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PARIS UPDATE 2008 FROM DR. ZDINAK
 In keeping with our mission statement and commitment to provide our Manhattan patients with the most advanced, international medical and laser-surgical aesthetic solutions, I’m pleased to report back to you regarding my involvement in the 2008 World Congress on Aesthetic and Anti-Aging Medicine that took place from April 10-12 in Paris, France. This annual conference is attended by 5,000 physicians from around the world who share the spirit of advancing scientific knowledge. The days were intense and exciting, filled with non-stop lectures, live patient demonstrations, and product vendors from around the world. We will be bringing new, cutting-edge treatments to our New York practice including mesotherapy, as well as new uses for the hyaluronic acid products Restylane and Perlane, and techniques for better delivery of vitamins into the skin. The meeting concluded with a gala dinner at the Paris Opera where we made new friends from France, Brazil, Russia, London, and Hong Kong. We will keep you posted as each of these anti-aging strategies is introduced so that you can benefit from the best and the latest that the world has to offer in the field of aesthetic medicine. |
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NEW-FDA APPROVED CELLULITE TREATMENT EXCLUSIVE TO PRECISION AESTHETICS
Precision Aesthetics is proud to be the Thermage Pinnacle Award winning facility in Manhattan. Dr. Zdinak is pleased to have also been chosen as the first physician in New York City to introduce the Thermage CL tip designed specifically for the treatment of cellulite. Almost all women experience some degree of cellulite; some studies indicate that 90% of women suffer from the dimpling, orange- peel appearance of bulging fat pockets on the buttocks and thighs. Cellulite is almost exclusive to women, caused when decreasing levels of estrogen alter the circulation and structure of the storage of fat cells in the lower extremities. These changes destroy the fibrous support system that acts as a girdle to hold back the storage fat, allowing it to distort the overlying skin. But now the latest tips from Thermage offer a unique solution to this problem. The Thermage CL tip rebuilds the collagen of the damaged fibrous septae and improves blood flow to the tissue giving rise to smoother appearing skin. Significant results can be achieved from a single treatment session without surgery, injections or downtime. With more skin showing, this is a wonderful time of year to consider Thermage treatment. |
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CARBOXYTHERAPY- NEWEST FROM BRAZIL, EXCLUSIVE TO PRECISION AESTHETICS
Say goodbye to dark under eye circles, stretch marks, and that unwanted underarm fat that can make your favorite evening dress look less than perfect! Carboxytherapy is a safe, in-office procedure that can be performed in less than five minutes with no downtime. How is it done? Carboxytherapy involves injecting small amounts of carbon dioxide gas (the same gas that gives soda pop its fizz) just beneath the surface of the skin. This causes an increase in blood flow to the area, and whisks away accumulated toxins. Carboxytherapy has been used in Europe and Brazil for the last seven years, and Dr. Zdinak designed the original protocols for its use to treat dark under eye circles here in the United States. A series of four to six treatments one week apart can have you slim, trim, and glowing! |
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MOVE INTO THE SUMMER SMOOTHLY WITH PIXEL LASER RESURFACING
Did you know that the eyelid skin is the thinnest on the body, and that it is the first to show the signs of age? There have been tremendous advances in laser and light sources for the treatment of fine lines and crepe-like, heavy, loose eyelid skin and under eye bags. Dr. Zdinak is one of the few physicians in Manhattan offering “Eyes by Thermage” radiofrequency skin tightening. “Eyes by Thermage” employs a specially designed eyelid treatment tip that firms and tightens loose eyelid skin in a single, no downtime, in-office treatment. Results are immediate and continue to improve for up to six months. Fine lines and crepe-like lower eyelid skin can be smoothed away using the Pixel 2940 fractionated laser handpiece from Alma lasers. The pixel laser uses fractionated Er:YAG technology to gently resurface the lower eyelid skin with less downtime than the traditional CO2 laser skin resurfacing. The lower eyelids will appear slightly pink resembling a mild sunburn for one day, and then lightly browned for approximately four to five days. A series of four to six treatments at three week intervals will give you smoother, more youthful appearing skin around your eyes. |
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PERLANE TO THE RESCUE
At last, Perlane is here! Perlane, the sister product of Restylane, has been available on the international market since 2000 and has recently been approved by the FDA to reduce the appearance of moderate to deep facial creases and folds. Like Restylane, Perlane is made of hyaluronic acid, a natural sugar component found throughout the body. As skin ages, it loses volume and the ability to make more hyaluronic acid. Perlane is made of larger gel particles than Restylane, allowing for more filling capacity, ideal for deep nasolabial folds and for adding volume. Perlane can be administered in a simple office visit using a topical anesthetic. Because hyaluronic acid attracts and binds water molecules the treated areas are “plumped up” to take on a fuller, more youthful appearance. Perlane breaks down naturally in the body, and its benefits last for approximately six months to a year. No skin testing before treatment is necessary. A very popular choice in Europe, we’re delighted to be able to offer you Perlane in our New York City office. |
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BROWN SPOTS BE BANISHED WITH INTENSE PULSED LIGHT (IPL)
Even after you stop regular sun exposure, dark spots on the face, chest, and hands can still form years later. Intense pulsed light (IPL) therapy can restore a more even skin tone by precisely targeting the darker pigment with a focused wavelength of light, which travels directly to the melanin in the dark spots causing them to fade. First, a cold gel is applied to the areas to be treated, and then the skin surface receives a warm flash of light, which causes the dark spots to darken for a day or two, and then begin to lighten. Four to six treatments spaced three weeks apart provide significant improvement with no downtime. |
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WELCOME TO PRECISION AESTHETICS
Dr. Lisa Zdinak would like to welcome you to Precision Aesthetics. The focus of Precision Aesthetics is to provide you with the most technologically advanced procedures, using minimally invasive techniques that eliminate or greatly diminish downtime. Dr. Zdinak, chief surgeon and medical director of Precision Aesthetics, is a trained molecular geneticist and medical doctor with specialty training in ophthalmic plastic surgery and advanced techniques of non-invasive facial rejuvenation. The foundation of her practice is customizing a combination of treatments for the best possible results, which includes surgical options as well as injectables, lasers and light sources, and radiofrequency energy. The beauty of this regimen of combination therapies is that each treatment complements the other and when combined may work better than any of these options by themselves. Dr. Zdinak offers both surgical and non-surgical techniques to meet your needs using methods custom designed especially for you. We welcome you to learn more about the latest techniques that we have to offer this season! |
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BODY SHAPING BY THERMAGE
Bothered by loose skin on your upper arms? Need to improve the appearance of cellulite? Always wanted a tighter tummy but not willing to tolerate the scars and downtime of liposuction? Dr. Zdinak is pleased to offer the latest advance in Thermage technology, the Thermage DC tip. Thermage’s Body Shape procedure is non-invasive and can help tighten, firm, and shape the body following just one treatment, without surgery or injections and no downtime. Designed specifically for body sculpting, this treatment delivers its tightening energy more deeply into the thicker dermal layers of the skin on the body to not only tighten the existing collagen, but also to eliminate unwanted superficial fat. Ask today how you can look great with Thermage! |
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DON’T BE IN A NECK AND NECK RACE WITH AGING - TOTAL NECK REJUVENATION
Have you had it up to your neck with wrinkled and saggy skin? Stop hiding behind turtlenecks, scarves, and bulky necklaces! Dr. Zdinak can rejuvenate your neck using combination therapies without surgery. Thermage can tighten and lift sagging neck skin in a simple, one-time 50 minute treatment session. Results are immediately visible and improve for up to six months. Bothered by jiggly, vertical bands in the middle of your neck? These are actually caused by the platysma muscle of the neck (the same muscle that we use when we grit our teeth) and can be relaxed with a small amount of Botox Cosmetic. Skin texture can be improved with a light resurfacing using the pixel laser. Not only does pixel skin resurfacing smooth the surface texture of the skin, but it also helps your body to make more collagen for an additional tightening effect. Read on to the next section to learn more about this exciting rejuvenating technology. |
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TURN BACK THE HANDS OF TIME - TOTAL HAND REJUVENATION
Summer is just around the corner and it’s time to gear up for Hampton parties and events. Dr. Zdinak can get your hands gala-ready with “Total Hand Rejuvenation,” a three-fold approach that takes advantage of the most advanced technologies. Treatment consists of “Hands by Thermage,” a specialized technique that uses radio waves to tighten and plump the delicate skin on the back of the hand. Then tell-tale “sun-spots” are painlessly removed using “Intense Pulsed Light” the same technology used for photofacials. A cool gel is applied to the back of the hands, and a flash of bright light targets only the dark spots, smoothing the complexion and evening out skin tone. Finally, prominent hand veins can be disguised with Dr. Zdinak’s artistic application of natural fillers that stimulate the body to make its own collagen. At last, restoring the youthful appearance of your hands is as simple as a snapping your fingers. |
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DON’T SWEAT IT! BOTOX FOR HYPERHYDROSIS
Worried about sweating through your favorite clothes? This no longer needs to be your concern. One ten minute treatment with Botox can help you to stay dry for up to one year. How is it performed? A topical numbing cream is applied, and then a series of small injections of the Botox is placed just beneath the skin surface to turn down the function of the sweat glands. Our patients are elated with the results from this safe, painless and long-lasting procedure! |
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LEND US YOUR EARS - TORN EARLOBE REPAIR
Do you find that your earrings hang lower and it’s difficult to wear earrings properly? Pierced ears can lose their elasticity over time. Dr. Zdinak can repair the original piercing hole, and once healed, re-pierce the ear so that you can wear earrings like you once did before. Utilizing the Ellman Surgitron 4.0 radiosurgical device, torn earlobes are repaired with the most advanced radiosurgical technology – the only radiosurgical device approved for operating room surgical procedures. Radiosurgery is more delicate and precise than laser surgery with minimal scarring. Two to three tiny stitches are removed once the skin is healed, and the ear can then be re-pierced. Excellent results with patients of all skin types have been achieved with this time-proven technique. |
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 ASK DR. ZDINAK…
Question: I feel as if I’m plagued with dark circles under my eyes! Is there anything that can be done to improve them?
Dark under eye circles are difficult to conceal with makeup, and often make you appear tired, even when you’re fully rested. This problem is relatively common but it’s important to understand the origin of dark circles in order to develop a treatment plan. Dark circles are typically caused by one of three factors, either alone or in combination. The first possibility is that there is actual deposition of pigment into the skin of the lower eyelid. This pigment deposition is commonly due to post-traumatic hyperpigmentation, where the skin of the lower eyelids has been perpetually irritated, usually from chronic tearing due to allergies or dry eye. Skin pigmentation is the easiest cause of dark under eye circles to treat because it responds well to a combination of carboxytherapy and home bleaching regimens. I do not use hydroquinones, the over-the counter bleaching agent, on delicate eyelid skin because in some individuals this can worsen the dark circles. Instead, I prescribe a combination of kojic acid and arbutin to help reduce the hyperpigmentation. This gives my patients a safe and gentle treatment product that they can use at home while the carboxytherapy sessions are performed in my office.
The second cause of dark under eye circles is vascular pooling. The capillary network of the lower eyelids can become congested for a variety of reasons. Normally, the tears drain from the eyelids into the nose, but if there is some obstruction due to chronic nasal congestion from seasonal allergies or a nasal fracture, the drainage doesn’t function well, and the blood flow to the lower eyelids becomes sluggish, giving rise to the boggy blue tinge known casually as “allergic shiners.” The lack of appropriate oxygenation to the lower eyelid skin allows the bluish cast to show through the thin skin of the eyelids. Carboxytherapy works to improve the capillary network of the lower eyelids, as well as to increase the dermal collagen layer in the lower eyelid skin. By injecting a small amount of carbon dioxide gas into the affected areas, blood flow is increased and improved capillary networks are formed for longer lasting circulatory benefit. The bluish cast is replaced with a healthy pink tone. Once a series of four to six sessions is completed, the skin has a more luminous appearance that lasts approximately six months.
The third major cause of dark under eye circles is a depression beneath the lower eyelids called a tear trough deformity. Tear trough deformity is a commonly inherited trait in the African American and Indian communities, but it can also develop in Caucasians over time due to the normal loss of bony architecture in the inferior orbital rim, which is the top of the cheekbone area. In the event that a tear trough deformity exists, a temporary filling agent such as Restylane or Juvederm can be placed in the valley to plump up the depression, which improves the appearance of the dark circles. The treatment is not painful, and it is a one-time procedure performed after a small amount of numbing cream has been applied to the skin. Since my specialty is oculoplastic surgery, I perform this procedure in my office at least twice a day with optimal results that last approximately eight months to one year.
Now there’s no need to live with dark circles. With the appropriate application of at home topical bleaching agents, carboxytherapy, and hyaluronic acid fillers, great strides can be made towards improving under eye discoloration.
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