Why You Should Choose a Non-Surgical Rhinoplasty

Every year, there are countless people who, for one reason or another, opt for nose reshaping surgery (otherwise known as rhinoplasty or nose job). In fact, according to the American Society of Plastic Surgeons (ASPS), nose reshaping was the second most popular cosmetic surgical procedure in 2014.

When it comes to rhinoplasties, there are two major options available for you to choose from. There is the traditional surgical rhinoplasty and then there are the non-surgical rhinoplasty procedures. Obviously, which one is the best for you depends on your individual circumstances, but some people are candidates for both of these types. And, when both options are open, then the better choice is to go for a non-surgical rhinoplasty.

Non-surgical rhinoplasty is a revolutionary method of straightening the nose, smoothing bumps, and filling gaps. It is done via the means of injecting liquid fillers directly into the treatment areas. This procedure is also sometimes known as liquid rhinoplasty.

We will briefly look at some of the benefits of a non-surgical rhinoplasty and what makes it superior in certain cases than the surgical rhinoplasty.

  • Firstly, the effects of a non-surgical rhinoplasty are temporary. Now, this may sound like a negative characteristic, but it is not. A temporary rhinoplasty gives you the ability to reverse it if you are not happy with the results. This is something that is not possible with most surgical rhinoplasties as many of them can actually change the physical structure of the nose and the bones underneath it.
  • Secondly, the results are noticeable immediately. While some non-surgical procedures do have recovery time, majority of the results can be seen almost immediately after the procedure is performed. In fact, in many cases, the doctor will give you a mirror to see how the nose is being reshaped during the procedure itself.
  • Non-surgical procedures are safe and effective because the dermal fillers used are tried and trusted. Some of the famous ones include Juvederm, Radiesse, and Restylane. Many of these are approved by the FDA, as well. Nevertheless, the procedure must be performed by an experienced surgeon.
  • There is little to no downtime associated with non-surgical rhinoplasties. Moreover, there are very small to almost unnoticeable bruises on the nose after the procedure. So, in many cases, you can continue your daily activities right after the surgery and be ready to go out in public.
  • The price is much more affordable on one’s pocket than the traditional rhinoplasty. So, if your budget is limited, then this may be the ideal option for you. On average, a well-performed non-surgical rhinoplasty will only cost you approximately $1,000 to $2,500. This is well below a normal surgical rhinoplasty.

It is important to note that non-surgical methods can only fill and smoothen the nose; they cannot be used for nasal reductions or any major changes which require the alteration of nasal structure. So, if your nose needs to be adjusted and made physically smaller, your only option would be the surgical rhinoplasty.

Regardless, whether you feel you are a candidate for either of these procedures, you should first consult with Dr. Paul Jarrod Frank to see which particular method would be ideal for you. Please book your consultation today by contacting the office. We look forward to hearing from you!

Filed in Juvėderm™, Radiesse®, Restylane®

Is Acne Genetic?

18661251_sAcne is a skin condition that usually comes in the form of red pimples, but can also be accompanied by blackheads and whiteheads. It is caused by the small sebaceous glands which lie just beneath the skin; these glands secrete sebum (a type of oil) which moistens and protects the skin. Unfortunately, sometimes the pores through which this oil reaches the face get blocked and causes the sebum to build up beneath the skin. This in turn produces inflammation of the skin and you end up having unattractive red pimples.

Most commonly, acne appears on the face before any other part of the body and it normally affects teenagers as they hit puberty. For some people, it lasts a short while, but for others, it can stay with them throughout their lives.

So, why is it that some people have to deal with acne for the rest of their lives while others don’t? Does it have anything to do with their genetic makeup? In short, the answer is yes.

Now, while there are no definite and indisputable proofs to establish that acne is influenced by genes, there is a very high likelihood that our genes play a big role in this. And for many doctors, that’s enough evidence to say that acne does have correlation with hereditary.

Besides genes, there are various other factors which also affect the outbreak of acne. Some of them are as follows:

  • Diet: This is also something which is unconfirmed. However, it has been noted that certain foods can cause acne to appear more often. Therefore, care should be taken with regards to food items with high carbohydrates (like sweets, breads, and cereals) and dairy products (such as milk, cheese, and butter).
  • Cleanliness: An unclean face is a home for bacteria. If proper hygiene is not maintained, acne will always be a problem. It is important to always use clean clothes and other items which come in contact with our face, such as towels and pillow cases.
  • Hormones: For both men and women, their hormonal changes can and does usually affect their acne problems. For men, the hormone known as testosterone causes the sebaceous glands to produce more sebum than usual. This can cause an increase in acne after doing anything which increases testosterone, such as exercising and certain medications.

Women also have testosterone, albeit to a lesser degree than men. A few days prior to a woman’s menstrual period, estrogen and progesterone drop lower than her testosterone levels. Therefore, women can expect a higher probability of acne breaking out during those times.

Dr. Paul Jarrod Frank offers the following two treatments for acne: Isolaz™ Pore Purification Laser and Photodynamic Therapy.

  • Isolaz™ is a quick and painless procedure and the results of it show after two to four days. It cleans the pores, kills the acne causing bacteria, and is great for treating blackheads and whiteheads.
  • Photodynamic Therapy focuses on long term results and normally requires two to three treatments to ensure that you will remain acne free for months.

Both treatments have their pros and cons, so it is best to consult with Dr. Frank to find out which one is suitable for your needs. You can reach out to him using the contact page on this website.

Filed in Acne

Benefits of a Non-Surgical Nose Job

18661251_sOur nose may appear to be a very simple organ from the outside, but behind that simplicity is a very intricate composition of blood vessels, bones, mucous membranes, hair, and tissues. It goes without saying that any surgery performed on the nose must be performed by an experienced surgeon because it is very vulnerable to even the most minor accidents.

With that said, new and innovative methods of nose reshaping surgeries (also known as nose job or rhinoplasty) have allowed surgeons to perform various kinds of nose augmentations safely and quickly. Like many other types of cosmetic surgeries, rhinoplasty also comes in surgical and non-surgical forms. In this blog, we will focus on non-surgical rhinoplasty.

Non-surgical rhinoplasties are not permanent and they will last for about twelve to eighteen months. They are ideal for those who have a slight hump on the nose, depressed bridge (saddle nose), beak-like nose (pollybeak), or a hanging tip. One thing in common with non-surgical nose job and many other non-surgical procedures is that they use dermal fillers. Some of the most common ones used by surgeons today are Radiesse, Restylane, and Juvederm. While all of these are good for non-surgical procedures, for nose jobs specifically, many surgeons opt to use Radiesse because it is composed of the same substance that is naturally present in our nasal bones.

The nose reshaping procedure itself is almost painless and extremely quick. Firstly, your surgeon will apply topical anesthesia to numb the region. Then, he/she will carefully inject the filler using a syringe and rub the area to smooth out any irregularities. There will be some redness, minor swelling, and very small bruises, but they will be completely gone in just a few days. The whole procedure can be performed in as little as fifteen to thirty minutes. Moreover, you will be fully awake and be able to see it being done.

One of the major advantages of non-surgical rhinoplasty over traditional rhinoplasty is that non-surgical ones are completely free of surgery and this brings in a host of benefits:

  • Swelling and Bruising: There is very little swelling and bruising after a non-surgical nose job compared to a surgical nose job. Since non-surgical procedures use fine needles to inject fillers instead of incisions, your nose will be free of excessive swelling and bruises afterwards. Not only that, there is very little pain to the patients, as well.
  • Recovery: Recovery period for surgery is anywhere from one to two weeks depending on the complexity of the procedure. Moreover, if you work in a physically strenuous environment, you may be off from work for up to a month. Luckily, that’s not the case with a non-surgical rhinoplasty because most of them have very little down time – maximum two to three days. In fact, you can even continue your daily activities from the very next day.
  • Cost: On average, a non-surgical rhinoplasty is much less expensive than traditional rhinoplasty. While several factors affect the cost, a non-surgical rhinoplasty can cost anywhere from $500 to $1,000. On the other hand, a surgical rhinoplasty costs about $4,500 on average, but can go all the way up to $10,000.

If you are someone who is considering a non-surgical rhinoplasty, Dr. Paul Jarrod Frank would be happy to offer his consultation and go over your needs. Feel free to contact the office and schedule an appointment.

Filed in Non-Surgical Nose Job

The Double Chin: Causes and Solutions

iStock_000006955770_ExtraSmallAmong both men and women, a double chin ranks high as a source of aesthetic dissatisfaction. In a 2014 survey conducted by the American Society for Dermatologic Surgery, 68% of the more than 8,300 respondents named excess fat under the neck and chin as a top concern. For men, a double chin can soften the face and obscure bone structure, detracting from an otherwise strong jawline. For women, that pocket of chin fat can add a weighty fullness and unwanted years to even a youthful face. For everybody, a double chin can signal a frustrating and seemingly futile battle against stubbornly-placed fat.

A double chin can be the result of a number of factors, including genetic predisposition, weight gain, and the natural aging process. Most often it is a combination of two or more factors. Lamentably, once a double chin has formed, it can become an unsightly tenacious fixture that dominates the lower region of the face. Even a proper diet and regular exercise may not provide an adequate solution. In fact, one of the reasons the double chin is so high on the list of complaints is that it is difficult to address. Until rather recently, ridding yourself of a double chin meant undergoing cosmetic surgery.

Fortunately, today there are more options. A pioneering figure in the world of non-surgical cosmetic procedures, Dr. Frank has developed some highly advanced and minimally-invasive fat removal techniques that specifically target chin fat. He is also setting the standard for the newest fat reduction treatment on the market, Kybella. To treat excess chin fat, Dr. Frank regularly performs the following procedures at his New York office:

  • UltraTight Treatment. UltraTight, Dr. Frank’s own technique, is a minimally invasive procedure that adds definition to the chin area. Combining state-of-the-art ultrasound technology with liposuction, Dr. Frank can lift, sculpt and strengthen the jawline. This procedure is highly popular among his male patients.
  • Kybella injections. Recently approved by the FDA, Kybella is an injectable treatment that can slim down a double chin. Once injected, Kybella melts fat, prompting the body to naturally flush out the dead fat cells. A powerful tool in the fight against localized fat, Kybella is one of the most promising double chin treatments to date. Dr. Frank is one of the few board-certified fat removal specialists to offer Kybella injections.

Once fat cells are removed from the chin, either via liposuction or Kybella injectable treatment, they are eliminated for good. This means the results of the contouring procedures can be enduring. However, weight fluctuation can re-introduce a double chin, so it is important that you establish healthy habits and maintain your weight. Exercise and a balanced diet are key players in ensuring post-procedure success and long-lasting effects.

Double Chin Consultation with Dr. Paul Jarrod Frank, NYC

If you are self-conscious about your double chin, contact Fifth Avenue Dermatology Surgery and Laser Center for an assessment. Dr. Paul Jarrod Frank will recommend the fat removal treatment that can most effectively eliminate your double chin.

Filed in Kybella, Ultra Tight

Fillers vs Neuromodulators

There comes a time in a person’s life when their skin begins to show their age with wrinkles, crow’s feet, and frown lines becoming permanently etched on their face. But are they really all that permanent? Thankfully, not anymore. Ever since the advancements in cosmetic surgery, not only are these signs of aging reversible, but now you even have a choice as to which method you would like to use to treat them. Two of the most common treatments available today are fillers and Neuromodulators.

So, what are fillers? Fillers are substances that are injected directly into the affected area of the skin, thereby filling the lines, spots, and creases to make one’s face look “full” and plump once again. They are quick-acting and the effects last anywhere from four months to one year depending on the type of filler used. These fillers are eventually absorbed by the body. Thus, they require refilling once the creases and wrinkles have started to return.

Care should be taken to ensure that these injections are only given by trained professionals because, if done incorrectly, they can result in serious complications. These fillers carry the risk of allergic reactions ranging from bumps under the skin (which can become permanent) to bluish discoloration of the skin. When it comes to fillers, there are various types. Some of the most commonly used fillers are:

  • Juvederm/Restylane: These are popular hyaluronic acid based products and are used to soften the folds on the face and enhance the lips. Moreover, it is also used to remove nasolabial folds (also known as smile lines) which run from the sides of the mouth to the nose.
  • Radiesse: This consists of calcium hydroxylapatite (CaHa) which is injected into the face. Not only does it fill the region, but it also causes the body’s own natural regenerating abilities to kick in, thereby producing the collagen required to keep the face more smooth and flexible.
  • Sculptra: The active ingredient in this filler is poly-L-lactic acid (PLLA). This product is mainly used to fight facial lipoatrophy which is the loss of fat tissues on a person’s face.

Now, let’s move on to the other treatment method – neuromodulators. Much like their counterpart, neuromodulators are also injected directly into the face. The difference between neuromodulators and fillers is that neuromodulators affect wrinkles by relaxing the muscle of the injection site which causes the wrinkle. The neuromodulator will soften and relax the muscle in the particular area that is contracting and causing a wrinkle to appear.

Unlike fillers, these neuromodulators may take a few days and require multiple injections in order to treat stubborn muscles before you see any results. If any negative side effects, such as swelling or redness, become apparent, they will soon disappear. The effects of the treatments can last up to four months. Lastly, just like fillers, neuromodulators also carry very dangerous side effects if administered incorrectly. So, please see a certified cosmetic dermatologic surgeon before you proceed.

Below you will find some common neuromodulators used by cosmetic dermatologists:

  • Botox: This is by far the most popular of them all. Its active ingredient is onabotulinumtoxinA and is used to treat crow’s feet as well as frown lines.
  • Dysport: The active ingredient of Dysport is abobotulinumtoxin (from the same botulinum family which Botox belongs to).
  • Xeomin: IncobotulinumtoxinA is its active ingredient and it too is used for wrinkles on the face. All three of these products are from the same botulinum source. Therefore, they all hold the same risks and side effects.

This is a basic outline of these products. Please consult Dr. Frank to get an expert opinion on which treatment will best meet your needs.

Filed in Botox®, Dysport, Radiesse®, Restylane®, Sculptra™, Wrinkle Fillers, Xeomin Treatment

Summer Ready Stomach

For many people, summertime is that unique time of the year when they wish to be in the best shape possible. It is the time to hit the beach and take in the sun. However, one major concern people face is the fact that they just can’t get rid of the “love handles”.

The long process of going on diet after diet and following a strict exercise regimen can be tiresome and frustrating, especially if you fail to remove excess fat. Dr. Paul J. Frank offers several ways to eliminate fat, including Exilis Elite, SmartLipo and VASER, and Liposonix.

  • Exilis Elite: As we get older, the skin on our neck and chin loses crucial proteins, like collagen and elastin, which maintain the tautness of the skin. This is the primary cause of developing loose, sagging skin. Exilis Elite is a non-surgical and innovative treatment method which restores the collagen in the skin. It targets the very origin of the skin to tighten and tone the region of the body. Plus, the results can be seen right away and will continue to improve over the next two weeks.
  • Liposuction: Among several other techniques, Dr. Frank uses two primary liposuction technologies called SmartLipo and VASER. These will work great for you if you are physically fit for the most part, but are having trouble getting rid of fat stored around the torso, thighs, chin, neck, arms, and knees. Thanks to Dr. Frank’s ingenuity, liposuction procedures are minimally-invasive and recovery period is just 48 hours.
  • Liposonix: Like SmartLipo and VASER, Liposonix can also be used in many different areas of the body to remove fat. This procedure attacks the fat cells underneath the skin and heats them up. Once these cells are killed, they are naturally removed by the body in about twelve weeks.

All three of these treatments have been proven to give results. So, which one should you choose? It is recommended that you consult Dr. Frank before choosing a procedure. Feel free to contact him and set up an initial consultation.

Filed in Exilis Elite, Liposonix

Botox- Once You Start, Can You Stop?

What Is Botox?


Botox is an injectable treatment that can help reverse the signs of aging, as well as treat some other medical conditions.  In addition to anti-aging, Botox can also be used to help treat severe migraines, hyperhidrosis, and even disorders such as TMD. Although there is a lot of conflicting information on Botox out there, the truth is that the procedure is actually quite safe and there are large amounts of people that have had Botox performed multiple times.

Should I Consider Botox?

“Whether or not Botox is for you will depend on a few different factors,” says Horizon Laser‘s Botox specialist. Generally, Botox is recommended to those who would like to make their face look younger without having plastic surgery. The ideal candidate for Botox would be in good health and have moderate to severe skin wrinkling in the face.

Results are typically seen directly after the treatment. The treatment results will typically last around 4-6 months. After this time frame, it is ordinarily necessary to have some additional work in order to maintain the results.

However, there are some potential dangers and downsides to injecting. Potential side effects of Botox include swelling, bruising and redness. Typically if any of these side effects occur they will disappear after a few days, but you should always consult your Doctor.  There is a potential for some additional more severe side effects, which is something you would want to discuss with your Doctor as well.

The largest potential danger to using Botox is the possibility of Botox addiction.  Unfortunately, Botox addiction is something that is real and must be noted. Since it is possible to become addicted to Botox, the best thing you can do is work with a professional and honest Doctor. A reputable Doctor would never permit their patients to allow their Botox use to get to a dangerous level. Working with a true professional and responsible Doctor will ensure that your Botox use remains at a normal level.

Getting Started with Botox

To get started with your Botox treatment, Dr. Paul Jarrod Frank in Manhattan can meet all of your needs. Dr. Paul Jarrod Frank has extensive experience in the field and has helped countless patients. Dr. Frank ensures that his patients are taken care of while remaining objective, never allowing someone to become addicted to Botox. Dr. Frank’s strong feelings about dermatology and his overall philosophy promise that you’ll be taken care of in a responsible way. To get started with Dr. Frank, visit him online at http://www.pfrankmd.com or call 212-327-2919.

Filed in Botox®

How to Treat Sun Damage

Sun damage, which is caused by prolonged exposure to the sun, can greatly affect the way you look. The sun’s rays disrupt the body’s natural level of collagen, causing your skin to react in negative ways. In turn, the skin around your face and around your body ages in noticeable ways: wrinkles, saggy and loose skin are the most obvious signs. Also, sun spots may form, the capillaries that transport blood under the skin can break, and the skin’s glow can disappear. On a more extreme level, skin cancer can develop, as sun damage puts a person at an increased risk of the disease.

Even those who do not tan or who are not at a relatively increased level of exposure can still experience the negative effects of sun damage. It is impossible to fully escape the sun; even applying sunscreen on a daily basis can be insufficient in protecting against the sun’s damaging rays. Luckily, Dr. Frank is fully certified and experienced to treat sun-damaged skin, and to restore skin that is no longer vibrant and smooth.

Because the sun’s harmful rays can penetrate through the superficial layers of the epidermis, Dr. Frank targets the treatment at the skin’s deepest layers. The skin heals as the body pushes the newer, younger skin towards the surface, naturally dispelling of the sun-damaged layers that line the surface and that are most visible to the naked eye. In this way, the treatment can work from the bottom up, correcting the damage from its root. The deep-rooted skin is healed and works its way up, so what is seen over time is clear, smooth, and refreshed skin.

Dr. Frank prescribes his patients with the only treatments that have been proven to yield the best results. Though he most often prescribes laser treatments like the Fraxel Restore and Fraxel Repair, he determines which product would work best on an individual.

Fraxel Thulium, for example, is one of the most common procedures that Dr. Frank performs to restore the natural glow of his patient’s skin. The laser treatment is divided into several sessions, so as to yield permanent results that increase over time. Meanwhile, both the Fraxel Restore and the Fraxel Repair are more aggressive laser technologies that are intended to resurface the skin’s tissue at the most sub-cutaneous level. They work from the inside out, repairing damage you can’t see to present long-term results that are clearly visible to yourself and to others.

Dr. Frank can perform each of these specialized treatments individually or in conjunction with one another. During your consultation, Dr. Frank will determine which approach will work best for you. Before assessing which treatment to prescribe, it is important that Dr. Frank has a good understanding of how deep-rooted and pervasive your sun damage is. He will customize your treatment plan with your concerns in mind, so as to construct the most minimally-invasive strategies that yield the best and most noticeable results possible. Dr. Frank will offer his professional recommendation on the best options for your sun-damaged skin while keeping in mind that you are busy and do not have extra time to devote to recovery or downtime.

Dr. Frank will never recommend a treatment that is unnecessary or excessive. He takes pride in his ability to rejuvenate and reinvigorate his patients’ appearance and confidence in their look. Thanks to the various treatments offered by Dr. Frank’s NYC office, sun damage no longer has to dictate what you wear or how you feel. Call us today to schedule your consultation visit and to get one step closer to reversing the harm that the sun has imposed on your skin.

Filed in Wrinkles

Exercising After Liposuction – Is It Okay?


Tumescent liposuction procedures such as SmartLipo MPX, VASER Liposuction and Liposonix provide a way for patients to remove fat in problem areas that cannot be helped otherwise by diet and exercise alone. These problem areas frequently include the arms, inner thighs, lower abdomen, back and flanks. If you are one of the many people who seek the benefits of liposuction, you obviously value your physical appearance and overall health.

When You Can Exercise After Liposuction

While exercise plays a key role in maintaining the results from your liposuction with Dr. Paul Jarrod Frank in NYC, you need to be cautious of when and how you exercise in the immediate weeks following your fat removal procedure. For example, it is not a good idea to sign up for a Tough Mudder or Spartan Race two weeks after your surgery. Stick to taking walks and even some light jogging to stay active immediately following the procedure. Dr. Frank generally recommends taking a week off of work post-liposuction to give your body time to recover. Though adequate rest is important for recovery, a weeklong Netflix binge on the couch can create negative results. Remaining static for a long period after tumescent liposuction can increase the potential for blood clots to form in your legs and lungs. The bottom line for the immediate days following your liposuction surgery is to use common sense. Pursue a healthy balance of light physical activity without pushing yourself too much. Cosmetic surgeons suggest waiting 4 to 6 weeks after surgery to engage in more strenuous physical activities.

Maintaining Results After Liposuction

Over the years, studies on liposuction surgery have revealed that exercise is essential to keep the fat from returning after the procedure. Many patients who received liposuction in the past assumed their bodies would always maintain the same shape and figure. Contrary to this popular belief, lack of exercise after surgery increases the risk of visceral fat returning to not so flattering parts of the body. Patients who neglected to exercise after liposuction experienced fat returning to the midsections where it can be difficult to lose through diet and exercise. Liposuction surgery is a valuable option for patients who have trouble burning fat in particular parts of the body. Do not assume that liposuction will forever remedy the undesirable shape you once possessed without eating healthy and exercising regularly after the procedure. Liposuction can give your body a kick-start in the direction of maintaining a healthy, beautiful shape. In the months and years after liposuction, balancing your diet and staying active will help you maintain your appearance.

Schedule a Consultation With Dr. Paul Jarrod Frank in Manhattan

When pursuing cosmetic surgeries such as liposuction, it is imperative to seek out a board certified dermatologic surgeon with experience in your particular procedure. Dr. Frank and his team of experts at The Fifth Avenue Dermatology Surgery and Laser Center are highly regarded professionals in the field of minimally invasive cosmetic surgery. Dr. Frank is dedicated to providing the best quality dermatologic surgeries along with detailed instruction and follow-up visits to ensure patients maintain their desired shape and beauty. For more information on liposuction and which procedure is right for you, schedule a consultation with Dr. Frank at his fully accredited private practice in New York City.

Filed in SmartLipo MPX™ VASER® Liposuction


Just when you thought the acne of your teens and 20s was over, a sudden outburst of pimples and breakouts is wreaking havoc on your skin unexpectedly in your 30s and 40s. As hormones begin to shift in a woman’s 30s, it is common to experience changes in the skin including pigment and acne. Hormonal acne is frequently concentrated on the lower part of the face around the chin and jaw line. Facial hair often accompanies hormonal changes which can add fuel to the fire creating infected hair follicles as hair will often grow in thicker particularly around the chin.

Fortunately, there is a protocol of care to help treat this condition beyond conventional therapy of oral anti-biotics, and topical medications. One prescription medication in particular called Spironolactone is most successful in treating hormonal acne. Spironolactone is actually a blood pressure medication which in smaller doses is proven to successfully treat hormonal acne by blocking the androgen that stimulates the production of excess hormones which produce acne. Occasionally, a routine blood test may be ordered to confirm a hormonal imbalance. While Spironolactone can take 4-6 weeks to work, it will reset one’s hormones, which in turn solves the acne problem.

Once hormonal imbalances are in check, reducing the hair permanently will reduce the breakouts so that hair follicles do not get infected leading to cystic acne. Within 4-6 treatments of Laser Hair Removal, hair is removed permanently. Fraxel Laser treatments are also beneficial as it reduces the pore size, which affects acne as well as reducing pigmentation. With the appropriate course of action and awareness of when and why acne is occurring, skin can remain clear and free of change during the time when the rest of the body is not.

Filed in Acne, Fraxel Restore Dual®/Repair®, Fraxel Thulium™, Laser Hair Removal