Category Archives: FAQs

How does Thermage Tighten Sagging Neck Skin?

What is Thermage?

Thermage is a non-surgical way to tighten excess or sagging skin and restore a youthful appearance. The procedure can be used on the skin of the face or body, and it leaves no visible scars. There is almost no downtime after the procedure, and results are visible after only one treatment and can last for years.

How does Thermage work?

Thermage uses a hand-held device that emits radio frequency waves to stimulate the deep layers of the skin to produce more collagen. This allows the body to fill in sagging skin with its own natural collagen, restoring a youthful appearance. Your results with Thermage may be visible immediately, but they may also improve over time as your body continues to produce new collagen.

The procedure usually takes around an hour, and only one treatment is necessary to see results. There are no special preparations or pre-procedure tests as with surgical procedures.

How does Abadir Associates use Thermage?

At Abadir Associates, we offer an integrative treatment to reverse the signs aging on the neck. We combine Thermage to tighten and tone the skin, Palomar Lux 154 to diminish the brown and red collar around the neck, and Sculptra to correct wrinkles and folds in the neck by replacing lost collagen. This unique fusion of procedures allows our team to deliver the best results for neck rejuvenation.

For more information, or to schedule an appointment to see if Thermage is right for you, contact Abadir Associates today.

What’s the Difference between Cosmetic Fillers?

Botox is slightly different from injectable dermal fillers like Restylane, Juvederm, Radiesse and Sculptra. While dermal fillers use a synthetic or natural substance to “fill in” hollow or sagging areas of the face, Botox (or Dysport, which is another brand name for the same substance) contains a safe toxin that works to reduce the appearance of wrinkles.

This toxin, called botulinium toxin type A, was discovered to have a paralytic effect on twitching muscles during research in the 1940’s. The toxin causes tense muscles to relax, which is useful in the treatment of many neurological conditions like uncontrolled blinking and lazy eyes. In the 1980’s, ophthalmologists began using botulinium toxin and noticed that, as a side effect, deep lines in the patients’ foreheads softened and their skin smoothed out.

Since 1989, Botox has been used cosmetically to reduce the appearance of deep lines and wrinkles caused by tight muscles. Botox is best used on the forehead or around the eyes, and though it delivers magnificent skin-smoothing results it will not be able to fill sagging or drooping skin. Dermal fillers – including the brands Restylane, Juvederm, Radiesse and Sculptra – contain varying substances that fill in loose and wrinkled skin to give a more youthful appearance. Each dermal filler contains a different filling material that works differently, and cosmetic dermatologists may have a preferred brand (Dr. Michelle Abadir prefers Juvederm in Westchester for its pliability and ability to mold).

Dermal fillers are best suited to the skin around the nose and mouth, as this skin tends to lose its elasticity and droop with age. They can also be used to fill in thin lips, and different brands of dermal filler will give slightly different results – the heaviness of Restylane makes it excellent for filling in larger lines around the nose, while the smoother particles of Juvederm mean it’s better-suited to treat smaller lines and lines in the lips. Radiesse actually stimulates the body to produce more collagen, restoring a natural and youthful appearance.

How Long Does Botox Last?

The results from a Botox treatment can last anywhere from 2-8 months, though most patients will see their results for about 4 months. The duration will vary from patient to patient, and it also depends on how much Botox is injected.

Botox is made from botulinium toxin, a substance that temporarily paralyzes the muscles at the injection site – when the muscles have less mobility, deep lines and wrinkles will smooth out. Patients with heavier frown lines and deeper forehead wrinkles tend to have stronger muscles, and these stronger muscles are more resistant to the paralytic action of the Botox.

Your cosmetic dermatologist may also treat you with varying amounts of Botox on different parts of your face. The contents of a Botox shot are measured in units, and injecting more units of Botox into one area will generally give a stronger and longer-lasting result. A skilled dermatologist in Westchester who knows the best technique for delivering Botox injections will be able to provide longer-lasting results.

Several other factors may also influence the duration of a Botox treatment. Botox is sensitive to heat, excessive shaking (such as moving the bottles around too often), and time. Botox stored unrefrigerated or not used within a suitable amount of time will not have as powerful a result and could even harm the patient.

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What’s the Difference Between a Cosmetic Dermatologist and a Plastic Surgeon?

A cosmetic dermatologist is a doctor trained primarily in dermatology who specializes in performing cosmetic procedures. Most cosmetic dermatologists limit themselves to offering minimally invasive facial and skin procedures, such as Botox injections, dermal fillers (like Restylane, Juvederm, and Radiesse) and skin rejuvenation procedures like microdermabrasion.

New technology such as laser skin rejuvenation and laser hair removal is constantly changing the field of cosmetic dermatology. Many even do some surgical procedures – Westchester dermatologist Dr. Michelle Abadir does mini-facelifts (s-lifts), liposuction, eyelid surgery, and brow lifts.

In contrast, a plastic surgeon is a doctor certified by the American Board of Plastic Surgery to perform surgical aesthetic procedures. This includes breast enhancement, face lifts, rhinoplasty (nose jobs) and body procedures like tummy tucks. This is similar to a cosmetic surgeon, who performs similar procedures but it not licensed by the American board of Plastic Surgery. Cosmetic surgeons tend to perform operations that focus on enhancing the natural appearance or restoring a youthful look (rather than reshaping or reconstructing the body).
Plastic and cosmetic surgeons are more adept at intense surgical procedures, and for a minimally invasive procedure lik, Botox injections in Westchester, it is often best to consult a cosmetic dermatologist westchester.

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What’s the Most Common Cosmetic Procedure New York?

Botulinium toxin type A (known by its brand names Botox and Dysport) remains the most popular non-surgical cosmetic procedure offered in New York. According to recent data from the American Society of Plastic Surgeons, over 5 million women nationwide had Botox or Dysport in the year 2010, up 584% from the year 2000.

The most popular non-surgical procedures for women in 2010 were:

  1. Botulinium toxin type A (Botox or Dysport) – 5 million
  2. Soft dermal fillers (Restylane, Juvederm and Radiesse) – 1.7 million
  3. Chemical peels – 1.1 million
  4. Laser hair removal – 773,000
  5. Microdermabrasion – 666,000


While liposuction has long been the most popular cosmetic surgery procedure in New York and the United States, breast augmentation has surpassed it as the most common procedure. The frequency of breast augmentation has increased by 39% since 2000. Breast lifts, though not on the list of most popular procedures, have jumped as well – they’re up 70% since 2000.

The most popular surgical procedures for women in 2010 were:

  1. Breast augmentation – 296,000
  2. Rhinoplasty (nose job) – 189,000
  3. Liposuction – 179,000
  4. Eyelid surgery – 177,000

Is Lipo Permanent?

Though any weight gain will mean the return of lost fat to the body, the new shape of a patient’s figure (or face) after liposuction will be fairly permanent. Maintaining your body weight means permanent results, and even patients who gain a few extra pounds won’t see their lipo results ruined.

How Does Liposuction Work?

Body fat is stored within cells called adipose cells that are grouped together and tend to be found in the stomach, thighs, hips, and buttocks. Adipose cells are also concentrated on the backs of the arms and in the breasts. When a person gains weight, the way their body stores the excess fat depends on their natural distribution of adipose cells throughout the body. Liposuction is a way of permanently changing your silhouette by removing these fat-storing cells from specific areas of the body.

After liposuction, adipose cells don’t regenerate – meaning that if you maintain your current body weight, your results will be permanent. If a patient does gain a bit a weight after a liposuction procedure, he or she may find that their body will begin to store fat in other areas. For example, if a female patient has liposuction to remove fat from her thighs and buttocks, she may begin to store more fat on her breasts or arms. However, her body will generally maintain its new and flattering post-procedure shape. If she has neck liposuction or facial liposuction Westchester, fat that would have been stored in the face will likely be stored in another part of the body.

Sculpting Your Ideal Figure

It’s also important to remember that thigh, back, and abdominal liposuction Westchester aren’t procedures used to help patients lose weight. Your body’s natural adipose cell distribution is encoded in your DNA, and liposuction is a way of changing your silhouette by removing adipose cells from targeting areas. You will certainly lose a few pounds after liposuction, but not a dramatic amount of weight. If you are planning to lose weight, it’s best to reach your ideal weight through a healthy diet and exercise before sculpting your dream figure with liposuction.

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Is Botox Safe?

Botox (the brand name of a substance called botulinium toxin) is an injectable neurotoxin designed to temporarily paralyze muscles at the injection site, releasing deep wrinkles and smoothing the skin. It’s no wonder that people wonder whether Botox is a safe treatment for facial lines and wrinkles.

While the name “toxin” may scare some users, Botox – when performed correctly by a trained medical professional – is safe for both your skin and your body. The drug has been approved by the FDA to treat a number of medical conditions beyond wrinkles, including migraines, severe sweating (hyperhydrosis), cervical distonia (a condition causing spasms of the neck muscles), eyelid spasms, and strabismus (crossed eyes). Discomfort is minimal, and the proper medical training and experience performing delicate injections makes the treatment safe for patients.

Potential Side Effects of Botox

Like any drug, Botox carries the risk of a few potential side effects.

  • Allergic reaction
  • Skin irritations
  • Temporary bruising, swelling, or unevenness at the injection site

However, these side effects are usually minimal when Botox is used for dermatological purposes. This is because Botox for wrinkle treatment requires much lower doses than when used to treat conditions like neck spasms or migraines.

The other potential risk associated with Botox is muscle damage due to malpractice. This could arise from a poorly placed needle, not enough time between treatments, a higher dose than necessary. Having your treatments performed by a licensed cosmetic dermatologist significantly reduces the risk of ill effects associated with Botox and makes the treatment a safe procedure.