Are you determined to keep your hands youthful and ageless? Frequently, individuals turn to the expertise of Haute Beauty’s own Dr. Anna Avaliani in their pursuit to rejuvenate their hands’ youthful allure. By effectively tackling concerns such as age spots, wrinkles, volume depletion, and thinning skin, the prospect of restoration becomes a reality. With the aid of these ten non-surgical hand rejuvenation procedures, you can reclaim the vibrancy of your hands.

The 10 Non-Surgical Hand Rejuvenation Procedures

1. Dermal Fillers: Injectable dermal fillers containing substances like hyaluronic acid (Restylane, Juvederm) can be used to restore volume to the hands, minimizing the appearance of bony hands and filling in wrinkles and fine lines. The filler is injected into the back of the hands, providing a plumping effect and a more youthful appearance.

2. Exosomes Bio Rejuvenation: Exosomes have regenerative properties that can help improve the quality of the skin on the hands. The growth factors and proteins present in exosomes stimulate collagen production, promote tissue regeneration, and improve skin texture, resulting in smoother and more youthful-looking hands.

3. Intense Pulsed Light (IPL) Therapy: IPL therapy uses targeted light energy to fade age spots and sun damage on the hands. The light energy is absorbed by the pigment in the skin, breaking up dark spots and stimulating collagen production. This treatment can result in more even-toned and youthful-looking hands.

4. Laser Skin Resurfacing: Laser treatments can help improve skin texture, reduce wrinkles, and diminish age spots on the hands. The laser energy targets the outer layer of the skin, stimulating collagen production and promoting skin rejuvenation. Laser skin resurfacing can provide significant improvements in the appearance of the hands. Dr. Avaliani specializes in all kinds of lasers and offers nonablative Fractional lasers like Icon 1540 and PicoSure Focus.

5. Platelet-Rich Plasma (PRP) Therapy: PRP therapy involves extracting the patient’s own blood, processing it to isolate the platelets, and then injecting the platelet-rich plasma into the hands. PRP contains growth factors that stimulate collagen production and promote tissue regeneration, leading to improved skin quality and rejuvenation.

6. Skin tightening lasers: RF Microneedling like Genius RF and TempSure Firm RF and Ultherapy are some of the amazing procedures Dr. Avaliani’s office has to offer to help with skin tightening and the best option can only be decided after an in-person consultation.

7. Fat injections with Renuva: Renuva serves as a biostimulator for fat cells, functioning as an injectable filler derived from processed human adipose (fat) tissue. This innovative treatment is employed to replenish volume, enhance skin texture, and revitalize the hands.

8. Sculptra: Sculptra is composed of poly-L-lactic acid, which is a biocompatible and biodegradable substance. When injected, Sculptra works by stimulating collagen production in the skin. Collagen is a natural protein that provides structure and volume to the skin, but its production decreases as we age. By promoting collagen production, Sculptra helps restore volume and improve skin texture over time.

9. Radiesse: Designed to restore volume to the hands, addressing the loss of fat and soft tissue that can occur with aging. The filler is injected into the back of the hands to replenish volume, resulting in a more youthful and fuller appearance.

In addition to providing immediate volume, Radiesse stimulates collagen production in the skin. The calcium hydroxylapatite microspheres in Radiesse act as a scaffold, promoting the growth of new collagen over time. This collagen production can help improve skin quality and texture, enhancing the rejuvenation of the hands.

10. PDO Threads: PDO threads are made of a biocompatible material that is commonly used in medical sutures. When these threads are inserted into the skin, they stimulate collagen production. By promoting collagen synthesis, PDO threads help improve skin texture, tightness, and overall rejuvenation.

Ultimately, with the guidance of Dr. Avaliani, you can combat your aging hands. To see Dr. Avaliani for your expert consultation, please call/text 212-673-8888 or visit us at www.dravaliani.com.

PDO (Polydioxanone) threads are FDA cleared for minimally invasive cosmetic treatment for facial rejuvenation and lifting. These threads are made of biocompatible and absorbable material called polydioxanone, which is commonly used in medical sutures.

Figure 1 Before and after PDO thread lift for smile lines

During a PDO thread treatment, the threads are carefully inserted under the skin using fine needles or blunt cannulas. Once they are inserted under the skin, the threads work to lift and tighten the skin, promoting collagen production and improving skin elasticity. The threads are designed to dissolve over time, stimulating the body’s natural healing response and creating a supportive network of collagen fibers.

The collagen production and tissue tightening induced by PDO threads lead to visible improvements in facial sagging, wrinkles, and skin laxity. The results of PDO thread treatments are often gradual and can last for several months as the body continues to produce collagen in response to the threads.

Characteristics of an ideal patient candidate for PDO instant threads must include:

1. Healthy Skin: Candidates should have overall healthy and plump skin without significant sun damage (leathery skin), active infection, or history of severe acne scarring
2. Mild to Moderate Skin Laxity: PDO threads are most effective for individuals with mild to moderate skin laxity in the areas like around the eyes, mouth, jowls, and the neck area.
3. Realistic Expectations: It’s essential for patients to have realistic expectations about the outcomes of PDO thread treatments. While the procedure can provide noticeable improvements, it may not achieve the same results as a surgical facelift.
4. Healthy life style: Non-smokers and people who tend to avoid alcohol have better skin quality and will have minimal to no bruising and heal a lot faster with less swelling or discomfort from the procedure.
5. Having had fillers and lasers prior to the thread lift procedure is beneficial because it will help and compliment the overall results. (This of course does not apply to everyone but it’s a good rule to consider)
6. Commitment and compliant to Aftercare: Following the procedure, patients should be willing to follow the aftercare instructions provided to ensure smooth recovery and best results.
7. No more volume needed. Patients who are afraid of adding more filler volume to their face. Fillers don’t necessarilylift, they tend to fill. Some people may mistakenly end up lookingoverfilled because they were wrongly advised
8. Patients who are not getting the lift that they want from injections or lasers
9. Patients who are open to trying new procedures
10. Patient who can avoid excessive talking, strenuous exercise and a few easy days to relax at home to ensure the thread will not move.

The ideal patient candidate for PDO (Polydioxanone) threads is someone who has mild to moderate facial sagging, skin laxity, or wrinkles and desires a non-surgical and minimally invasive solution for facial rejuvenation. This candidate must also be excited to experience an instant lift, just like dermal fillers give instant fill .

As with any cosmetic procedure, results may vary, and a consultation with an experienced healthcare professional is essential to determine if PDO threads are the right option for individual aesthetic goals.

Why choose Dr.Avalianifor your expert PDO thread procedure?

• Always deliver natural results
• Nationally and internationally trusted name in the field of PDO threads
• National trainer and expert provider of PDO threads for NYC since 2016
• Pain free injections using Nitrous oxide Pro-Noxgas for extreme comfort
• Bruise free injections using Accuveintool
• Custom formulated topical cream to reduce bruising and swelling
• Anxiety free treatments using Pro-Noxlaughing gas for all procedures
• Always individualized assessment and custom tailored treatment for each patient by Dr.Avaliani offering the best advice
• State of the Art Laser Clinic on Park Avenue
• Over 430 Trusted 5 Star Google and Yelp reviews
• We carry the latest State of the Art Laser technology

Call/text 212-673-8888 or visit www.dravaliani.comto schedule your expert consultation.

Forget about botox for the face.  Your shoulders need to feel relaxed and less stressed too!

Get TrapTox to look slimmer and more relaxed and reduce the neck pain.

“Trapezius Botox” typically refers to the use of neuromodulator injections like Botox/Dysport to treat the trapezius muscle, which is a large muscle located in the upper back and neck area.

When neuromodulator is injected into the trapezius muscle, it can temporarily block nerve signals that cause muscle contractions. This can help relax the muscle and reduce muscle tension, which may be beneficial for individuals experiencing conditions such as chronic neck pain, tension headaches, or myofascial pain syndrome.

Trap botox has also been used for cosmetic concerns to help achieve a longer looking neck, slimmer shoulders.

It’s important to note that the use of Botox for trapezius muscle conditions is considered an off-label use, meaning it is not FDA-approved specifically for this purpose. It’s crucial to consult with a qualified healthcare professional who has experience with dB treatments to determine if this approach is suitable for your specific condition and to discuss the potential risks and benefits involved.

What are the most common causes of neck pain?

Muscle strain

Poor posture

Stress and Tension

There are many others like arthritis, accidents, trauma, herniated disks, etc, but we will focus on the common reasons from people sitting in front of their computers and smart devices

Who is a great candidate for TrapTox aka trapezium muscle botox injection?

If you have Neck pain/shoulder pain and have tenderness on touching the shoulder, too busy for multiple visit for a physical therapy session, looking for the fastest relief of discomfort, looking for a cosmetic improvement in your shoulder area because they look too bulky. If you are getting married and will be wearing a strapless dress, this treatment will elevate your look.

How many units of Botox does one typically need for trapezius muscle injection for Traptox?

The actual dosage varies based on the degree of muscle tension and the muscle mass. The dose can vary from 60 units-200 units and it can only be accurately established during in person consultation.

How long does the TrapTox last?

On average it provides great relief between 4-6 months

Does TrapTox injection hurt?

Absolutely not.  It’s a qiuck1-2 minute injection procedure using tiny needles.

What if I am afraid of needles?

For the sensitive patient afraid of needles we offer options of topical numbing, numbing spray and Nitrous oxide aka (Pro-Nox)

The Pro’s of considering TrapTox treatment for your neck/shoulder pain:

1. It leads to Muscle Relaxation which leads to a reduction in muscle tension, stiffness, and pain, providing great relief from muscle pain.
2. It’s a Targeted Treatment: Botox injections can be precisely administered to the affected area, allowing for targeted relief of pain in the trapezius muscle. This focused approach can help avoid systemic side effects often associated with oral medications such as NSAID’s or muscle relaxers or even narcotics.
3. It’s Non-Invasive: There are no incisions or anesthesia required, making it a less invasive option with zero downtime.
4. 4.It offers Long-Lasting Effects: Botox injections for trapezius muscle pain can provide relief that lasts for several months. The effects of Botox typically peak within 2-4 weeks after the injections and can last for around 3-6 months, depending on individual factors.
5. Improved Quality of Life: Chronic trapezius muscle pain can significantly impact a person’s daily activities, work productivity, and overall quality of life. Tox injections may help alleviate pain and discomfort, allowing individuals to resume normal activities and improve their quality of life.
6. Complementary to Other Therapies: Botox injections can be used in conjunction with other therapies such as physical therapy, stretching exercises, cuppingor massage to enhance the overall effectiveness and to improve muscle function.
7. Minimized or eliminate Dependency on Medication: For individuals relying on pain medications to manage trapezius muscle pain, Botox injections may provide an alternative that reduces the need for oral medications or nerve blocks and their associated side effects.
8. It’s super quick: It the hands of an expert like Dr.Avaliani, it takes less than 2 minutes to inject both shoulders.

The Cons of receivingTrapTox injections for neck/shoulder pain:

1. Temporary Relief: The effects of Botox injections are not permanent. While they can provide relief from trapezius muscle pain for several months, the effects are temporary and may require repeat injections to maintain pain relief.
2. Potential Side Effects: Botox injections can lead to side effects, although they are generally mild and temporary. Common side effects may include bruising, redness, swelling, or mild discomfort at the injection site.
3. Allergic Reactions: While rare, some individuals may experience allergic reactions to Botox. It’s essential to inform your healthcare provider of any known allergies or sensitivities before undergoing treatment.
4. Cost: In some cases, insurance do not cover the cost of Botox injections for trapezius muscle pain, considering it an off-label use.
5. Discomfort During Injections: The process of receiving Botox injections can cause mild discomfort or a brief stinging sensation at the injection site.
6. Potential for Incomplete Pain Relief: While Botox can help relax the trapezius muscle and reduce pain, it may not completely eliminate all pain or address underlying issues contributing to the pain.
7. Alternative Treatment Options: Botox is just one of several treatment options available for trapezius muscle pain. Some individuals may prefer or respond better to alternative therapies such as physical therapy, massage, heat therapy, or oral pain medications.
8. Risk of Incorrect Injection: Proper administration of Botox injections is critical to achieving the desired results and avoiding potential complications. It’s essential to receive Botox treatments from a qualified and experienced healthcare professional to minimize the risk of incorrect injection or adverse effects.
9. Potential for Muscle Weakness: While Botox can relax the trapezius muscle, there is a possibility of some muscle weakness in the treated area. This can affect muscle function temporarily and may require careful monitoring during the recovery period.

Why choose Dr.Avaliani for your TrapTox Treatment?

• Always delivers natural results
• National trainer and an expert injector for Botox and Fillers with needles and cannula
• Pain free injections using Nitrous oxide Pro-Noxgas for extreme comfort
• Bruise free injections using Accuveintool
• Custom formulated topical cream to reduce bruising and swelling
• Anxiety free treatments using Pro-Noxlaughing gas for all lasers &injectables
• Always individualized assessment and custom tailored treatment for each patient by Dr.Avaliani
• State of the Art Laser Clinic on Park Avenue
• Over 430 Trusted 5 Star Google and Yelp reviews

To see Dr.Avaliani for your expert consultation, please call/text 212-673-8888 or visit www.dravaliani.com

Aftercare following laser treatments is crucial to ensure proper healing, minimize complications, and maximize the effectiveness of the treatment. While specific aftercare instructions may vary depending on the type of laser treatment and individual circumstances, here are some general guidelines for the best laser aftercare protocol. This is just a recommendation based on Dr. Anna Avaliani’s approach to after laser care and every physician has their own approach and recommendations. The following recommendations are really strongsuggestions.

Photo credit:www.freepik.com

1. Follow Post-Treatment Instructions: Rule #1 is to Always adhere to the post-treatment instructions provided by your doctor. They will provide specific guidance based on the type of laser treatment, the treated area, and your skin type.
2. Protect Your Skin from the Sun: SPF 30 + Vit CE Ferulic Sun protection is essential after laser treatments.Avoid direct sun exposure, especially during peak sun hours of10am-4pm. Mineral based sunscreen with SPF over 30 is always recommended. Use tinted or universal tinted sunscreens to avoid the white “ghost like” look. Apply 30 minutes before leaving your home.  Must add topical Vit C&E serums for increased protection. The holy grail is Vit CE Ferulicwith tons of science to back it up. Wear protective clothing with long sleeves if your body was treated (arms, chest, abdomen) Don’t forget a wide-brimmed hat. Reapply a broad-spectrum sunscreen with a high SPF to the treated area and reapply as directed. Avoid IR saunas and Steam rooms for 3-5 days. Even Cryo sauna treatments.
3. Keep the Treated Area Clean: To be on safer side, please avoid make up for full 24 hours after any laser procedure that involved resurfacing of your skin (ablative vs or non-ablative and all types of microneedling) If you had radio frequency like TempSure Envi or ultrasound type of treatment like Ultherapy, then make up application is safe immediately after your treatments as the skin barrier is intact.
4. Moisturize Regularly: Keep the treated area well-hydrated by applying a gentle, non-irritating moisturizer recommended by your healthcare professional. Moisturizing helps maintain the skin’s barrier function, promotes healing, and reduces dryness or discomfort. It is best to consult what to apply as there are many medical grade options out there that have been safely tested for application after lasers. There are even creams that expedite the healing and help reduce redness. Avoid using any skincare products that may irritate or interfere with the healing process. You may even use different moisturizers in the summer time vs winter time. Light weight is better for the summer and more moisturizing and hydrating in the winter as the air is less humid.
5. Avoid Picking or Scratching: It’s important to refrain from picking, scratching, or peeling any scabs or crusts that may form on the treated area. Let the skin naturally heal and avoid any unnecessary trauma or irritation. Picking at the treated area can increase the risk of infection, scarring, or pigmentation changes.
6. Gentle cleansers : During the initial healing period, it’s advisable to avoid activities that can generate excessive heat or cause excessive sweating. This includes hot showers, saunas, steam rooms, intense workouts, or activities that may lead to excessive perspiration. Excessive heat or sweat can irritate the treated skin and impede the healing process for the first 3 days after the procedure.
7. Stay Hydrated and Maintain a Healthy Lifestyle: Drink plenty of water to keep your body and skin hydrated. A well-hydrated body supports optimal healing. Additionally, maintain a healthy lifestyle by following a balanced diet, getting enough sleep, and managing stress. These factors contribute to overall skin health and can enhance the healing process.
8. Avoid retinols or retinoids for 3-5 days prior and 3-5 days after for non ablative lasers. For super sensitive skins, avoiding them for a full 7-10 days is likely optimal, but it is best to discuss with your treating physician.
9. Avoid exfoliation for 1 week before and one week after.
10. Reapply SPF!!! Ideally every 1-2 hrs Between prime time of sun exposure of 10 am-4pm. Even if you are indoors. Even when you are driving in the car. Even when you are next to a window. Do not make a mistake of applying SPF 100 and thinking it will last for the whole day. Reapplication of sun screen is very important.

Dr.AnnaAvaliani’s state of the art lacer center on Park Avenue offers a full spectrum laser technology to treat any concern on the face or the body with over 30 different lasers offered in one place. To schedule your expert consultation, call/text 212-673-8888 or visit www. dr.avaliani.com

Have you heard of Ozempic? It has gained considerable attention recently and you might have come across it in various media outlets, from TV commercials to TikTok. Dubbed the “weight loss shot,” Ozempic has become quite ubiquitous, making its impact hard to ignore.

You may have seen people shedding pounds rapidly while using Ozempic. Whether you noticed because of their drooping facial features or a skeletal appearance in their hands, these are harsh side effects, amongst others, that people can experience while on Ozempic. Haute Beauty expert Dr. Anna Avaliani warns of these adverse effects.

As a matter of fact, Ozempic is primarily intended for the management of type 2 diabetes and not as a dedicated weight loss medication. Its main active ingredient is semaglutide, which belongs to a class of drugs known as glucagon-like peptide-1 receptor agonists (GLP-1 RAs). Ozempic works by mimicking the effects of a hormone called GLP-1, which helps regulate blood sugar levels. By stimulating GLP-1 receptors, Ozempic can improve blood sugar control and, in some cases, lead to weight loss, especially in your hands. Here Dr. Avaliani dives into the details surrounding Ozempic hands and offers guidance on addressing the skeletal appearance caused by the medication.

The Causes of Ozempic Hands

Now, why do hands exhibit these side effects prominently? Well, hands can reveal signs of aging because they are frequently exposed to environmental factors and undergo natural aging processes. With the help of Ozempic, this aging process can be accelerated. Here are a few reasons why hands can reveal your age: sun damage, loss of volume, reduced collagen and elasticity, thinning skin, and lifestyle factors – like Ozempic.

To address these concerns, specifically Ozempic hands, and maintain youthful-looking hands, Dr. Avaliani advises you protect your hands from sun exposure. Wearing sunscreen, seeking shade, and using protective clothing is your best bet. Additionally, moisturizing the hands regularly, using hand creams or lotions containing hydrating and nourishing ingredients, can help keep the skin supple and moisturized.

Treating Ozempic Hands

If you are experiencing specific issues related to Ozempic hands, it is highly advisable to consult with Dr. Avaliani, the non-invasive cosmetic and laser surgery pro. She can provide personalized recommendations and suggest suitable approaches to restore your hands to their optimal appearance. Some of the options she may discuss include:

1. Dermal Fillers: Injectable dermal fillers containing substances like hyaluronic acid (Restylane®, Juvederm®) can be used to restore volume to the hands, minimizing the appearance of bony hands and filling in wrinkles and fine lines. The filler is injected into the back of the hands, providing a plumping effect and a more youthful appearance.
2. Exosomes Bio Rejuvenation: Exosomes have regenerative properties that can help improve the quality of the skin on the hands. The growth factors and proteins present in exosomes stimulate collagen production, promote tissue regeneration, and improve skin texture, resulting in smoother and more youthful-looking hands.
3. Platelet-Rich Plasma (PRP) Therapy: PRP therapy involves extracting the patient’s own blood, processing it to isolate the platelets, and then injecting the platelet-rich plasma into the hands. PRP contains growth factors that stimulate collagen production and promote tissue regeneration, leading to improved skin quality and rejuvenation.
4. Fat Injections with Renuva: Renuva is a biostimulator of fat cells, an injectable filler made from processed human adipose (fat) tissue. It is used to restore volume, improve skin texture, and rejuvenate the hands.
5. Bio Stimulators like Sculptra® or Radiesse®: Sculptra® is composed of poly-L-lactic acid, which stimulates collagen production in the skin. By promoting collagen production, Sculptra® helps restore volume and improve skin texture over time. Radiesse®, on the other hand, is designed specifically to restore volume to the hands, replenishing lost fat and soft tissue. It acts as a scaffold, promoting the growth of new collagen and improving skin quality and texture.

The side effects of Ozempic, including the appearance of skeletal hands, can be concerning for individuals using this medication. Each treatment option aims to restore volume, improve skin texture, and promote collagen production, resulting in more youthful-looking hands.

Ultimately, with the guidance of Dr. Avaliani, you can combat your Ozempic hands. To see Dr. Avaliani for your expert consultation, please call/text 212-673-8888 or visit us at www.dravaliani.com.

Are you tired of feeling insecure about the signs of aging on your face? You’re not alone. As we get older, it is natural to become self-conscious about wrinkles, sagging skin, and other visible signs of aging. So, to turn back the clock and feel confident in your appearance once again, Haute Beauty expert Dr. Anna Avaliani is here to talk about NovaThread Facelift. What exactly is it? Let’s dive in.

How it Works

Simply put, NovaThread Facelift it’s a non-surgical facelift that uses FDA-approved PDO absorbable sutures to lift, tighten, and smooth your skin. During the NovaThread procedures, Dr. Avaliani inserts PDO-absorbable sutures into the skin to stimulate the body’s natural production of collagen. Over time, approximately four to six months, the sutures are broken down by the body, leaving behind a natural-looking lift and improved skin tone and texture.

There are three types of NovaThreads available, each with a unique purpose:

• Smooth threads: Used for treating superficial wrinkles and lines.
• Volumize threads: Used for defining the lip border, filling and lifting deep wrinkles or folds (such as smile lines), and adding volume to the face.
• Lift threads: These threads feature small barbs that “lift” the skin, helping to restore a more youthful and natural appearance.

The Benefits

One of the biggest advantages of the NovaThread procedure is that it is non-surgical and non-invasive. Unlike a traditional facelift, there are no scars, no anesthesia, and no lengthy recovery time. In fact, the entire procedure can be completed in just 30 minutes, making it an ideal option for those with busy schedules.

Additionally, the results of the NovaThread procedure are long-lasting, with most patients experiencing the benefits for anywhere from one to two years, depending on the area treated and the number of threads used. And because the sutures are absorbable, there is no risk of the body rejecting the threads or causing an adverse reaction.

Who’s a Candidate?

While the NovaThread procedure is a great option for many people, it may not be the best choice for everyone. Dr. Avaliani recommends asking yourself the following questions before deciding if the procedure is right for you:

• Do you want surgery?
• Do you want scars for life?
• Do you have two to three weeks of recovery time?
• Do you want people to see you completely changed?

If you answered “no” to any of these questions, you may be a good candidate for the NovaThread procedure. It is also worth noting that while the NovaThread procedure is a safe and effective way to lift and tighten the skin, it is not a replacement for a healthy lifestyle. Eating a nutritious diet, staying hydrated, and avoiding smoking and excessive alcohol consumption are all important steps to maintaining a youthful appearance.

What type of thread lifts does Dr. Avaliani specialize in?

Dr. Avaliani is a top Cosmetic Physician on Park Avenue and is one of the first female physicians to pioneer the thread lift technique in New York City. She has been proudly offering it to her clients since the first day it was introduced to the U.S. market. She is an expert in NovaThreads, Mint Threads, Aptos Threads, and Silhouette Soft threads.

If you are looking to turn back the clock, consult with Dr. Anna Avaliani today to learn if a NovaThread Facelift is the right anti-aging treatment for you.

Do you have sparse, thin, or even asymmetrical eyebrows? If the answer is yes, then there is a high chance that you’ve considered going a more permanent route when it comes to filling in your brows. As you’ve gone through many eyebrow pencils, tried henna tattoos, and eyebrow lamination – these options are no longer cutting it. This is when most resort to microblading, a semi-permanent cosmetic tattooing technique used to enhance and reshape eyebrows.

Haute Beauty expert Dr. Anna Avaliani often works with patients who have received microblading on their eyebrows. Though effective, there are times when people may want to remove or lighten their microbladed eyebrows. To do so, Dr. Avaliani uses a Picosure laser because of its many benefits.

The Benefits of Picosure

• Fast treatment time – Picosure laser uses ultra-short pulses of energy, which means that the treatment is faster than other laser removal methods. It can take as little as 2-4 sessions to remove microblading pigment.
• Effectively breaks down pigment – the laser is particularly effective for removing stubborn colors like red, brown, yellow, and orange. It also treats black and blue ink.
• Minimal discomfort – shorter pulses of energy, means there is a less likely chance your skin will become irritated or inflamed during the treatment.
• Safe for all skin types – Picosure is less likely to cause hyperpigmentation, which is a common concern with other laser hair removal options.

• High success rate – it is important to note that laser removal is not always 100% effective in removing all the pigment, but Dr. Avaliani has seen a success rate with this particular treatment.
• Doesn’t cause scarring – Picosure relies on ultra-short pulses of energy delivered to the skin in trillionths of a second. The lack of heat means less skin damage.
• Doesn’t cause eyebrow hair loss – there are no indications of Picosure causing hair loss. If you experience loss of hair at the treatment site it will grow back.
• No downtime necessary – the laser doesn’t cause irritation and less irritation means less downtime.

If you are interested in Picosure for removing the red and yellow pigment of microblading, consult with Dr. Anna Avaliani today

Did you know we lose 1% of collagen every year after the age of 20?
Your skin in your 20’s is firm.
Your skin in your 30’s is prone to damage from the environment and from daily expressions.
Your skin in your 40’s is sagging due to more noticeable volume loss.
Your skin in your 50’s is looser and saggier.
Your skin in your 60’s is more damaged and saggier and with more noticeable volume loss.

The question is, what can one do to replace and restore the collagen and elasticity we lose? As Haute Beauty expert Dr. Anna Avaliani shared, we need to invest in our skin and not call it an expense, and exosome treatment is the perfect start. If you’re wondering what exosomes are and if they even work, don’t worry; we were, too, until we sat down with Dr. Avaliani and got the answers. Here’s a comprehensive question-and answer session on exosomes.

What are exosomes?
Exosomes are often referred to as (Mesenchymal Stem Cells. Mesenchymal Stem Cells (MSCs) are human placenta, and umbilical cord lining-derived cells with the self-renewing ability and can differentiate into various cell lineages. Multiple studies have reported that MSCs could elicit therapeutic effects via differentiation and/or secretion of factors such as growth factors, cytokines, and chemokines.

They consist of lipids, proteins, and nucleic acids and are acellular. Studies have confirmed that these extracellular vesicles have beneficial effects on inflammation, autoimmunity, and regeneration, and contain over 300 growth factors responsible for wound repair and tissue regeneration.

Advantages of Exosomes for Skin Regeneration and restoration

• No blood draw or spinning of centrifuge for people who are afraid of needles
• Acellular – no live cells, no risk of rejection.
• Over 300 Growth factors
• Contains Hyaluronic Acid
• Topical and sub-dermal application
• Anti-inflammatory
• No reconstituting or matrix needed
• Noninvasive holistic approach to skin regeneration
• Has the potential to increase the thickness of the dermal skin layer and repair the environmental damage

What are some of the many important functions of exosomes?

1. They come into the body ready to support the DNA structure that already exists in the body, not to implement new ones.
2. They help internally with cell-to-cell communication.
3. They carry Immunoprotective properties and help the body protect cells from bacteria and viruses.
4. They are Immune Privileged, meaning they cannot be rejected by a third party.
5. When used as IV therapy, they have the ability to cross the Blood-Brain-Barrier without the use of mannitol, which many substances depend on to foster their healing properties.
6. They carry a lot of TGFß3 Transforming Growth Factor Beta 3 – The most important anti-inflammatory protein.
7. They carry Anti-Viral, Anti-Bacterial, Anti-Microbial, and Anti-Inflammatory properties.
8. They are acellular, meaning their are no live cells and they cannot be rejected by the body, hence they do not carry the risk of Graft vs Host disease.

What is the source of exosomes?
The donor of the tissue used to produce this product is eligible to donate tissue for transplantation based on meeting the following criteria:

1. Donors are pre-screened through medical record review and evaluation of prenatal tests.
2.  Eligibility contingent on confirmation of-Behavioral risk assessment-Physical assessment-Donor medical history-Blood test results-Communicable disease testing.

Discussions with physicians and /or the donor mother are conducted to identify circumstances that may lead to the exclusion of the donor or donated tissue. The blood sample test results, donor medical history, behavior risk assessment, physical assessment, and information from other sources or records, which may pertain to donor suitability, have been evaluated by a Medical Director. The results are used to determine that the donor suitability criteria at the time of tissue recovery have been met and that the tissue is acceptable for transplantation.

How can exosomes be delivered into your skin?
The exosomes can be injected subdermally or applied topically after a laser resurfacing or a Microneedling treatment session.

Can exosomes be injected into the skin?
Yes, they can, and it can either be done by a needle or a laser-assisted delivery.

Can exosomes be applied topically?
Yes, but better results are seen when they are able to be delivered deeper into the skin either by needle or laser.

Which laser treatments work best with exosomes?
RF Microneedling was found to deliver the best results in combination with exosomes, as the depth of the needle can be adjusted.

Can exosomes be injected around the eyes?
Absolutely yes. Just look at the result below.

How often can I do exosome treatments?
The best interval between treatments is between 6 months up to 1 year.

What areas can I apply Exosomes on my face and body?
Exosomes are absolutely safe to be applied to any facial or body area that desires to have improved skin. Dr. Avaliani is a body contouring expert in NYC specializing in making the skin everywhere look amazing. She treats the face, neck, chest, arms, hands, abdomen, thighs, elbows, knees, etc. Any area where you have a concern can be treated with exosomes as they thicken the skin, which loses 1% of collagen every year.

Can you get exosomes if you had dermal fillers?
Yes. There is no contraindication to receiving.

How soon can I get Botox or fillers if I had exosome treatment?
Dr. Avaliani cannot speak for other providers, but she recommends that her patients wait at least 1 month before resuming Botox/Dysport and dermal filler treatments.

Can I get exosomes treatment if I had recently had Ultherapy?
There is no contraindication in receiving exosome treatment after having Ultherapy, HIFU Ultrasound skin tightening procedures.

Can I get exosomes if I recently had PDO/Sugar/Mint Threads procedure?
This is not medical advice, and the answer depends on many factors. This must be discussed with your treating doctor. If you are a patient of Dr. Avaliani’s, then most likely you can receive exosome treatment only after 3-6 months after your thread procedure. You must allow time for the threads to be absorbed and integrated and not move them.

Can I get exosome treatment if I am pregnant?
There have been no studies of exosomes on pregnant women. Dr. Avaliani would not recommend any injections to the face or the body while pregnant as one could not yet predict infections, allergic reactions, or the effect on the developing baby.

Can I get exosomes if I had Botox/Dysport treatment?
Yes, you can. If you just had it done, please make sure it’s been at least 2 weeks after your treatment before considering injections of exosomes or laser treatment with exosomes.

How long do results last after exosomes for skin treatment?
The results of skin rejuvenation and thickening last for up to 1 year and depend on how well you protect your skin investment outside of the exosome treatment.

How fast can you see results in the skin after exosome treatment?
You will notice your skin glowing a few days after the treatment, and the best and final results take a few weeks to months to develop.

Do exosome injections hurt?
With the right care protocol, there is no pain at all. Dr. Avaliani uses her signature custom-formulated numbing cream and the smallest needles on the market to ensure the most comfortable experience. For extra comfort, the office offers a nitrous oxide Pro-Nox system to make it a very fun experience.

What to expect during exosome treatment?
You will receive a series of tiny injections under the skin, or you will receive a radiofrequency Microneedling treatment, which will create tiny pricks into the skin, and then exosomes will be applied topically without any additional needles or discomfort and no bruising.

Do exosome injections cause bruising?
The general rule is if the mode of delivery involves a needle, then one should expect bruising, which is very tiny. To avoid bruising, use radio frequency Microneedling to create tiny pinpricks in the skin and then topically apply exosomes over the surface area to allow them to be absorbed.

How often can I do Exosome hair treatments?
The response varies. In general, it is recommended to wait 3-6 months between sessions to see the full potential result.

What are some of the contraindications to receiving exosome treatments?
Having active infection at the site of the injection Being pregnant or breastfeeding Having active malignancy and receiving chemotherapy and/or radiation treatments Having a history of anaphylaxis to Exosomes treatments in the past

How do I know if exosomes are right for me?
It is highly recommended to schedule your expert in-person consultation with Dr. Avaliani to have a full and proper assessment of the quality of the skin you have and also the best possible treatments available to help out there. Dr. Avaliani’s office carries a full range of ‘everything under the sun,” and Dr. Avaliani is a master of creating custom-tailored treatment plans to help achieve the best and only natural results.

Dr. Avaliani’s office also offers virtual consultations for those who live outside of NYC or the country and will
be more than happy to help you schedule your virtual visit.

Skin rejuvenation and restoration seems like an unreasonable and unachievable goal for many but we want you to know that solution exists and it’s amazing!

Let’s talk about the amazing powers of PicoSure Focus skin rejuvenation!

1. It’s virtually painless
2. It’s quick and effective
3. It gives ZERO downtime
4. It doesn’t cause peeling or scabbing
5. There is no bleeding
6. You can apply make up and go out or go back to work
7. It is safe for ALL skin types which is HUGE

The HUGE benefits are:

• Removes brown spots and sun spots
• Removes acne scars
• Minimizes pore size
• Stimulates collagen production
• Stimulates elastin production
• Evens out the texture of the skin
• Brightens the skin

How long is the treatment?

Full face treatment session is 15-20 minutes

Does PicoSure Focus treatment hurt?

There is very mild and tolerable discomfort. When numbing cream is applied the discomfort is Zero. For people who prefer to save time and not to numb, the office offers nitrous oxide aka laughing gas system. Simply ask for it.

How many sessions do I need?

The amount of session differs from person to person and per concern, but the average number is between 4-6 sessions.

Is there any downtime after the Picosure procedure?

This amazing procedure offers Zero recovery and Zero downtime.

When is the best time to get PicoSure procedure?

There is no optimal time to start taking care of your skin. PicoSure procedure can safely be performed all year round but many people always start taking care of the skin more in the fall when all the sun exposure is limited.

Why Choose Dr. Avaliani for your PicoSure Focus treatments?

Dr. Avaliani is a Pico Queen of North East. She is known for her customizable, one of a kind treatment protocols using her favorite took, PicoSure.  The results speak for themselves. It’s not the laser that gives results, but the expertise of the person performing  the treatment using the right tools .

To see Dr. Avaliani for expert in person or virtual consultation, please call the office at 212-673-8888 or visit the website:www.dravaliani.com

How much is DAXXIFY near me. DAXXIFY NYC Expert

FDA just approved a new neuromodulator, daxibotulinumtoxinA-lanm (DAXXIFY) by Revance Aestheticsin September 2022 for treatment of moderate to severe frown lines aka glabella lines aka lines between the eyebrows foe men and women. 

How does Daxxify work to help reduce wrinkles?

It works as an acetylcholine release inhibitor and neuromuscular blocking agent and is the first and only peptide-formulated, long-acting neuromodulator approved for this indication.

What is the minimum amount of units/dose of Daxxifyrequired for glabella injection?

The FDA determined based on treatment of 2700 people that the optimal dose of Daxxify for glabella lines/frown lines is 0.1 mL (8 Units) by intramuscular injection into each of five sites, for a total dose of 40 Units.Enrolled subjects were 21 to 75 years old, with a mean age of 50 years, were predominantly female (87%) and Caucasian (86%) 

Is Daxxify injection stronger than Botox?

It is impossible to predict and to answer this question as every patient responds differently. You need to try both and see if one lasts longer for you.

DoesDaxxify injection last longer than Botox?

The clinical data from the SAKURA phase 3 clinical trial program provides evidence that the duration of the Daxxify injection can last up to 6 months and even 9 months for some individuals. It would have been helpful to know a little more about the similarities among the people who got 9 months duration to find out their secret J.

How long does Daxxifyinjection effect last on wrinkles?

In a clinical trial involving 2700 adult who received about 4200 injection treatments, the median duration of effect of Daxxify on wrinkle improvement was 6 months with some patients even reporting a 9 months duration when comparing to other neuromodulators which last about 3-4 months.

How much does Daxxify injection by Revance Aesthetics for frown line cost?

As with any medications, the cost cannot be compared with other products because the formulation is different, the formula is different and the dosage is different. Daxxify by Revance Aesthetics did mention that the cost will be likely more that current neuromudulators on the market because of the formulations, dosage as well as the long duration of 6-9 months compared to 3-4 months average of the competitor formulations. The cost also depends on the location of the practice as well as the experience and expertise of the aesthetic provider who will offer this product. This is an advanced product with long duration and whom you choose to administer this product matters greatly.

How many units of Daxxify injection do I need for frown lines?

The minimum recommended Daxxify dose for relaxation of frown lines was determined to be 40 units. This dosage may increase depending on the size of the area as well as the size and activity of the frown muscles. This will be discussed during your detailed in person consultation.

What is the dose difference in units between Botox and Daxxify?

These are different medications with different formulations, The only similarity they have is that belong to the same drug category of neuromodulators and have the same target of achieving muscle relaxation by blocking it’s excitement. The doses should not be interchanged but for people who are super curious, the minimum recommended dose of Botox for relaxation of frown lines (glabella lines) is 20 units and the minimum dose of units of Daxxify for relaxation of frown lines (glabella lines) is 40 units.

Daxxify vs Botox comparison[i]

Comparison table of Daxxify vs Botox ,Daxxify vs Dysport, Daxxify vs Jeuveau, Daxxify vs Xeomin, Daxxify vs Myoblock 

What are the most common side effects from Daxxify injection for frown lines?

The most common side effect are injection site tenderness, swelling from the product injection, bruising and temporary injection side redness.

What are the most common adverse events from Daxxify injection?

In clinical trial the most common treatment-related adverse events reported were headache (6%), eyelid ptosis (2%) and facial paresis, including facial asymmetry (1%).

What is the difference between Daxxify and Dysport for treatment of frown lines?

These are different medications of the same category of neuromodulators which have the same target of blocking the excitement of frown muscles, which cause lines and wrinkles between the eyebrows. They are made by different formulations and should not be regarded as the same.

The FDA approved minimal dose of Daxxify for frown linesis 40 units, while FDA approved minimal dose of Dysport for frown lines is 50 units.

Dysport has FDA approved duration to last up to 5 months and Daxxify has an FDA approved duration to last up to 6 months or longer in some individuals.

What is the difference between Daxxifyvs Jeuveau for treatment of frown lines?

These are different medications of the same catergory of neuromodulators which have the same target of blocking the excitement of frown muscles, which cause lines and wrinkles between the eyebrows. They are made by different bacteria and they should not be regarded as the same.

The FDA approved minimal dose of Daxxify for frown lines is 40 units while FDA approved minimal dose of Jeuveau for frown lines is 20 units.

Jeuveauhas FDA approved duration to last up to 3 months and Daxxify has an FDA approved duration to last up to 6 months or longer in some individuals.

What is the difference between Daxxify and Xeomin for treatment of frown lines?

These are different medications of the same category of neuromodulators which have the same target of blocking the excitement of frown muscles, which cause lines and wrinkles between the eyebrows. They are made by different formulations and should not be regarded as the same.

The FDA approved minimal dose of Daxxify for frown lines is 40 units, while FDA approved minimal dose of Xeomin for frown lines is 20 units.

Xeomin has FDA approved duration to last up to 3 months and Daxxify has an FDA approved duration to last up to 6 months or longer in some individuals.

Can I try Daxxify injection if I am allergic to Botox injections?

Absolutely not. Do not receive DAXXIFY if youare allergic to DAXXIFY or any of the ingredients in DAXXIFY. See the end of this Medication Guide for a list of ingredients in DAXXIFY or had an allergic reaction to any other botulinum toxin product such as rimabotulinumtoxinB (MYOBLOC), onabotulinumtoxinA (BOTOX, BOTOX COSMETIC), abobotulinumtoxinA (DYSPORT), incobotulinumtoxinA (XEOMIN) or prabotulinumtoxinA-xvfs (JEUVEAU).

Can I receiveDaxxifyinjection while pregnant?

There are no available data on DAXXIFY use in pregnant women to evaluate for a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes. In animal reproduction studies, intramuscular administration of DAXXIFY during pregnancy resulted in adverse effects on fetal growth (decreased fetal body weight and skeletal ossification) at maternally toxic doses approximately equivalent to 40 times the maximum recommended human dose (MRHD)

Can I receiveDaxxify injection when breastfeeding?

There are no data on the presence of DAXXIFY in human or animal milk, the effects on the breastfed infant, or the effects on milk production.

Is Daxxify injection right for me?

To find out more about Daxxify injection treatment and whether you are a good candidate for it, please feel free to call or text 212-673-8888 to schedule your expert consultation with an advanced injector, national trainer and an artist, Dr.Avaliani.