As we walk our path of life,

We meet people everyday.

Most are simply met by chance,

But, some are sent our way.

these become special, Whose bond we can’t explain;

The ones who understand us and share our joy and pain.

So, even when apart

Their presence enhances us

With a warmth felt in the heart.

This becomes a passageway, When even the miles disappear, and so these

friends, remain forever near.”

Reflecting on the past three years of Sensitive Touch Medical Spa, the one

thing that comes to mind is “people.”

Our foundation, our purpose and our joy can be found in you.

In you we find our inspiration. 

We have been extremely fortunate to have you in our life, even if it was for

just one short visit.

Many of you have become our loyal visitors, some we are lucky to call our

friends and there are those who became like a second family.

Not a single person left our doors without leaving a lasting impression.

And we strongly believe that we were meant to meet.

We are here today because of you and thanks to you.

You shaped us into the business we are today.

We hope that your visit(s) at Sensitive Touch were also more than skin deep.

If you loved our laser hair removal, tattoo removal, Zerona, Botox,        

scar removal, SilkPeel, SmoothShapes, brown spot removal, skin tightening,

 or vein removal – great!  We have more exciting things to

come.

And if you enjoyed our cozy office, the personal attention you received

from our staff and if you left our MedSpa not only looking but also feeling

better, then we have done our job.

To all the Sensitive Touch Beauties-Hope to see you soon!

In the mean time leave your feedback, share your ideas or simply stay in-

touch by keeping the conversation going on our Facebook page.

“Sometimes people are beautiful.  Not in looks.  Not in what they say.  Just in

what they are.”

By Sabina Kozak of Sensitive Touch – NYC Laser Hair Removal & Skin TreatmentMedSpa

“IT IS THE EARLY BIRD THAT CATCHES THE WORM”, THE FAMOUS QUOTE PREACHES.  I SAY  “IT IS THE EARLY BIRD THAT CATCHES THE YOUTHFUL LOOK” THAT WE ALL WANT.

SMOOTH, FIRM AND SPOT FREE COMPLEXION IS DESIRED BY US ALL.

WHILE THE FOUNTAIN OF YOUTH HAS NOT BEEN DISCOVERED, PREVENTION IS THE KEY TO YOUNGER LOOKING SKIN.

ACCORDING TO THE EXPERTS AT THE NEW BEAUTY MAGAZINE,IT IS NEVER TOO EARLY TO START PREVENTING AND CORRECTING THE FIRST SIGNS OF AGING.

READ ON TO FIND WHAT YOU CAN DO TODAY TO LOOK YOUNGER TOMORROW.

    AS EARLY AS YOUR MID 20S AND INTO YOUR 30S YOU MAY START TO NOTICE THE VERY FIRST SIGNS OF AGING, WHICH ARE USUALLY SUBTLE BUT STILL BOTHERSOME.  WHAT WAS ONCE A SMOOTH COMPLEXION MAY NOW BE HOME TO SMALL SUN SPOTS, CORW’S-FEET, DARK UNDER-EYE CIRCLES AND UNEVEN TEXTURE.  INSTEAD OF LETTING THE SIGNS OF AGING GET THE BEST OF YOU, TAKE MATTERS INTO YOUR OWN HANDS AND CORRECT THE CHANGES THAT YOU ARE SEEING-YOU MAY EVEN BE ABLE TO PREVENT THEM FROM PROGRESSING AS YOU GET OLDER WITH THE PROPER PLAN OF ATTACK.

1.  UNDER-EYE BAGS, DARKNESS AND PUFFINESS-WITH AGE, THE AREA UNDER THE EYES BECOMES DARK AND PUFFY.  MAKEUP CAN HELP CAMOUFLAGE BAGS AND CIRCLES, BUT INJECTABLES AND PROPER SKIN CARE CAN REVERSE THEM.

THE EYES ARE USUALLY THE FIRST AREA OF THE FACE TO AGE, AND CROW’S –FEET CAN DEVELOP AS EARLY AS YOUR LATE 20S.  THESE SMALL, DEEPLY INDENTED LINES START AT THE OUTER CORNER OF THE EYE AND EXTEND OUTWARD AND CAN CAUSE YOU TO LOOK OLDER THAN YOU REALLY ARE.  PREVENTION IS KEY:  MAKE SURE TO LIMIT SUN EXPOSURE AND WEAR SUNGLASSES AND SUNSCREEN EVERYDAY.

IN YOUR EARLY 20S, YOU SHOULD USE BOTOX(R) AS A WAY TO PREVENT CROW’S-FEET AND SOFTEN ANY LINES.  IT’S FANTASTIC FOR PREVENTING WRINKLES FROM EXPRESSIONS, BUT NOT THOSE FROM SUN DAMAGE.

REGULAR USE OF HIGHLY MOISTURIZING EYE CREAM HELPS KEEP THE DELICATE EYE AREA SUPPLE AND LESS PRONE TO LINES AND WRINKLES.

DARK CIRCLES AND UNDER-EYE BAGS DEVELOP WHEN THE FAT BENEATH THE LOWER LIDS PROTRUDES AND THE MUSCLE BECOMES LOOSE. WHEN YOU ADD IN EXCESSIVE DRINKING, SUN EXPOSURE, LACK OF SLEEP AND EATING TOO MUCH SALT, IT CAN ONLY MAKE MATTERS WORSE.  WHETHER THE RESULT OF GENETICS, A MEDICAL CONDITION OR ALLERGIES, THE BEST WAY TO COMBAT DARK CIRCLES AND UNDER-EYE BAGS IS BY REPLACING LOST VOLUME AND USING PRODUCTS THAT REDUCE PIGMENTATION. 

PATIENTS WITH DARK CIRCLES AND BAGS, FOR WHICH SURGERY IS NOT AN OPTION, THE BEST MODE OF TREATMENT IS WITH HYALURONIC ACID FILLERS, WHICH FILL IN HOLLOWS TO GIVE THE ILLUSION OF FEWER BAGS.  THERE WILL BE NO SHADOWS, AND THE DARK PIGMENTATION WILL BE DIMINISHED.

CHEMICAL PEELS, IPL OR FRACTIONAL LASER CAN ALSO HELP TIGHTEN THE UNDER-EYE AREA. 

2.  ONCE A WRINKLE HAS MADE EVEN THE FAINTEST EMERGENCE ON YOUR SKIN, IT’S HARDER TO GET RID OF THAN IF IT WERE TREATED WHILE IT WAS FORMING.  BOTOX(R) CAN BE USED TO INHIBIT WRINKLES FROM OCCURING, ESPECIALLY IN WRINKLE-PRONE AREAS, LIKE AROUND YOUR EYES AND FOREHEAD.  IT’S NEVER TOO EARLY TO START TAKING PREVENTATIVE MEASURES. 

KNOWN AS NASOLABIAL FOLDS, THESE UNPLEASANT LINES THAT STRETCH FROM THE NOSE TO THE MOUTH, RESULT WHEN FAT IS LOST FROM THE AREA AROUND THE MOUTH.  ALTHOUGH NASOLABIAL FOLDS DON’T TEND TO BECOME REALLY DRAMATIC UNTIL YOU 40S OR EVEN LATER, SOME WOMEN ARE AFFECTED BY THEM AS EARLY AS THEIR 30S.  WITH AGE COMES CHANGES IN FACIAL FAT, AND THIS LOSS OF VOLUME RESULTS IN NASOLABIAL FOLDS.  THE MORE FAT THAT’S LOST, THE MORE PROMINENT THEY ARE.  HYLAURONIC ACID FILLERS LIKE JUVEDERM OR RESTYLANE(TM) ARE BEST FOR FILLING IN THESE LINES, ESPECIALLY AMONG WOMEN IN THEIR LATE 20S AND EARLY 30S.  FOR PATIENTS THAT COMPLAIN OF SOMEWHAT DEEPER FOLDS, FILLER IS INJECTED IN THE CHEEKS TOO, TO LIFT THE FOLD.

3.  SUN SPOTS, WHICH ARE MORE COMMON ON THE LEFT SIDE, OR DRIVING SIDE, OF THE FACE, ARE CAUSED BY DAMAGE INCURRED FROM YEARS SPENT IN THE SUN-THE AMOUNT OF SUN YOUR SKIN WAS EXPOSED TO IS PROBABLY SHOWING UP NOW.  IT SEEMS LIKE THE SUN SPOTS MAY APPEAR ALL OF A SUDDEN, BUT IT TAKES YEARS FOR THE DAMAGE TO ACCUMULATE.  IF NOT ADDRESSED, THEY MAY TURN DARKER AND MAY ONE DAY BE ACCOMPANIED BY CREPEY SKIN.

WHEN TREATING SUN SPOTS, THE FIRST LINE OF DEFENSE IS ALMOST ALWAYS HYDROQUINONE, WHICH STOPS THE PRODUCTION OF PIGMENT IN ITS TRACKS.  HYDROQUINONE-FREE GELS LIKE KOJIC ACID OR VITAMIN C ARE OPTIONS, TOO.  THEY HELP DISPERSE MELANIN EVENLY.  IF YOUR SKIN IS STILL DISCOLORED, YOU MAY CHOOSE TO USE A LIGHT LASER, LIKE IPL, OR FRACTIONAL LASER FOR MORE SEVERE SPOTS. 

    THE WAY YOU CHOOSE TO CARE FOR YOUR SKIN PLAYS A ROLE IN HOW QUICKLY YOU WILL AGE, BUT THERES’S ONE AGING FACTOR THAT THERE’S NO CONTROLLING:  YOUR GENES.  YOUR GENES DICTATE AT WHAT RATE YOU WILL AGE AND WHAT AREAS OF THE FACE WILL AGE FIRST AND BE MOST AFFECTED.  EVEN THOUGH THERE IS NOTHING CURRENTLY AVAILABLE THAT CAN BE DONE TO GENETICALLY ALTER HOW YOU WILL AGE, THERE ARE MANY-SKIN-CARE PRODUCTS THAT PURPORTEDLY ANALYZE YOUR DNA AND USE THAT INFORMATION TO PRESCRIBE A SOLUTION TO STAVE OFF THE SIGNS OF AGING.  KEEP IN MIND THAT MOST OF US TEND TO AGE SIMILARLY TO OUR PARENTS.

    WHETHER YOU HAVE BEEN BLESSED WITH GREAT GENES OR NOT, TODAY YOU CAN PREVENT WHAT YOU DO NOT WANT TO SEE ON YOUR FACE TOMORROW.  LITTLE EXTRA EFFORT AND THOUGHT IS A SMALL PRICE TO PAY FOR YOUTH AND BEAUTY.

By Sabina Kozak of Sensitive Touch – NYC Laser Hair Removal & Skin Treatment MedSpa

In the superficial world we live in, surrounded by air brushed perfection, we forget to appreciate our own not-so-perfect beauty.

Looking in the mirror we find countless reasons to hate the way we look.

Where is the love?

In order to wake up from unrealistic and unnecessary expectations, we need to be shaken up by the images of unfortunate victims of evil husbands and vicious chimps. We need to see the faces of women who have to face a life without a face.

Where is the love?

All of a sudden not-so-perfect is just perfect. Your face is beautiful and you found the love.

But for how long will it last?

Each time we look in the mirror will we always wish to see another, “prettier” face?

By Sabina Kozak of Sensitive Touch – NYC Laser Hair Removal & Skin Treatment MedSpa

Prestige that is associated with being considered attractive, is one of the reasons why the subject of beauty is continually stirring emotions and causing debates.

Being considered beautiful is an advantage in every aspects of life. It is definitely an advantage in the sex department. Desirable, delicate, experienced and willing to experiment are just some of the characteristics associated with attractive men and women.

Are the above statements true or a myth?

It turns out that beautiful men and women are more sexually experienced and more adventurous in the bedroom. According to studies, beautiful men more frequently give their partners orgasms. Intriguing right?

Fortunately for the rest of folk, those blessed by mother nature with beauty do not have the monopoly when it comes to mastering the art of love making. They do however, have more opportunities and really effortless ability to stir the imaginations of their partners.

Beauty is the best asset-you can exchange it for prestige, money, happiness, sex and even love.

Because so much in life is dependent on outside appearance, it is an asset that is either perfectly utilized or wasted.

It will be a shame to allow for such a great gift to go to waste. Esthetic medicine with a multitude of cosmetic procedures, offers a complete and complex care for the face and body, for both men and women. Improving the appearance, it also positively impacts the quality of sex life.

Cosmetic procedures that give the best results and provide “instant gratification” are: Botox(R), injectable fillers (both hyaluronic acid and calcium based), chemical peels, affirm tightening treatments and laser vein removal.

Esthetic medicine the fastest growing branch of medicine, constantly introduces innovative procedures and products that will allow us to hold on to our beauty, our health and our satisfying sex life.

Follow the spirit of the times, do not wait for beauty to happen. Create it with the help of cosmetic procedures.

New York is a jungle and only the beautiful survive. Use all the available “weapons” to win the “fight!”

By Sabina Kozak of Sensitive Touch – NYC Laser Hair Removal & Skin Treatment MedSpa

“I came to Sensitive Touch to smooth out my wrinkles in my face and I was so pleased with the results. The difference between before and after is subtle, but so wonderful. People say I look good and rested and I never change.” – recent Sensitive Touch Customer Review

According to DocShop.com, the benefits of BOTOX® injections have made them a popular cosmetic treatment. BOTOX treatments can give the face a younger, revitalized appearance. Explore the information below to learn more about the various BOTOX® treatments and benefits.

How BOTOX® Treatment Benefits the Eyes

“Dynamic wrinkles,” or wrinkles caused by facial expression and muscle movement, are especially prevalent in the area around the eyes. Fortunately, these wrinkles are very responsive to BOTOX® treatments. One of the benefits of BOTOX® injections is that BOTOX® Cosmetic weakens the muscles responsible for squinting and crinkling of the eye area. The treatment effectively reduces or eliminates crow’s feet and other wrinkles around the eyes. Since BOTOX® injections only affect muscle nerves, not nerves of sensation, patients do not experience a loss of feeling in the treated area.

BOTOX® Cosmetic and the Brows

Smiling, laughing, and frowning can all result in permanent wrinkling of the brow. Removing wrinkles from the area between the eyes can dramatically change a person’s appearance from one of continual anger or sadness to one of contentment and restedness. Because BOTOX® treatments are so effective in improving moderate to severe frown lines between the brows, many patients have them as an alternative to a brow lift. Reducing deep, stubborn furrows between the brows is also a widely documented benefit of BOTOX® injections for men. You will start to see aesthetic improvement from your BOTOX® injections after a few days, and results can last up to four months.

BOTOX® Cosmetic and Forehead Wrinkles

Wrinkles on the forehead can give the face an older, more haggard appearance. As people age, the muscles used to form facial expressions create permanent creases in the skin. One of the benefits of BOTOX® injections is that they can be used to relax the facial muscles, resulting in smoother skin and fewer wrinkles. In areas such as the forehead, where horizontal wrinkles tend to form, the BOTOX® benefits are particularly valuable. Contrary to the common misconception that a doctor must treat each wrinkle, only the underlying muscles that cause wrinkles must be treated. Once you have received your BOTOX® treatment, the muscles that ordinarily cause wrinkles and lines to appear in the forehead are no longer as active for a period of several months.

BOTOX® Cosmetic and Jaw Contouring

Recently, doctors have discovered a new BOTOX® benefit: Patients with oversized masseter muscles, the muscles of the jaw used for chewing, can be treated with BOTOX® injections. Many patients with square-shaped faces want a non-surgical option to give them the oval face shape they desire. BOTOX ® treatments have been reported to reduce the size of the masseter muscles, resulting in a gently curved cheek and jaw. There are several additional benefits of using BOTOX® injections for jaw contouring, including:

• The procedure is non-invasive.
• A BOTOX® treatment can be quickly performed in your doctor’s office.
• There is virtually no recovery time necessary; you can resume your normal activities immediately after treatment.

Although the bone structure is not changed, the reduction of muscle thickness noticeably refines the angle of the patient’s jaw.

Alternative Health Benefits of BOTOX® Injections

The benefits of BOTOX ® injections are not limited to treating wrinkles. The FDA originally approved BOTOX ® for several non-cosmetic treatments, including blepharospasm, a condition in which the eyes twitch uncontrollably, migraine headaches, and excessive sweating. To remedy blepharospasm and muscle spasms in other areas of the body, BOTOX® treatments are used to block the nerve impulses that cause the affected muscles to twitch. BOTOX ® injections in the forehead, brow, side of the head, and back of the neck, can reduce the frequency and severity of migraine headaches for up to six months. BOTOX® treatments can also reduce excessive sweating by blocking the chemical transmitter that induces sweating. Reduction of chronic back pain and jaw tension are two additional health benefits of BOTOX® that extend beyond aesthetic enhancement.

By Sabina Kozak of Sensitive Touch – NYC Laser Hair Removal & Skin Treatment MedSpa

Botox–is it for you?

As you all know Botox is the most commonly used cosmetic procedure in the United States. When properly administered you can still smile and have other facial expressions—but without those lines between your brows. Botox diminishes those lines between your brows that result from muscle movement and the passage of time. It works by temporarily weakening those muscles so that they don’t draw the skin together causing those deep furrows. Botox is also used to treat other areas of the face, this includes forehead creases (d), skin bands on the neck and even the lines known as “crow’s feet (areas g, h, i).” Properly injected Botox can also create a “brow lift” (area e)

There are situations in which Botox is not a good option and these include: wrinkles caused by sun-damaged skin or wrinkles around the mouth. Weakening the muscles around the mouth would be undesirable as you need them for talking and eating!

The results you can expect from Botox depends on several factors including your skin type, its thickness and how well developed your facial muscles are.

What is Botox?

Botox is derived from a bacteria that is found in the soil—Clostridium Botulinum. There are seven different types named A through G. Botox is a therapeutic agent derived from Clostridium Botulinum type A, also known as Botulinum Toxin Type A.

What is Botox used for?

The FDA has approved Botox for cosmetic use—specifically to improve the look of fine lines and superficial wrinkles between the brows caused from every day facial expressions(See areas ‘a’ and ‘b’ above)—specifically furrowing. However, Botox is also very effective for wrinkles—and their prevention– that result from smiling, frowning or squinting.

And there are other uses of Botox too. It’s commonly used to control excessive sweating (hyperhydrosis) in such areas as the palms of the hands, soles of the feet and underarms.

 How does Botox work?

Whenever a facial muscle (or any muscle) is activated a message is sent from your brain to your spinal cord and through a nerve that activates the muscle. The transmission of the electrical impulse from the nerve to your muscle is facilitated by the chemical acetylcholine. Botox works by blocking the nerve endings from releasing acetylcholine.

You can see from the drawing above that just beneath the facial skin is an intense array of muscles that produce and endless number of facial expressions—no doubt you’re making some now! Botox is approved for the Procerus and Corrugator muscles but can be used for the ones in the forehead, in the outer corners near your eyes (crow’s feet) as well as others.

What to expect at your first appointment

If you’ve never had a Botox treatment this will be an opportunity to learn some of the “BOTOX BASICS.”

A. Expectations

It’s important to review your expectations and determine if they’re realistic.

 B. Risks

In general the use of BOTOX posses few risks. BOTOX may cause temporary headaches, bruising or temporary drooping of the eyelid. Rarely, it can cause temporary double vision. Obviously you will need to tell us about any medical condition you have. Certain antibiotics—Levaquin, Cipro or Clindamycin—shorten the therapeutic effect of BOTOX,so you may wish to complete your antibiotic treatment before receiving BOTOX injections.

C. Contraindications

BOTOX should not be used if you are pregnant, breastfeeding or are taking certain medications (aminoglycosides antibiotics).

D. How is it given? Is it painful?

Botox is given by fine needle injection. The number of injections will depend on the number of areas you wish to have treated. Most women say that the pain is minimal. A typical treatment takes 10-15 minutes—again, depending on the number of areas you wish to have treated.

E. What can I expect afterwards?

There may be some temporary swelling and occasional bruising. The swelling typically lasts a few hours so you don’t want to have this done just before an evening out on the town. After treatment you will see the effects of BOTOX within 1-3 days although the full effect may take 10-14 days. Some doctors ask their clients to frown or squint a lot so that the medication settles in. It’s important that you don’t lie down or bend over for 4 hours after injection. It is generally asked that you not exercise for 4 hours afterwards as well.

F. Things to avoid

Do not lie down or bend over for 4 hours after your treatment. Minimize your exposure to the sun and wear sunblock!

G. The two-week visit

If you’re a first time patient you may wish to make a 2 week appointment so that we can evaluate how it worked for you. Obviously, if you’re having any problems—bruising or eyelid drooping—you’ll call us immediately. The 2-week visit is an opportunity to see how it worked and if you’re satisfied. Occasionally, some “touching up” is necessary at the 2 week visit for optimum results.

H. How long does it last?

For most people BOTOX seems to last 3-4 months. The effects wear off gradually and you’ll be the best judge of when to come in for your next appointment.

I. How much does it cost?

The cost varies with the number of areas that are treated. A complete price-list is available to you upon consultation.

J. Is there anything else I should know?

Avoid aspirin and non-steroidal anti-inflammatory drugs (Ibuprofen, Advil, and Aleve) for at least one week prior to your planned treatment. This will reduce the possibility of bruising afterwards. Also, avoid Ginkgo and ginseng, Vitamin E, Fish Oil supplements and red wine for at least a few days prior to treatment—again to avoid bruising.

Dermal Fillers

As I noted above the use of injectable dermal fillers is one of the most popular facial rejuvenation procedures—about 1.9 million being performed in the U.S. annually.

As we age the underlying skin structures that keep it looking youthful and firm begin to break down. The causes are familiar—gravity, too much sun exposure, diet, smoking, genetic factors and the simple accumulation of years of squinting, frowning, smiling and other facial muscle movement. Over time we all develop lines, wrinkles and folds in the face.

Your skin consists of two layers known as the epidermis and the dermis. The epidermis is the skin’s outer layer and protects us against the environment. The dermis, or innermost layer of the skin, is composed primarily of connective tissue and provides the skin with its support structure. Most facial wrinkles and deeper folds occur within the dermal layerof the skin. Facial fillers, also known as “dermal fillers” and “injectables” are temporary to long-lasting solutions administered through a few tiny injections to specific areas of the face. By re-establishing volume to the areas within the dermis and just beneath the dermis many skin folds and wrinkles can be softened and even be eliminated.

Dermal fillers can be used for reasons other than the softening of lines and wrinkles. Some women choose to use them to enhance their lips and even their cheekbones.

Perhaps nothing is more gratifying for a woman than having an immediate correction of deeply furrowed lines in the nasolabial folds, the corners of her mouth (marionette lines), or from pre-existing scars.

The “perfect” dermal filler would be inexpensive, safe, painless to inject, hypoallergenic and long-lasting. In addition, it should have consistent and predictable results, feel natural under the skin, take little time to inject, and require little “down time” for the patient. Although the “perfect” filler doesn’t exist the ones available today are excellent provided you understand their benefits,limitations and costs. As with all elective cosmetic procedure be financially smart, establish a budget for yourself and ask your MedSpa to work within that budget.

 By definition, a dermal filler is a product that is injected or placed into the dermis. Patients are instructed not to manipulate the treated areas, because the product may shift. The best way to reduce swelling is to immediately apply a cool pack to the areas that were treated. In current practice, several dermal fillers are available for use in the United States. In the material below we’ll review some of the more commonly used fillers and the areas for which we recommend them. We’ll review 2 classes of dermal fillers—hyaluronic acid fillers (Juvéderm® and Restylane) and calcium hydroxylapatite (CaHa) microspheres (Radiesse).

Hyaluronic acid (HA) is complex sugar (polysaccharide) that is hydrophilic (attracts water molecules) and is found in all living cells. It attracts and binds more than 1000 times its weight in water which explains why it hydrates and adds volume to the skin. Juvéderm Ultra, Juvéderm Ultra Plus, Restylane and Perlane are all made of hyaluronic acid. The differences are among the long list of things you’ll want to discuss with us before considering their use. Radiesse is both a dermal filler and a bioactivator. It contains 30% synthetic CaHa microspheres which supports the growth of new collagen in your skin.

Please note that we do not endorse a given product. We have no financial arrangement with any company. The Juvéderm products are made by Allergan. Restylane and Perlane are made by Medicis-R and Radiesse is produced by BioForm Pharmaceuticals.

Hyaluronic acid is complex sugar substance that occurs naturally in your skin. Hyaluronic acid has been used for many years as an injection into arthritic joints to aid movement and also for wound repair. You cannot be allergic to hyaluronic acid.

In general, hyaluronic acid fillers help add volume and hydration to your skin. HA fillers are non-allergenic and require no skin testing. Additionally, they can be used for all skin types and tones.

HA fillers are used to plump fine to deep wrinkles, creating a fuller more youthful appearance. The results, as with other dermal fillers, are immediate and last 6-12 months. Juvéderm comes in two formulations—Ultra and Ultra Plus–depending on the depth of wrinkles and folds that are being treated. Unlike some other fillers Juvéderm can be used to add more volume to your lips. Restylane and Perlane are the two formulations produced by Medicis-R, their manufacturer.

Okay, I don’t know if Halle Berry uses or needs any dermal fillers. We can agree that she’s a beautiful woman and part of it is her lips which are full, symmetrical and work well with her face. The point is this, if you’re interested in augmenting your lips you want to make subtle changes that work with your particular face. Asking to have “Angelina Jolie’s lips” may simply not work for you and in fact, depending on your face, may give you a look you definitely don’t want.

 Dermal fillers require that you discuss, in detail, your expectations and whether or not these are achievable. Remember, that you can always “under-correct” and add dermal filler at a later time but you can’t remove it once it’s there—and it lasts for up to a year!

As I already mentioned, JUVÉDERM® comes in two formulations—Ultra and Ultra Plus. The Ultra Plus is used in places where greater volume is required to correct deeper tissue folds and wrinkles.

What is cross-linked hyaluronic acid?

In your reading and internet searches you might read about “cross-linking.” Cross-linking is the process by which naturally occurring hyaluronic acid is transformed into a gel. The amount of cross-linking determines the thickness of the preparation and how long it lasts. Products with a greater percentage of cross-linking are thicker and longer lasting.

How are HA fillers used in treatment?

HA fillers are injected into the skin using a fine needle to temporarily fill in and smooth moderate to severe facial wrinkles and folds. These areas include the nasolabial folds (folds of skin between the corner of the mouth and corner of the nose)—also called “parentheses” or “smile” lines. It can also be used to treat “marionette lines”. HA fillers temporarily add volume to the skin and may give the appearance of a smoother surface.

What will treatment with HA fillers accomplish?

HA fillers will help to smooth moderate to severe facial wrinkles and folds. Most patients need one treatment to achieve optimal wrinkle smoothing. A single treatment could smooth your lines and wrinkles for 8-12 months.

Is treatment with HA fillers painful?

Injections may cause some discomfort during and after the injection. HA fillers are injected directly into the skin using a fine needle to reduce injection discomfort. We generally anesthetize the area with a topical anesthetic and ice just prior to the injection. When HA fillers are injected into the lips I will suggest several different approaches including a local anesthetic called a dental block. Unlike other physician’s offices we can also provide you with some conscious sedation if you feel you require it.

How long does treatment usually take?

The actual treatment process itself takes only 10-15 minutes. However, you will spend considerably more time with me discussing your expectations and discussing the procedure and how can most benefit from it while keeping to your budget. There will also be “before” pictures taken so that you can compare “before” and “after.”

Good results depend on a good common understanding of what can and cannot be achieved.

Does the correction last forever?

No. Correction is temporary; therefore, touch-up injections as well as repeat injections are usually needed to maintain optimal corrections.
How long do results last?
Results generally last for 8-12 m0nths and vary from one woman to the next. This depends on the area being injected, your lifestyle and how you metabolize the filler.

What are the possible side effects of HA fillers?

Most side effects are mild or moderate in nature, and their duration is short lasting (7 days or less). The most common side effects include, but are not limited to, temporary injections site reactions such as redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, and discoloration. As with all skin injection procedures there is a small risk of infection.

Calcium Hydroxylapatite fillers (Radiesse)

As we already noted above Radiesse is both a dermal filler and a bioactivator. It differs from the HA fillers by stimulating natural collagen growth. For this reason, Radiesse, may last longer than other dermal fillers and in the long run may require fewer “maintenance visits” and “touch ups.” Another advantage of Radiesse is that after it’s injected in can be contoured and molded for several weeks afterwards.

Complications from Calcium hydroxylapatite fillers are about the same as for hyaluronic acid (HA) fillers and therefore they have about the same profile. Radiesse, unlike the HA fillers cannot be used for injection directly into the lips.

By Sabina Kozak of Sensitive Touch – NYC Laser Hair Removal & Skin Treatment MedSpa

Living in New York City and feeling and looking fabulous is a challenge. Here are 7 secrets I swear by to looking and feeling your very best while living in New York City.

1. Frequent R&R – The best way to look like a mess is not getting enough sleep and not taking the time from your hectic days to just sit down and relax. Find even a few minutes just to rest. Learn meditation and try it in the evening in your apartment or in a park during lunch. Get at least 8 hours of sleep every night.
2. Escape Regularly- Get out of town with every season. Plan trips regularly – even if they are only day trips. We all need a little fresh air and nothing de-stresses better than contact with nature.
3. Forgo Wine for Water – Your skin needs water to look it’s best and it is essential to good health. Most of us order wine or reach for a soda on the go – instead, try ordering water and keep bottled water around. Drink at least eight glasses of water each day. In the mornings go for a glass of water with some fresh squeezed lemon juice to cleanse the body and speed your metabolism.
4. Find a Medical Spa – We all need a little help reversing the signs of age and skin damage. Treatments such as skin tightening, wrinkle reduction, hair removal, chemical peels, vein removal and Botox(R) are not just for movie stars. Medical Spa’s like Sensitive Touch are affordable and effective.
5. Befriend a Day Spa – One of your best friends should be a neighborhood Day Spa. Pampering your body is essential to feeling your very best. There are thousands of Day Spa’s in New York City and you will definitely find one that is perfect for you.
6. Walk NYC - Instead of taking a cab, try walking to destinations less then a mile away to get some exercise and discover the city. Walk at least two miles each day.
7. Be Picky When You Eat Out – New Yorkers dine out at almost every meal ,so being picky where you eat is very important to maintaining your weight and being healthy. Stay away from street vendors, fast food chains and greasy foods. Don’t be afraid to ask for special low-calorie or low-fat preparation of a menu item.

New York City is very unforgiving to our health and our bodies. New York City is very demanding of our health and bodies. Keeping up with the city’s pace and expectations is not easy but achievable. New Yorkers are achievers and good lookers.:)

By Sabina Kozak of Sensitive Touch – NYC Laser Hair Removal & Skin Treatment MedSpa

Restylane, Juvederm and Perlane are the most popular lines of new fillers for deeper wrinkles around the mouth and to enhance the lips.

Looking and feeling your best takes a lot of work and sometimes, a lot of imagination and confidence. Celebrities are typically the first to try the newest beauty trends, which is great for the rest of us who want to look our best, but are afraid of experimenting.

There are always new treatments and procedures coming out of Hollywood that even suprise me.

After watching this episode of Hollywood 411 here are a few things I learned you can try:

-Try spraying milk on your face like Cindy Crawford

-Terry Hatcher loves her wine bath

-Maria Carey’s “Purple Diet” sheds the pounds in no time

If these odd “secrets” don’t appeal to you, try Botox and fillers like the rest of Hollywood.

We would be fooling ourselves if we thought the heavenly beauty of the Tinseltown residents was God given but God knows we all want to look good:)

By Sabina Kozak of Sensitive Touch – NYC Laser Hair Removal & Skin Treatment MedSpa