When taking the next step in your beauty regimen, you want all the details before making a decision. These specialists break down some of the most popular aesthetic procedures, both the old and the new.

CoolSculpting

Chotsie Adney, SPSSCS
Owner of Advanced Aesthetics

What it is:

CoolSculpting is a fat-freezing procedure that is the only FDA-cleared, non-surgical fat-reduction treatment. It uses controlled cooling to eliminate stubborn fat that resists all efforts of diet and exercise.

How it works:

CoolSculpting safely delivers precisely-controlled cooling to target the fat cells underneath your skin. The treated fat cells are crystallized (frozen), then die. Over time, your body naturally processes the fat and eliminates the dead cells, leaving a more sculpted body.

How it differs from losing weight:

Losing weight shrinks the size of fat cells in your body, but it does not make the fat cells go away. CoolSculpting actually reduces the number of fat cells in treated areas by about 20-25 percent per treatment. These fat cells are naturally processed and eliminated so they won’t migrate to other areas of your body.

Ideal candidates:

If you are looking for non-surgical means to eliminate fat and shape your body, then CoolSculpting may be the right solution for you. It is not a weight loss solution.

Areas treated:

Chin, upper arms, inner and outer thighs, abdomen, flanks, back banana rolls and above the knee

Downtime:

No downtime. It can be performed on your lunch break and you can go back to work.

Maintenance:

Once the fat cells are eliminated, they are gone. No need to have maintenance treatments, just maintain a healthy lifestyle. However, some many want to retreat an area based on how dramatic they desire the results to be.

Time commitment

On average, treatments range from 35-75 minutes depending on how many areas are to be treated and which applicator is used. Advanced Aesthetics has two machines, which allows them to be more efficient.

Average cost per treatment:

$700-$1,400. If a patient needs multiple treatments, it can be anywhere from $2,800-3,500.

Results:

In one to two months, a patient can begin to notice some changes and will experience complete results after six months.

What the pros say:

We love that CoolSculpting is fast, painless, non-surgical and delivers consistent results. Our CoolSculpting patients are happy patients.


Ultherapy

Natalie Sanderson
Lasercare Skin Clinic

What it is:

Ultherapy is the only non-invasive procedure FDA-cleared to lift skin on the neck, under the chin and on the eyebrows, and to improve the appearance of lines and wrinkles on the decolletage.

Areas treated:

From the brow down to the chest

How it works:

The procedure stimulates collagen production by delivering focused ultrasound energy to the skin’s foundational layer without cutting or disrupting the surface of the skin.

Results:

Some patients see an initial effect right after their treatment, but real results appear over two to three months. Patients should allow up to four months to see complete results.

Ideal candidates:

Ultherapy is for anyone age 30 and up who wants a clinically-proven, invasion alternative to a facelift and those who are not ready for or want to avoid surgery completely. It’s also a great option for patients who want to extend the effects of previous cosmetic surgery.

Time commitment:

A face and neck procedure typically takes 60-90 minutes while a chest treatment takes approximately 30 minutes.

Downtime:

None! You can return to normal activities immediately after your procedure. Skin might appear flushed at first, but redness disappears within a few hours. Some patients experience slight swelling, tingling or tenderness, but these are mild and temporary. Some patients may experience minor bruising depending on how thin their face is. Certain medications, such as aspirin, can make patients more likely to bruise.

Uncomfortability:

It hurts, but it’s worth it. I’ll get you through it, and then the pain is over. It’s definitely doable.

Average cost per treatment:

A consultation is needed to give a precise number, but treatments often fall within the $2,500 range. Number of treatments is also part of the consultation.

Maintenance:

If necessary, you must wait at least six months before a touch-up.

What the pros say:

We love Ultherapy because it seriously works; it tightens your skin and gives a natural looking lift. And once it starts kicking in, it’s the best day ever.


Botox

Katherine Thomas, RN
Owner of Arkansas Aesthetics, master injector, aesthetic trainer

What it is:

Botox is a prescription medicine that is injected into muscles and used to temporarily improve the look of moderate to severe forehead lines, crow’s feet lines and frown lines between the eyebrows in adults. Botox targets one of the underlying causes of frown lines and crow’s feet — the repeated muscle contractions from frowning and squinting over the years. Your specialist will inject these muscles to temporarily reduce muscle activity. Botox injections can prevent wrinkles from developing or worsening.

There are three neurotoxins on the market: Botox, Dysport and Xeomin. They all have the same goal, but are manufactured by different pharmaceutical companies.

The difference between Botox and dermal fillers:

Neuromodulators simply relax muscles. Dermal fillers are a naturally-derived or synthetic, gel-like material injected under the skin to plump, fill in a depression and restore lost volume. Depending on the type of filler, effects can last anywhere from six months to two years.

Patients may choose, with guidance from their skin specialist, to use fillers, neurotoxins or both.

When it’s recommended:

Technically, the age range is 18-65. Years ago, these procedures were used to correct wrinkles. Now more people are starting in their early 20s to prevent wrinkles from ever forming. Prevention is much easier, and less costly, than correction.

Maintenance:

I treat my patients based on my experience and positive outcomes that I have seen over the years.

If you get injections every few months, you’re not making any progress in preventing or correcting your wrinkles, you’re just bouncing back and forth between having wrinkles and then not when the neuromodulator wears off.

The optimal goal is to stop muscles from contracting so hard they crease the skin, causing wrinkles. To prevent or correct these lines, you must stay relaxed, keeping the neuromodulator active in your system. This allows wrinkles to work their way out and keep from getting deeper.

Discuss your goals with your skin specialist to put together the proper treatment and maintenance plan.

Time commitment:

In my practice, I like to use a topical anesthetic to numb the area before injecting, which takes about 15 minutes. The whole process will take 25-30 minutes.

Average cost per treatment:

Prices fluctuate in this market, but we are currently at $11 per unit.

Downtime:

There really is no downtime with neurotoxin injections. There might be slight bleeding, some redness or pinpoint bruising that makeup can easily conceal. To prevent bruising, we use a vein finder as a roadmap where not to inject.

Practitioner requirements:

Not anyone can inject. In Arkansas, you must have a medical degree (RN, NP, MD, DDS, or OD) as well as certification from an injecting training class to be able to inject patients.

Results:

You may begin to notice results within 24 to 48 hours for moderate to severe frown lines, with results lasting up to 4 months.

What the pros say:

When used correctly, aesthetics can help you look refreshed and renewed, not different! The best work is invisible.


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