6 Ways To Fight Gravity With Thermage®

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Gravity can take a toll over time, and one day you realize you’d like things to be a little higher and tighter than they are. A firm, lifted body is one of the classic signs of youth, but unfortunately, it can feel like a losing battle as time goes on. Although surgery can be an option, it’s not for everyone. Fortunately, we offer some of the best non-surgical skin tightening options on the market, and there’s a lot you should know about Thermage®. Here’s your guide to fighting gravity with the latest in cosmetic technology.

What is Thermage®?

Thermage® is a targeted radiofrequency treatment that gently heats the collagen layer within your skin, causing it to contract. Over time, your body reacts to this heat by building more collagen, which improves the tightening and firming ability of the skin. Thermage® is well-known for its safety and is trusted by many famous faces, including Gwyneth Paltrow, Oprah Winfrey, Demi Moore, Linda Evangelista, and Jennifer Aniston.

What is Treatment Like?

Thermage® can be performed at our state-of-the-art offices and requires no downtime or incisions. It can be performed with a topical anesthetic, which is applied after your treatment area is cleansed and prepared. Then, we’ll assess your treatment areas and make marks on the skin for more precise treatment. While you’re lying on a comfortable table, a specialized pad is placed underneath your back. This pad helps complete the circuit of radiofrequency energy as the handpiece is applied to the area. This generates a deep heating sensation that is controlled by your cosmetic physician for precise results. The handpiece also contains specialized cooling technology to avoid skin damage. Once treatment is complete, you can return home.

How Can Thermage® Help?

One of the great benefits of Thermage® is that it can be used in a variety of effective ways in many different areas of the body. Whatever your goals for a tight, gravity-defying figure, our cosmetic physicians can recommend your best options. Here are 6 ways to use Thermage® to fight gravity:

Bright Eyes

Over time or because of genetics, the upper and lower eyelids can become heavy and sunken. This can make the eyes look small, hooded, and aged. Additionally, it can make it difficult to wear your favorite eyeshadows when it feels like it gets lost or creases even with the best primers. Thermage® can be a great non-surgical way to brighten and rejuvenate the eyes, lifting the eyelids and surrounding areas. Tightening and rebuilding the collagen around the eye will give you a rested and refreshed look (bonus: your eyeshadow will thank you). Consider tear trough fillers for a little extra rejuvenating volume.

Legging-Worthy Legs

There’s no need to ditch your favorite comfy leggings. Leave them wondering how your legs stay so toned and smooth with Thermage® for the thighs. Thermage® tightens and firms the skin, reducing cellulite and eliminating fine lines just above the knee. Whether it’s tight leggings or your favorite shorts, you can feel comfortable your thighs won’t let you down. Got stubborn fat? SculpSure® can reduce fatty pockets with just a few treatments with no downtime required.

A Neck to Remember

Forget a statement necklace or showy fur stole— let your neck do all the talking with your favorite low-cut outfits. If sagging neck skin makes you look heavier than you are, then put away the scarf and consider your non-surgical alternatives. Thermage® can tighten and tone your decollete, neck, and jawline without surgery or downtime. Additionally, Botox® can be a great option for neckbands while Kybella® can sculpt and refine fat under the chin for a profile like no other.

The Midriff of Dreams

Who doesn’t want to look amazing in their all-star swimsuit rotation? “Wow” your friends and family and make sure your quality time at the beach leaves you feeling great with a tightened tummy and renewed confidence. Thermage® can tighten loose abdominal skin for a high and tight midriff that doesn’t leave you dreading pictures. Looking to slim down at the same time? Tone your tummy with Emsculpt®, capable of burning fat and building muscle at the same time.

Hands to Match

You speak with your hands, but are they broadcasting your message or your age? Hands are often one of the first places to show signs of aging because of wear and tear over time from sun damage and collagen breakdown. If you’ve begun to notice that your hands are a little looser and more ‘ropey’ than they used to be, then you’ve got options. Thermage® can tighten up loose skin and provide a nice firming treatment. Radiesse® can also provide plumping volume in the areas between prominent tendons in the hands, leaving your hands looking fresh and young.

Tight, Toned Arms

No matter your fitness level, the upper arms are one of the biggest victims of gravity over time. At a certain point, you might find yourself covering up in your favorite tank tops or dresses. Putting your arms up might even be out of the question. Tell bat wings to take a hike with a firming and tightening Thermage® treatment. Forget covering up your arms with a sweater or stole and enjoy the confidence of beautiful, toned arms. If fatty deposits are part of the problem, CoolSculpting® can reduce fat with just a few easy treatments.

What Results Can I Expect?

Most patients find great results with Thermage® after just one treatment. In the timeframe after your initial treatment, you’ll see additional tightening of the skin with a noticeable reduction in cellulite. You can expect this to occur in the two-to-six month period after treatment with results that last years beyond. You can opt for re-treatment as needed, and our cosmetic physicians can recommend the ideal treatment package for you during a private consultation.

Schedule a Consultation

Thermage® is one of the best non-surgical ways available to tighten skin in your favorite areas without downtime or hassle. Our cosmetic physicians can recommend your best options with Thermage® and our wide selection of non-surgical treatments and technologies during a consultation. To get started, contact our Martinsville and Livingston offices by calling or filling out our online form.

Whether it’s fillers to plump lips or Botox® for frown lines, injectables are some of the most popular non-surgical treatment options each year. This is for good reason— they come with minimal downtime and produce excellent results with the help of an experienced cosmetic physician. However, injectables are constantly evolving and injectors are finding more new techniques than ever for different products and cosmetic goals. If you’re looking for the latest and greatest in injectable treatments for unconventional goals, then here are some techniques to know about.

Radiesse® for Skin Tightening

Radiesse® is a unique dermal filler that stimulates the growth of collagen in the skin. It does this using calcium-based microspheres which form a scaffold for new collagen. So, rather than simply replace missing volume with a hyaluronic acid gel like other dermal fillers, Radiesse jumpstarts your skin’s natural mechanisms for tightening and softening the appearance of wrinkles normally caused by a lack of volume. This has uses outside of the face, too— some studies have shown that it can even be an effective body vectoring method. The best part is that Radiesse lasts for 12 to 15 months, meaning you can enjoy long-term results without the downtime of more invasive procedures.

Sculptra® for Cellulite

Although Sculptra® is a popular option for facial and buttock rejuvenation, it can be effective as a way to combat cellulite. Despite what you might commonly read on social media or with certain products, cellulite is caused by the way that the female body stores fat— mainly that fibers keep the skin pulled down where they attach to the surface skin and deeper tissues. Sculptra is made with poly-L-lactic acid, a common material in dissolvable sutures that jumpstarts collagen production. Over time, this can help lift and firm skin, reducing the appearance of dimples caused by cellulite. Additionally, the process of injecting Sculptra into areas of cellulite can be used to release the fibers under the skin that pull it down and cause telltale dimples. Together, these two effects can be a great way to smooth over your favorite areas with minimal downtime.

Subcision with Radiesse for Acne Scars

This process is similar to cellulite treatment but can address pocketed acne scars instead. Acne scars are formed by large acne cysts that damage the walls of the pore, triggering the skin to begin generating collagen to repair it. Sometimes, the generated collagen is not as smooth and clear as the surrounding skin, resulting in pits or pockmarks in the skin. These can be famously hard to get rid of. Fortunately, a technique called subcision can be used to break up the tissue under the skin that keeps acne scars pulled downward (with the help of a local anesthetic). This can be paired with Radiesse, a dermal filler that can generate new collagen and provide volume to ‘fill in’ acne scars. Paired with the right laser and skincare treatments, this can be an extremely effective way to reduce the appearance of acne scars.

Nonsurgical Nose Job and Chin Augmentation

For patients looking for improvement in facial features, cosmetic surgery can be costly and require extensive downtime. With the right cosmetic physician, however, dermal fillers can be an effective option for augmenting and reshaping areas like the nose and chin. These two areas can have a large impact on your overall look and profile, especially if they are weak or under-projecting, so it’s common to look for the best options. Hyaluronic acid dermal fillers like Juvéderm® or Restylane® be used to artistically craft a better, more flattering profile with no downtime and results that last for around one year.

Kybella® for Jowls

Kybella® is one of the most effective options for reducing a double chin without downtime or surgery. It’s made with synthetic deoxycholic acid, which is normally found in the digestive system to aid in fat breakdown. When injected into fatty areas like the chin, it can gradually melt fat with regular treatment sessions. Kybella can also be an effective option for jowls— these often appear because the fat of the face falls forward over time and sags, bringing the skin with it. By injecting a small amount of Kybella in this area, the fat can be reduced for smooth, jowl-free skin.

Hand Rejuvenation

One area where aging can begin to show before any other is the hands. This is because most people neglect sunscreen and skincare on their hands, meaning they can begin to become thin and aged more quickly than areas like the face. Although fat transfer is a traditional option, this can be more invasive than many patients are comfortable with. This means that fillers can be an excellent option, specifically with Radiesse. Along with adding volume, Radiesse can stimulate new collagen in the skin for long-lasting volume even after the product has been metabolized.

Botox® for Jawline Slimming and Lip Flip

Botox has a multitude of uses, both medical and cosmetic. Although it’s most common as a cosmetic treatment for wrinkles in the upper face, there are a lot more options with the right cosmetic physician. Botox works by blocking chemical signals from the brain that often cause movement in the muscles of the body. This process is called neuromodulation, and it’s extremely effective and safe. For patients who grind their teeth or tense their jaw constantly, Botox can be an option to relax the jaw muscles and prevent further damage. The result of this bad habit is often a wider jaw from constant tension, meaning Botox can effectively slim the lower face. Another option is the ‘lip flip’ for patients with thin upper lips as a result of genetics or aging. This works by placing a tiny amount of Botox in the muscle at the top of the lip, causing the lip to curl upward. Often, the result is more lip space and a more balanced top to bottom lip ratio. Both of these techniques can last for between three to six months and comes with no downtime versus surgical alternatives.

Why Choose Reflections for My Injections?

Despite their ease of access and popularity, injectable treatments still come with risks. That’s why it’s important to partner with a cosmetic physician with the right experience and techniques to achieve the results you’re looking for from advanced injection techniques. More commonly, injectable treatments are available at medical practices with no relation to cosmetic treatments like regular physicians, dentists, and gynecologists. Treatments at these offices tend to correlate with bad results and even bigger risks. At Reflections, we are one of the foremost providers of advanced injection treatments in the greater Martinsville and Livingston areas— and beyond. Our award-winning cosmetic physicians focus solely on cosmetic improvement using the latest and most creative techniques for injectable treatments, stretching the bounds of each option for more variety than what is available at any other cosmetic practice. We pride ourselves on being able to offer non-surgical injectable alternatives for the treatment package that fits you and your goals best.

Schedule a Consultation

Injectables can do a lot in the right hands. During a consultation at Reflections, we can assess your ideal improvements and create the right treatment options with the best in fillers and neuromodulators so you can avoid the downtime and high costs associated with surgery. To meet with our expert team and discuss your best options for injectable treatments and your cosmetic goals, contact our Martinsville and Livingston offices by calling or filling out our online form.

In a huge market of catchy-sounding trends, prejuvenation can seem like just another gimmick. This trend, however, is worth paying attention to because it represents a shift in the way we address aging and the treatments that go along with it. If you’ve never heard of prejuvenation, it’s the opposite of rejuvenation— meaning, we start earlier in life to prevent the need for extensive rejuvenation procedures or surgeries later on. For the previous generations, rejuvenation meant surgeries like the facelift to address signs of aging. Now, prejuvenation means smaller, non-surgical proactive treatments that come in many different forms.

It can feel overwhelming to think of the plethora of treatments you might feel like you need to prevent aging, but it can be a lot simpler than that. With a well-rounded treatment plan of low-key treatments in the office supplemented by proper at-home skin care, you can find great results. Here’s a step-by-step guide to getting started on prejuvenating to save yourself the hassle later.


Targeted treatments are a very effective way to prevent signs of aging and improve skin quality. These treatments may include physician-grade skincare treatments to address specific things like mild pigmentation, roughness, or aging signs in certain places. Chances are, you won’t need hefty or extensive treatments. Lasers like the Clear + Brilliant® can offer great results without downtime. You can opt for these low-key treatments as a package to keep up your results and gradually integrate deeper treatments as needed. These can include lasers like the Fraxel® Restore Dual for deeper textural remodeling, or the Vbeam® and Q-Switched lasers for more extensive pigmentation.

Although many patients consider injectables to be a first step in professional treatments, we regularly recommend laser treatments as a starting point. This is because they can function on a sliding scale according to your needs and goals while also providing effective treatment for a variety of concerns. We generally recommend Botox® or Botox alternatives as a preventative treatment at this stage to prevent some of the beginning signs of aging like crow’s feet and forehead lines. However, this should be coupled with some prejuvenating skincare treatments like lasers or medical-grade peels.


Around your mid-20s and early 30s, your body’s production of collagen begins to decrease. Some studies have shown this can be as much as 1-2% each year. This means it’s important to begin opting for treatments that build new collagen and increase your skin’s cell turnover in tandem with your at-home care. Some of the best options for this include microneedling, which uses collagen induction therapy (CIT). Microneedling works by introducing micro-channels in the skin which jumpstart the skin’s wound-healing mechanisms, producing new collagen. Microneedling is a great starting point and can be augmented by other techniques like PRP or radiofrequency. PRP, or platelet-rich plasma, contains growth factors that can further boost your skin’s cell turnover and recovery functions. On the other hand, radiofrequency (or, RF microneedling) can help tighten the skin.

Although your treatment package will depend on your goals and unique skin concerns, we recommend that most patients begin with a combination of Clear + Brilliant laser treatments and microneedling 1-2 times per year to keep up collagen production and combat volume loss. As a next step up, the Vampire Facial (PRP Microneedling) or radiofrequency microneedling can provide great benefits as aging signs continue to set in.


If you haven’t optimized your skincare regimen, now is a good time to start. Good basics to have on-hand are a gentle cleanser, sunscreen, active ingredients, and the right moisturizer for your skin. Although the frequency of your active ingredient treatments might vary, daily sunscreen use is essential. It can prevent sun damage, which is a huge contributing factor to wrinkles later on. And don’t skimp on the SPF— many dermatologists recommend you use a separate sunscreen rather than relying on SPF included in many cosmetic products. You should aim for a broad-spectrum sunscreen of SPF 30 or higher for adequate protection during your day-to-day activities.

When it comes to active ingredients, you’ve got a lot of options. Two most effective treatment options are retinoids, vitamin C, growth factors and peptides. Retinoids can do a lot for your skin. Among many things, they make sure that cell turnover and collagen production work more effectively. Unfortunately, they can require an adjustment period, and their strength has to be tailored to your skin. Vitamin C can help brighten the skin and reduce pigmentation with regular use. Growth factors and peptides are important in keeping your skin effective at regenerating itself and the collagen that supports it, meaning they can be extremely beneficial in maintaining results from your treatments or simply maintaining your skin’s youthful properties in general. They can also help repair sun damage and stimulate regrowth. If you’re wondering where to start with the skincare regimen and products are best for you, our cosmetic physicians can help.


There are two types of injectable treatments that can be beneficial in preventing signs of aging when paired with some of the above treatment options. The first is neuromodulators like Botox® or Botox alternatives, which can effectively relax existing wrinkles and prevent new ones from forming. Botox® is effective because it blocks neural signals, preventing muscles from moving. Movements in the face can cause wrinkles to form over time, and halting this process means you can more effectively treat wrinkles using other treatment options like lasers or skincare treatments. You’ll need to opt for retreatment every three to six months, however.

Another injectable option is dermal fillers. Unlike Botox®, these options provide volume in areas that commonly lose support over the course of aging. Different types of fillers exist that can be better suited to different goals— hyaluronic acid fillers like Restylane® or Juvéderm® simply provide volume under the surface of the skin to fill out wrinkles and folds so they can be more effectively treated with skin tightening treatments or laser options. Alternatively, fillers like Sculptra® can help generate new collagen at the same time as providing volume. Although the length of your results will depend on your specific injectable, dermal fillers last for an average of one year or so.


Prejuvenation can seem like a monumental effort, but it’s important to remember that prejuvenation looks different for everyone. The best treatment plan for you will depend on factors like how early you start treatments, your skin’s current condition, your preferences, and your goals for anti-aging. And if it feels like it’s too late to start, then remember that you’ve got options! Because of the constant innovation in non-surgical anti-aging treatments, there’s hope that the need for surgery later in life can be avoided with the best in prejuvenating treatments and at-home care. Despite what you might see on social media, however, it’s important to create an effective treatment plan with the help of a cosmetic physician with expertise and experience in prejuvenating techniques.


The best way to get started on prejuvenation is through a consultation with our cosmetic physicians who can help you understand your options. Whether it’s recommending the best products for at-home care or a treatment plan that fits you and your lifestyle best, we can make sure your surgical considerations remain far off for years to come. To get started, contact our Martinsville and Livingston offices by calling or filling out our online form.

How would you like to build your dream booty without breaking a sweat? Well, when Blaire, one of Dr. Chasin’s cosmetic medicine patients heard about this exciting new treatment she knew she had to give it a try. Blaire already takes great care of her figure but has had little success building a bigger bum with exercises such as SoulCycle and squats or lunges around the house. Combined with her healthy lifestyle, Emsculpt can help accelerate the building of muscle in concentrated areas with no downtime or interruptions.

What is Emsculpt?

Emsculpt is the first and only FDA-approved non-invasive body contouring treatment that reduces fat while also building muscle. The treatments stimulate muscle contractions in order to build a more lifted bum or tighter abs. Emsculpt is comfortable treatment and unlike other body contouring methods, it is reducing fat and toning the treatment area for natural results that can be maintained by a balanced diet and regular exercise.

What does electromagnetic energy do and is it safe?

Electromagnetic energy is a safe and effective form of energy that has been used in a variety of ways for medical treatment to help regulate heartbeat, stimulate muscles and even control pain¹ but has just recently been adapted for the purpose of body contouring by stimulating muscle contraction. The treatment is very tolerable and some patients even find it to be enjoyable as their body adapts to the rhythm of the muscle contractions.

What can Emsculpt treatments achieve?

According to Dr. Chasin, Emsculpt is essentially equivalent to doing approximately 20,000 sit-ups or squats in 30 minutes. This incredible amount of muscle contractions in such a short time is how Emsculpt treatments achieve results in just a two-week treatment cycle.

The recommended treatment process consists of two 30-minute treatments per week for two weeks.

This treatment cycle is far shorter than most other body contouring treatments and results can be maintained with a healthy lifestyle. Dr. Chasin shared with us that often sees patients looking for what they think is a larger buttock; however, the pictures they have for examples actually feature what is considered a more athletic and lifted backside. By adding muscle to the buttocks, Emsculpt provides a lift for a more desirable overall shape.

What areas can Emsculpt treat?

Emsculpt is currently FDA-approved for treating the abdominal and buttocks areas. The panels used for treatment are actually flat and can be applied over clothing because the energy is penetrating deep into the muscles to stimulate activity. One of the great features of Emsculpt is its ability to be customized for the patient. Depending on a patient’s goals, the fat removal function can be turned off in order to only focus muscle building which may be preferred for treating the buttock area.

What are the side effects of Emsculpt Treatments?

The only side effect patients experience is the feeling that they have had a good workout; which for patients like Blaire who regularly does yoga, barre, and pilates classes would not by any means be a sensation out of the norm. Emsculpt is an asset to many patients such as her in the way it allows her to continue with the fitness routines she enjoys without the difficulty of trying to engage and target one specific area with little results.

Schedule Your Consultation

If you’re curious about how you can build a booty without breaking a sweat, we encourage you to schedule an appointment with a physician at Reflections for a consultation. During your consultation, you will be able to ask your cosmetic physician about any questions you may have and they will help you determine if Emsculpt is the right treatment for you and your cosmetic goals. At Reflections, we strive to create result driven treatment plans that are customized to you and your needs.

If you like to learn more about the body sculpting treatments available at reflections, contact our Martinsville or Livingston locations to schedule an appointment today!


Electromagnetic Therapy. Johns Hopkins Medicine Health Library. https://www.hopkinsmedicine.org/healthlibrary/conditions/complementary_and_alternative_medicine/electromagnetic_therapy_85,P00179. Accessed July 30, 2018.

If you’ve had a recent surgery or injury that has left you with a scar, chances are you’re concerned about how that scar will heal. For some patients, scars don’t just easily fade over time and become undetectable. For patients susceptible to developing a keloid over a scar this can be a big concern due to the visual impact of a keloid formation. Luckily, with laser treatments, bad scars can be prevented from forming when treated properly. New research has shown that an integrative approach to laser scar treatment is the most effective way to reduce the possibility of severe scars from forming.


What Lasers can be used to treat scars?

VBeam pulsed-dye laser

The VBeam pulsed dye laser targets scars with intense bursts of light to the skin. This light is then absorbed by vbeamundesirable redness on the surface of the skin, allowing for reduced redness and a more tone to the complexion. For the patient’s comfort, the VBeam uses a cold “cryogen spray” accompanying each pulse of the laser. This addition of a cold spray protects the skin from having an adverse reaction to treatment.

CO2 Fractional

CO2 Lasers are some of the most powerful and effective lasers available for the treatment of scars and unwanted skin texture. The CO2 laser quickly breaks up scar tissue and stimulates new cell and collagen production rather than allowing for the formation of a keloid. Some patients are wary of this powerful laser; however, when your treatment is performed by an experienced cosmetic physician or facial plastic surgeon you can be sure that they will understand how to properly adjust the settings to effectively treat your unique skin type.

What is a Keloid?

A keloid is essentially the overgrowth of scar tissue. The appearance essentially a “raised scar” that can often grow larger than the original wound. Many patients are concerned about the possibility of a scar such as this forming after a surgery or injury due to the more noticeable nature of a keloid. While one’s tendency to keloid over a scar cannot be prevented, early treatment of a scar can promote healthier healing allowing it to be less noticeable.

Combined treatment using pulsed-dye & CO2 lasers

Research has shown that by combining these two types of lasers for the treatment of immature scars you can effectively avoid the formation of both dark pigmentations as well as the uneven texture of the skin. According to the Journal of Cosmetic Dermatology, pulsed-dye laser combined with the CO2 fractional laser has a beneficial effect on immature red hypertrophic scars¹.

In layman’s terms, the combining the two lasers balance each other out for a more effective treatment that involves less downtime. While the VBeam pulsed-dye targets the redness and pigmentation, it is possible for it to cause further division of the cells and therefore forming a buildup in texture. However, when a CO2 laser is added to the treatment plan, it is seen that the result is better than treating with PDL alone. Therefore, with this combination clinical treatment can be set to 3 months², which can reduce the patient’s treatment cycle length and overall downtime.

Why patients are choosing Reflections for their scar treatments

There are several factors that will ensure that you have a safe and successful scar treatment. The Reflections team is highly trained and only uses the best technology available while also keeping a pulse on research developments that can benefit our patients. We own all of our machines used for laser treatments to avoid any inconsistencies that can happen with rented equipment. 

Schedule a Consultation

If you are interested in having an unwanted scar removed, give Reflections Center in New Jersey a call to schedule your consultation with one of our physicians specializing in cosmetic treatments and solutions. Reflections Center offers the most versatility in laser treatments than any other facility in the area, owning more than 50 different types of lasers.

If you would like to learn more about the laser scar treatments available at reflections, contact our Martinsville or Livingston locations to schedule an appointment today!


Ouyang H-W, Li G-F, Lei Y, Gold MH, Tan J. Comparison of the effectiveness of pulsed dye laser vs pulsed dye laser combined with ultrapulse fractional CO2 laser in the treatment of immature red hypertrophic scars. Journal of Cosmetic Dermatology. 2018;17(1):54-60. doi:10.1111/jocd.12487.


Thanks to improving technology, non-surgical and minimally invasive treatments have come a long way in the last decade; reducing downtime and providing impactful results. Non-surgical body sculpting is no different and shows no signs of slowing down, now that more and more manufacturers in the aesthetic space are releasing their own versions of fat-melting, fat-freezing solutions. While all not all are suited for everyone, these treatments have been proven effective for the right candidates.

However, sifting through the differences between treatments can be difficult so that’s why we did that for you. Keep reading to learn the difference between CoolSculpting and EmSculpt.

CoolSculpting Vs. EmSculpt: Safety

This one is a tie! Both treatment systems are FDA-approved. This means that the FDA deemed both treatments to be safe and effective when performed by a qualified practitioner. While CoolSculpting has been available for over 5 years now, the EmSculpt system has been studied for over 2 years and was proven to be safe and effective by 7 clinical trials before being released to the public.

CoolSculpting Vs. EmSculpt: Results

EmSculpt is the only treatment that builds muscle while also reducing fat at the same time. These treatments are typically done 4-5 times in a span of two weeks. Patients will start to notice results after 3-4 weeks and also have the option to continue treatments to maintain their results. Since this treatment is so new, there’s not a lot of information about maintenance treatments yet. EmSculpt is said to remove up to 19% of fat in the treatment area but also increase muscle mass by 16%.

CoolSculpting is FDA-Approved to remove up to 22% of fat in the treatment area, after a couple of weeks post-treatment. What gives CoolSculpting a more competitive edge is its release of multiple handpieces throughout the last few years. This allows patients to have fat reduction in all sorts of areas, big and small.

Results from these 2 treatments are pretty different, and hard to compare. For those looking for a more shredded or ripped look (and who are already fairly lean), EmSculpt is the clear winner. For those looking to remove “pinch-able” rolls of fat, CoolSculpting is the clear winner. But most patients fall somewhere inbetween these 2 extremes, and that’s where a doctor’s analysis of the underlying issues (skin, fat, or muscle) will help you to determine which is the better option.

Coolsculpting Vs. Emsculpt: Comfort

Emsculpt is said to be painless and there is no downtime. So far there are no known adverse reactions to the treatment. After treatment, most patients will feel muscle soreness the next day just like you would after a good workout. The panels used in EmSculpt do not use any hot or cold temperatures to remove fat or use suction to stay in place making the treatment very comfortable.

CoolSculpting works by killing fat cells with cold temperatures, using a curved suction-based handpiece. Some patients experience numbing during the procedure due to the cold temperatures. Some patients find this numbness during and after treatment uncomfortable but not unbearable. However, a new CoolSculpting CoolAdvantage system has been released citing more comfortable treatments with less tingling or numbness after the session.

Overall, it sounds like EmSculpt may be the more comfortable treatment due to its lack of temperature changes.

Coolsculpting Vs. EmSculpt: Time Commitment

Each CoolSculpting treatment cycle is 35-60 minutes depending on the size of the handpiece used. Some newer handpieces are now providing shorter treatment times of 35 minutes. Most CoolSculpting providers will recommend between 2-6 treatments spaced approximately one month apart for best results. Emsculpt treatments take approximately 30 minutes and require a minimum of 4 sessions performed 2-3 days apart.

EmSculpt seems to be the winner for time commitment, by 5-30 minutes per treatment.

Coolsculpting Vs. Emsculpt: Downtime & Side Effects

With CoolSculpting, patients will experience some redness and possibly a numbing sensation for a couple of hours to days post-treatment. If a patient is bothered by this they may find some restrictions in their clothing choices. According to the manufacturer, EmSculpt does not have any physical signs post-treatment but patients may feel muscle soreness similar to post-workout soreness, which could range in intensity depending on the muscle mass of the patient.

This one is a tie depending on what is important to each patient. While both muscle soreness or a numb treatment area are not serious side effects, depending on a person’s lifestyle they could be bothered by either one.

Coolsculpting Vs. EmSculpt: Candidates & Versatility

CoolSculpting has come out with several different handpieces over the last couple of years to cater to smaller more unique areas of the body. However, all of the handpieces are rounded working on “pinch-able” or “rolls” of fat. In general, CoolSculpting is intended for patients who are within 20 pounds of their ideal weight.

EmSculpt uses flat panels to treat the abdomen or the buttocks and can be performed over clothing. There is some mixed information regarding who is a candidate, according to the manufacturer anyone who wishes to decrease fat and increase muscle mass is a candidate. However, according to RealSelf patients looking to have EmSculpt should not have a BMI higher than 25 for best results.

Overall, CoolSculpting seems to be the more versatile treatment due to its ability to treat areas all over the body while EmSculpt only currently treats the abdomen and buttocks (though more treatment areas are on the horizon for FDA-Approval).

Coolsculpting Vs. Emsculpt: Cost

Since the abdomen is the only area both treatments can be used, we’ll compare the costs for this treatment area only. With EmSculpt, you can expect to pay $4000 for the standard four-treatment protocol. With CoolSculpting, there are typically 2-4 handpieces used to cover both upper and lower abdomen. Each of these handpieces runs $750 – 1500. In total, you can expect about $3,000 per session, with a recommendation of 2 sessions for best results.

Emsculpt is clearly less expensive for the abdomen. But it also creates very different results than CoolSculpting does, so this is a tricky comparison.

Schedule a Consultation at Reflections

If you are curious about any body sculpting treatment, we encourage you to schedule an appointment with a physician at Reflections Center. During your consultation, you will be able to ask your provider any questions you may have, received feedback and create a treatment plan that is customized to you and your needs.

If you like to learn more about the body sculpting treatments available at reflections, contact our Martinsville or Livingston locations to schedule an appointment today!

Lasers have come a long way and now remove tattoos more completely, in far less time than before.

Whether you feel like tattoos are holding you back from advancing in your career, you love the design but don’t love the artwork, or you no longer love the design you chose, tattoo regret is a pretty common occurrence, even among tattoo fans.

THis patient purchased a package of tattoo removal sessions, but the PiQo4 worked faster than both she or our team expected. In only 4 treatments, her tattoo was completely gone!

At Reflections Center, we have several different lasers available to quickly and effectively remove unwanted tattoos of all colors on all skin types. With over 15 years of experience removing tattoos, we’ve tried every laser on the market and the new PiQo4 laser is the most exciting technology change in a very long time. The difference in this laser’s ability to be aggressive but still safe on all skin types is a complete game-changer for tattoo removal.

But how does this laser remove tattoos so quickly and effectively? We’ll dive into the details behind this laser and what makes it so innovative.

How Does Piqo4 Reduce the Number of Treatments?

The PiQo4 is the highest powered laser we’ve ever owned – and is far and above the highest-powered laser ever cleared by the FDA. To call it the ‘”big guns” of tattoo removal is pretty accurate. But because it is so high-powered and doesn’t have preset setting clusters, most inexperienced laser operators are steering clear of this technology – and we think that’s a very good thing.

Dr. Chasin, however, is one of the leading tattoo removal specialists in the country, and is highly-sought-after as a consultant to R&D departments at the leading laser manufacturers. For him, this laser is a dream-come-true, because it allows him to take off the training wheels and really get great results much, much faster than previous technologies. Of course our team of tattoo removal physicians has been fully trained by him in how to safely and effectively use this laser.

The Piqo4 is a Nd:YAG Laser that offers four light wavelengths available to choose from, as well as different settings for treatment area size and depth, wavelength blend, and pulse duration. Very quick pulse durations of nanoseconds or picoseconds (that’s millionths and trillionths of a second) are what put the PiQo4 in a class of new lasers for tattoo removal called Picosecond Lasers. Others in this class of laser include the PicoSure and PicoWay, but those 2 lasers offer lower total power and less ability for the provider to select all of the treatment parameters – that makes it easier for a newbie to learn them, but the treatments tend to be less effective (i.e. you’ll need more sessions to achieve the same result) because of the lack of adjustability to the individual’s needs.

The ability to customize PiQo4 treatments to each patient has been clinically proven to reduce the overall number of treatments a patient needs by an average of 40%.

Is it Painful?

Some patients find that this treatment can be uncomfortable, however, that is why we offer ways to increase your comfort during treatments by using numbing agents. Also, each treatment is extremely quick, typically lasting only 1-2 minutes for an average sized tattoo.

As for numbing, we offer 2 numbing options:

  • numbing injections
  • topical numbing cream

Injections make the process extremely comfortable, but since the numbing effect lasts for a couple of hours you will be leaving with the area still numb after treatment. Injections are only used to numb small areas that are more sensitive and should not be used on large areas for your safety. The topical numbing cream can be used on much larger areas and allows you to avoid needles if you’d like. Typically, those with a full sleeve cannot use numbing injections, but a half-sleeve or smaller can.

Can It Treat All Skin Tones?

Yes, the PiQo4 laser is safe for all skin tones, and for most tattoos, this is the first laser we recommend using in your treatments. Why? Because it is so much more effective at blasting away black ink than anything else on the market, and nearly every tattoo has some black used for shading in it. Once the black is knocked out, we’ll look at your skin tone and the other ink colors in the tattoo to decide whether we’ll use a different setting on the PiQo4, or whether we need to use different lasers moving forward.

Most tattoos are best-treated by several different lasers, since they contain several different ink types and colors.

What Color Ink Can It Remove?

What makes the Piqo4 truly unique is in its versatility. The Piqo4 laser is able to treat nearly every color of tattoo ink on every skin type. This is even without turning down the energy on the laser. This allows us to aggressively treat regrettable tattoos in less time than the other industry leaders in tattoo removal. Since different pigments absorb a specific wavelength, that’s why the PiQo4 offers 4 wavelengths. This allows it to treat the broadest range of tattoo colors.

Downtime & Results

After your tattoo removal treatment, it is typical for the surface of the skin to have a white cast over the treated area. The treatment area will also feel warm to the touch and the skin may also be red and inflamed, similar to a sunburn. Your provider will give you aftercare instructions to follow similar to instructions you would receive when you get a new tattoo. This includes protecting it from the sun, being careful not to pick at it, while also keeping the skin clean and moisturized. Luckily, redness should decrease within an hour or two and you will be able to go on with your day.

Choose Reflections for Your Tattoo Removal

At Reflections, we’re dedicated to providing you with the most effective treatment when removing your unwanted tattoo. That means tailoring our treatments to you and your unique tattoo removal situation.

If you are interested in having an unwanted tattoo removed, give Reflections Center in New Jersey a call to schedule your consultation with one of our physicians specializing in cosmetic treatments and solutions. Reflections Center offers the most versatility in laser treatments than any other facility in the area, owning more than 50 different types of lasers.

During the past 5 years, we’ve seen quite a few new technologies for non-invasive fat reduction, including Exilis, Liposonix, Zerona, CoolSculpting, and now, SculpSure. CoolSculpting has been the industry favorite for the past few years. SculpSure is a little different than CoolSculpting, and they both have advantages and drawbacks, so which is better? Find out in this head-to-head face-off of CoolSculpting vs. SculpSure:

CoolSculpting vs. SculpSure: Safety

Great results shouldn’t come at the cost of safety. Both SculpSure and CoolSculpting have been shown to be extremely safe, and have been approved by the FDA for their safety and efficacy.

Winner: Tie

CoolSculpting vs. SculpSure: Results

CoolSculpting is FDA-Approved to remove up to 22% of fat in the treatment area, over a period of a few weeks to a few months, following a single treatment2,3*. SculpSure is FDA-Cleared to remove up to 24% of fat in the treatment area, over a period of a few weeks to a few months, following a single treatment1*. However, both procedures’ results vary from person to person, and a 2% change is by no means visible to the human eye. So don’t make these numbers your deciding factor.


CoolSculpting has come out with even more handpieces throughout the last year, allowing for smaller treatment areas making it more competitive with SculpSure in both time and versatility.

Winner: More or Less a Tie  SculpSure-Vs-CoolSculpting-inpage-thumbnail

CoolSculpting vs. SculpSure: Comfort

SculpSure is a very comfortable procedure, and doesn’t require numbing. That’s because of the precision a laser allows. Just like the lasers in laser hair removal target the hair follicle without damaging the surrounding skin, the SculpSure laser targets only the fat cells, and protects the skin from any ambient heating with a smart cooling cycle. There is also an ability with SculpSure, to adjust the treatment to the individual patient’s comfort level. If a certain area feels too warm, that particular laser panel can be turned down, to achieve a comfortable treatment. CoolSculpting works by damaging the fat cells with cold, using a suction-based handpiece. Just as you might experience numbing with icing after an injury, some patients experience numbing during the procedure, and immediately following the procedure. Occasionally, patients report this numbness as discomfort. With the new CoolSculpting CoolAdvantage system, treatments are more comfortable, with fewer reports of tingling or long-lasting numbness.


Winner: More or Less a Tie

CoolSculpting vs. SculpSure: Affordability

For our practice, the difference in cost between the two procedures is generally very small. We’re happy to quote your specific procedure costs during your complimentary consultation. For example, say you want to target your love handles, and they’re medium-sized (about the size of 2 iphone 5’s). For SculpSure, you’ll likely need 4 panels, with 2 positioned on each side, for a single 25-minute treatment. That would cost $1500. For CoolSculpting, you would need 2 small handpieces, run for an hour each (1 per side of the body), at $750 a handpiece, which totals $1500.

Winner: More or Less a Tie

Want a personalized quote? Call us at 732-356-1666 to schedule your complimentary body sculpting consult.

CoolSculpting vs. SculpSure: Time Commitment

CoolSculpting uses a treatment handpiece that allows 1 area to be treated at a time. Each treatment cycle is 35-60 minutes, depending on the handpiece style used (which is determined by the area treated and your individual anatomy). With the newer handpieces, Coolsculpting is now boasting a shorter time of 35 minutes. If your desired treatment area is mirrored on the other side of your body, as with love handles, saddlebags, chin fat and bra fat, then you’ll need 2 treatments. Treatments on different areas can be treated one after another, in the same appointment.

SculpSure uses up to 4 laser treatment panels per 25-minute session. If your desired treatment areas are on opposite side of your body but are small enough in the total area to be covered by 2 treatment panels, then you can treat those 2 areas simultaneously. You can treat up to 4 different locations, totaling 100 square centimeters in a single SculpSure treatment. If you have two or three larger areas, SculpSure treatment sessions can be run one after another, during the same appointment.

Winner: When the area is small, SculpSure wins. For larger areas, it’s a tie!

CoolSculpting vs. SculpSure: Downtime and Restrictions

With CoolSculpting, patients can expect the treated area to remain numb and red for a few hours after treatment. This may somewhat limit you in your choice of clothing (if you wish to conceal the treatment). Other than that, neither has any downtime or recovery period. Winner It’s a tie, again! 

CoolSculpting vs. SculpSure: Limiting factors and excluded patients

With both technologies, the results are in the fit of the handpiece to your body. CoolSculpting has several different handpieces with unique curves and depths to fit all kinds of body parts, but since the system is rounded, it’s best-suited to rolls of fat. SculpSure’s panels are flat, so they don’t work as well on rolls, but they do work well for people with a thin, even layer of fat, large or small. Our practice offers both of these technologies and makes recommendations for our patients based on a physical exam where we determine which technology will best fit your body.

Ready to melt fat without surgery? Call us today to schedule your complimentary consultation.

So Why Choose One Over the Other?

With both of these technologies, the results are in the fit of the handpiece to your body. CoolSculpting has several different handpieces with unique curves and depths to fit all kinds of body parts, but since the system is rounded, it’s best-suited to rolls of fat. SculpSure’s panels are flat, so they don’t work as well on rolls, but they do work well for people with a thin, even layer of fat. Our practice offers both of these technologies and makes recommendations for our patients based on a physical exam where we determine which technology will best fit your body.

To schedule a free consultation for CoolSculpting or SculpSure, please call our offices at 732-356-1666.



2. “Nils Krueger, Sophia V Mai, Stefanie Luebberding, and Neil S Sadick; Cryolipolysis for noninvasive body contouring: clinical efficacy and patient satisfaction; Clin Cosmet Investig Dermatol. 2014; 7: 201–205.Published online 2014 Jun 26. doi: 10.2147/CCID.S44371″


When laser hair removal first became available, the laser technologies were rather rudimentary and was mainly successful on lighter skin tones with darker hair due to the contrast in pigmentation. Unfortunately, in the past this severely limited who could effectively safely and effectively receive hair removal. In these older machines, you could turn down the energy to treat patients with olive skin tones, but it meant sacrificing effectiveness – meaning those with the palest skin and darkest hair saw much better results in far fewer treatments than did those with less contrast between skin and hair colors.

Thankfully, technology has advanced greatly in this area. We now have several laser systems to choose from; and at Reflections, we have carefully selected the laser treatments we offer to ensure that patients of all complexions and hair colors can have the care-free routine that they desire.

How has laser hair removal changed since it was first popularized?

“Laser hair and was originally done using IPL (intense pulsed light) many years ago. Some practices continue to  use IPL as the “go to” Hair removal method even with today’s advanced technology” explains Dr. Ellern. If you’re familiar with IPL treatments, you may know that they are only good for Fitzpatrick skin types III and below. Patients with African, Middle Eastern, Mediterranean, Hispanic, or Indian heritage, would not be able to have hair removed with an IPL device.

Luckily, the expansion of technology into ND: YAG 1064 lasers, patients of all skin colors were able to get hair removal done with a laser. However, it’s important to remember that not all machines are created equal.

At Reflections, Dr. Ellern looks to the following laser systems to treat a variety of skin types:

  • GentleYAG® – The GentleYAG laser is the type of new technology that Dr. Ellern was referring to when talking about the new developments catering to a wider range of skin types, called an Nd:Yag. The GentleYAG laser is especially good for treating patients with a naturally darker tone.
  • LightSheer™ – The Lighsheer Duet laser is a diode laser, which is an older technology than the Nd:Yag, but it’s stood the test of time, because this laser offers the deepest penetration depth in a very selective wavelength, making it safe and effective, and able to used to quickly cover large areas of the body. Its built-in cooling system makes it one of the fastest and most comfortable hair removal treatments on the market today.
  • GentleLASE® – Gentle enough for sensitive skin, the GentleLASE, is recommended for lighter skin types, ranging from highly sun-sensitive skin that easily burns to slightly sun-sensitive skin that tans easily. The GentleLASE offers two lasers in one: an Alexandrite laser and an Nd:Yag. The Alexandrite laser energy is easily picked up by melanin, the dark pigment in skin and hair. Since we want the hair, and not the skin, to pick up and absorb the laser energy, this laser is not ideal for those with darker skin tones. Because it’s energy is well-absorbed by even small amounts of melanin, this laser works well for fair skin types, even when the hair they want to remove isn’t very dark. However, the Nd:Yag setting makes this laser well-suited to treating dark skin tones.

Fact or Fiction: laser hair removal just for fair skin tones with dark hair

“Laser hair removal is not just for patients with light skin and dark hair. With the use of the correct device, it can be done on any skin tone,” says Dr. Ellern. Even with this great improvement, there is still one type of hair that can’t be removed “we are still not able to use laser hair removal to remove true blonde white silver or gray hairs” adds Dr. Ellern.

The ND: Yag 1064 has made it possible for laser hair removal to be done on even the darkest skin tones. These lasers are the best devices for removal on any patient darker than a Fitzpatrick skin type IV.

Have treatment cycles changed with improvements in laser technology?

Despite the different types of devices that have come about, all hair removal with laser operates with the same concept. According to Dr. Ellern, the wavelength of light targets the pigment in heats the hair down to the follicle and kills it. All patients will require at least 6-8 treatments spaced apart at regular intervals. Facial treatments are done every 4 to 6 weeks, Body is done every 6 to 8 weeks, and for the legs every 8 to 10 weeks. She states, “the reason being, is that hair has different growth cycles on different parts of the body and the hair needs to be actively growing in order to be killed during the treatment.”

How can a patient prepare for treatment for the best possible outcome?

For long-lasting results, Dr. Ellern recommends following these four simple rules for the most effective treatment:

  • Do not rip out the hair. No waxing, threading, or plucking prior to treatment. Only shaving or using a trimmer.
  • Limit your sun exposure. It is recommended to avoid the sun during the course of the treatment and to wait a month afterward if significant exposure. Always wear sunscreen and stay in the shade on the areas of the body that are being treated. You’re free to tan other areas of your body just not the ones where lasers are being applied.
  • Shave the night before. Any hair that is above the surface of the skin will burn and transfer that heat to your skin surface, increasing risk complications such as a burn or changes in skin color.
  • Be consistent with your treatment cycles. Sessions are spaced apart at regular intervals to try to hit different hairs each treatment and it’s important to stay on that cycle as much as possible.

Laser hair removal is a great way to streamline your grooming routine, giving you one less thing to worry about. If you are interested in learning more about laser hair removal and which laser system is best for your skin type, contact Reflections today to schedule your consultation with one of our physicians.


This year marks 16 years of Botox on the market as an FDA approved cosmetic solution for dynamic wrinkles on the face and facial treatment. With continued use, practitioners have found new uses and applications for this miracle injectable. Off-label Botox treatments have skyrocketed in popularity in recent years, especially with millennials looking to prevent signs of aging sooner rather than later. At Reflections Center, we are always looking for new ways to use existing treatments and incorporating the latest aesthetic trends into our service offering.

Are “off-label” Botox treatments safe and effective?

Believe it or not, Botox has been used off-label probably more frequently than on-label over the past 16 years, and we know that in the hands of a well-trained and experienced injector, Botox is completely safe. That’s why at Reflections Center, all our injectors are highly-trained cosmetic physicians.

Here’s the timeline of Botox FDA Approvals for wrinkle treatment:

  • 2002 – Botox is approved for the cosmetic correction of lines created by the glabellar muscle or the “11’s” between the brows
  • 2013- The treatment of ‘‘crow’s feet’’ lines at the outer corner of the eyes is approved
  • 2017- Botox is approved for treating moderate to severe horizontal forehead lines above the brow

Reflections Center physicians were using Botox for crow’s feet and horizontal foreheads lines almost from the beginning — these FDA approvals just solidify and codify what studies and anecdotal evidence had already told us.

To answer the question “are “off-label” Botox treatments safe and effective?”, it depends on one thing: your injector. The training your injector possesses regarding Botox as well as their understanding of anatomy, will ultimately determine if your treatment will be safe and effective.

What new applications do Reflections Center have for Botox?

The CEO of Allergan (the makers of Botox) once referred to the injectable as a ‘Russian Doll’ due to its multiple uses. Botox has been found to be effective for cosmetic and medical reasons alike, subsequently increasing its popularity among a wider demographic. The following are some of the ways Reflections Center is uniquely using Botox.


MicroBotox is one of the newest Botox uses in the aesthetic industry with an entirely new purpose: reducing redness and shrinking pores. Redness and large pores have long been obsessions among patients longing for perfect skin, and both concerns had long been looked at as untreatable.

MicroBotox is performed using a microneedling system called Aqua gold FineTouch®. This system intentionally places the Botox in the top layers of the skin in order to shrink pore size and reduce any redness caused by overactive capillaries or rosacea.

To take the treatment a step further, MicroRejuve was developed using the same system with Botox but also administers hyaluronic acid, a revitalizing skincare ingredient that plumps the skin, smooths fine lines and refines pores.

Botox for Hyperhidrosis

Hyperhidrosis is a condition in which the sweat glands are overproducing sweat to the point in which the individual is physically and emotionally uncomfortable. However, with Botox injections, a patient can experience dry comfort for up to nine months when treated. The purified protein in Botox disables the sweat glands from receiving the signals that trigger perspiration.

Botox for Migraines

One of the most exciting new applications for Botox is not actually cosmetic. Doctors have found Botox effective for treating these debilitating headaches. For patients suffering from more than 15 headaches a month, they can finally find relief with this quick treatment. Botox injections are administered by one of our physicians into various points on the forehead, temples and upper neck.

Are there other injectables or skin treatments that are complementary to Botox?

Botox helps to stop the repetitive muscle motions that cause wrinkles by decreasing the intensity and frequency of those muscles’ contractions. The skin will naturally smooth itself out as it’s given time to recover without as much wear-and-tear from repeated muscle contractions. However, where damage is severe enough, wrinkles and lines will not completely disappear from Botox alone.

To treat static lines such as these, you can use dermal fillers to strengthen the skin’s elasticity (through the growth of new collagen and elastin fibers) and by increasing the resistance against the muscle’s contractions. Fillers also make a perfect solution for plumping up the deepest of wrinkles and creating a smoother surface.

For those that have significant skin laxity and sun damage, Botox and fillers won’t make nearly as big of an impact on their own as when they are paired with laser skin resurfacing or RF Microneedling.

What are the most common patient concerns about Botox at Reflections Center?

The number one concern we hear from patients is the fear of looking unnatural.  To prevent this, we listen to what the patient is concerned about and then use our understanding of the aging process and anatomy to discover what the underlying causes of these concerns are, and that’s what we ultimately treat.

With Botox, that’s often looking completely frozen or in a constant surprised state with too-high eyebrows. For best results, we take things slow the first time and take the time to understand your unique anatomy before we inject. Good Botox is not a one-size-fits-all treatment.

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