Dr. Sachit Shah

I do not use thermage but I use refirme for skin tightening on the face. It does not help sagging. I use it mainly for loose skin over the cheek bones. It requires multiple treatments. If you have sagging skin you really need to consider plastic surgery or CO2 laser treatments. Refirme over the abdomen simply does not work.

I offer Refirme in my practice and waiting for one month between treatments just does not work. The trick is to enhance collagen production and build on it. I offer it weekly or twice weekly. I find that if some body has mild tightening that is required they are excellent candidates but if they have really saggy skin, it simply does not work.

Velasmooth and Velashape are the same machines that are made by Syneron. The difference is that Velasmooth was the first generation and the Velashape is the second generation machine. Velashape has higher energy available in the Radiofrequency aspect of the machine. Syneron says that it contours and gets rid of cellulite in a smaller number of treatments. I have used both machines and I have found that both are great for Cellulite but not so good for size reduction. Cellulite Velashape works great for Cellulite but it needs careful attention to technique and it also needs at least 12 treatments (twice weekly). Afterwards one needs maintenance treatments every three months. As long as you stick to the above regime it does help smoothing of the thighs very nicely. I also find that the people it helps best are the ones who are close to their ideal Body Mass Index and who are exercising regularly. Post-Liposuction I have found that a second group of patients who come to me are the post liposuction patients who are left a bit bumpy and those patients get good results with a short course of velashape treatments. Does it replace Liposuction? No  

Fraxel II otherwise known as Fraxel re:store or Fraxel SR1500 settings energy ranges from 0 to 70 Mj MTZ's run from Level 1 to 12 and there are restricted levels as well. Comment for RMB Fraxel does not reduce reddness (vascular lesions) Comment for Denise For lighter skintypes I tend to use higher energy settings and MTZ's.

If you are not happy your doctor should be able to inject hylauronidase in to the lip to dissolve the hylauronic acid product and that will help.