The Next Generation of Dermal Fillers

Meet the Dermal Fillers that are Changing the way Top Cosmetic Physicians Inject

If you’ve ever looked into wrinkle treatments or lip augmentation, you’ve likely heard of hyaluronic acid dermal fillers. The two most common families of these types of dermal fillers are the Restylane and Juvederm product lines. These types of fillers are made up of different formulas of hyaluronic acid, a molecule our bodies naturally make to help them skin retain moisture. Because these types of dermal fillers are variations on a naturally-occurring substance in our bodies, they can be used to create the most natural-looking results. They are also reliably dissolvable, which makes them a good choice for first-time filler patients who might be apprehensive and desire some way to “undo” their results should they change their minds.


The NEW Juvederm

Juvederm’s current suite of products includes Voluma, Volbella, Juvederm Ultra, and Juvederm Ultra Plus. Now there’s a new filler from Juvederm called Vollure XC® that just received FDA-Approval and is set to become the new favorite among top injectors. What makes this filler so different? For a long time, Juvederm Ultra and Ultra Plus have been the workhorses of the Juvederm family, filling wrinkles, plumping lips, and pretty much doing all of the work beyond adding cheek volume. These two fillers are very similar, with only slight differences in thickness, and both lasted around 5-9 months, depending on the area treated. Areas with high activity rates or that see more movement from facial expressions, metabolized the product faster for a shorter duration of result.

Vollure XC® promises up to 18 months of similar results, achieved using new cross-linking technology that helps the product survive longer, even in high-movement areas. This product has been approved and used in Europe under the name Juvederm Volift since 2013, and has since been launched in 80 other countries. The FDA’s lengthy clinical trials typically mean products are slower to market here, but they also face rigorous safety testing prior to launch in the states, which is something we appreciate. Vollure is ideal for moderate wrinkles of the face, and will be available at our offices starting in early April 2017.



Memory Foam for Your Face?

Restylane recently added two new fillers to their line of products, Refyne and Defyne. The other members of the Restylane family of products include Restylane Lyft (previously Perlane), Restylane, and Restylane Silk. All three of these fillers were manufactured similarly, creating specific-sized droplets of hyaluronic acid that were ideal consistency for different types of tissue. Silk is the smallest particle size, making it smooth and perfect for lips and fine lines. Lyft, previously Perlane, is bouncy and big, perfect for adding lift to the cheeks and temples. Restylane, the very first dermal filler to receive FDA-Approval and become available in the United States over 20 years ago, has long been the gold standard for under-eye circles, due to its precision and longevity.

Restylane Refyne® and Restylane Defyne® represent breakthroughs in technology due to the entirely new manufacturing process. Rather than creating droplets of gel particles, Refyne and Defyne have cross-link molecules of hyaluronic acid that form a cohesive gel. This gel can stretch without breaking, and returns to its original shape time after time, just like memory foam. Why does this matter? It allows the gel to move naturally with your face, so your facial expressions won’t give away the enhancements you’ve made. It also makes Refyne and Defyne uniquely long-lasting. Because they aren’t broken down by movement, they can take a beating and stay true to their original results for over a year. Much longer than the usual 6 months for high movement areas.


Schedule your complimentary consultation with one of our expert physician injectors to learn about the new ways we can create even more natural-looking results that will last longer – saving you time and money!

These new products are slightly more expensive than the original Juvederm Ultra and Restylane products, but they do last at least twice as long, making them much more economical in the long run. Reflections offers our patients exclusive access to our Rewards Plus program for injectables, which allows patients to stack manufacturer’s discounts with our Reflections Rewards program for even bigger savings. Contact us to sign up for our Rewards Plus program and start saving today!

How to Prep for Laser Hair Removal like a Pro


  1. Shave 24 hours before your appointment

You want the hair to be short and concentrate the heat of the laser deep into the follicle – excess hair can make the treatment less comfortable because of sizzling hair curls down against the skin’s surface.

  1. No tanning – real or fake –prior to your appointment

The lasers used in laser hair removal heat darker objects faster than lighter objects. The bigger the difference in darkness between the hair and skin, the more effective your treatments will be. Since fake tanner makes your skin darker, it decreases the contrast of the hair, making your treatments less effective.

Tanning is bad for your skin for a number of reasons, but when it comes to laser treatments, it’s particularly dangerous. Tanning increases the risks of burns and damage to your skin, so you need to be careful not to tan or burn for at least 2 weeks prior to your treatments.

  1. Spacing your appointments by body area

Hair on different points of our bodies grows at different rates. Laser hair removal can only effectively target the hair follicles in a certain stage of growth. So treatments need to be spaced out to wait for more hairs to be in this optimal part of the growth cycle. For the face, that’s approximately 4-6 weeks, and 6-8 weeks for the body.

  1. No lotions, creams, or makeup for your session

Lotions, creams, and makeup can heat up faster than your skin, creating a painful treatment session. Always remove any lotions, creams, or makeup before your laser hair removal treatment for a safer, more effective, and more comfortable treatment.

  1. Don’t dye hair that will be treated

Back in the day, there was a rumor that dying hair darker could help make laser hair removal treatments more effective. It makes sense, in theory, because the lasers work by targeting darker objective, and hair dye can be used to darken the hair. However, the problem is, you want that heat to concentrate in the follicle (the part below the skin’s surface, which later grows out to create “roots”). So what happens, in reality, is the upper part of the hair concentrates the heat, making the treatment less effective.

Ready to ditch the razor? Call 973-740-2444 for your complimentary consult for laser hair removal.

$500 OFF Brazilian Butt Lift This Summer


This Summer, save $500 on Brazilian Butt Lift with New Jersey’s Top Body Contouring Cosmetic Surgeon, Dr. Mitchell Chasin.

Brazilian Butt Lift transfers unwanted fat from stomach, hips, thighs, and back to the buttocks for enhanced shape and size. By both decreasing fat in other areas, and increasing volume in the butt, Brazilian Butt Lift creates curves in all the right places.

We know each patient is unique and has their own ideal body shape in mind. This procedure can be tailored to create a range of sizes and shapes for the buttocks, allowing us to help patients achieve their individual cosmetic goals. Learn More about Brazilian Butt Lift here.


In order to receive the discount of $500 off your Brazilian Butt Lift procedure with Dr. Mitchell Chasin, you must book and pay for the procedure prior to August 24, 2016. This is a very limited time offer, and do not expect to offer discounts on this procedure in the future. Please call to schedule your consultation today, so you can take advantage of this offer.

Financing for your procedure is available. You can learn more about financing options here, or by calling our office at 973-740-2444.

Schedule your complimentary consultation with Dr. Chasin today. Call 973-740-2444.



What’s New with CoolSculpting – 35 minute treatment times and more!

Just in time for your August vacation, NEW CoolAdvantage for CoolSculpting is in New Jersey at Reflections!

Reflections is proud to be one of the first to upgrade our CoolSculpting system with the New and Improved CoolAdvantage platform. This new CoolSculpting technology offers our patients:

  • Shorter 35 Minute Treatments – this cuts the treatment time nearly in half for CoolSculpting
  • More Comfortable CoolSculpting Treatments – patients have rated the new CoolAdvantage treatments 45% more comfortable
  • Larger Treatment Areas – the new CoolAdvantage treatments treat more tissue for fat reduction

Call 732-356-1666 to schedule your complimentary consult for CoolSculpting

So where does the new CoolAdvantage CoolSculpting system treat?



This patient received 1 treatment to her inner thighs, and is shown 8 weeks after treatment.

The new Cool Fit Advantage™ fits vertical areas, like the inner thigh, to create a smoother contour without bulges of excess fat. This treatment targets large areas for big results, and is our new favorite for thigh debulking. Expect a WOW result with Cool Fit Advantage.



This male patient received 1 treatment to each side of the flanks (also called “love handles”) between each photo shown here.

The New and Improved Cool Curve+ Advantage now treats a larger area across the flanks and love handles, for bigger transformations.



This female patient received 1 treatment to the abdomen, or stomach, between each photo shown here.

The New and Improved Cool Core Advantage covers a larger treatment area and provides the kind of results you’ll want to flaunt this summer.

Are you ready to see a slimmer you? Call 973-740-2444 to schedule your complimentary CoolSculpting consult today!

Could Cosmetic Procedures Make Us Happier?


You’ve probably seen the happy, smiling faces used in cosmetic procedure advertisements and marketing, but is that a realistic depiction, or just a sales tactic? There’s a surprisingly large amount of clinical research into this subject, so let’s take a dive into some of the science behind happiness, beauty, and cosmetic procedures.

Does Being Beautiful Make Us Happier?

According to one study, being more physically beautiful does have a significant impact on happiness, provided the person lives in an urban environment (as opposed to a very rural location)5.  The study concluded that in higher-competition locations, beauty predicted success in work, social, and intimate relationships, making beautiful people more likely to be successful, and also significantly happier than others. In very rural settings, where the selection was smaller, beauty played less of a role in success, and therefore, was less likely to affect the person’s happiness.

If beauty can make us successful and happy, then does cosmetic surgery make us feel more beautiful? twitter

It turns out, that most patients who undergo cosmetic surgery not only remain happy in the long term, and feel more self confidence and happiness around the trait they’ve had altered, but they also feel more self-confident and happy with their looks on the whole 7.

Do Wrinkles Make Us Sad?

Charles Darwin was among the first scientists to theorize that our facial movements affect our emotions. Known as Facial Feedback Hypothesis, a growing number of scientific studies suggest that not only does a frown or smile help make us happier or sadder, but preventing or inhibiting those facial expressions also affects our moods similarly9. In a widely publicized study, it was found that Botox used to prevent frown lines (i.e. prevent frowning), helped to alleviate depression4. When researchers first discovered the link between Botox and happiness, they attributed it to increased attractiveness, but further studies revealed it was actually due to the preventing of certain facial expressions10.

Do Rejuvenating Procedures Improve Our Well-Being and Health?

Whether a rejuvenating procedure actually makes the body younger or healthier depends on the technique and method of action the procedure utilizes. Some procedures, like laser skin resurfacing and energy-based skin tightening procedures, work by creating a cell-turnover response, which does generate new, healthier cells. A new study recently found that fractional laser resurfacing creates new cells that are healthier and more resistant to skin cancers and pre-cancerous changes11.

If lasers can indeed make us healthier, what about surgical procedures?

When it comes to surgery that’s purely cosmetic, measuring an increase in health is harder to gauge. However, when it comes to well-being, most surgical patients do agree that their procedure(s) had a significantly positive affect on their lives:

  • 86% of facelift patients reported an “improved sense of well-being” following their procedure1
  • According to RealSelf, 94% of Facelift patients say the procedure was “worth it” – Necklift, Lower Facelift, and Eyelid Lift all get the same high ratings from patients (at 94-97% saying it was “worth it”)
  • 86% of laser liposuction patients on RealSelf said they would

When Cosmetic Procedures Don’t Make Us Happier

Conditions Which Make Cosmetic Surgery Unlikely to Make A Patient Happier3

  • Mental health concerns, specifically body dysmorphia disorder and personality disorders
  • Previous procedures with poor outcomes
  • Unrealistic expectations of the procedure’s results
  • Those who undergo procedures to make others happy

Many studies into the happiness of patients following cosmetic procedures have listed “realistic expectations” as the number 1 predictor of future patient happiness.

What are realistic expectations? 

Realistic expectations depend upon your individual anatomy, medical history, your body’s reaction to treatment, and your needs/wants for the procedure. Our physicians use the information gathered during an in-person examination and consultation to provide patients with realistic expectations, and a treatment plan that utilizes the most advanced technologies and techniques to achieve the best possible results for each individual.

Call us at 973-740-2444 to schedule your consultation today!


  1. Deiner, Ed; Fujita, Frank; Wolsic, Brian; Physical Attractiveness and Subjective Well-Being
  2. J. Margraf, A. H. Meyer, K. L. Lavalee (2013): Well-being from the knife? Psychological effects of aesthetic surgery, Clinical Psychological Science, doi: 10.1177/2167702612471660
  3. Castle, David; Honigman, Roberta; Phillips, Katharine; A Review of Psychosocial Outcomes for Patients Seeking Cosmetic Surgery; Plast Reconstr Surg. 2004 Apr 1; 113(4): 1229–1237. doi:  10.1097/01.PRS.0000110214.88868.CA
  4. M Axel Wollmer, Claas de Boer, Nadeem Kalak, Johannes Beck, Thomas Gotz, Tina Schmidt, Muris Hodzic, Ursula Bayer, Thilo Kollmann, Katja Kollewe, Daniela Sonmez, Katja Dntsch, Martin D Haug, Manfred Schedlowski, Martin Hatzinger, Dirk Dressler, Serge Brand, Edith Holsboer-Trachsler, Tilmann HC Kruger; Facing depression with botulinum toxin: A randomized controlled trial; Journal of Psychiatric Research Volume 46, Issue 5, May 2012, Pages 574–581
  5. PLAUT, V. C., ADAMS, G. and ANDERSON, S. L. (2009), Does attractiveness buy happiness? “It depends on where you’re from”. Personal Relationships, 16: 619–630. doi: 10.1111/j.1475-6811.2009.01242.x
  6. RealSelf Online Cosmetic Surgery Community Worth-It Ratings
  7. Ruhr-Universitaet-Bochum; Why people put themselves under the knife: Plastic surgery makes people happy; March 11, 2013,
  8. Lewis MB, Bowler PJ. (2009). Botulinum toxin cosmetic therapy correlates with a more positive mood. J Cosmet Dermatol., 8,24-6. doi: 10.1111/j.1473-2165.2009.00419.x.
  9. Randy J. Larsen, Margaret Kasimatis, & Kurt FreyFacilitating the Furrowed Brow: An Unobtrusive Test of the Facial Feedback Hypothesis Applied to Unpleasant Affect; Cognition and Emotion; Volume 6, Issue 5, 1992
  10. Joshua Ian Davis, Ann Senghas, Fredric Brandt, and Kevin N. Ochsner;  The Effects of BOTOX® Injections on Emotional Experience Emotion. 2010 Jun; 10(3): 433–440. doi:  10.1037/a0018690
  11. Basil M. Hantash, MD, PhD; Daniel B. Stewart, MD, PhD; Zachary A. Cooper, MD; Wingfield E. Rehmus, MD, MPH; R. James Koch, MD; Susan M. Swetter, MD; Facial Resurfacing for Nonmelanoma Skin Cancer Prophylaxis; Journal of the American Medical Association; Dermatology; August 1, 2006, Vol 142, No. 8

The Frankenstein Facelift

Reflections took over Harpers Bazaar’s Facebook Live video stream to talk about a procedure being called “The Frankenstein Facelift.”

Dr. Mitchell Chasin, Founder of Reflections and an award-winning injector of dermal fillers, took to air to talk about a filler procedure that can restore lost volume in the temples. Juvederm Voluma and Restylane Lyft are two hyaluronic acid-based dermal fillers that create long-lasting change for the eyes and brows when used to restore volume along the temple.

“We’re replacing that lost volume, and thus, people look completely natural.” – Dr. Mitchell Chasin

How long do results from fillers for temple hollows last?

We typically see results lasting many years.

What causes the temples to become hollow?

Weight-loss, genetic predisposition, and the natural aging process of certain individuals causes this concern.

What do you advice patients to do to prepare for this procedure?

Stop taking Advil, Aspirin, Vitamin E, and fish oil supplements before the procedure, to reduce any small risk of bruising (if you have been prescribed a blood thinner regimen, speak to your prescribing physician before discontinuing use).

What’s the cost for temple filler?

Each patient is different, and that’s why we offer a complimentary consultation with exact price quote. However, on average, a patient requires 1-3 syringes of dermal fillers, which range from $650-1000 each, with package pricing discounts for any purchase of 2 or more syringes. The patient in this demonstration received 2 vials of Juvederm Voluma.

How do I find a physician provider for this procedure?

The experience and skill of your injector matter much more than the actual product when it comes to dermal fillers. Look for physicians who specialize in cosmetic injections. You can always do a quick check by asking to see their awards. The top manufacturers of dermal fillers (Allergan, Merz, and Galderma) all award the most experienced physicians each year. Usually physicians prominently display these awards in their office. You can see ours here.

This procedure is highly-specialized, so you should also ask about your provider’s experience with this particular procedure. Before and after photos are a good way to gauge their individual experience. An experienced physician should be able to show you many photos of different patients who have received the procedure you’re interested in, performed by that provider specifically.

Interested in a complimentary consultation for dermal fillers? Call 973-740-2444 to schedule.



10 Cosmetic Treatments to Simplify Your Beauty Routine


A clear, glowing complexion and a few natural enhancements can help you significantly cut down on prep time each morning.

1. Clear away break-outs with Isolaz.

Active acne flares are difficult and time-consuming to cover up, and the type of makeup that covers pimples best is often pore-clogging, which only makes the situation worse. Isolaz is a proven and effective acne clearing treatment, and the only one of its kind shown to deep clean pores and use energy to zap bacteria, for fast results.

2. Create a smooth foundation.

If scarring has left your skin with an uneven texture, you know just how difficult it can be to cover up. Advances in skin resurfacing have provided effective treatments with less downtime than ever. RF Microneedling (radiofrequency microneedling) delivers energy below the skin’s surface to the root of the problem, damaged collagen bundles. By protecting the skin’s surface, downtime is minimized, as are the risks for the most sensitive skin types (types 4-6).

3. Mascara is so 2014.

In the past few years we’ve seen falsies overtake mascara as the go-to eyelash enhancement. Falsies give you a polished look 24/7, but are fairly high maintenance. Most require you to visit a salon for re-application every few weeks and avoid swimming, not to mention they can actually damage your natural lash line if they’re not cared for carefully. Why not try the ultimate low-maintenance lash hack this summer? Latisse helps your lashes to grow darker and longer, naturally. So you’ll always look strikingly beautiful, even after a swim at the shore.

4. Undereye concealer is not the answer.

If you’re like most of us, undereye concealer has never been the answer you’ve been promised. It always goes one of two ways: no amount of layering seems to completely cover the purple darkness under your eyes, or you end up with a white raccoon look a-la-Kardashian-extreme-contour. That’s because the real problem is the contour irregularities under the eye – the tear trough hollows or puffy bags. These ripples and waves can’t be color-corrected away, they have to be smoothed out from below, by repairing the changes to the skin’s support system. For most, a combination of laser therapy to thicken skin and clear away blood vessels (purple discoloration is often a collection of red and blue veins visible through thin skin), and fillers used to smooth out contour irregularities caused by fat loss as we age.

5. Switch your razor for a laser.

Shaving is really inconvenient. Summer is the perfect time to say “no more” to time wasted removing hair the old-fashioned way. Laser hair removal is easy, quick, and effective.

6. Stop contouring your jawline.

Strobing put up a good fight, but it looks like contouring is here to stay. In fact, contouring seems to be spreading beyond the face (check out this full-body makeup look complete with abs!). Now that strikes me as bit high maintenance for my taste. However, there are a lot of women (and even some men) contouring a  leaner jawline. With Kybella, though, creating a lean, tight neck is really easy: just a few injections spaced several weeks apart, and you’re ready to skip another step in your morning routine.

7. and your nose.

On that note, noses have long been contoured skinnier and longer. It made sense: a rhinoplasty is not a simple procedure, the recovery is quite drawn-out, and it’s fairly expensive. So why not try a temporary makeup fix? Recently, though, advanced dermal filler techniques have brought about the liquid nose job. Dermal fillers are certainly longer lasting than makeup, but they are still temporary, and have very minimal downtime, making them a good alternative.

8. Skip the Lip.

Lip augmentation with dermal fillers has been around for years, but new injection techniques and some filler brands are making it easier for physicians to create a more pronounced lip border (think lip-liner-esque). This new type of lip augmentation has many women ditching the lip liner and lipstick in favor of a longer-lasting lip look.

9. Multitasking – it can be done!

We’ve all heard you can’t truly multitask, but your skincare can! This summer, choose products that are light-weight and tackle several key concerns at once, to cut down on time. Here’s a few we love:

  • PRO-C BRIGHTENING SERUM (Essentials MD Line) with Vitamins A, C, & E, and CoQ10 for a brighter skin tone and smoother skin texture
  • NIGHTIME RETINOL SERUM 5X (Essentials MD Line) with Retinol, Caffeine, and Green Tea Extract for skin that’s healthier, smoother, and firmer

10. Save your blow-out.

Humidity and sweat are the mortal enemies of a fresh blowout. That’s why we’ve seen so many women interested in Botox to prevent scalp sweating. Yes, this treatment really works, and it will definitely save you time this summer.



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A Facelift in Your 40’s??! Why This Isn’t As Crazy As It Sounds





“I’ve seen more and more women and men in their 40s coming in, looking for a way to turn back the clock with reliable results,”

-Dr. Mark Karolak

 So let’s talk about why on earth a 40-something patient would ever ask a plastic surgeon about a facelift:

Face Time

Technology has become such a large part of our lives. From texting with family and friends, to catching up on social media, to responding to the endless string of work emails, it can seem like we’re always staring at a screen. This constant staring at screens, as well as the quest for the perfect “selfie” has made us more aware of the aging process.

A recent consumer report shows that 79% of the population between the ages 18 and 44 have their cell phones with them almost all the time—with only 2 hours of their waking day spent without their cell phone on hand.1

In addition to the self-awareness that it has created, constantly looking down into our devices puts undue pressure on the spine2. leading to forward posture syndrome, while also creating wrinkles in the neck. Some cosmetic surgeons theorize these wrinkles may become permanent, just as we see with smile lines on the face.

If looking down into a smartphone is bad, sitting at a computer all day may be worse. Many people lean into their computer screens, struggling to focus for hours at a time. Not only can the screen’s display strain the eyes, causing us to squint (creating crow’s feet), but it also strains the neck muscles and pulls our posture out of alignment.


  • The NvLift for Face and Neck restores an aging neck from the foundations up, starting with tightening loose muscles, then removing excess fat, and finally smoothing away excess skin. By starting at the foundations and addressing the 3 layers of change, the NvLift gives a natural and long-lasting result.
  • Botox can help relax overactive muscles, like those in your neck and around your eyes, to help prevent future damage (think preventative maintenance).

Fitness Fanatics

We’re living longer and healthier lives.  Sometimes that doesn’t translate into aging more gracefully. Many activities that help us stay fit and live healthier lives, actually cause us to look older at a younger age. For example, running has been linked to an older appearance, but not for the reasons you think. It turns out that running doesn’t cause muscles to sag from the bounce trauma (as some have suggested), but rather the lower body fat percentages of most runners combined with the sun damage accumulated on those runs leads to poor skin quality and a hollowed face.3 For those in their 40s or beyond, muscle loosening and skin laxity have already begun as part of the normal aging process. This compounds with the effects of exercise to create a weathered appearance.


  • Laser skin treatments can help erase sun damage, and sunscreen is the key to preventing future damage
  • If your BMI is low, restoring volume is the key, and there are a couple of options:
    • Dermal Fillers made of hyaluronic acid (Juvederm, Voluma, Restylane, etc.) are great for localized volume replacement
    • Sculptra, a different kind of dermal filler, works to create new collagen and restore volume to the entire face
    • Fat Transfer – the longest lasting option, transfers fat from your stomach or love handles to your face to replace what’s been lost in the aging process

A Safer Surgical Alternative

The availability of a facelift procedure under local anesthesia removes the concerns about general anesthesia that hold many patients back when considering a facelift. The NvLift, Reflections’ unique surgical facial rejuvenation procedure, is performed under Comfort Calm Local Anesthesia™ in our private, state-of-the-art surgical suite. Local anesthesia allows for a safer procedure, while at the same time providing more predictable and precise results.

Preventative Maintenance

There’s a strong desire to maintain a naturally youthful look– which means making small tweaks over the years to reset the clock – rather than waiting for a large, noticeable overhaul later. Many patients tell us that they know their areas of concern aren’t going to get any better without some sort of corrective treatment. They would rather take action so that they can enjoy the results now and age gracefully. Because the NvLift seeks to precisely correct the many small changes that accumulate in our face as we age, the results are long-lasting and continue to look natural, even as aging occurs.

You can learn more about our unique approach to facial rejuvenation that restores the natural microvectors of a youthful face, using Facial MicroVector Analysis™ here.

It’s No Wonder 

If you asked about a facelift as a 40-something year-old twenty years ago, I think most surgeons would have rightly turned you away. People saw a facelift as a last resort. Today we are aging differently, and there’s a feeling in our society of not wanting age to hold us back from continuing to experience the best of life. Now that we are able to create results that will continue to age well and look natural, it’s no wonder that younger patients are open to considering a facelift in their 40s.

Is a Facelift the next right step for you?

Meet with our Facial Plastic Surgeon, Dr. Mark Karolak, to find out what he recommends based on your aging pattern.

Call 973-740-2444 to schedule your consultation today!


  1. Always Connected: How Smartphones and Social Keep Us Engaged
  2. Lee S, Kang H, Shin G. Head flexion angle while using a smartphoneErgonomics. 2015;58(2):220-226.
  3. Guyuron B, Rowe DJ, Weinfeld AB, Eshraghi Y, Fathi A, Iamphongsai S. Factors contributing to the facial aging of identical twins.; Plast Reconstr Surg. 2009 Apr;123(4):1321-31. doi: 10.1097/PRS.0b013e31819c4d42.

What’s New in Cosmetic Medicine for 2016


Cosmetic medicine has been going through a period of amazing innovation. It always seems like a new technology or technique has just been announced, and we love being able to work in a field that’s so exciting and dynamic. New techniques and technologies also mean we get to provide patients with more and better treatment options. We’re almost half-way through 2016, so it seems fitting to recap what’s new in the cosmetic medicine industry, thus far.

Juvederm announces VOLBELLA™ + VOLIFT™

Allergan, the makers of Botox, Kybella, and the Juvederm family of products will be introducing two new products this year: VOLBELLA and VOLIFT. Both products utilize Allergan’s hyaluronic acid VYCROSS™ technology – the lifting property that has made VOLUMA™ such a standout in the dermal filler market.

VOLBELLA just received FDA Approval on June 1, and is approved to correct lip lines and enhance the lip’s shape in a subtle and natural way. Juvederm Ultra has been used for years in lip enhancement, but VOLBELLA provides a greater level of control. It’s been described as the “lip liner effect” because VOLBELLA allows the physician to redefine the lip shape, including the borders, rather than just enlarging the shape that natural occurs.  The majority of patients who received treatment with VOLBELLA see results lasting a year, so that’s also a big improvement on the current 3-6 month products.

VOLIFT has not yet cleared the FDA approvals, but will provide a new option for rejuvenating the lower face, including the jawline and chin.

Shorter Treatment Times + New Treatment Areas for CoolSculpting

CoolSculpting has introduced new protocols which allow the treatment time for most areas to 35 minutes (down from 60 minutes). This innovative application of CoolSculpting’s treatment to freeze the fat away is also free of suction, reducing the risk of bruising or numbness following treatment.

CoolSculpting has also received FDA clearance for several new treatment areas, including the neck (double chin), bra fat (back fat), and banana roll (the fat just under your butt on the back of the thigh). Reflections has long known that CoolSculpting is the treatment of choice for bra fat, but we’re excited to see new applications like CoolMini for neck. We can’t wait to see what other treatment innovations CoolSculpting reveals next!

More Non-Invasive + Minimally Invasive Options

Minimally invasive and non-invasive treatments are exploding – between Kybella, Radiofrequency Microneedling, PiQ04 Laser, SculpSure, and Bellafill we’ve added 6 new technologies to our practice in the last few months, and we fully expect with the new treatments on the horizon, to continue to add cutting edge treatments in the coming year. We love minimally invasive and non-invasive treatments because they allow us to offer patients the shortened downtime and recovery that patients want, but it’s important with these treatments to properly identify which treatment option will suit the individual’s goals and achieve the optimal result. Having such a wide range of technologies to use allows us to ensure we are offering patients the best options, provided by physicians who are experienced in these treatments and techniques.

Pairing Procedures for Better Results

Cosmetic surgery often offers the ability to address multiple concerns in the same treatment session – for example, laser liposuction removes excess fat while simultaneously tightening and thickening the skin in a single procedure. Non-invasive treatments, however, tend to treat one concern – such as excess fat or skin laxity – per procedure. Physicians leading the industry, however, are learning the best ways to combine these procedures to achieve improvement of multiple concerns. For example, Exillis or ThermiRF can combine with SculpSure for fat reduction and skin tightening.

Want to learn more? It starts with a one-on-one consultation with one of our cosmetic medicine experts. Call 973-740-2444 to schedule.

10 Things You Can Do To Maximize Fat Survival After a Fat Transfer Procedure


Fat Transfer removes fat from unwanted areas, and transfers it to a new, more desirable location. This technique is widely used in Brazilian Butt Lifts (BBL), Facial Rejuvenation, and scar treatment for depressed, or sunken-in, scars from traumatic injury. With Fat Transfer, only a portion of the transferred fat survives in its new location, and the percentage that survives can vary widely based on a host of factors, including how much volume was transferred, how tight and elastic skin is in that area, how the patient cares for the transferred fat during the recovery process, and a whole host of other factors. What every surgeon agrees on with Fat Transfer, is that the patient’s actions during recovery directly and significantly impact how much of the fat survives.

So here are 10 things you can do after your fat transfer surgery to help ensure more fat survives:

Beyond wearing the shaping compression garments that your surgeon recommends after surgery, you’ll need to plan to wear clothing that supports your healing process. Squeezing newly transferred fat is the fastest way to kill those cells, so you want to make sure you’re not wearing tight or restrictive clothing during your healing process.

Your body will need extra calories to sustain the extra work of providing those new fat cells with blood supply and recovering from the surgery. Eating nutrient-dense foods will provide your body with all the vitamins and minerals it needs to support its recovery. Adding in more healthy fats in your diet will be helpful during your recovery. Try adding avocados, salmon, grass-fed butter, almonds, walnuts, extra virgin olive oil, and coconut oil.

Squishing your newly transferred fat is a big no-no for at least 2 months after surgery. So you’ll need to get creative about ensuring you’re not laying on your newly transferred fat. For facial rejuvenation with fat transfer, you’ll want to sleep on your back, keeping your face from pushing up against your pillow (this is actually a practice touted by a lot of anit-aging doctors as beneficial for preventing wrinkles – because when you’ve squished your face into a pillow, forming wrinkles for hours each night, those wrinkles eventually become permanent). For Brazilian Butt Lift, stomach sleeping is a good idea. It’s a little harder for you to roll over from your stomach during the night, so that can be helpful to keep you from rolling onto your backside out of habit. Side sleeping can be an option after BBL, but only if you feel certain you won’t end up on your back.

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Facial fat transfer patients will typically take a day or two off of driving, while they recover at home. Brazilian Butt Lift patients will need to take at least 2 weeks off from driving, and here’s why:
Sitting on your newly transferred fat is going to squish and suffocate those fat cells; but if sitting is bad, driving is much worse. During driving, when you push down on the pedals, you’re pushing back against your butt and lower back. So BBL patients need to be sure not to drive for at least a few weeks after surgery – the closer you can get to 6-8 weeks without driving, the more likely you are to keep a larger percentage of the transferred fat intact.


This one really only applies to Brazilian Butt Lift fat transfer patients. One trick that helps our patients keep off their butt during the healing process is to sit on a towel. Sounds crazy, right? But here’s the trick: roll up the towel to make a cylinder, then place that towel underneath your thighs as you sit, keeping your weight off your butt. Just be careful not to cut off blood supply (if you’re going numb in your thighs, stand for a few minutes to ensure blood circulation, then re-position).


Smoking is a big no-no after any surgery, because smoking affects the flow of oxygen and nutrients through the blood stream, crippling your body’s ability to heal itself. With fat transfer, your newly transferred blood cells need to re-establish a blood supply in order to survive and thrive in their new home. Smoking makes it harder for your body to build those new blood vessels and affects the quality of blood those fat cells receive during their recovery. Second hand smoke is just as bad for you, so be sure to avoid smoking areas during your recovery, as well.


Exercise helps to get blood and fluids circulating throughout the body, and sweating is a great way to help your body clear out toxins. You want to avoid strenuous activity during the first 2 months of recovery, to ensure you aren’t burning off any of the transferred fat to fuel workouts. During this time, light walking is helpful, but you should be careful not to burn too many calories, or do any movements that put pressure on your transferred fat.

After 8 weeks, your fat transfer should have established proper blood supply, and getting a good sweat session in can help pump fresh, nutrient-rich blood into the area. One tip to remember as you start exercising, is that you want to avoid activities that put a lot of pressure, compression, or trauma on your fat transfer. For example, Brazilian Butt Lift (BBL) patients will want to avoid stationary bike and leg sleds, both of which put a lot of pressure on the buttocks. Instead try the elliptical or hack squat machines. For facial fat transfer, any up and down movement can be traumatic to the face’s fat pads. We know from several studies that running, in particular, can cause facial fat wasting, so avoid running, bouncing activities – even an elliptical set to a high stride height can cause bouncing, so try the stationary bike or rowing machine instead. Weight-lifting and other low-impact sports have not been shown to affect the face, so those should be fine to start back up with at 8 weeks.

8. PRP

Platelet-Rich Plasma (PRP) has been used in wound care by orthpedic surgeons for many years, and has gained popularity in cosmetic surgery in recent years (most famously in the Vampire Facial). To create PRP, your blood is collected, and all of the growth factors of the blood are separated out. In fat transfers, the main concern is to establish new blood supply to the transferred fat as soon as possible, so PRP can help your body jumpstart this process by providing those growth factors right where they’re needed.

PRP  is controversial, because some studies have shown it to be beneficial, and some studies have shown it to have no effect, and it is an added expense. However, it has never been shown to have a negative effect on fat transfer results, so for thin BBL patients (who may be more likely to metabolize their fat transfer to begin with) or patients with larger fat transfers, where a small percentage of fat loss would be significant, PRP may make sense. For facial fat transfer patients, PRP nearly always makes sense, because PRP has been shown to be a highly effective rejuvenating treatment, giving the skin a glow, and plumping the face.


We all know hydration is key to health, but when your body is working hard to repair itself, it relies heavily on water to help clear away waste and move nutrients throughout the body. But drinking water alone is not enough. You need to provide your body with electrolytes, the salts and minerals that help your body hold onto water. Try incorporating a few pinches pink Himalayan salt or a small sports drink (like Gatorade, Powerade, or Smart Water) into your diet each day during the first 8 weeks of your recovery.


Weight fluctuations after fat transfer can negatively affect your results.

For facial fat transfer patients, weight loss can reduce the amount of fat in your face, especially if that weight loss is achieved through high impact sports, such as running. Weight gain tends to have less of an impact on fat transfers to the face.

For Brazilian Butt Lift patients, weight gain can cause undesirable effects. Now, just to be clear, we’re not talking about 5 pounds here. However, gaining significant weight after having had liposuction, can cause that fat to accumulate in “new problem areas” – for example, a pear-shaped woman who’s never concerned herself with underarm flab may suddenly find her upper back and arms are now more likely to gain weight first, rather than her tummy (where we’ve removed fat cells during her BBL procedure). Weight loss after BBL may cause your buttocks to lose weight, though it should be proportionate to weight loss throughout the body.

Call 973-740-2444 to schedule your complimentary Fat Transfer consultation with Dr. Mitchell Chasin today!