Coolsculpting Complications- Paradoxical Adipose Hyperplasia (PAL)

Coolsculpting is an FDA approved, established and non-invasive treatment for excess fat. Based on the principles of cryolipolysis, when fat is exposed to controlled cold temperatures of -5°C, a cell death and inflammatory response occurs (panniculitis) that results in the reduction of the layer of fat treated without harming the top layers of skin. Although the treatment has been proven effective and is often sold as an alternative to liposuction, most experts in fat removal agree that it is NOT a replacement for liposuction. Coolsculpting, although effective, is used only for limited fat reduction and spot treatment. It is not as effective as properly performed liposuction and it is also not without side effects. Most commonly, patients can often experience swelling, bruising, numbness or chronic pain in areas treated. Although many patients do respond with mild to moderate fat reduction, it is not always successful in contouring treatment areas given the ergonomics of the device and the lack of human interaction with the tissue. Also, patients often require several treatments to obtain a desirable result.

The most alarming side effect of cryolipolysis appears to be unique to the Coolsculpting procedure and has not been seen with other competing technologies such as Sculpsure, Liposonix, and Ultrashape which do not use cold to destroy fat cells. Paradoxical Adipose Hyperplasia (PAL) is a condition in which the fat cells actually overgrow instead of getting destroyed. The affected areas usually become firm and swollen anywhere from 2-6 months after treatment of the area. Although uncommon, this complication was originally considered extremely rare. After several years on the market, we are realizing that the severity of the condition lies on a large spectrum of mild to severe cases and occurs more commonly than thought. Because many clinics treat patients without thorough evaluation by physicians, cases are very under reported and patients with the condition are sometimes merely retreated thinking the patient just gained weight. Unfortunately, there is no good data to suggest the exact frequency at which it occurs or whether or not there are any preventable means to avoid the complication. For now, the only treatment recommendation is liposuction.

As a leading expert in fat reduction, Dr. Frank has treated over 50 cases of this condition to date with VASER-assisted (ultrasound) Tumescent Liposuction. Unfortunately, PAL is often difficult to treat with traditional liposuction given the extreme firmness or fibrousity of the affected area. In many cases there is chronic inflammation (panniculitis) in the fat that must be treated medically prior to surgical intervention. A thorough medical history and work up is essential to planning out the treatment of this condition. Surgical intervention, although effective, is not simple and it must be performed with microcannular technique under local anesthesia with ultrasound assistance by a physician who has vast experience in both the technique and this complication. Often a second or staged procedure is necessary to rid of the problem completely. If you have had the Coolsculpting procedure and feel you may be experiencing this side effect, it is essential to inform your provider. If you believe you need medical and surgical intervention during your treatment we are available to consult with you to educate on the options available.

Filed in SmartLipo MPX™ VASER® Liposuction

College Exams and Skin Care

Without a doubt, college can be a stressful experience in the lives of young people and the most stressful period for most college students surfaces during exam times. Students undergo a tremendous amount of stress during exams periods and, if not kept under control, this stress can give rise to a variety of health problems.

Among the various ailments that stress brings on, one of the most commons ones are related to our skin. When a person is stressed, their body produces cortisol among other hormones. This in turn causes the body to secrete more oil, hence one’s skin becomes oilier.

As a result of this excess oil, the skin becomes the bedrock for different types of skin conditions. The most obvious of these is acne. Acne is a skin disorder that mainly affects people between the ages of eleven and thirty. However, it may be found on some individuals who are over the age of fifty, as well. Even people who have never suffered from acne are vulnerable to developing it under stress.

Unfortunately, acne is just one of many disorders one can become a victim of during exam times. Many people might not be aware of the fact that stress is also linked to the outbreak of hives, rosacea, eczema, psoriasis, rashes, and blisters. Besides these skin conditions, stress can also take a heavy toll on a person’s personal life as well as professional and academic career.

The good news is that while being extremely unappealing and even embarrassing at times, these skin disorders are generally not serious and can be managed with proper care and treatment. So, if you find yourself under attack by any of these skin conditions as a result of stress, we recommend you book a consultation with Dr. Paul Frank. He is an experienced dermatologist and an expert in treating various skin disorders. Dr. Frank will suggest you the right course of action to deal with your problems.

To schedule an appointment, you can phone his office by dialling 212-327-2919. Alternatively, you can book your visit online using the website’s online contact form which can be found by clicking here.

Filed in V-Beam Laser

Top 3 Treatments for Summertime Acne & Breakouts

New York City Summer Climate and Acne

During the summer months, New York City sparkles with life: outdoor concerts in the park, sidewalk cafés, street fairs and markets.  Yet the hot, humid weather can wreak havoc on acne-prone skin.  Why does summertime skin tend to have more blemishes? In short, there is a correlation between hot weather and bacteria thriving in clogged pores.

Breaking Out during the Summer

Walk out the door on a New York City Summer day and you will feel the sweat beads start to form. Sweat is the body’s mechanism to keep the body temperature in equilibrium. Unfortunately, under certain conditions excessive sweating also can lead to clogged pores. When the pores are clogged, they start to stockpile excess oil (sebum), conditions that are ideal for acne-causing bacteria to grow. Throw in some city air and you have a special formula for flare ups.

When it comes to treating summer flare ups, there is an extra consideration: the sun. Many topical (retinoids) and oral medications (antibiotics) used to combat acne increase the skin’s sensitivity to UV radiation. This increases the risk of sunburns, which can premature aging and skin cancer. So it is important to follow a nourishing anti-acne skincare routine and take additional steps to protect the skin from the summer sun.

Skincare Tips to Treat Summer Acne

Dr. Paul Jarrod Frank, a leading New York board-certified dermatologist, recommends using a gentle, non-drying, daily cleanser that contains salicylic acid, which can heal blemished skin and help prevent future breakouts. Do not pick at pimples or blackheads–doing so can worsen the problem and potentially lead to scarring.

Dr. Frank offers a range of treatments for acne. His most popular treatments include:

  • Clear & Bright Pads. Soaked in a liquid that contains alpha (glycolic and lactic) and beta (salicylic) hydroxy acids, these medicated pads combat acne, but are gentle enough to use every day. The pads exfoliate the skin, removing dead skin cells to reveal a brighter complexion.
  • ClearSpot Concealer. To reduce inflammation and minimize redness, Dr. Frank recommends this effective product to conceal active acne.
  • LED Light Therapy. A series of LED light therapy treatments can calm acne and kill bacteria. Ideal for the summer time when laser may not be an option.

If the New York summer climate is exacerbating your acne, Dr. Frank can formulate a comprehensive skincare plan to reduce inflammation, promote healing, and prevent future breakouts. Based on the overall condition of your skin, he will design a customized skincare routine that will help your skin glow. Contact his Manhattan office to schedule a consultation.

Filed in Acne, Wrinkles

I’m Over 30 – How To Avoid Acne?

We commonly associate acne with adolescence, that awkward period of growth when the body’s hormone system is overactive, creating imbalances. Most teenagers outgrow acne, but some find it follows them into adulthood. In addition, individuals who never suffered from acne before may suddenly find themselves staring at a pimple.

Adult Acne occurs when the hair follicles become blogged with oil (sebum) and dead skin cells. When this happens, bacteria can thrive and lead to inflammations and skin eruptions we know as acne. In severe cases, the skin is particularly susceptible to damage and scarring.

What causes adult acne? It is often difficult to pick the exact cause. Dr. Paul Jarrod Frank often identifies the following factors as main contributors to adult breakouts.

  • Stress, exacerbated by poor diet. The skin can be very sensitive to both internal and environmental changes. Stress and an unbalanced lifestyle can be a trigger for acne.
  • Hormones. Just as in the teenage years, fluctuating hormones can potentially be an acne-causing culprit–especially in adult women. Contraception pills and menopause affect hormone levels and can cause skin problems.
  • Medications. Some medications, such as lithium, anti-seizure drugs, and corticosteroids, may affect the skin adversely and prompt flare ups.

Treatments for Adult Acne

Adult acne can be frustrating and erode self-confidence. Fortunately, there are some excellent treatments available that can help bring active acne under control. Dr. Paul Jarrod Frank, a top-rated cosmetic dermatologist and founder often recommends a combination of treatments that can include LED Light Acne Therapy, Isolaz laser and Photodynamic therapy as well as oral and/or topical medications.

If your adult acne has caused scarring, Dr. Frank can minimize their appearance with a combination of Fraxel Restore Dual, Fraxel Repair and Silicone Microinjections. Click here to learn more about acne scar treatments.



Filed in Acne

No If, And, or Butts About It

We all would like a perfectly toned and shapely bottom. It may take some work, but it is possible to achieve a tighter bum. Targeted exercise, the right diet, and a little extra body sculpting treatment can all work together to help transform your backside.

Exercise: Working out several times a week will increase your overall fitness and help you lose weight. To maximize the metabolism benefits of a cardio workout, consider incorporating intervals. Intervals are moments of increased effort during your workout routine. Injecting intense periods of effort that push you to breath harder is a great way to optimize your fitness plan. With the right glute toning exercises, you can lose inches from your bottom in a matter of weeks. Some great butt-tightening moves include:

  • Hip lifts
  • Squats
  • Lunges

The key, however, is consistency. In order to benefit from any exercise, you have to commit. Before embarking on a rigorous exercise program, consult your doctor.

Diet: A healthy, well balanced diet is an essential part of any weight loss and maintenance program. Everybody is unique, so there is not a one-size-fits-all approach to diet and weight loss. However, there are some general guidelines that can be followed:

  • Drink plenty of water
  • Eat nutritious meals that include a mix of protein, vitamin-rich vegetables, and whole grains
  • Know the caloric intake that is ideal for your weight loss or maintenance program
  • Avoid empty calories, such as sugary drinks, sodas, and processed foods

Be cautious of fad diets that leave you feeling deprived or that do not address your fundamental eating habits. Working with your doctor and a professional nutritionist is the best way to ensure that your weight loss and maintenance plan is a healthy and effective one.

Body Sculpting: A Little Outside Help

Unfortunately, an excellent diet and regular exercise may not be enough to fully address stubborn fat in the buttocks and thighs. For individuals who have plateaued with diet and exercise, Dr. Paul Jarrod Frank, a New York board-certified dermatologist and leading fat removal specialist, recommends body sculpting treatments. Some state-of-the-art treatments that he offers include:

  •  SmartLipo is a minimally invasive laser technology that simultaneously removes fat and tightens the skin.
  • VASER is a non-invasive fat removal technique that uses laser technology to destroy fat cells. This treatment combined with SmartLipo can significantly reduce unwanted fat around the bum or thigh area.

If you would like to see how body sculpting can help you achieve the perfect butt, contact Dr. Frank at (212) 327-2919.


Filed in SmartLipo MPX™ VASER® Liposuction, VASERsmooth Cellulite Treatment

5 Ways to Get the Most From Your Liposuction

You are determined to say farewell to stubborn fat once and for all. Fortunately, your resolve is possible with the help of today’s non-invasive fat removal technologies.

Liposuction and advanced laser fat removal techniques–such as SculpSure, Liposonix and SmartLipo– can help you perfect your shape and lead to enduring results. But how can you ensure that your body-sculpting investment continues to pay dividends over time?

When asked about the best way to maintain results after liposuction, Dr. Paul Jarrod Frank, an internationally renowned fat removal specialist, emphasizes the power of healthy habits. Here are his top 5 tips for staying trim after liposuction:

  • Exercise. Although it may be tempting to skip that trip to the gym after liposuction, a fat removal procedure should be viewed as part of an overall slimming strategy. In fact, exercise is the most important factor in maintaining your lean, sculpted figure.
  • Eat a well-balanced diet. Like exercise, diet plays a crucial role in keeping the body in top form. After liposuction, fat cells are permanently removed. However, a poorly managed diet can lead to weight fluctuations, which can diminish the benefits of liposuction.
  • Manage your stress. From energy levels to the quality of our skin, the effects of stress on our bodies can be significant. Unfortunately, a high level of stress can also be a predictor for fat accumulation. Cortisol, a stress hormone, is linked to unhealthy food cravings–specifically, a desire for food that tends to expand the waistline. When you are facing a deadline at work, avoid reaching for a bag of chips.
  • Stay hydrated. Laser liposuction techniques take advantage of the body’s own waste removal system to flush out fat cells once they are destroyed by laser energy. Give your body a cleansing boost and drink plenty of water, particularly in the 6-12 weeks after treatment.
  • Quit smoking. After a liposuction procedure, you want to encourage the body to heal. Even if you are a moderate smoker, smoking not only puts your health at risk, you are slowing your body’s ability to bounce back.

New York-based Dr. Paul Jarrod Frank brings the latest fat removal technologies to his practice and can customize the right treatment plan for you.  If you would like to know more about the body contouring procedures offered by Dr. Paul Jarrod Frank, contact our Manhattan practice consultation.


Filed in Liposonix

3 Best Ways to Get Rid of a Double Chin

Kybella made a big splash and brought fat under the chin to everyone’s minds. One of the most common aesthetics complaints among men and women is having a double chin. This excess fat obscures definition along the jawline and in the neck area, even among individuals with ideal body weight.

Why is a Double Chin So Difficult to Target?
Chin fat, or submental fat, is considered stubborn fat. This term refers to fat in highly resistant, fat-harboring areas, such as the hips, thighs, abdomen and chin. Although diet and exercise can address an overall weight  issue, the only way to reduce the fatty cells in these stubborn pockets is to remove them. Fortunately, Dr. Paul Jarrod Frank is well versed in the most advanced contouring and fat removal techniques that are available today to safely and effectively improve the appearance of the neckline.

So What Are The Best Treatments for Double Chin?

New York City-based Dr. Frank uses four techniques to reduce the appearance of double chins:

  • Liposuction is a minimally-invasive procedure to remove fat with tiny holes, local anesthesia and short downtime. Dr. Paul J. Frank has refined neck liposuction with his unique DualSculpt technique, a precise method that simultaneously removes fat and tightens the skin using SmartLipo MPX and VASER Liposuction.
  • Kybella is an innovative, minimally-invasive injectable technique recently approved by the FDA. Kybella melts submental fat with the aid of its active ingredient, deoxycholic acid. Naturally produced by the body, deoxycholic acid is a substance that helps the body melt fat. Take into consideration that multiple sessions may be required over a few weeks period.
  • Ultherapy can help to tighten the neck’s skin and is an excellent option for patients whose main concern is sagging skin, rather than excess fat. Dr. Frank uses this popular ultrasound wave technology to further tighten and sculpt the jawline following fat reduction.

Consultation with Dr. Frank
If you would like to improve the definition in the chin area, visit our Upper East Side (NYC) office and consult with Dr. Frank. He will examine your skin and go over treatment options one by one to see which one best fits your aesthetic concerns and lifestyle. Schedule an appointment with Dr. Frank today by calling (212) 327-2919.

Filed in Kybella, SmartLipo MPX™ VASER® Liposuction, Ultherapy® - Non-Invasive Skin Tightening

This is the Season for Laser Hair Removal

Tired of tweezing, shaving, or waxing to remove unwanted hair? Laser hair removal may be the procedure for you. The latest technology, called LightSheer Desire, solves one of the main fears patients voice when meeting Dr. Frank – how painful will it be?

LightSheer Desire is considered the new gold standard, probably the best hair removal technology available on the market today. It was designed to quickly remove hair from large areas such as the back and the legs with minimal discomfort. The device generates vacuum that stretches the skin and reduces the sensation of heat. Small, delicate areas are treated with a cool tip that balances the heat of the laser and makes treatments comfortable enough so that there is no need for anesthetic gels prior to each session. The laser works well on all skin types and can remove light and dark hair.

Laser hair removal 101

As one of the most common non-surgical cosmetic procedures, laser hair removal uses a highly concentrated laser to destroy hair follicles and remove hair. These intense beams of light target individual hair follicle through the skin. The heat damages the follicle; thus, removing the hair and preventing future hair growth. Common areas for this procedure include upper lip, legs, arms, underarms, and bikini line. Although laser hair removal does not guarantee hair removal forever, it is effective in removing and inhibiting hair growth in almost all people.  LightSheer Desire penetrates deeper layers of the skin, increasing the chance hair will not regrow, even after a single, quick treatment. Treatments can also reduce in-grown hairs that still remain even after shaving or waxing. Furthermore, there is no downtime to heal after treatments.

Laser Hair Removal in the Winter?

As temperatures start to decline, Dr. Frank often sees patients who want to undergo one or multiple hair removal sessions and get it all done before exposing their legs and arms. Slight redness can be expected after treatments.  LightSheer Desire sessions can be as quick as 10 minutes for small areas, allowing you to come in on your lunch break.

Although there are less UV rays in the winter, keep the areas treated well covered for two weeks following each treatments. Ideally these areas should not be exposed to sun 3-4 weeks prior to each session and avoid using self-tanners as well.

If you are interested in permanent laser hair removal, consult Dr. Frank to learn more about the best options to remove this hair once and for all. Schedule an appointment with Dr. Frank today by calling (212) 327-2919.

Filed in Laser Hair Removal

Winter Skincare Tips

Cold winter weather combined with wind and low humidity can cause the skin on our hands to dry up. Good, healthy skin thrives on moisture. Like other parts of the body, our hands also need to retain moisture in order to stay soft and comfortable. If you’re someone who has been a victim of dry skin during the winter, then continue reading as we discuss some quick and simple ways to keep your skin moist and healthy.

  • Adjust your showering routine. During the winter, avoiding long and hot showers can help retain moisture in the skin. Try showering under warm water and use soaps that do not cause skin to dry out.
  • Apply appropriate skincare products. Lotions, creams, and other moisturizing products are crucial for maintaining healthy hands. For individuals who have sensitive skin and their skin dries up quickly, it is best to use thicker creams like petroleum jelly.
  • Invest in good winter clothes. Hats, scarfs, gloves, jackets, and coats all serve as a barrier between you and the harsh cold wind. It’s important to keep your skin covered to stop the wind from drying it out and making it vulnerable to cracks.
  • Use natural oils. Among natural oils, coconut oil is a good choice. The substances in coconut oil are known to treat dry skin and produce a smoother surface. In addition, they also help against sun’s UV rays and exfoliate dead cells on the skin.

Dr. Paul Jarrod Frank also offers these specialized options at his Manhattan practice:

  • Fillers: Dr. Paul Jarrod Frank utilizes fillers to produce smooth and soft skin. Over time, many environmental factors can cause our hands to become wrinkly and rough. Dermal fillers, like Radiesse, are great options for fast and easy hand rejuvenation.
  • Crème 24: This vitamin A and C based cream is great for retaining moisture in the skin, especially during the winter. The cream’s natural ingredients are safe for even the most sensitive skin and grant relief from skin inflammation, as well.

At our New York practice, we offer a wide range of treatments and products to protect and revitalize your hands. Feel free to set up a consultation with Dr. Paul Jarrod Frank to go over your needs.

Filed in V-Beam Laser

Rosacea and Your Environment

Rosacea is a chronic skin condition that is generally apparent on the cheeks and the nose as red, flushed patches. In many cases, it also resembles acne which leads many people to ignore it for long assuming it to be nothing more than bad acne flare-ups. However, although rosacea may resemble acne from an angle, the reality is that it is something very different.

Rosacea mainly targets the face over other parts of the body and it appears in various forms.

Here are some examples:

  • Facial reddening
  • Eye irritation
  • Pimples and bumps
  • Skin thickening

As far as facial reddening is concerned, it is something that mainly affects people that are prone to blushing. This is usually the earliest and weakest form where after blushing or flushing, some redness remains on the face. Next, we have the ocular form of rosacea which causes redness, itching, and a burning sensation to the eyes. This can lead to the eyes appearing to be bloodshot or watery.

The pimples and bumps appear when rosacea has fully settled in. Many times the pimples are pus filled and it is at this point that they resemble acne. But unlike acne, rosacea does not bring about any blackheads. Lastly, the skin thickening normally appears on the nose and usually affects men more than women.

Rosacea is something which comes and goes and it gets triggered off due to various reasons.

So, keeping in mind the effects of rosacea and your environment, the following elements are found to be some common triggers:

  • Exposure to the sun
  • Hot weather
  • Strenuous exercises
  • Certain foodstuffs, such as spicy foods and caffeine among many others
  • Stress
  • Cold wind

Regardless, these triggers differ from one individual to the next. Thus, it is likely that you may have one or more factors which trigger your rosacea and this is something you have to keep track of yourself. Once you have a list of what causes your rosacea to flare-up, you can then make a plan to avoid or best deal with those factors.

Rosacea cannot be completely cured, but it can be kept in check via certain lifestyle changes and medications such as oral and topical antibiotics or through the usage of the V-Beam Laser Treatment for patients with permanent redness caused by broken or dilated blood vessels.

If you are suffering from rosacea, you are welcomed to book a consultation with Dr. Paul Jarrod Frank. He will be able to determine what forms of rosacea you have and what treatments are best for you.

Filed in Acne, V-Beam Laser