Skin tightening is done to revive that loss of tightness by firming the skin. The process addresses what Dr. Schultz calls “the envelope of your skin,” which is its outer two layers, the dermis and epidermis. As your skin gets older it loses elastic tissue and becomes stretchy, also aggravated by good old gravity, so the goal is to “unstretch” it. Dr. Schultz explains further, “Skin tightening is almost like making a messy bed — you make the bed tighter so the sheets and bedspread are no longer loose. When you see people trying to bounce a dime on the bed, that’s really what we’re talking about with skin tightening. It does help with some fine lines, but it’s more about firming.” Skin tightening will give you very good results at the lower lids, jawline, the lower face and neck. Dr. Schultz adds, “You can also get very good results in the area next to the mouth where people get little puffy things I call poofs.”
When skin tightening with IPL, you’ll typically need five to six treatments over three to four weeks with a touch up at six months. “But,” Dr. Schultz advises, “the problem is people like the results so much (because they’re a subtle 30-40% improvement) that they come back earlier for their touch ups and some ask to come in every month!” With Exilis, you’ll receive a deeper form of tightening because the energy (a form of radiofrequency energy) in that medical device is greater and ends up going deeper. You’ll do three to four treatments at one week intervals and once a year you’ll do a touch up.
A regimen of skin tightening is a great complement to botox and fillers. Botox is used to stop muscles from contracting that otherwise cause lines and wrinkles now, but it also prevents them from becoming etched permanently when used regularly. Filler fills back volume that’s been lost in the fat layer and dermis, the second and third layers of skin under the (top layer) epidermis and synergizes with the improvements of skin tightening. Filler replaces some of the lost volume resulting from lost fat and even some lost bone from the aging process. All of these factors — fine lines and wrinkles, and the loss of fat and bone — cause sinking in, “deflation” which then contributes to sagging skin. “Think of it this way,” Dr. Schultz says, “if you lose some of the fat and some of the bone just by shrinkage, the overlying skin starts to droop because the volume of lost fat and bone was the scaffolding that the skin was hanging on. So if you take away the scaffolding, you’ll get jowling around the face and sagging around jawline and deepening of the lines next to the nose. Filler helps somewhat to restore the scaffolding, but you’ll need tightening to contract it and tighten it up.”
At our office, Dr. Schultz and his team use a different technique than many other dermatology practices. When we first started skin tightening many years ago, the suggestion was to do it every three weeks. While most practices spread the treatments out over months, we realized if we did it more frequently we could achieve better results because more frequent treatments create a great additive effect. Combining this with the fact that we will always give you a customized plan based on your desired results means that you’re always getting the best option for tightening and firming your sagging skin. Dr. Schultz is always testing new technology and only uses the devices that produce the best results so you can be sure you’ll always have the best tools available. You can choose from a lot of different medical devices to have your skin tightened. You may be looking at Ultherapy and Thermage and those can give you good results, but not nearly as consistently as the results you’ll get with Exilis and IPL at our office. As Dr. Schultz says, “It's not just the machine, it's the operator! We get superior results based on experience and technique.”
When you come in for your appointment, you will discuss your desired results with our team. We’ll decide on the best combination or course of treatment for your skin care goals and begin your appointment. If we choose the IPL medical device, there will only be a slight warm feeling to the skin while it’s being administered. For Exilis, there will be more heat but it’s quick and over immediately. There may be a little bit of redness from Exilis but it will disappear in twenty minutes. Once you’re finished with your appointment, whether you’ve used IPL or Exilis, there is no downtime and you can go right back to life!
I've been seeing Dr. Schultz for the last 8 years and during that time, I've recommended him to countless friends for both cosmetic and medical dermatologic help. I trust him completely both diagnostically and aesthetically. When I had shingles, he was wonderful, incredibly supportive and kind. And when I eased into doing more cosmetic dermatology, he was– and continues to be– patient, careful and cautious. He listens to concerns and really hears what your goal outcome is and works with you to make it happen. I wanted to maintain a natural look while keeping my skin looking fresh and that's just what he's done for me. I always leave his office feeling prettier and well-cared for! If you have a medical concern or something about your skin you want to upgrade, you can't do better than Dr. Schultz and his wonderful team. And the products are amazing as well!
- Laura B.
Dr. Schultz is the most thorough and good natured dermatologist I have ever seen. I have been a patient of his for more than 20 years. He has taught me everything I know about the value of taking care of my skin, a gift that keeps on giving. He also takes the time to listen to me, to see me as an individual and doesn't treat my needs as a one size fits all doctor. I really appreciate his kindness, patience and expertise. I absolutely love his product line and have definitely reaped the rewards from using it, especially his glycolic peel pads and moisturizer, which I can't live without. My skin feels softer, smoother, appears more translucent and actually looks younger! He helped me to see beyond the lines and wrinkles, although he so good at helping to keep those at bay while maintaining a very natural appearance. His staff is outstanding. They make you feel welcome, like family, from the moment you walk through the door. Angela, Monika, Deborah and all of the support staff are extraordinary at what they do. Thank you Dr. Schultz and everyone at Park Ave Skincare. You're the best!
- Laura M.
Dr. Schultz has truly transformed my skin, so much so that I can confidently leave the house without wearing makeup now. During my first meeting with him, he intently listened to my skin concerns, we discussed what my goals were, and he explained pragmatically what treatments and products he recommended for me. I truly appreciate his fantastic bedside manner and conservative approach. I am a perfectionist in every aspect of my life, including my skin, and he understood this and was committed to helping me achieve every skin goal I had. The entire staff is just so fantastic and friendly, from reception to the PAs. They make you feel welcome and extremely comfortable, which to me is very important when visiting any doctor’s office. As someone who works too much and never gets enough sleep, my skin was looking very dull and lifeless. My skin is now full of life again and has an incredible glow to it which I have never had before. And I owe it all to the incredible Dr. Schultz.
- Kelly D.
My partnership with Dr Schultz began more than 30 years ago. As a generous friend, advisor, skilled surgeon, and superb cosmetic diagnostician, he has enabled me to look my best. He has kept me abreast of the most sophisticated procedures and in so doing, has maximized my appearance, always guided by what will be most beneficial for me. He is someone I go to for advice and care and his staff is another manifestation of this care. I don’t know many patients who can say this, and I feel fortunate to be among them.
- Ellen R.
In the four years that I've been a patient of Dr. Schultz, my acne-prone skin has gone from constant breakouts to smooth and clear. These days, I feel confident and comfortable enough in my skin to wear minimal makeup, if any—which I never would have done in years past. He and his warm, friendly staff always go above and beyond; he takes the time to listen, talk with me, and create the best plan for my skin. It's clear he has my best interests in mind, and I trust him wholeheartedly. I would highly recommend him to friends, family, and frankly, anyone who asks.
- Deanna P.
Each session with Dr. Schultz is a mini education in skin care. He approaches each patient as a unique individual with different needs. I’m Asian and he’s explained to me how that impacts treatment in a clear manner that a layperson can understand. At each examination, he recites detailed notes to his staff which he then refers back to at each future appointment, adjusting and tweaking treatment plans when necessary. Over the past two years I’ve seen a remarkable improvement in my blemishes and overall complexion and wholeheartedly recommend him to anyone looking to enhance their appearance.
- Sherry G.
I have been a patient of Dr. Schultz for many years, and I continue to be amazed at his medical approach, patience, and professionalism. He takes the time to listen to my health concerns, explains how and why he would like to issue a treatment in a way that I understand , answers all of my questions, and all of his procedures and painless and thorough. He is very attentive, results-oriented, and extremely knowledgeable. He follows up and is committed to my health and satisfaction. The Park Avenue Skincare is a calm environment and the staff are all very friendly, warm, and respectful. It's easy to get appointments at a time that works for me and they are always on time and considerate. I think so highly of him and his practice that I sent my mom to him, and continue to go to his office even though my life is based in midtown west! I have great confidence in the care that he gives.
- Katrina A.
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Make your skin care a priority with leading-dermatologist and New York Magazine’s “Top Doctor”: Dr. Neal Schultz.