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.

Laser-Powered Mole Removal: Your Path To A Safe And Scarless Solution

If you have a bothersome, flat mole that you wish to safely and effectively remove without leaving a trace or a scar, you’re in the right place. Determining which moles can be safely removed is where my expertise, as Dr. Anna Avaliani plays a crucial role.

Mole removal is a custom-designed treatment. In preparation for your consultation and for health reasons, one should have an annual skin exam with their dermatologist and have all moles checked first. Once everything is cleared by the dermatologist, then you may proceed with laser mole removal.

Which moles can safely be removed?

The flat moles are the best candidates for this procedure. The flat moles notoriously were only able to be removed by surgical excision method, which would always leave a linear scar. No one wants a scar on their face, neck, or chest and for that reason, it was always suggested not to touch them, until now, when laser technology has been revolutionized.

What kind of results can you expect from the treatment?

The goal is total removal of the “dark color” of the mole which is very very possible, but is not guaranteed. Almost all treatments always result in great lightening of the mole darkness or total removal without a trace.

How long does the procedure take?

It takes less than 5 minutes and doesn’t even hurt.

Is there a downtime after scarless mole removal?

There is no peeling, bleeding, or any discomfort. You can even apply a bit of makeup or cover-up, and you’ll notice the color fading throughout a couple of days.

How many sessions does it take?

Results can be visible as early as after a single session but typically 4 sessions are recommended one month apart.

This procedure has helped many people with moles on their noses, lips, or forehead. These are very tricky areas and were never favored to have any surgical intervention in those areas as the scars tend to heal in not a pretty way.

Dr. Avaliani is the “Laser Queen of Park Avenue” and specializes in the most cutting-edge treatments using the latest technology to deliver the best results possible. To determine if scarless mole removal is right for you, it is recommended to have a consultation first, where all and any questions will be answered.

10 Non-Surgical Hand Rejuvenation Procedures To Recapture Your Hands’ Youthful Allure

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

Who is an ideal Candidate for PDO Thread lift?

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.