What is Nose-Tox?

A Non surgical nose slimming and lifting solution in NYC

Explained by a national trainer and injection expert Dr.Anna Avaliani.

Dr.Avaliani believes that Nose-Tox procedure is one of the most under utilized procedures with the greatest impact on confidence level with zero pain, zero surgery, zero downtime and almost instant results.

Many patients complain that their noses look wide when they are smiling and they are not wrong! We actually have muscles around our nose that pull the nose to each side when we are smiling, therefore giving a wider appearance.

What exactly is Nose-Tox?

It is a 1 minute procedure involving an expertly placed neuromodulator like Botox/ Dysport for Nose slimming and lifting effect when smiling.

How does Nose Tox slim the nose?

When we smile, there are muscles around the nose which widen the nose nostrils and may make the nose appear wider on photos or selfies taken. By placing some neuromodulator like Botox or Dysport around the nostril muscles we can keep the nose still and not look wide.

How does Nose-Tox lift the nose tip?

Injecting some tox under the nose tip muscle will create a 5 degree lift of the tip completely nonsurgically when smiling and will enhance your profile.

What to know when choosing your injector?

One must be confident that their provider knows the anatomy and knows the injection technique as incorrectly injected muscles will make one feel and look miserable so do your homework.

How long does it take to see effects of Nose-Tox procedure?

Just like with your regular neuromodulator injection of Botox or Dysport, you may start seeing results as early as few hours and most results will be visible by day 4 and the final result in 2 weeks.

How long is the Nose-Tox Procedure?

It is less than 1 minute procedure in the expert hands.

Does Nose-Tox procedure hurt?

Nose is a sensitive area but it is so quick. If afraid of discomfort, then topical numbing will help it feel comfortable.

Does Nose-Tox affect how you look?

Absolutely not. It only affects the muscles around your nose and you can appreciate the slimming and lifting on active and smiling photos.

How much does Nose-Tox cost?

Everyone’s anatomy is unique and should be treated as such. One cannot expect to be injected the same way as everyone else around them, hence the cost will vary from person to person based on their anatomy. The price depends on the muscles to be targeted, eg areas. For some people only nose nostril muscles are enough to be injected, while for others, the bunny lines and even glabella will need to be injected to look and feel balanced and the cost will be different.

How to prepare for your Nose-Tox procedure?

It is always best to start with a consultation to discuss if this procedure is right for you and whether this alone or in combination with other things like dermal filler will be needed to help you achieve your desired look. This procedure does not replace surgery if needed but it can definitely make the right candidate very happy with results and not require a major surgical intervention. It all starts with an expert consultation.

Beauty Reset: Dr. Anna Avaliani’s Guide to Dissolving Lip Fillers

Are you experiencing a case of lip filler regret? Don’t fret! Dr. Anna Avaliani is here to hit the reset button on your pout. From pesky bumps to migratory mishaps, Dr. Avaliani’s got your back (or should we say lips?) with her expert advice. So, join us as we discuss the process of reversing lip enhancements, ensuring a smooth transition back to your authentic self.

Common Reasons for Dissolving Lip Fillers

Understanding why individuals choose to dissolve their lip fillers is crucial. Some common reasons include:

  • Persistent bumps post-injection.
  • Filler migration leading to unnatural contours or shadows.
  • Overfilling resulting in an exaggerated appearance.
  • Allergic reactions to the filler material.
  • Vascular occlusions caused by filler injection into a blood vessel.
  • Changes in personal preferences or dissatisfaction with the results.
  • Preparation for lip lift surgery.

The Golden Rule: Trust Your Provider

Dr. Avaliani emphasizes the importance of trusting your injector not only for the initial treatment but also for managing any unwanted side effects. Returning to the same provider for dissolving procedures can ensure continuity of care and potentially reduce costs.

The Dissolving Procedure: What to Expect

  • Consultation: Before undergoing lip filler dissolution, patients undergo a comprehensive consultation with Dr. Avaliani. During this session, concerns are addressed, expectations are set, and a personalized treatment plan is formulated.
  • Procedure: The dissolving process involves injecting an enzyme called hyaluronidase into the lips or surrounding areas. This enzyme breaks down hyaluronic acid, the primary component of most dermal fillers, effectively reversing their effects and restoring natural contours.
  • Comfort Measures: Dr. Avaliani offers various comfort measures, including topical numbing, nitrous oxide (Pro-Nox) for anxiety and discomfort reduction, and nerve blocks to ensure a pain-free experience for her patients.

Cost and Duration of Treatment

The cost and duration of lip filler dissolving treatments vary based on factors such as the type and amount of filler injected, the need for pre-surgical dissolving, and the number of sessions required. Dr. Avaliani highlights that dissolving lip fillers can be as expensive as the initial injection, if not more so, particularly if multiple sessions are needed.

Recovery and Side Effects

Patients may experience some swelling and bruising following the dissolving procedure, similar to the side effects observed with filler injections. However, these effects typically subside within a few days, with minimal downtime.

Timing for Repeated Procedures

While the effects of lip filler dissolving are not immediate, patients may require multiple sessions for optimal results. Dr. Avaliani advises waiting at least one to two weeks between dissolving sessions to allow for complete healing. Similarly, she recommends waiting two to four weeks before reinjecting filler after the last dissolving session to ensure the lips return to their natural state.

The process of dissolving lip fillers requires skill, precision, and expertise. Dr. Anna Avaliani emphasizes the importance of choosing a qualified and experienced provider for both filler injections and dissolving procedures. With her artistic approach and commitment to patient satisfaction, Dr. Avaliani ensures that every individual achieves their desired aesthetic outcome, whether it involves enhancing or reversing the effects of lip fillers.

Guide to dissolving lip fillers by Dr.Anna Avaliani

Just like there is an art to dermal filler injections, there is an art approach to dissolving them!

One can easily be harmed by an inexperienced provider who is dissolving fillers causing severe damage to the face.

We will focus on the guide on dissolving lip fillers


What are the most common reasons for dissolving lip fillers?

  • Bump after injection that didn’t go away after a few weeks and massaging didn’t help
  • Filler migration creating a duck look and a mustache shadow
  • Too much filler injected
  • Allergic reaction to filler
  • Filler injected into a vein or an artery causing an occlusion
  • Changed mind and don’t like the look or feel
  • Preparing for lip lift surgery

The golden rule:

If you trust your doctor to inject you, you should trust them to manage any unwanted side effects for you.

Always go back to the place that injected you. It can potentially even cost you less too.

When dissolving hyaluronic acid lip fillers, there are several things you can expect:

It always starts with a Consultation: Before undergoing the dissolving procedure, you’ll typically have a consultation with Dr.Avaliani. During this consultation, she will assess your lips, discuss your concerns, and set your expectations.

How does lip dissolving procedure work?

The actual procedure involves injecting an enzyme called hyaluronidase into the lips or around the lip area. Hyaluronidase works by breaking down hyaluronic acid, the main component of most dermal fillers, including lip fillers. The enzyme helps to dissolve the filler and restore your lips to their natural state.

Does lip dissolving procedure hurt?

It may be an uncomfortable mild burning sensation which lasts for a few seconds

What comfort measures does Dr.Avaliani offer for lip dissolving procedure?

We offer topical numbing

We offer nitrous oxide to lessen the discomfort and anxiety (Pro-Nox)

We can perform nerve blocks to numb the area

How much does lip dissolving cost?

The cost depends on many factors listed below. One important thing to know is that dissolving lip filler is just as expensive as injecting it and many times it is even more expensive if one needs more sessions.

What type of filler we are dissolving ( Ex: Voluma is the hardest filler to dissolve, Restylane the easiet)

How much of the product was injected (1 or more cc)

Do we need pre surgical dissolving

Is it one bump or multiple

How long does it take for dissolving to start to work?

Unlike getting lip fillers, where results are immediate, the effects of dissolving lip fillers are not exactly instant but many bumps feel instantly better. It takes a few days and few sessions for the hyaluronidase to fully break down the filler and for your lips to return to their pre-filler state. It all depends on the type of the filler, the amount injected, the experience of the provider and the amount of dissolving enzyme used.

How long is the recovery after lip dissolving procedure?

It depends on how much filler was dissolved. If one tiny bump was injected, there is zero downtime. If a lot of fiiler was dissolved, the swelling will last less than 24 hrs .

What are the most common side effects to expect after lip dissolving?

You may experience some swelling and bruising around the injection site, but this should subside within a few days. There is potentially bruising as there is a needle used. The Hyaluronidase enzyme does not cause a bruise. It can only be attributed to the use of needle in order to deliver enzyme. Swelling and bruising are common side effects of both getting and dissolving lip fillers. You may experience some swelling and bruising around the injection site, but this should subside within a few days.

How soon can I get another dissolving session if I want or need one?

This is discussed with your treating doctor. Dr. Avaliani prefers to wait 1-2 weeks in order to reinject. It is always better to come for the second or next visit once any bruising/swelling/tenderness is completely gone as to avoid injecting enzyme into the swollen tissue and melting natural HA and not soo much of the dermal filler gel HA

How soon can I reinject lip fillers if I decide I want to try again?

While there is no hard set rule, Dr. Avaliani prefers to wait 2-4 weeks to reinject the dermal filler after the last dissolving session. It is not recommended to dissolve and inject in the same visit. Enough time for the healing needs to pass and lips need to return to normal state to evaluate how much filler needs to be reinjected.

It’s all an art! rom injection to dissolving to reinjection, so choose wisely

Don’t settle for dry raisin lips

The power of lip rejuvenation in women over 40! Don’t settle for dry raisin looking lips

Common Myth: Lip fillers are for the younger generation only.

My patients over 40 years old are always very nervous and somewhat hesitant to discuss lip fillers when I bring it up

The truth: lip fillers over 40 are a must and they serve a different purpose

The purpose of any and all esthetic procedures was to restore and replace the things we lose due to the aging process. Instead, many patients and providers went overboard and even totally changed someone’s appearance, which was always considered to only be possible with surgery. But in reality. When too much fillers gets injected in the wrong places it can distort the facial anatomical parameters and create a fear of a “filler face” or now a newer term called “spa face”

We lose volume in lips and lose definition and as well as hydration.

Constant movement leads to development of tiny lines around the mouth commonly referred as “ smoker’s lines or barcode lines”, the lips may also look like “dry raisins” with lots of deflated skin and thinning. Thin lips also proportionally cause the face to look older.

I would like to remind the purpose of lip filler creation that many patients and even providers have forgotten about:

  • Restore and not change shape
  • Restore and not change volume
  • Eliminate and soften the lines around the mouth
  • Don’t just treat the mouth, treat the lines around, like smile lines is always a must in order to have a balanced and aesthetically pleasing outcome

Choose your provider wisely

Trust them and don’t micromanage

Show them pictures of what you like and what you don’t

An experienced provider will use different types of fillers to achieve the desired result

Sometimes more than one visit is needed to slowly and naturally restore the volume and shape

Sometimes more than one syringe is needed to restore and replump and rehydrate the “dry raisin” lips. This may not happen in one session

Forget quarter or half of syringe. These things are a complete nonsense. It not the amount, it the type of filler used, the injection technique, injection area and the skill of the provider. Even the littlest of filler injected in the wrong area above the lip will create the “duck lip” effect.

As a national GAIN trainer for Galderma and as an artist, the title given to me by many of my esteemed colleagues and patients, I love to create and restore art. It’s the art, hand, eye coordination which leads to best results. I am honored that many of my patients travel to see me from all over the city, state, county and out of country. I have one patient flying from London every 6 months just to see me to her lip rejuvenation. I treat models and TV personalities, etc and none of my patients you will ever tell that had any work done. That’s where the skill lies.

Don’t let you lip lines age you like the saggy neck ages the face. Seek an expert consultation and give it a try.


Say Goodbye to Face Cream Hassles: Try Dr. Anna Avaliani’s 6-Month Injectable Moisturizer for Radiant Skin

Welcome to the transformative world of skincare excellence, where Dr. Anna Avaliani introduces a transformative experience with SKINVIVE®, the latest FDA-approved HA hydrating skin booster by JUVÉDERM®. Elevate your skincare routine to new heights as Dr. Avaliani brings you the promise of glowing skin that can last up to 6 months. Embrace the future of skincare with SKINVIVE®, crafted to unveil a more luminous and revitalized version of yourself.


SKINVIVE™ by JUVÉDERM® stands as the inaugural and exclusive FDA-approved hyaluronic acid (HA) microdroplet injectable in the United States, meticulously designed to enhance the smoothness of the cheeks.

How does SKINVIVE® by JUVÉDERM® work?

This advanced product elevates skin smoothness by boosting hydration, imparting a lasting radiance that can endure up to 6 months with the optimal treatment. Notably, a clinical study revealed heightened satisfaction among SKINVIVE™ treated patients, who reported a remarkable improvement in the glow, hydration, refreshment, and overall health of their skin.

What areas can be treated with SKINVIVE® by JUVÉDERM®?

SKINVIVE® by JUVÉDERM® injectable gel represents a cutting-edge treatment designed to enhance the smoothness of cheek skin in adults aged 21 and above. It’s important to note that other areas have not undergone testing in clinical trials, emphasizing the focus and validation specifically conferred on cheek enhancement through this innovative injectable gel.

What is special about SKINVIVE® by JUVÉDERM®?

Who is not a candidate for SKINVIVE® by JUVÉDERM®?

Individuals with a documented history of multiple severe allergies or anaphylactic reactions, allergies to lidocaine or the Gram-positive bacterial proteins present in this product, or prior allergic responses to hyaluronic acid fillers are advised to exercise caution and consult with their healthcare provider before considering this treatment.

How long does the SKINVIVE® by JUVÉDERM® injection result last?

In clinical trials, the luminous radiance achieved endured for an impressive duration of up to six months following the meticulously administered optimal treatment.

Does the SKINVIVE® by JUVÉDERM® injection hurt?

Absolutely not – the process is incredibly straightforward and painless. Dr. Avaliani provides the option of Pro-Nox to assist patients in managing needle-related anxiety, ensuring a stress-free experience. The office is dedicated to prioritizing patient comfort, guaranteeing a seamless and efficient procedure with minimal downtime.

What to expect during your SKINVIVE® by JUVÉDERM® treatment with Dr.Avaliani?

First, a topical numbing cream is delicately applied, allowing for a 15-20 minute duration to ensure optimal comfort. Subsequently, the designated area is cleansed and primed in preparation for the precise and refined mini droplet injection technique.

Does SKINVIVE® by JUVÉDERM® injection cause bruising?

In theory, every injection using a needle can cause bruising. However, proactive measures can be undertaken to minimize the potential for bruising. To enhance your experience, consider refraining from alcohol, multivitamins, and NSAIDs such as Advil/Motrin/Aleve before your appointment. Additionally, Dr. Avaliani employs an innovative injection light that enhances precision, showcasing her commitment to minimizing any possible side effects. These thoughtful precautions collectively contribute to fostering a more comfortable and aesthetically pleasing experience for each patient.

Will laser treatments affect my SKINVIVE® by JUVÉDERM® result?

Anticipating the specific interactions and outcomes of SKINVIVE® by JUVÉDERM® treatment is inherently challenging due to the absence of comprehensive studies on its combined effects. For individuals contemplating or having undergone a laser procedure, it is advisable to engage in a thorough discussion with your healthcare provider. Ideally, laser treatments should precede SKINVIVE® injections to optimize results and minimize potential complications.

In cases where SKINVIVE® by JUVÉDERM® injections have already been administered, it is recommended to allow a minimum of one month before undergoing any subsequent laser treatment. This precautionary measure aims to mitigate the risk of inflammation to the hyaluronic acid (HA) filler and ensures the optimal condition for both treatments to complement each other effectively. Always consult with your healthcare professional to tailor a treatment plan that aligns with your individual needs and ensures the safety and efficacy of the procedures.

What are the possible side effects of SKINVIVE® by JUVÉDERM® treatment?

Commonly observed side effects include redness, lumps/bumps, swelling, bruising, pain, tenderness, firmness, discoloration, and itching. While most of these effects typically resolve within 7 days, persistent symptoms may prompt your physician to consider interventions such as antibiotics, steroids, or hyaluronidase. In addition to the aforementioned, there have been rare occurrences of inflammation, nodules, unsatisfactory results, loss or lack of improvement, allergic reactions, anxiety, blood vessel blockage, infection, dry skin, alterations in sensation, and abscess.

It is crucial to note that delayed-onset inflammation in proximity to the dermal filler injection site is recognized as a potential adverse event associated with such procedures. As with any skin injection, there exists a risk of infection, underlining the importance of a thorough understanding and consideration of potential complications during the consultation process.

How do I know if I am a good candidate for SKINVIVE® by JUVÉDERM® injection?

For optimal and personalized skincare solutions, we highly recommend scheduling an in-person consultation with Dr. Anna Avaliani. To initiate this transformative experience, please don’t hesitate to contact us at (212)-673-8888, either by calling or texting. Your journey to radiant and revitalized skin begins with a consultation designed to prioritize your individualized skincare goals.

Unlocking the Secret to Slim and Toned Legs: Understanding Calf-Tox Treatment by NYC Body Expert Dr. Avaliani

Dr. Avaliani has been providing Calf-Tox treatments since 2018, emphasizing the need for a highly skilled injector to perform this specialized procedure. The key to success lies in selecting the right candidate and executing the procedure accurately, making it clear that Calf-Tox is not suitable for everyone. A consultation is crucial to assess whether the concern is excess fat or muscle causing “bulky legs.”

What is Calf- tox?

Calf-Tox is a non-surgical method that employs neuromodulators like Botox or Dysport to relax the bulky leg muscles, creating a toned and slimmer appearance.

How is Calf-Tox performed?

This procedure involves injections using the smallest needles, similar to those used for facial wrinkle treatments. Tiny pricks target the areas with bulky muscles, contributing to a more toned and slender look.

Why do people seek Calf-Tox?

Various aesthetic concerns prompt individuals to consider Calf-Tox, with patients sharing common reasons with Dr. Avaliani. Some of these include feeling that their legs lack femininity, struggling to fit into skinny jeans, experiencing difficulty zipping up tall boots, and being unable to pull up winter boots due to tightness around the calves.

What is the duration of Calf-Tox effects?

Typically, the effects of Calf-Tox last around 4-6 months, occasionally extending beyond this timeframe. The duration varies based on individual muscle and metabolic activity.

Is there pain associated with Calf-Tox injections?

No, there is no pain involved. Dr. Avaliani employs the smallest needles, administering gentle pricks into the larger muscle. Patients can opt for topical numbing, or for a quick and hassle-free process, they may choose Pro-Nox, also known as laughing gas, to alleviate anxiety.

What is the cost of Calf-Tox injections?

The treatment cost is not fixed, as it depends on the individual’s muscle bulk. Some may require a small amount, while others may need more. On average, the dosage to achieve the desired

effect ranges from 80 to 400 units in total per treatment.

Are there potential side effects of Calf-Tox?

Injecting an excessive amount may result in difficulties walking or standing properly. Therefore, a cautious approach of starting with a lower dose and gradually adding more is recommended to mitigate potential side effects.

Neck Rejuvenation and Restoration: Take Your Glow Down Below

Have you ever wondered why the neck often gets overlooked in the pursuit of ageless beauty? The truth is that the aging process often makes its debut on the neck, serving as a telltale sign of the passing years. It’s time to shift the spotlight and prioritize neck care, acknowledging that a well-maintained visage extends seamlessly down to the neck. So, let’s not forget – when it comes to defying the hands of time, the neck is where the journey begins!

The 2024 Pro Tip: Extend Your Beauty Regimen from Face to Neck

After seeing countless cases of neglected or overlooked necks, there is a pressing need for viable solutions and preventive strategies. Neck rejuvenation typically involves procedures aimed at improving the appearance of the neck. As people age, the skin on the neck may lose elasticity, develop wrinkles, and show signs of sagging. Various factors, such as genetics, sun exposure, and lifestyle choices, can contribute to these changes; this is why opting for a blended approach ensures the utmost satisfaction.

Here’s Your Guide to Effortless Radiance

Mictotox Injections: These can be used to relax the muscles that contribute to the appearance of neck bands and wrinkles. This non-surgical option is quick, easy, safe, and provides great improvement for up to 6 months.

Dermal Fillers: Injecting dermal fillers, such as hyaluronic acid, can help restore volume to areas of the neck where it has been lost due to aging. This can improve the appearance of fine lines and wrinkles.

Laser Resurfacing: Laser treatments can stimulate collagen and elastin production, as well as improve skin texture. They can be used to address sun damage and pigmentation issues on the neck.

Ultherapy: This non-invasive procedure uses ultrasound technology to lift and tighten the skin on the neck by stimulating collagen production.

Topical Treatments: Skincare products containing retinoids, antioxidants, and peptides may help improve the texture and appearance of the neck skin.

RF Microneedling: This procedure involves creating small punctures in the skin with fine needles, stimulating the body’s natural healing response and collagen production; this can improve skin texture and firmness.

Plasma Stem Cell Therapy With Exosomes: This treatment in combination with lasers will offer the best bio-rejuvenation therapy option.

Embark on your path to radiant skin by taking the first step—schedule an in-person consultation with Dr. Anna Avaliani to unveil a personalized plan tailored to your skin’s unique needs and achieve the vibrant, healthy complexion you deserve.

Beyond Aesthetics: The Significance of Buttock Health

In the pursuit of a healthy and sculpted physique, the often-overlooked area of the buttocks plays a vital role in both aesthetics and functionality. Regular exercise targeting the gluteal muscles can help strengthen and tone these muscles. Strong and well-toned glutes contribute not only to functional movements but also to overall physical health and appearance.

Dr. Anna Avaliani’s clinic offers state-of-the-art technology to virtually address anybody concern you may have safely and without surgery and downtime. We cater to busy men and women who invest in their physical health and well-being.

Jump-Starting A “Booty Heath” Routine: Where To Start

The solution lies in scheduling a consultation with Dr. Avaliani to address your concerns and goals, allowing for the creation of a personalized treatment plan. Achieving your desired results through a non-surgical approach with no downtime is entirely possible and can help:

  • Achieve 20K Contractions in only 30 min with no sweat
  • Build 16% More Muscle
  • Preventative and Corrective Therapy with zero downtime
  • Improve core
  • Reduce back pain
  • Improve posture

The buttocks area also known as the “butt,” plays an important role in physical appearance, functionally as well as aesthetically. The buttocks area consists of three muscles: the gluteus maximus, gluteus medius, and gluteus minimus. These muscles perform various crucial functions in the human body described below:

  1. Motion and Stability: The gluteus maximus, being the largest of the three muscles, plays a key role in activities like standing up from a sitting position, walking, running, and climbing stairs. Additionally, the gluteal muscles contribute to the stability of the hip joint and pelvis during various movements.
  2. Posture: The gluteal muscles are involved in maintaining an upright posture. They help stabilize the pelvis and contribute to the alignment of the spine. Strong and healthy muscles lead to a healthier lower back and reduce or eliminate back pain. Sitting all day is the enemy of spine health.
  3. Hip Movement: The gluteus medius and minimus are responsible for abducting and medially rotating the hip joint. These muscles play a crucial role in movements like moving the leg away from the body and rotating the thigh inward.
  4. Support for the Pelvic Organs: The gluteal muscles provide support for the pelvic organs, helping to maintain their position within the pelvic cavity.
  5. Aesthetic and Sexual Function: The appearance of the buttocks is a significant aspect of body aesthetics. The size and shape of the gluteal muscles can influence an individual’s overall body contour. Additionally, the gluteal region is involved in certain sexual functions and is considered an erogenous zone for some individuals.

Taking care of your body’s physical health and appearance is of paramount importance to overall health and anti-aging discipline. Having and using targeted devices available on the market should not be considered cheating or shameful but rather supportive and enhancing.

Unlocking the Benefits of HIFEM Technology for Buttock Muscles: A Non-Invasive Approach to Strength, Tone, and Firmness

High-Intensity Focused Electromagnetic (HIFEM) technology, when strategically employed to target and stimulate the buttock muscles, holds the potential to provide a multitude of advantages for individuals seeking to enhance their gluteal region.

  1. Muscle Building and Toning: HIFEM technology induces powerful muscle contractions, simulating intense workouts. These contractions can lead to muscle hypertrophy and increased muscle tone in the buttock muscles (glutes).
  2. Enhanced Strength and Endurance: Muscle contractions produced by HIFEM can contribute to improved strength and endurance of the buttock muscles. Increased muscle strength can enhance functional movements, such as sitting, standing up, walking, and climbing stairs.
  3. Lift and Firmness: By strengthening and toning the gluteal muscles, HIFEM can contribute to a lifted and firmer appearance of the buttocks and an aesthetically pleasing contour.
  4. Improved Posture and Stability: Strong gluteal muscles play a crucial role in maintaining good posture and providing stability to the pelvis and lower back.
  5. Completely Non-Invasive Approach: No surgery or incisions necessary.
  6. Time Efficiency: In only 30 minutes you can achieve 20,000 squats with zero sweat and walk out feeling stronger immediately after.

It’s important to note that individual results can vary, and the effectiveness of HIFEM technology may depend on factors such as the specific device used, the treatment protocol, and the individual’s overall health. Appropriate consultation is always required before any treatment to determine whether HIFEM treatments are suitable for your specific goals and circumstances.

To See Dr. Anna Avaliani for a consultation please call (212)-673-8888 or click here.

For more information, visit Dr. Anna Avaliani’s social media:

The Solution to Saggy Knees by NYC’s Body Expert Dr. Anna Avaliani

Dr. Anna Avaliani is a leading female expert on Upper East Side in New York City specializing in cosmetic and laser surgery. She is a Member of the American Academy of Cosmetic Surgery, ASLMS (American Society of Laser Medicine and Surgery), and a Diplomat of the American Board of Medical Specialties. Dr.Avaliani’s unique approach is very much appreciated and recognized locally and internationally by her loyal patient following. Her high-end clientele includes many celebrity models, actors, TV hosts, celebrity makeup artists, hairstylists, fashion designers, and many billionaires and influential people. Haute Beauty Expert Dr. Avaliani explores a range of treatments to help you achieve fantastic results when addressing saggy knees.

Don’t be shy to wear short skirts all year long. There is a solution for you to help you feel confident and look incredible and it’s all nonsurgical.

Dr. Avaliani is an innovator and a sculptor using all the best and most innovative tools to help her patients achieve the best possible results whether it’s the face or the body. Treatment options for knee rejuvenation may include surgical procedures, non-surgical techniques, or a combination of both, depending on your individual needs and goals and the skills and abilities of the provider. Dr. Avaliani is a master of all things nonsurgical.

The first step in any aesthetic journey is an expert consultation. This is very important as it helps to properly evaluate the quality of the skin, the degree of sagging, loss of collagen and elasticity and determine which treatment or a combination of treatments will be the best.

It is important to know that there is no particular procedure or device that is explicitly approved for use on the knees, and thus medical professionals use many things off-label in this area to improve skin laxity and create a more youthful appearance by utilizing products and or procedures that are approved but on other parts of the body, most commonly the face.

Dr. Avaliani has expertly used the following treatments in her NYC practice over many years to achieve great outcomes for the saggy knee concern.


The procedure involves injecting Sculptra under the skin around the knee area. Sculptra contains poly-L-lactic acid, which stimulates collagen production over time. As collagen increases, the skin becomes firmer and tighter, potentially reducing the appearance of sagging skin around the knees.

PDO Threads Activation and Collagen Production

The threads mechanically lift and tighten the skin, while also stimulating the production of collagen. Collagen is a protein that provides structure and firmness to the skin, so its increased production can help improve skin texture and elasticity.


Renuva is a proprietary injectable product made from an allograft adipose matrix. It is used to address volume loss, improve contour, and enhance the appearance of various areas, such as the face, hands, and body. The product contains processed donor tissue that is intended to stimulate collagen production and improve the overall appearance of the treated area The results are gradual and occasionally a few treatment sessions are recommended.

Genius RF Microneedling

Genius RF Microneedling uses fine needles to create controlled micro-injuries in the skin. Simultaneously, RF energy is delivered into the deeper layers of the skin. This combination stimulates collagen production and tightens the skin, but the full results develop gradually over several weeks to months as collagen production increases. This can lead to firmer and more rejuvenated skin on the knees.

Ultherapy or HIFU

High-Intensity Focused Ultrasound (HIFU) is a non-invasive cosmetic procedure that uses focused ultrasound energy to stimulate collagen production and tighten the skin. While HIFU is most commonly used for facial skin tightening and lifting, it can also be applied to other areas of the body, including the knees, to address saggy or loose skin. The full benefits of HIFU for saggy knee skin become more apparent over several weeks to months as the new collagen is produced. This leads to improved skin tightness and texture in the treated area.

Non-Surgical Face Slimming: Combatting The Round Face Effect Of Teeth Grinding With Botox

Grinding your teeth is a habit that many people unknowingly engage in and can lead to a host of problems, including a surprising side effect: your face may appear rounder. This unexpected consequence can make you feel like you’ve gained weight when, in fact, it’s related to teeth grinding. If you’re experiencing this issue, keep reading, as there is an innovative treatment that could change your life: Botox injections. This treatment doesn’t just provide relief from teeth grinding; it offers a range of aesthetic and comfort benefits that you might not have considered. This is where my expertise, as Dr. Anna Avaliani, comes into play, guiding you toward a transformative solution.

Botox: A Game-Changer for Teeth Grinders

Botox injections for teeth grinding have gained a reputation as a “life-changing” treatment because they relax the muscles involved in the grinding movements (biting/grinding). Unlike traditional mouthguards, which merely create a barrier to prevent enamel damage, Botox works by reducing the size and strength of these grinding muscles, effectively addressing the problem at its source.

Teeth grinders often don’t realize the compensatory actions their bodies take. The muscles in the lower face, such as the chin and neck, come into play, leading to increased frown lines and a wider neck appearance. Recent research even suggests that teeth grinders often develop widened necks and necklines or bands as a result.

Unlock a Slimmer, Pain-Free You

If you’ve ever experienced the benefits of Botox injections into the masseter muscles, it’s worth considering further enhancements. Evaluation for injections into the corners of the mouth (DAO), the chin, and even the treatment of vertical neck bands can contribute to facial slimming and neck rejuvenation.

It’s important to have a proper consultation and assessment by a trusted professional. A customized treatment plan, tailored to your specific needs, will outline the areas to be treated and the suggested dosage. Renowned for my expertise and artistic eye, I will offer guidance to help you discover the best treatment options for your unique situation.

Balancing the Lower Face: An Art and a Science

Just as maintaining facial harmony in the upper regions is vital, ensuring balance in the lower face is equally important. Trusting your treatment in an expert’s hands can make all the difference. By addressing the root cause of teeth grinding and its related effects, you can make your lower face as happy as your upper one, achieving a harmonious, pain-free, and aesthetically pleasing result.