Botox, fillers: inside the new ‘knifeless’ cosmetic surgery center on New York’s Billionaire’s Quarter


Cosmetic procedures have mixed reputations. And the way they’re portrayed on TV on TikTok tends to cloud what many people still think of the surgery: lots of cuts and incisions with a knife, weeks of bruising under an exterior of shaped bandages. mummy and a painful and isolated recovery.

But those days are almost over thanks to a variety of emerging energy-focused devices and skilled techniques. And these new, non-invasive procedures are not only FDA-approved, but gaining notoriety and popularity.

Stomach toning and sculpting are at the forefront of this movement, starting with EMSculpt, a slimming treatment that generates 20,000 muscle contractions in 30 minutes. Using a combination of radio frequency energy and HIFEM (highly focused electromagnetic energy), the procedure is believed to simultaneously destroy fat, build muscle, and tighten skin.

But non-invasive procedures on the face are more – pardon the pun – cutting-edge. As popularized at Dr. Darren Smith Plastic surgery and medical spa on the so-called “Billionaires’ Row” in Midtown Manhattan, get ready for the “Good Energy Lift”.

Smith, who has had his practice for five plus years, says he has focused on the laser to provide the most optimal results for all patient needs, without necessarily going under the knife.

“We wanted to build something that would be patient-centered,” says Smith. “We really feel like we can help anyone with whatever they want to do.”

Dr. Smith’s medical spa is seeing an uptick in what it calls “Good Energy Lift” procedures, surgery using lasers and energy rather than traditional scalpel-focused methods.

Courtesy of Darren Smith, MD

A few of its must-have devices are FaceTite and BodyTite (bipolar radio frequency energy that tightens and firms the skin while shedding unwanted fat) as well as VASERlipo (combines traditional liposuction with an energy source to improve liposuction results). With these two or three energy treatments alone, Smith can perform neck lifts, abdominal lifts, blepharoplasties (eyelid lifts), and more.

As Smith describes, the differences between traditional plastic surgery techniques and the use of energy-based devices can achieve the same aesthetic goals, deliver the same (if not better) results that last longer at the same prices (well only ever-expensive prices, which can cost thousands of dollars per session, depending on the targeted area and service over time.)

“What we’re doing, I call it partly ‘minimally invasive’ and partly ‘non-invasive’, instead of a facelift or a neck lift — that big thing with two weeks of recovery,” Smith says. Now, with literally two to three millimeter punctures, we can get an energy device under the skin that will shrink the skin in a very real way. You can’t get a face lift result like that. But you can make a real difference for someone with 48 hours of downtime and a third of the cost instead of two weeks of downtime and triple the cost – and for a lot of busy New Yorkers who don’t want to take two weeks stop their crazy lives.

On average, Emsculpt Neo can decrease a patient’s fat volume by 30% and increase muscle volume by 25%.

Courtesy of Darren Smith, MD

Smith highlights the differences between these procedures and more popular and well-known outpatient services, like Botox and Juvederm fillers (both also offered at the medical spa). With Botox, for example, downtime is minimal (if at all as long as there are no adverse effects), but results only last a few months. And while a facelift can set someone back 10 to 15 years in appearance, Smith points out that not everyone wants such a drastic change. Instead, using FaceTite exhibits a slightly more natural reduction around age five.

Smith, who is a cranial facial surgeon in addition to being a cosmetic surgeon, takes pride in achieving natural-looking facelift results, eschewing some of the face and body trends that are so prevalent (and often harmful) on social media. .

“We’re very into doing this stuff because you [the patient] want to do it, and there’s something you wish was a little different. It should be like the icing on the cake. I never want anyone to feel like they have to look like Kylie [Jenner]”, says Smith. “If you want to look a little refreshed, maybe you’re bothered by a bump on your nose, whatever. But it should be that you’re doing it for yourself, not because you’re part of this race. It’s something we take very seriously.

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