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In the news


Wondering about a new or existing Aesthetic procedure? 
A page dedicated to answering your specific questions regarding
current Aesthetic procedures.
This page is a result of many hours of research both by myself and along
 with my professional peers of board certified Physicians,
Naturopathists, Womens Health Nurse Practitioners and Chiropractor's
who I personally trust.
Stay up to date with new, cutting edge technology
and information on current Aesthetic treatments and procrdures. 

 We will do our best to provide the most up-to-date and practical
information to assist you in making a more informed decision when
considering using these different methods of beauty enhancements that
 can be sometimes very serious and costly.


Please feel free to complete the form below if you have questions
about other Aesthetic procedures not currently covered . 






What's new at Image Skincare

New product launch coming
spring 2015



   Ulthera is hyped as a face-lifting and neck tightening technology that is revolutionary because of its use of focused ultrasound that creates ridiculously high amounts of heat in tiny little spots underneath your skin. The thought is that a line of these spots will create a vector of pull or lift. Well, the results are difficult to appreciate (if you do not take a post procedure picture with an elevated chin which makes the neck appear tighter) and the long term results are just sad. The heat deep in the face must dissipate and no matter how focal energy delivery is, healthy facial fat suffers. It has been around long enough to have many patients see the horrible eyelid retraction and fat atrophy that it can cause. I see young patients in my practice, who otherwise would not need a surgical intervention, present with discontent after these treatments that need blepharoplasty and canthal suspension as well as fat grafting to restore them to reasonable aesthetics.

Pelleve is a radiofrequency device, actually a powerful electrosurgical generator for cutting cauterizing and fulgarating tissue that for marketing reasons developed a special handpiece with lower power settings branded as a cosmetic intervention to increase market share. The results of Pelleve are sometimes even more devastating. This is because Ulthera charges doctors every time they push the button for a pulse which results in generally limited energy delivery.

With most of these technologies one should consider themselves lucky if no result is seen because changes caused are usually negative. I encourage patients to avoid the latest name branded repackaging of last years' disastrous technology and to find a plastic surgeon who has resisted the urge to join corporations to shake money out of patients. Many of us including myself use ultrasound, radiofrequency and other technologies under true surgical judgement and let experience and knowledge guide us to offer reasonable treatments that do not harm patients instead of following directions from sales representatives with business degrees on how to alter someones face.

Also if you are going to let someone deliver energy near your eye, make sure they are a surgeon that understands the surgical anatomy, do's and don't's, risks and potential complications. Otherwise there is no way you will avoid them!

If you are impressed with before and after pictures of a neck or face, look at the position of ear landmarks to eye landmarks, hold a straight edge to the picture and you will likely see a relatively elevated angle in the post picture that will explain any improvement. If the ears are not in the picture, well now you know why. Also be careful with lighting flash and exposure settings as well as frank manipulation.

Be careful it is not pretty out there!


Web reference:


Rian A. Maercks, MD
Miami Plastic Surgeon
5.0 out of 5 stars 38 reviews

Considering Ultherapy for beauty enhancement?
Think again...

Hours of research and colaboration with peers led me
to this impressive doctor...
We share the same philosophy



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