Precision Aesthetics: The Ultimate Destination for Scientific Beauty Solutions

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.

Skin Tightening Non Surgical Face Lift

Thermage has been around since 2001. It is still the best, safest, most effective one time non surgical thing you can do for you face. So I wrote a tiny book with everything you need to know. I dont believe in wasting your time.

For more information, ask questions, speak to a staff member, schedule a complementary consultation call 212 799 1411 or go to http://www.precisionaestheticsmd.com Most Experienced Thermage Provider since 2007.

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1st Do no Harm. Non Surgical Cosmetics

I will always talk about the truth. Society is way too obsessed with ridiculous made-up standards of beauty. It also changes as often as the styles do. Was anyone alive to witness Twiggy? She was a famous model of the seventies. Google her. What is everyone going to do with their inflated butts when the style goes back to thin?

How about “heroin chic.” That was the ’90s’. Skinny-worship was only twenty years ago. Remember Calvin Klein ads, Kate Moss? You can bet your big fat ass that it will be back. So first, get some self-confidence.

BBL or Brazilian butt lift is the deadliest procedure in plastic surgery. I made this easy for you. What a horror show. There is way more horrible information on this, then I anticipated. PS you can do emsculpt on your butt and increase the muscle in your butt for slight lift. Its only 15%. My point is not to do that, Its simply to avoid the most dangerous plastic surgery and not die. Why dont you just go to the gym? You will look and feel better overall and you might actually meet a like minded person. Unless you are obsessed with spending a ton of money to meet a superficial jerk. Think about that one?

So you are spending a boat load of money to attract a superficial jerk. Why not just put a want ad that says I want a superficial jerk? Oh right you are doing that. It is as plain as the unusually large butt that is following you around. It will probably attract an ass to follow you. It is literally a signal to what type of partner you are looking for.

Regarding other minor non-surgical procedures, not BBL. To be clear if you are in your forties to sixties and have discretionary income and getting rid of loose skin, cellulite, stretch marks or another simple procedure would make YOU happy, have fun. Do not come in and say you are doing it for someone else. A good doctor will turn you away. You can tighten skin, make collagen and even tighten the muscles on your face. I would argue, in a sense it is all natural. As you work your way down your body you can do the same to any body part. IF You have the discretionary income and it bothers you. I would also propose Emsculpt on your abs makes sense because it is your core, it protects and in some cases helps people with back issues. Its not a medical treatment but many claim it has helped their back.

I loved getting the first six pack in my life, ironically in my sixties. This is me 2018. This was with Emsculpt. Emsculpt Neo is the one with the heat that is slightly more effective. I was pretty happy with my abs after emsculpt.

So I have done Emsculpt Neo for my abs and my face with Thermage and Emface and Exilis.

In the video, I repeated my admonition then I explained all the procedures to avoid. I then explained what I believe after 17 years experience answering probably 17,000 phone calls (3 a day) and traveling the world researching technologies both in the US and in Europe, the best non surgical technologies.

When I went to Monte Carlo in 2009, there was only one other New York doctor there. There was only lasers and the first non surgical device for skin tightening, Thermage. This industry did not exist. In fact the reason we went, was Dr Lisa was lecturing on the new Thermage face tip called the CPT. There was no Coolsculpting. That was 2016 and it is a disaster, still the most dangerous treatment. There was no Emsculpt. That was 2018.

So all of the geniuses that you have been speaking to or taking advice from, even Doctors, have no clue about all of the technologies. In fact any time you hear a doctor speaking about a technology, its not even that they believe in it or know anything about it. They are being paid by the manufacturer to read a slide show prepared by the manufacturer. They dont even know what they are talking about.

The Monte Carlo Anti Aging Congress, accepts studies provided by doctors about technologies that were just released that year. The study is made by the doctor. Thermage didnt even know Dr Lisa had submitted the study.

So that is real research, not a doctor being paid to narrate a slide show.

Again to be clear, If you have discretionary income and it would make you happy to see a few less wrinkles, a bit more collagen and tighter muscles, less sag on your face when you look in the mirror I am all for it, and I do it. Want a tone tummy? Great. I know women absolutely love getting rid of stratch marks even thirty years later ( Carboxytherapy works on any color stretch mark on any color skin at any age). Cellulite is also a bummer. People love getting rid of that. Its all good. I am advocating against making young ladies and girls feel bad about looking normal. If you are under thirty go to the gym, lose weight your skin will bounce back.

PS I probably havent moved to florida yet because it scares me. All the women look alien, with inflated lips and butts and boobs. There are natural approaches to all of this. Even Botox, a good doctor will never freeze everything. They will soften the lines. They will not make you look like a deer in the headlights, if you really want Botox. Although, check out my forehead no Botox for probably 20 years, Just emface and thermage, making collagen and tightening muscles, not freezing them.

Ill end with this story told by Wayne Dyer. A 40 year old woman goes to her doctor for her annual physical. She comes home all excited and tells her husband, ” the doctor told me I have the breasts of a 20 year old, the legs of a thirty year old, and the face of a twenty year old” her husband replies, “What did he say about your forty year old ass?” ” “Oh she replies your name didnt come up”. Thats what I am talking about. Do what makes you happy go to the gym, work out at home. Always happy to help even if its just a pep talk.

OUTLINE OF VIDEO

Non-surgical beauty treatments, including CoolSculpting and radio frequency devices. (0:00)

Emphasize the importance of self-confidence 

Criticizes the industry for promoting unnecessary treatments and pushing financing options on clients.

Discussion of CoolSculpting and radio frequency devices; recommendation against CoolSculpting due to potential for paradoxical hyperplasia and loose skin.

The speaker highlights the benefits of radio frequency devices, including increased collagen production, muscle tightening, and wrinkle reduction.

Non-invasive beauty treatments for face and body, including Ulthera, Excellus, and carboxytherapy. (4:30)

My experience with Thermage treatments, highlighting my expertise and success with the procedure.

Exilis  and Emculpt treatments, are effective for body shaping and abs development.

Compare the effectiveness of different fat-melting treatments, including Emsculpt and Exilis, and notes that Exilis  is half the price but only melts fat.

The potential risks of using ultrasound on the face, citing lawsuits against Ulthera and the close proximity of nerves to the skin.

Carboxytherapy is the most effective treatment for stretch marks, as it breaks down the marks at a deep level.

Cellulite treatment with acoustic wave technology. (10:23)

Company brought first Exilis device to US in 2009, 8 years before Emsculpt.

Rebranding of a cellulite treatment device as Emtone  and its FDA approval in 2020.

Cosmetic treatments and their effectiveness. (13:34)

Silkpeel offers non-invasive alternatives to traditional microdermabrasion and laser treatments.

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

Before and After Thermage

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.

Thermage Face Male 35 to 65 Me!!

AGE 35 to 64

John top AGE 35  note LOOSE SKIN nasolabial folds

To Be Clear  This is all about the cheeks and the jaw line   The lower face.  That is the area that the Thermage treatment  has the most obvious and dramatic results. That was more than 30 years ago 1988, I did not have great genes.  Notice the loss of volume and collagen in the cheeks.  Pronounced nasolabial  folds  ( the lines from the nose to the corner of the mouth).  Obvious thin skin, skin is practically hanging    Loss of volume in upper cheeks   This was so long ago I even had hair and a black leather jacket LOL.  I am not even smiling and you can see the skin is loose.

BELOW 20 YEARS LATER LOTS OF COLLAGEN LOST John AGE 53

100_0345.JPG

Age 53, 18 years later or 12 years ago.   I had one Thermage treatment.  Actually an improvement over my 35 year old self.  You can see my skin is tighter.   But I lost a lot if not all of  the collagen in my cheeks.  I think these pictures really make a compelling argument for the loss of collagen and a saggy lower jaw as the primary signs of aging,  as well as the restoration of collagen with Thermage as the most natural solution for a youthful face.   It is far superior to a face lift     Who needs thin skin stretched out over bones ? That doesn’t make you look younger. It merely makes you look older or like an old person with a facelift

BELOW  AGE 64    TEN YEARS LATER and a few Thermage Treatments over the past 10 years

Version 2

ABOVE  AGE 64   I had one Thermage treatment September 2017  I was afraid I was finally getting too old and could no longer fight some loose skin, But its all gone and tight again.  Now if I can just get some botox for my forehead I can look even younger LOL

BELOW AGE  65  THERMAGE Today at 65  A perfectly straight jaw line, No double chin, No Chin fat, No jowls, No loose skin.  No Nasolabial folds or marionette lines (from the nose to the corner of the mouth.  Those lines are almost invisible which I actually had at 35 ( the top photo)

Thermage Face Male jaw lineVersion 2

ABOVE  65   First time I did a second treatment in less than a year ( like the ladies do)   You have to admit, me at 64 and 65 there is zero signs of aging in my lower face. Do I need botox ? Yes.  Could I use a full head of hair ? LOL  maybe.  But as far as what Thermage can do.  Its done !  Go back and look at me at 35.  Would really expect me to have a perfectly straight jaw line, no jowls, no double chin.  Not a drop of loose skin on the lower face 30 years later ?  PS I  did not get cheek implants.  In fact its obvious that I havent even had botox in over 2 years  Any filler or botox is completely worn off.  This is Thermage and only Thermage

thermage New York before and after

 

Thermage stomach or abdomen photo before and after treatment

Tummy Treatment by Richard Asarch, MD. Pre and 6 months post.
Tummy Treatment before and  6 months post.

This is a perfect example of the sweet spot for thermage.  Someone who had a baby or recently lost weight and has loose skin.  Because the treatment affects the collagen layer.  There is an immediate tightening. The collagen layer also holds back the fat ( by the way thats the first clue to understanding cellulite, it has everything to do with the collagen mesh that holds back fat but thats in another post)  So besides the immediate tightening long term your body is stimulated to grow more collagen which further tightens and smooths either your face or your body,  More thermage before and afters here