We claim nobody else's approval, and we name nobody's product. Aesthetic medicine is regulated in New York State, the treatments here that are medical are performed or supervised by our medical director, and every clinician is licensed for what they do. What we will not do is decorate this website with the name of a board, an academy or a manufacturer as though somebody else vouches for us. Nobody outside this practice has reviewed it. So instead of a wall of logos, these pages tell you plainly who will treat you, what they will do, what they will not do, what it costs, what can go wrong and how likely that is. Ask us about any of it before you book.
Mechanisms
Eight families of treatment
If you understand what a treatment physically does, you can usually work out for yourself what it cannot do — which is the part the advertising is quietest about.
Wrinkle-relaxing injections
A tiny amount of a purified protein injected into a specific muscle, which stops it contracting as strongly for about three to four months. It softens the lines that come from movement — the forehead, between the brows, at the outer corners of the eyes. It does very little for lines that are there when your face is completely still, and anybody who tells you otherwise is selling.
Dermal fillers
A gel, in most cases a sugar molecule your body already makes, placed under the skin to restore volume or change a contour. It works immediately, lasts six to eighteen months, and is the treatment with the smallest margin for error in this building. Where it is placed matters far more than how much of it there is.
Collagen-stimulating injections
Rather than filling a space, these provoke your own tissue into making collagen across three to six months. Slower, subtler, longer-lasting, and much harder to sell because there is nothing to see for weeks. Suited to general thinning rather than to one specific line.
Ablative and non-ablative lasers
An ablative laser removes the surface of the skin in a controlled way and it grows back better; a non-ablative one heats the layer beneath without breaking the surface. The first works better and costs you a week of real downtime; the second needs a course and asks almost nothing of your calendar.
Intense pulsed light
Not a laser — a broad flash of filtered light absorbed by brown pigment and by red vessels, which breaks them up so the body can clear them. Excellent for sun damage and facial redness on lighter skin; genuinely risky on deeper skin tones, which is why we test patch before a course.
Microneedling and radiofrequency microneedling
Hundreds of tiny controlled punctures provoke a repair response, and adding radiofrequency heats the deeper layer at the same time. This is the workhorse of texture and scarring treatment: unglamorous, effective across a course of three to six, and reasonably safe on every skin tone.
Chemical peels
An acid applied for a controlled time to shed a controlled depth of skin. Light peels are a lunchtime treatment you repeat; medium peels give you a genuinely peeling week and a real result. Depth is the whole game, and going deeper than the skin has been prepared for is how people get hurt.
Cryolipolysis and radiofrequency body treatment
Cooling that destroys fat cells in a defined pocket, or heat that tightens skin a little. Both are real and both are heavily oversold. They treat a shape rather than a weight, they need a course, and they cannot do what a surgeon does. Where a surgeon is the honest answer, we say so.
Why no brand names
You are choosing a clinician, not a machine
Aesthetic medicine is regulated in New York State, the treatments here that are medical are performed or supervised by our medical director, and every clinician is licensed for what they do. What we will not do is decorate this website with the name of a board, an academy or a manufacturer as though somebody else vouches for us. Nobody outside this practice has reviewed it. So instead of a wall of logos, these pages tell you plainly who will treat you, what they will do, what they will not do, what it costs, what can go wrong and how likely that is. Ask us about any of it before you book.
Ask any clinic three questions before you let them treat you: what are you going to use, why that rather than something else, and what would you do if this went wrong. A place that answers the first with a brand name and cannot answer the third is not the place to be treated.
Questions
How they work — the questions we are asked most
Why does this site never name a product or a device?
Because naming one is advertising it, and because it makes you shop for a box rather than for the person operating it. Brand names in aesthetics let a clinic borrow authority it has not earned. We will tell you exactly what we are using in the room, as part of your consent, and explain why we chose it for you.
Does the machine matter?
Less than the settings, and much less than the person choosing them. Two clinics with identical equipment can produce very different results and very different injury rates. The useful questions to ask anywhere are what they intend to use on you, why, at what settings, and what they would do if it went wrong.
Is newer better?
Not reliably. New devices arrive constantly and a good share of them are a refinement of something twenty years old with a new name and a marketing budget. The treatments on this website with the best evidence are mostly the older ones.
Which treatment gives the biggest change?
Ablative laser resurfacing, for skin quality — and it costs you a week indoors and is not safe for everybody. The honest answer to what changes a face most for the least money is usually sunscreen worn daily for ten years, which we cannot sell you.
Can treatments be combined?
Yes, and we sequence rather than stack. Doing several things in one appointment means nobody can tell which one worked or which one caused a problem. We change one thing at a time, which takes longer and tells you far more.
What has the weakest evidence?
Infusions marketed for anything other than rehydration, injections marketed for energy in people who are not deficient, and most of what is sold for cellulite. Those pages on this site say so directly rather than quietly.
Aesthetic treatment is elective medicine, and this page is not medical advice for you. Aesthetic treatment is elective, it is medicine wherever it breaks the skin, and nothing on this website is medical advice for you in particular. We do not diagnose disease. Every treatment here begins with a consultation and a medical history, because your health, your medication, your skin type and what you have had done before all change what is safe and what is sensible. Some people are told no. Being told no is a normal outcome of a consultation here rather than a failure of one, and it costs exactly the same as being told yes.
A written plan and a written price before anything is booked
Book a consultation
Pick a clinician and an hour from the calendar — it shows only the times each of them genuinely has free. A consultation is a full hour at a table with no treatment couch in the room, and it costs $85, or $120 with the medical director. If you go ahead, that comes off your first treatment. If we tell you the answer is nothing, or a dermatologist, it costs exactly the same.