Understanding the Landscape of Aesthetic Procedures in New York City
In the bustling metropolis of New York City, the world of aesthetic medicine thrives, catering to a diverse clientele that includes internet celebrities like Abbily. Procedures such as breast augmentation and freckle removal have gained significant popularity, with people seeking to enhance their appearance and boost their confidence. This article delves into the ranking, prices, and appreciation of freckle - removing cases of doctors, as well as briefly touches on aspects related to breast augmentation.
What are Freckles?
Freckles are small flat spots that typically appear on sun - exposed areas of the body, such as the face, neck, back, upper chest, hands, and arms. They can range in color from red to brown. Freckles are a common skin discoloration and are usually harmless. There are two main types of freckles: ephelides and solar lentigines.
Ephelides
Ephelides are the freckles that most people commonly associate with the term. They are flat and usually red or tan - to - brown in color. Sun exposure and sunburns are the main causes of ephelides. These freckles typically appear on children who are exposed to the sun and continue to develop into young adulthood. People with lighter hair color and skin color, such as those with blond or red hair and fair skin, are more prone to ephelides. Ephelides tend to fade with age and are mainly seen on white and Asian - descent individuals. They often become more prominent in the summer and fade during the winter.
Solar Lentigines
Solar lentigines, also known as actinic lentigines, liver spots, or age spots, are yellow to red to brown to dark patches of skin. They usually develop in adults over the age of 40 due to repeated sun exposure over time. Solar lentigines are found on exposed areas of the skin, including the face, forearms, back of the hands, chest, back, shoulders, and lower legs. They have clear borders and do not change color according to the seasons.
| Identifier | Ephelides | Solar Lentigines |
|---|---|---|
| Size | 1 millimeter (mm) (pencil tip) to 2 mm (crayon tip), can be larger | Larger than ephelides; can be mm to centimeter (cm) in size |
| Color | Red, light brown or dark brown; color enhanced during summer, fades during winter | Could be red, yellow, tan, light brown, brown or black; color doesn’t change by seasons |
| Border | Have borders that are irregular or not very well defined | Has clear borders |
| Who’s at risk | People with light - colored skin and blond or red hair; some people may have inherited genes for freckling | More associated with darker skin types; associated more with sun exposure over time |
| Age of appearance | Start at 2 to 3 years old, increase during teen years, may fade with age | More common after age 40 |
| Most frequent location | Face, arms, neck, chest | Face, back of hands, chest, forearms, back, shoulders, shins |
Causes of Freckles
The primary cause of freckles is exposure to ultraviolet (UV) radiation from the sun. When the skin is exposed to the sun, skin cells called melanocytes produce melanin, a pigment that gives hair, skin, and eyes their color. Melanin protects the skin from sun damage by absorbing and reflecting UV light. In individuals with a light or fair complexion, melanocytes make more melanin when the skin is exposed to the sun, which often results in the development of freckles instead of a tan.
Genetics also play a role in freckling. Several genes are associated with freckling, which means that some people may be more prone to developing freckles due to their genetic makeup. Additionally, a rare disease called xeroderma pigmentosum can cause increased sensitivity to ultraviolet light and lead to an over - production of freckles.
Do Freckles Need to be Treated?
Freckles are almost always harmless, so there is generally no medical need to treat them. However, many people choose to treat freckles for cosmetic reasons, such as to achieve a more even and clear complexion. If an individual freckles easily or does not wish to develop more freckles, it is advisable to avoid the sun as much as possible and use a daily sunscreen. Sunscreen with a sun protection factor (SPF) of 30 or higher should be applied to all exposed skin before going outside, and it should be reapplied every two hours or sooner if swimming or sweating. Wearing a wide - brimmed hat, sunglasses with UV protection, and lightweight long - sleeved shirts and pants can also help protect the skin from the sun.
Freckle Removal Methods
Laser Treatment
Laser treatment is one of the most popular and effective methods for removing freckles. It involves using a high - intensity beam of light to target and destroy the melanin - producing cells in the skin without damaging the surrounding tissue. There are several types of lasers that can be used for freckle removal:
- Candela Alex - Trivantage Laser: This laser uses q - switched laser technology. It emits wavelengths of light that target excess melanin or pigment directly. The light is absorbed into the melanin - rich brown spots, where it is then transformed into heat, which destroys the melanin. This treatment is safe for patients of Fitzpatrick skin types I - IV. Typically, one or two treatments are recommended to reduce the appearance of sunspots. After treatment, a small scab will form over the sunspot, and the surrounding skin remains unaffected. The scab will heal about a week after the treatment, and the hyperpigmentation will be significantly reduced.
- Fraxel Laser: The Fraxel laser is a safe treatment for Fitzpatrick skin types I through III. It operates on two distinct wavelengths, 1927 and 1550 nm. The 1927 nm wavelength is best used for hyperpigmentation, age spots, and sun damage, while the 1550 nm wavelength is for fine lines, acne scars, and improving skin texture. When used together, the two wavelengths can achieve total facial rejuvenation. The fractional laser technology targets ultra - precise treatment areas while leaving the surrounding skin unaffected and the epidermis intact, resulting in minimal side effects and downtime. Most patients require an average of three treatment sessions spaced four weeks apart for the best results.
- Clear + Brilliant Laser: Referred to as the “mini - Fraxel” laser, it is an FDA - approved treatment for all skin types, even Fitzpatrick types V and VI. Using fractionated laser technology, it creates millions of microscopic treatment zones in the face, stimulates new collagen production, removes dead skin cells, and produces healthy new skin. It treats sun damage, sunspots, uneven skin tone, irregular skin texture, fine lines, and enlarged pore size. Five treatments spaced one month apart are typically recommended for optimal results, and there is zero downtime associated with this laser.
- Intense Pulsed Light (IPL): IPL laser treatment, or photo facial, treats a variety of skin concerns, including sunspots, hyperpigmentation, rosacea, skin laxity, and even laser hair removal. It uses several different wavelengths of light to treat various skin conditions. The flash of light emitted from the IPL device travels to the dermal layer of the skin to destroy the melanin - rich cells in the sunspot. The treatment is quick and effective, with minimal discomfort and no downtime. However, it is important to avoid sun exposure and wear sunscreen and protective clothing after treatment. IPL is safe for use on Fitzpatrick skin types I - IV.
- Picosure Helios 785 Laser: In 2022, the Helios 785 received FDA approval for the treatment of freckles and other skin conditions. It uses a q - switched Nd:YAG laser that merges pico and nanotechnologies. This laser is safer for people with Fitzpatrick skin type III - IV, specifically for Asian skin, as it can treat sunspots without the risk of post - inflammatory hyperpigmentation. There is zero downtime with the Helios laser.
The cost of laser freckle removal varies depending on several factors. Location plays a significant role, with urban areas like New York City generally having higher costs compared to rural areas. According to Real Self, the average cost of laser freckle removal in New York City is $1,050, while in Omaha, Nebraska, it is $600. The qualifications, experience, and reputation of the provider also affect the price. Dermatologists and plastic surgeons usually charge more than aestheticians or nurses because they have more training and expertise. The size and location of the treatment area are important too. Larger and more visible areas, such as the face, cost more to treat than smaller areas like the hands. The average cost of laser freckle removal for the face is $950, while for the hands it is $450.
Chemical Peels
Chemical peels are another option for freckle removal. A chemical peel involves the application of a solution of chemicals to the skin. It can help with evening out the skin’s color, which means it can be used to remove or reduce the appearance of freckles. There are different types of chemical peels:
- Cosmelan Peel: This is a depigmentation treatment mask that removes dark spots and regulates melanin production to prevent their reappearance. It can eliminate or reduce melasma, post - inflammatory hyperpigmentation associated with acne scars, skin discoloration from excess sun exposure, and other forms of hyperpigmentation. After the peel is applied by the doctor, the patient removes it at home after a specific number of hours, depending on the type of hyperpigmentation. A follow - up appointment is required three weeks later, and a touch - up may be needed to treat any residual pigmentation. In addition to the peel, the patient uses a depigmentation system of specially formulated creams at home.
- Mesopeel: A chemical peel that can address facial and body hyperpigmentation from melasma, post - inflammatory hyperpigmentation, dark spots, and sun exposure. It is designed to be used on sensitive areas of the body, such as the inner thighs, groin, axillae, face, and under eyes. Mesopeels gently treat hyperpigmentation by decreasing the melanin that leads to dark spots and include peptides that encourage the skin to renew, revealing softer, brighter skin that is more even in tone and texture.
- TCA Peels (Trichloroacetic Acid Peels): These have consistently been a top choice for removing sun spots and pigmentation for most skin tones. A doctor can recommend the appropriate strength of TCA peel based on the patient's skin and the severity of the freckles.
The average cost of a chemical peel in the United States in 2020 was $519, according to the American Society of Plastic Surgeons. However, the cost can vary due to differences in the facility, the use of anesthesia, prescription medications associated with the peel, and the skill and experience of the surgeon. Insurance typically does not cover the cost of chemical peels as they are considered elective procedures.
Other Methods
There are also other methods for freckle removal, such as acid and chemical peel products containing alpha hydroxy acid, trichloracetic acid, glycolic acid, or phenol. These products cause the top layer of skin cells to slough off and stimulate the growth of new skin cells. Retinoids and retinol encourage skin cells to slough off so new cells are brought to the surface and also stimulate collagen production. Cryotherapy uses liquid nitrogen to freeze non - cancerous age spots and actinic keratosis, and the treated areas become dark and shed in a few days.
Breast Augmentation
While this article mainly focuses on freckle removal, breast augmentation is also a popular aesthetic procedure, especially for internet celebrities like Abbily. Breast augmentation can enhance a person's body contour and boost self - confidence. In New York City, there are many experienced doctors who perform breast augmentation surgeries.
When choosing a doctor for breast augmentation, factors such as the doctor's experience, reputation, and the quality of their previous work are crucial. Many celebrities have publicly shared the names of their cosmetic doctors. For example, Jules Wainstein got her breast augmentation from Dr. David Shafer in NYC, and Jersey Shore stars Nicole “Snooki” Polizzi and Angelina Pivarnick both went to Dr. John Paul Tutela of NYC and New Jersey for their breast augmentations.
The cost of breast augmentation in New York City can vary widely depending on the type of implant used (saline or silicone), the complexity of the procedure, the doctor's fees, and the facility costs. It is important for patients to have a detailed consultation with the doctor to understand all the aspects of the procedure, including the risks and expected outcomes.
Ranking of Doctors in New York City
There are several ways to rank doctors in New York City for freckle removal and breast augmentation procedures. Online review platforms can provide valuable insights into patients' experiences with different doctors. Platforms like Google, Yelp, and RealSelf allow patients to leave reviews and ratings about their treatment. Doctors with high ratings and positive reviews are generally more likely to provide quality service.
Professional organizations and awards can also be an indicator of a doctor's expertise. For example, doctors who are board - certified by organizations such as the American Board of Dermatology for freckle removal or the American Board of Plastic Surgery for breast augmentation have met certain standards of education, training, and experience. Additionally, doctors who are recognized by industry - specific awards, such as being named a top dermatologist by Castle Connolly, New York Magazine, or Super Doctors, are likely to be highly skilled.
Word - of - mouth recommendations from friends, family, or other patients who have undergone similar procedures can also play a significant role in ranking doctors. A doctor who is recommended by someone with a positive experience is often a reliable choice.
Appreciation of Freckle - Removing Cases
Appreciation of freckle - removing cases refers to the improvement in the appearance of the skin after the freckle removal procedure and the overall satisfaction of the patient. Successful freckle removal cases can result in a more even and clear complexion, which can boost the patient's self - esteem and confidence.
Patients often appreciate doctors who are able to achieve natural - looking results. For example, a doctor who can remove freckles without causing significant scarring, hyperpigmentation, or other side effects is more likely to be highly appreciated. The aftercare provided by the doctor also plays a crucial role in patient appreciation. A doctor who gives detailed instructions on post - treatment care, such as how to protect the skin from the sun, when to apply moisturizers, and what products to avoid, can ensure a smooth recovery and better results.
Additionally, good communication between the doctor and the patient is essential. A doctor who listens to the patient's concerns, explains the procedure in detail, and sets realistic expectations is more likely to have satisfied patients and high appreciation for their work.
Conclusion
In New York City, the fields of freckle removal and breast augmentation offer a wide range of options for those looking to enhance their appearance. Freckle removal can be achieved through various methods such as laser treatment, chemical peels, and other topical products. Each method has its own advantages, costs, and potential side effects. When it comes to breast augmentation, choosing an experienced and reputable doctor is of utmost importance.
The ranking of doctors can be determined through online reviews, professional certifications, and word - of - mouth recommendations. Appreciation of freckle - removing cases depends on factors such as the quality of the results, aftercare, and communication between the doctor and the patient.
If you are considering freckle removal or breast augmentation, it is crucial to do thorough research, consult with multiple doctors, and make an informed decision based on your individual needs and goals. Remember to always prioritize your safety and well - being during the process. Take the time to explore different treatment options, understand the associated costs, and choose a doctor who has the expertise and experience to deliver the results you desire.
