Emsculpt and Emsculpt Neo: Advanced Muscle Building and Fat Reduction

Emsculpt and Emsculpt Neo represent a breakthrough in non-surgical body sculpting. Using high-intensity focused electromagnetic (HIFEM) technology, Emsculpt induces powerful muscle contractions, toning and building muscles in the abs, buttocks, arms, and thighs. Emsculpt Neo takes it a step further by combining HIFEM with radiofrequency to simultaneously build muscle and burn fat.

The Science of Emsculpt and Emsculpt Neo:

  • HIFEM Technology: Each session stimulates thousands of muscle contractions, equivalent to intense workouts.
  • Fat Reduction Capabilities: Emsculpt Neo’s additional radiofrequency component enhances fat breakdown.
  • Fast, Effective Sessions: Each treatment is quick, with no downtime, making it convenient for even the busiest clients.

At Precision Aesthetics, our Emsculpt and Emsculpt Neo protocols are precisely customized to maximize muscle growth and fat reduction, providing you with the ultimate body sculpting experience.

Emsella: Pelvic Floor Strengthening and Wellness

Emsella is an FDA-approved, non-invasive treatment specifically designed to strengthen the pelvic floor muscles, offering relief from incontinence and improved sexual health. Using electromagnetic energy, Emsella stimulates thousands of pelvic floor contractions in each session, replicating the effects of thousands of Kegel exercises.

Emsella’s Benefits:

  • FDA-Approved: Clinically proven to treat incontinence and enhance pelvic health.
  • Sexual Wellness: A stronger pelvic floor improves sexual function and satisfaction.
  • Comfortable and Quick: Sessions are non-invasive, with clients fully clothed and no recovery time needed.

At Precision Aesthetics, we offer Emsella as part of our holistic approach to aesthetic and wellness treatments. Whether you’re looking to improve bladder control or enhance pelvic strength, our specialized team ensures you receive the best care possible.

Precision Aesthetics: Combining Art, Science, and Expertise

With over two decades of experience, Precision Aesthetics is your trusted partner for non-surgical beauty solutions. Our commitment to using state-of-the-art technology, combined with a deep understanding of facial and body anatomy, allows us to deliver results that are both transformative and natural. Our discreet, private setting ensures that every client receives the personalized, confidential care they deserve.

Our Promise:

  • Excellence in Every Treatment: We take pride in our meticulous approach, ensuring every client achieves their aesthetic goals safely and effectively.
  • Discreet Service: Our practice is located in a private, residential building with no external signage, providing absolute privacy for our clients.
  • Personalized Plans: Our consultations are designed to create individualized treatment plans that align with your unique needs and desired outcomes.

Schedule Your Consultation

Experience the science of beauty at Precision Aesthetics. Whether you’re interested in skin tightening, cellulite reduction, body contouring, or pelvic wellness, our expert team is here to guide you through your aesthetic journey. Schedule your consultation today and discover how our innovative, non-surgical solutions can enhance your natural beauty.

Hair Transplants: The Gold Standard in Balding Solutions—From My Personal and Professional Journey

| johnas9000

Clearly an expert, who decided long ago that I didnt want to pursue surgery. However, over the years, I’ve played both guinea pig and professional in the quest to find effective solutions for hair loss. Like many, I’ve experimented with various treatments in hopes of finding that elusive cure. From personal trials to advanced technology at my practice, I’ve seen the evolution of hair loss treatments firsthand. But even with all the latest innovations, hair transplants remain the gold standard—a fact I’ve recently been reminded of, as a close friend’s son is undergoing the procedure today. And she has worked in the cosmetic medical field for 30 years. So she is close to many doctors in New York and aware of the options.

My Personal Experience with Hair Loss Treatments

Years ago, after failing with Minoxidol. Propecia, and Finasteride, still in the early stages of exploring solutions for my own thinning hair, I decided to try mesotherapy. This involved tiny injections of biotin and other vitamins into my scalp, a treatment I hoped would stimulate hair growth. If I remember correctly I believed we even injected progesterone, of course superficially, into the scalp. Unfortunately, it didn’t yield the results I was after, and I quickly learned that, while mesotherapy could be promising for skin, its effectiveness for hair growth was limited.

Cold Laser Therapy at Precision Aesthetics

Fast forward to my professional experience at Precision Aesthetics. As someone deeply interested in cutting-edge treatments, I was drawn to the potential of low-level laser therapy (LLLT). I invested $150,000 in a cold laser device for our office, with high hopes of offering a breakthrough treatment for hair loss. Here’s a bit of background on cold lasers: they received their first FDA approval in 2002 for treating carpal tunnel syndrome in GM workers. While the exact mechanism is still not fully understood, it is believed that cold lasers promote healing by stimulating the mitochondria (the energy factory of the cell) to produce more ATP, thereby enhancing cellular repair.

The rush was on after that initial FDA approval, as cold lasers began being applied to a variety of other conditions—each at a different wavelength. In the case of hair loss, it’s the approximately 800nm wavelength that is thought to stimulate hair follicles. We offered this treatment to our patients, believing in its potential. But there was one catch: patients had to come in every other day for sessions. As you can imagine, most New Yorkers weren’t keen on committing to that frequency, no matter how effective the treatment promised to be.

Around that time, laser technology began to miniaturize, and laser caps—which could be worn at home—took over the market. While these caps were much more convenient, the results still only offered about a 10% improvement in hair density. For women with 100,000 hairs on their head, that small percentage could be magical. But for someone like me, going from 10 to 11 hairs on my head was, quite frankly, not a cosmetic improvement!

However if you are a woman seeking to fill in the “part” the extra 10,000 hairs as well as the quality of the hair is clearly worth it. Even with this poor photo, you can see the after on the left has filled in the part and the quality of the hair is improved as well. This photo was supplied to me by a doctor friend in Canada of one of her actual patients.

Patient Requests for Viviscal

An interesting event occurred around the same time. A number of our existing patients began asking us to carry the professional version of Viviscal, a hair supplement known for promoting hair health and growth. While supplements like Viviscal can be helpful for supporting healthier hair, they aren’t magic pills that stop balding or regrow lost hair, especially in cases of advanced hair loss. But that was probably the only time patients asked us to carry a product. I cant speak to head to head results vs Nutrafol which is currently advertising a lot today.

The Gold Standard: Hair Transplants

Despite the various new treatments available, the reality is that hair transplants continue to be the most effective and permanent solution for significant hair loss. Just today, a dear friend of mine is in Florida with her son, who is undergoing hair transplants. This reinforces what I’ve long known—while newer options like laser therapy, PRP, and supplements have their place, hair transplants remain the gold standard. They offer permanent, natural-looking results and have stood the test of time, especially as non-surgical treatments have yet to prove themselves on a large scale.

Why Hair Transplants Are Still Popular

  1. Permanent Results: Unlike topical treatments or medications, hair transplants provide a permanent solution to hair loss. The transplanted hair follicles are typically resistant to the hormone DHT (dihydrotestosterone), which causes balding in androgenetic alopecia, ensuring that the hair continues to grow even after the procedure.
  2. Natural Appearance: Advances in transplant techniques, particularly Follicular Unit Extraction (FUE) and Follicular Unit Transplantation (FUT), have made it possible to achieve very natural-looking results. The precise placement of individual follicles makes it nearly impossible to detect a transplant.
  3. Customization: Hair transplants can be tailored to each individual’s hair loss pattern, ensuring that the density and hairline design fit naturally with the person’s overall appearance.

Modern Hair Transplant Techniques

  1. Follicular Unit Extraction (FUE):
    • In this method, individual hair follicles are extracted one by one from the donor area (typically the back of the head) and transplanted into the balding areas.
    • Advantages: Minimally invasive, no large scars, faster recovery, and less discomfort.
    • Disadvantages: More time-consuming and often more expensive than FUT because it requires more precision.
  2. Follicular Unit Transplantation (FUT):
    • This technique involves removing a strip of scalp from the donor area, dissecting it into individual hair follicle units, and then transplanting them to the balding areas.
    • Advantages: It can cover larger areas in a single session and may be more cost-effective for extensive hair loss.
    • Disadvantages: Leaves a linear scar in the donor area, which can be visible if the person chooses to wear their hair short.
  3. Robotic Hair Transplants (ARTAS):
    • Some clinics use robotic systems to assist in FUE procedures. The robot helps in identifying and extracting the healthiest hair follicles for transplantation, potentially increasing precision and reducing the time needed for the procedure.

Non-Surgical Alternatives on the Rise

While hair transplants remain a reliable option, non-surgical treatments are becoming more popular due to their minimally invasive nature, with treatments like:

  • PRP Therapy: Involves injecting platelet-rich plasma from your own blood into the scalp to promote hair growth.
  • Low-Level Laser Therapy (LLLT): Non-invasive laser treatments that stimulate hair follicles.
  • Medications: Options like minoxidil (Rogaine) and finasteride (Propecia) are still widely used to slow down hair loss and promote hair regrowth.
  • Exosome Therapy: The use of exosomes to stimulate hair regrowth is an emerging treatment, showing promise in rejuvenating hair follicles.

Conclusion: Personal and Professional Lessons

Through both personal and professional experiences, I’ve learned that while the world of hair loss treatments is constantly evolving, the fundamentals remain the same. Hair transplants are the gold standard because they provide lasting, visible results—especially for those who are losing hair at a rapid rate. While the convenience and promise of newer technologies like low-level lasers and supplements can be appealing, they often fall short for those seeking a real transformation.

As someone who has played the role of guinea pig and offered the latest in hair loss solutions, I can say with certainty that when it comes to hair loss, there is no one-size-fits-all solution. But for those looking for something tried, tested, and proven, hair transplants still reign supreme. To be continued. Very intrigued to follow the latest developments in stem cell genetic therapy and exosomes.

Top Anti-Inflammatories to Ward Off Arthritis and Inflammatory Issues

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Inflammation is the body’s natural response to injury or illness, but chronic inflammation can lead to a host of health problems, including arthritis and other inflammatory conditions. Fortunately, there are several natural anti-inflammatories backed by evidence-based research that can help manage and reduce inflammation. Below is a list of some of the top anti-inflammatories that may support your journey toward better health.

Note from John:

For those who don’t like to read or just want the quick version (hey, we’re all a bit lazy sometimes), here’s my cliff notes or “quickie for dummies”:

When I worked with Oz Garcia, I had the job of writing vitamin labels. This wasn’t just a matter of slapping on some buzzwords—I had to back every claim with solid studies, which then went through a rigorous review by the nutritionist and legal team at the vitamin manufacturer. One of our big projects was creating the Longevity Pak, which even Hillary Swank raved about. I also wrote individual labels, and let me tell you, the easiest one to write was for fish oils. The benefits are practically endless: they start with the brain, move down to the heart, and cover the whole body’s inflammation issues. When it comes to fish oils, focus on Omega-3s—trust me, we already get more than enough Omega-6s in our diet. Funny enough, they used to sell products boasting Omega-3, 6, and 9, but really, just stick with Omega-3s.

If you’re going to pick one supplement, Omega-3s would be it. My second favorite? Turmeric or curcumin. Over 25 years ago, I used to buy organic turmeric powder (the kind sold for seasoning) and mix half a teaspoon with water. I don’t recommend it—it tasted awful! But do be careful about the source.

As for resveratrol and SAMe, they’re way too pricey. One of my favorite go-to doctors, who was on Steve Jobs’ medical team and has a PhD in nutrition and biochemistry, told me resveratrol isn’t worth it. I don’t have two PhDs, so I take his word for it.

Everyone is vitamin D deficient—even my friends in Florida. That says a lot because vitamin D is crucial for so many things. Magnesium is another essential; it’s involved in everything from energy production to relaxing your muscles. Most of us need it. Start there, and remember, we are all biologically unique—or as Joshua Rosenthal coined it, we have “bio-individuality.” So, pay attention to what works for you.

PS: If you want to see Oz Garcia in person, be prepared to shell out $25,000 just to walk through the door. The first thing he’ll ask you to do? Write down everything you eat for a week. Duh. Not only are we biologically different, but we also all have different diets. You can’t hire someone to follow you around for a week to track your meals. Well, actually, you can—Oz does one-week retreats with his billionaire clients. But assuming most reading this aren’t in that category, you’ll need to track what you eat and how you feel. Personally, I use an Excel sheet to track my supplements and medications (I take testosterone and growth hormone). It’s essential for reference.

1. Turmeric (Curcumin)

Curcumin, the active compound in turmeric, has been extensively studied for its anti-inflammatory properties. It works by inhibiting several molecules involved in inflammation, such as NF-kB, COX-2, and TNF-alpha. Curcumin has shown effectiveness in managing inflammatory conditions like arthritis.

2. Omega-3 Fatty Acids (Fish Oil)

Omega-3 fatty acids, particularly EPA and DHA found in fish oil, are powerful anti-inflammatories. They reduce the production of inflammatory cytokines and eicosanoids, providing relief from joint stiffness and pain, particularly in rheumatoid arthritis.

3. Ginger

Ginger contains bioactive compounds such as gingerol and shogaol, which are known for their anti-inflammatory effects. Research shows that ginger can significantly reduce inflammation and pain in conditions like osteoarthritis.

  • How to Use: Ginger can be consumed fresh, dried, or in supplement form. A common dose is 1-2 grams of ginger extract daily.
  • Learn More: Journal of Medicinal Food

4. Green Tea (EGCG)

Green tea, rich in epigallocatechin gallate (EGCG), is a potent anti-inflammatory and antioxidant. It has been shown to reduce inflammation and cartilage degradation in arthritis.

  • How to Use: Enjoy 3-4 cups of green tea daily or take 400-800 mg of EGCG as a supplement.
  • Learn More: Journal of Nutrition

5. Resveratrol

Resveratrol, found in red grapes, berries, and red wine, has anti-inflammatory properties. It works by inhibiting NF-kB and other inflammatory pathways and is studied for its potential to reduce inflammation in arthritis and cardiovascular disease.

6. Boswellia Serrata (Indian Frankincense)

Boswellia Serrata is known for its anti-inflammatory effects, particularly in osteoarthritis. The active compounds, boswellic acids, inhibit the 5-lipoxygenase enzyme, reducing inflammation and pain.

7. Bromelain

Bromelain, an enzyme found in pineapples, has anti-inflammatory properties and is particularly effective in reducing inflammation from soft tissue injuries and osteoarthritis.

  • How to Use: Bromelain is typically taken in doses of 500-2,000 mg daily.
  • Learn More: Planta Medica

8. Capsaicin

Capsaicin, the compound that gives chili peppers their heat, reduces inflammation and pain by depleting substance P, a neuropeptide involved in pain transmission. It is commonly used for osteoarthritis pain relief.

  • How to Use: Capsaicin is available in topical creams, with concentrations ranging from 0.025% to 0.1%.
  • Learn More: Pain Journal

9. Vitamin D

Vitamin D is essential for immune function and inflammation regulation. Low levels of vitamin D are associated with higher inflammation and an increased risk of autoimmune diseases like rheumatoid arthritis.

10. Quercetin

Quercetin is a flavonoid that has powerful anti-inflammatory effects. It works by inhibiting inflammatory cytokines like IL-6 and TNF-alpha, making it a beneficial supplement for reducing chronic inflammation.

11. Alpha-Lipoic Acid (ALA)

Alpha-lipoic acid is an antioxidant that helps reduce inflammation by neutralizing free radicals. It is particularly effective in reducing inflammation in people with metabolic syndrome and diabetes.

12. S-adenosylmethionine (SAMe)

SAMe is a compound naturally produced in the body that plays a role in reducing pain and inflammation in osteoarthritis. It also supports joint health by promoting cartilage production.

13. Magnesium

Magnesium is involved in many bodily processes, including the regulation of inflammation. It helps lower levels of CRP (C-reactive protein), a marker of inflammation, which can reduce the risk of chronic inflammatory diseases.

14. Vitamin C

Vitamin C is a powerful antioxidant that neutralizes free radicals, reducing inflammation. It also supports immune function and is essential for collagen production, which is vital for joint health.

  • How to Use: While the RDA for vitamin C is 90 mg for men and 75 mg for women, higher doses (500-1,000 mg) are often recommended for their anti-inflammatory benefits.
  • Learn More: Nutrients Journal

15. Zinc

Zinc is crucial for immune health and has anti-inflammatory properties. It helps modulate the immune response and reduce inflammatory cytokines, which can be beneficial in managing chronic inflammatory conditions.

  • How to Use: The RDA for zinc is 11 mg for men and 8 mg for women, though supplements typically provide higher doses (15-30 mg).
  • Learn More: Biological Trace Element Research

Conclusion

Incorporating these natural anti-inflammatories into your daily routine can support your body’s ability to manage inflammation, potentially preventing or reducing the severity of conditions like arthritis. Always remember, before starting any new supplement, it’s important to consult with a healthcare provider, especially if you are managing a chronic condition or are on medication.

Disclaimer: The information provided in this blog post is for educational purposes only and should not be considered as medical advice. Always consult with a qualified healthcare professional before starting any new treatment or supplement regimen. Individual results may vary, and what works for one person may not work for another. The statements in this post have not been evaluated by the Food and Drug Administration (FDA). These products are not intended to diagnose, treat, cure, or prevent any disease.

I Apologize: for Not Sharing the Beauty Secrets I’ve Learned Over 20 Years

Before and After Thermage
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In an ultimate act of selfishness, I’ve been holding back. I was worried—worried that someone might criticize me, that someone might not like me. Protecting my feelings took priority. I haven’t shared the magic I’ve learned about beauty over the past 20 years. Plus, I needed to see 17 years of results to be positive about what the treatments have done for me. Our thousands of clients will never tell. They are too high profile. Let me tell you what’s really going on in the world of non-surgical beauty, and why so many are getting disfigured, overfilled with fillers, or over-paralyzed with Botox.

Non-surgical skin tightening is magical, and we’ve mastered it. Over the years, we’ve achieved results that others can only dream of—results backed by objective proof.

Conversations with Legends

A few years ago, I was chatting with Dr. Brian Kinney, one of the most famous Beverly Hills plastic surgeons (may he rest in peace). During our small talk, I mentioned how many Thermage treatments we perform and shared our little secret: we give patients a painkiller so we can safely reach the highest, most effective temperature. This ensures the best results for a one-time treatment. He admitted something surprising: he’d never trust his technician to do that.

But that’s where we’re different. Danielle, our technician, has delivered more Thermage treatments than anyone in New York for multiple years. We’ve invested over $150,000 annually for years just on the treatment tips. Why? Because every patient deserves great results with zero downtime. Our treatments don’t even cause a slight sunburn. I have videos of myself driving home after my sessions, ready to attend a party if I wanted to. That’s how confident I am in our process.

Innovating Thermage Treatments

Let’s talk numbers: With the NXT device we used 1200-pulse tips for full face and neck treatments. While most others used 600 pulses—not even half a treatment! You dont have to be a geek to understand half a treatment isnt worth much, especially since the results are additive. PS in case any geeks are looking to find fault, the numbers are different with the Newer FlX which we do offer. We’ve gone further, offering two treatments a year (a protocol the company doesn’t officially recommend but that has proven results). The results speak for themselves. Ask the folks at Thermage—Danielle’s track record is unmatched.

Carboxytherapy: Magic for Stretch Marks

While we’re on the subject of Beverly Hills plastic surgeons, let me address a comment from a particularly famous one who’s on not on one but two TV shows. He claimed Carboxytherapy isn’t safe. Want to laugh? Carbon dioxide (CO2) is the most commonly used gas for insufflation during laparoscopic surgeries. Quarts of CO2 are used daily on each patient in operating rooms. We use barely a drop for Carboxytherapy to treat stretch marks. And while you were reading this you exhaled Co2, thats known as breathing. It is something we all learned in grade school. I dont comment on things I dont know.

Here’s how it works: the stretch mark is broken up with a needle, which also delivers a tiny drop of CO2. This encourages circulation and stimulates the area for healing. It’s pure magic. Clearly, our TV celebrity physician has never stepped into an operating room. So yes, in this instance, I’ll confidently say I know better.

Why Expertise Matters

Both Thermage and Carboxytherapy are powerful tools, but they absolutely require expertise. Look up reviews on Thermage, and you’ll see the difference between good and bad practitioners. It’s all too easy to deliver the wrong number of pulses to the wrong areas. Do any of us have perfectly symmetrical faces? Does everyone have the same needs under their chin, on their cheeks, or around their jawline? No.

Now here’s a funny one for you: I’ve had callers ask if we use the grid. The grid! This is something painted on the face on day one of training—20 years ago. It suggests evenly distributing pulses: 200 along the jawline, 200 mid-cheek, 200 upper cheek. That approach? A disaster waiting to happen. Everyone’s face is unique, and a one-size-fits-all approach simply doesn’t work.

Years of Listening

Or that I have answered three calls a day for 17 years—around 17,000 phone calls—and have asked each person what treatments they’ve done and what their results were. So yes, I know better than literally anyone what works and what doesn’t. Take, for instance, the last CoolSculpting seminar I attended. The salesman whipped out his phone, Googled “bad CoolSculpting,” and showed me an image that looked like a shark bite. He explained that you’d need at least eight treatments for the stomach area: four on the front and two on each flank. Even then, you’d have eight shark bites, not a smooth result.

Or consider the Cutera seminar, where their fat-melting treatment involves a dozen pads stuck in place. I asked the doctor lecturing about the difference between that and handheld treatments like Exilis. With a wand, you can keep moving, allowing higher temperatures and smoother results. His response? “I’ve never operated one; I have no idea.”

The Apology

So here I am, finally shouting from the rooftops what thousands of our patients already know. These treatments, when done right, are transformative. But they must be done by someone skilled, someone who knows how to customize every pulse, every injection, every treatment to the individual. I’m sorry for holding back, for not sharing sooner. It’s time to change that.

If you’re ready to experience beauty treatments done right—by someone who truly knows what they’re doing—you know where to find us. Let’s do this the right way.

PS: It is your choice if you want lips, tits, and butt too big and completely frozen faces and want to take out a mortgage for it. Just not what we do.