FAQ

SculpSure Body Contouring

How does laser body contouring work?

The SculpSure body contouring laser targets fat stored in stubborn locations. The laser raises the temperature of the adipose tissue, or stored fat, without harming surrounding tissue. The laser emits light at a wavelength the adipose tissue can absorb. As the temperature rises, the fat cells are damaged. The damaged cells are absorbed and disposed of through the body. Treatments take about 25 minutes, while effects from the treatment take between 6-12 weeks to reach optimum levels. The patient needs no recovery time after treatment and can immediately return to work and resume any aspect of daily life.

Is the laser body contouring process suitable for anyone?

Laser body contouring works best for patients who may have already met their weight loss goals, who watch what they eat and exercise regularly, but still have unwanted areas of stored fat. Patients with good skin tone will likely have the best results. It’s not an alternative weight loss method, and the process doesn’t work well on patients with excess skin. The point of SculpSure treatments isn’t weight loss at all, but rather optimizing the shape of the body when weight is already under control.

Does the SculpSure work on any body part needing reshaping?

The SculpSure body contouring laser has received Food and Drug Administration approval. The FDA-approved target areas for SculpSure treatment are the abdomen and the flanks – the stomach and love handles areas. The device uses four applicator heads to control the shaping pattern, based on the individual patient, unlike other non-invasive body contour devices, which require flesh to be sucked into applicators for treatment. The SculpSure applicators are also large and flat, limiting their use for other body parts.

DERMAL Fillers

What are dermal fillers and how do they work?

Though dermal fillers and Botox are both injected into the skin to reduce the appearance of skin creases and wrinkles, each process works in a different way. As their name suggests, dermal fillers are substances that fill areas of lost subcutaneous fat. As the body ages, this fat volume naturally declines. At the same time, skin loses elasticity and stretches, creating the folds that turn into crow’s feet and worry lines. Dermal fillers are particularly effective during the earliest signs of aging and as a supplement to surgical procedures for facial rejuvenation. Dermal fillers are also used to volumize some parts of the face and body, such as lips, cheeks, jaws, and hands. Dermal filler results last from 4 months to over a year.

Is there any downside to dermal filler treatment?

There is a risk of allergic reaction to the filler used, although there are a variety of compounds, so a reaction to one doesn’t mean there aren’t additional options. Sometimes, small bumps form near the filler injection site, and these are occasionally permanent. A blue discoloration, called the Tyndall effect, is another occasional side effect, though it isn’t permanent and there are treatments for it. Different fillers have preferred applications, so not all wrinkles are treated with the same filler.

Why are there different fillers and what are they made of?

Different fillers have preferred applications, so not all wrinkles are treated with the same filler. Hyaluronic acid – a substance found naturally in the body – serves as the basis for most dermal filler formulas. Reaction to hyaluronic acid fillers is rare. Some research indicates that filler injections from this product type may stimulate collagen production in the body, naturally reducing lines, creases, and wrinkles. Over time, less filler may produce the same results. Synthetic fillers often last longer than hyaluronic acid fillers, but the synthetics are also more susceptible to side effects. Generally, long-term wrinkle reduction carries higher reaction risk.

Botox

How does Botox work?

The Botox drug comes from tiny concentrations of the botulinum toxin, a naturally occurring bacterium with neurotoxic effects. For cosmetic and medical uses, concentrations are nowhere near toxic levels, making treatment safe and low-risk. At this concentration, the drug interrupts local nerve signals that tell muscles to contract, essentially paralyzing them. Frown lines and crow’s feet result from these contractions, so the Botox paralysis allows these muscles to relax, presenting a naturally smooth and youthful effect. Results show within days of injection and last for three to six months. Treatments may be repeated to maintain a youthful appearance.

What are the potential side effects of treatment?

While Botox side effects are quite rare, there is still the possibility of complications. Most frequently, pain, bruising and swelling around the injection site may occur. Uneven effects and drooping eyelids may result, depending on where the drug is injected. Some may experience dry eyes, or become excessively teary. While it’s very unlikely that Botox will spread elsewhere in the body, complications may be serious if it does. This could cause weakness anywhere in the body, problems with vision, breathing, speaking or swallowing. Call FMCT immediately if any of these symptoms arise after a treatment.

Does Botox have non-cosmetic uses?

Botox started its medical life as a treatment for eye disorders and its use as a medical treatment is wide and varied. Injections can reduce severe sweating in the armpits. Botox also enhances treatment for spasticity of the arms, often a side effect of stroke, brain or spinal cord injury, cerebral palsy or multiple sclerosis. Combined with physical therapy, the drug helps reduce stiffness in the elbows, wrists, and hands. Cervical dystonia is a disorder affecting neck muscles. Spasms and contractions are often reduced through Botox injections. Some cases of urinary incontinence may also improve with Botox use.

Skin Rejuvenation

How does the non-ablative laser improve skin condition?

Controlled application of laser light has several cosmetic applications, from hair removal to treating scars and stretch marks. The Icon laser also provides a treatment that attacks wrinkles, sun damage and facial veins simultaneously. Using different hand pieces to direct the laser light, they provide an effect like RF treatment, where the middle layers of the skin warm without damaging the outer layers. The Icon laser is also fractionated. Broken into many small columns, fractionated lasers permit faster healing with fewer complications than do non-fractionated laser designs, which cover and potentially damage larger amounts of skin.

What skin conditions can the FMCT equipment treat?

The Cynosure Icon aesthetic laser system treats wrinkles, sun damage and facial veins using non-ablative laser application. Unlike ablative lasers, which require much more recovery time, the Icon laser reduces the appearance of skin flaws and blemishes without temporary damage to generate tissue rejuvenation.

How does RF skin treatment work?

RF creates a heated treatment zone in the middle layers of the skin. Radio waves penetrate the outer skin and warm the natural collagen in those middle layers. This actually alters and damages existing collagen, which in turn stimulates the production of new collagen. This new collagen smooths out the appearance of existing wrinkles. Patients report overall skin tightening as well as noticeable visual improvements. Treatments take just a few minutes and patients return to their daily activities immediately after treatment.

Skin Tightening

Do TriPollar treatments work on all skin colors?

TriPolar treatments are suitable for all skin colors, including dark and pigmented skin. The treatment is based on radio frequency (RF) energy that produces heat in the target area. Unlike lasers or other optical energy-based devices is “color blind”, meaning that it has no affinity to skin pigmentation such as melanin or hemoglobin, so it can be used to treat any skin color.

What does TriPollar treatment feel like?

The treatment is typically described by patients as similar to a hot stone massage. Patients have even been known to fall asleep during the procedure and there is no pain associated with TriPollar treatments.

Has TriPolar been clinically validated?

Yes, numerous clinical studies have shown that TriPolar treatments are safe and effective – providing both immediate and long term results.

Concierge Medicine

What is concierge medicine?

Crowded waiting rooms, long wait times, short doctor/patient contact time and restricted access to care not only frustrates patients, but many doctors also have reservations about the conditions found in contemporary health care practices. Concierge medicine changes that enforced model. Dr. Inocentes & Dr. Borsook brings direct care to FMCT. Concierge medicine offers short wait times, same or next-day appointments, longer office visits, exclusive office phone numbers and 24/7 access to Dr. Borsook via cell phone and email. It’s one-on-one primary care, the way family doctors used to do it.

How do Dr. Inocentes & Dr. Borsook provide this service?

Concierge care isn’t for everyone, Dr. Inocentes and Dr. Borsook recognize this. That’s why they have developed a hybrid practice, in which part of their day is devoted to regular patients and part is spent with concierge patients. Direct care has an increased administrative demand, so Dr. Inocentes & Dr. Borsook partnered with CCP to manage the concierge portion of his practice. A New York-based concierge medicine consultancy, CCP is the largest provider of concierge model programs in the country. Their experience on the administrative end helps free Dr. Inocentes & Dr. Borsook’s time for providing care.

What can I expect when I enroll for concierge care?

The program starts with a complete, comprehensive physical exam that includes a full lab panel workup, electrocardiogram, pulmonary test, hearing and vision tests. Dr. Borsook & Dr. Inocentes will make a comprehensive review of your past medical history and current medical needs, an assessment of your disease risk factors, a review and update of your family medical history, a review and update of personal allergies and medications, as well as a review of your social history and personal lifestyle, as it affects your health. When you need primary care, you’ll have access to Dr. Borsook & Dr. Inocentes that day or the next. Visits to FMCT are extended length under the concierge program, for both the initial physical and follow-up appointments. You will have direct availability to Dr. Borsook & Dr. Inocentes around the clock via cell phone and email. Contacting FMCT comes by a private, dedicated office phone number. Specialty referrals are made directly with other physicians and you’re provided with a USB drive containing your medical records.