Beauty and the Matter of your Skin

SKINFIT MEDI SPA New York, NYOur skin is one of the most obvious factors in facial beauty. When we begin to notice age-related changes, we may do a lot to pamper the skin and promote youthfulness. The problem with this proactive step is that quite a few of the men and women who invest time and money into anti-aging techniques and products are going about it all wrong. Here, we want to discuss a key point: what you put on your skin does matter.

The Starting Point

There is a place to start if you want to maximize your skincare routine: your skin. We’ve discussed the value of a clean slate in previous pieces and will mention in briefly here. Most people have a biofilm on the surface of their skin. We often refer to this as the stratum corneum. This outermost layer of the skin is actually up to 20-layers of dead skin cells. If it’s been a while since you’ve had a professional exfoliate your skin with treatment such as microdermabrasion or a chemical peel, there is a good chance that this film of dead cells is blocking radiance, roughing up the texture of your skin, and getting in the way of product absorption.

Moving Forward

Once you have obtained your preferred treatment to fully cleanse your skin’s surface, it’s time to consider the products you are using. This is mistake number two that most people make. Can you imagine which skincare products are most-widely sold? It isn’t necessarily those that will nourish the skin on the deepest possible level; it is the product or family of products that get the most media attention. Marketing. That’s what it all comes down to – until you know better.

We provide access to medical-grade skincare products for patients who want to maximize their skin because we recognize the value of everyday steps for prolonged radiance and youthfulness. Why does medical-grade skincare stand out? Because of approval. Here’s what we mean.

The skincare products that are sold online or in retail stores are made for everyone. They must contain the level of ingredients that will soften and soothe the skin of any person. This minimizes the capability of any commercial product to effect noticeable change. The concentration of active ingredients is low enough to minimize the chance of irritation. At the same time, this low concentration prevents maximum results.

Does your skin need a boost? Let’s plan the best way to achieve your desired outcome. Call our New York City office at (212) 472-2900.


How to Age Well Starting Right Now

SkinFit Medi Spa NYC | ManhattanOne of the biggest questions that men and women have, regardless of their current age, is how to improve their aging process. Many of us wish we had our doctor’s number on speed-dial so we could learn how to manage the signs of aging as they occur, and sometimes they seem to occur with every passing day. Here, we point out a few ways that you can start aging well right now, at whatever age you are.


Young adults have learned one thing very well: it’s never too early to starting aging well. The primary focus of anti-aging during your twenties is to take good care of your skin – really good care. This means:

  • Wear broad-spectrum sunscreen every day, and wearing a wide-brimmed hat on days at the beach or pool.
  • Eat well, lots of fruits and vegetables to fight the free radicals that cause premature aging.
  • Don’t smoke.
  • Limit alcohol consumption.
  • Obtain professional treatments such as Botox, chemical peels, and BBL light treatments.


When we reach our thirties, we are already losing collagen and volume. That means to slow the aging process need to be more advanced. Healthy eating habits and sun protection remain highly important. Additionally, professional treatments may be obtained a few times a year, or more often. Suggestions include:

  • Neuromodulators to minimize muscle contractions on the forehead and around the eyes.
  • SkinTyte non-ablative laser treatments are gentle but effective at smoothing the skin.
  • Chemical peels to routinely exfoliate dead and damaged cells.
  • Dermal fillers, as needed, to plump lips and cheeks and fill lines.
  • Laser and light treatments to promote collagen and reduce UV damage.


  • Fillers may be used more frequently from this point forward, to replace the teaspoon of volume that is lost each year. Often, more than one product is used.
  • Laser skin resurfacing removes dead and damaged cells for a brighter complexion.
  • ThermiSmooth heat-based collagen induction therapy, especially around the eyes.
  • The fat transfer takes autologous fat cells from one area and introduces them into the cheeks or another area of the face for longer-lasting volume.
  • The Silhouette Instalift® is a minimally-invasive procedure that provides a slight lift to sagging mid-face structure.

The Fifties and Beyond

  • Routine exfoliation with chemical peels or fractional laser resurfacing keeps collagen production strong.
  • Fat injections into cheeks, temples, and even the hands can effectively manage the signs of aging.
  • Eyelid surgery removes under eye bags and sagging upper eyelid tissue.
  • Brow lift surgery restores the position of a drooping brow. In some cases, this may be achieved with injections of a neuromodulator and dermal fillers.
  • Facelift surgery restores the structure to the mid and lower face by draping loose tissue over the cheekbones and removing excess skin.
  • Neck lift surgery keeps the aging neck in harmony with the rejuvenated face.

Aging is a far different experience today than it used to be. Discover the treatments that can support you in your aging process. Call our NYC office at (212) 472-2900.

liquid facelift New York, NY

Getting the Lift you Want: Is Liquid Better?

Liquid Facelift NYC | ManhattanThere comes the point in time when most of us will want a lift of some sorts. Sagging jowls, flat cheeks, and under eye bags are all common reasons for seeking professional care these days, and there are suitable solutions for every one of these concerns – plus much more. The variety of treatments now available is advantageous, no doubt, but it may also cause you to lean in a direction that won’t hit the mark regarding results. Here, we’d like to discuss the differences and misconceptions of the liquid facelift versus the surgical facelift.

Advantages of Liquid Lifting

The very clear advantage of a liquid facelift process is that no surgery is involved. A liquid facelift incorporates neuromodulators like Botox to ease the appearance of lines on the upper face, including frown lines and worry lines. This type of product can also bring a slight lift to the brows. The lower two-thirds of the face, from the under-eyes down, may be rejuvenated with soft tissue fillers such as Juvederm, or even with autologous fat. Dermal fillers or fat can add volume to the cheeks and temples, and fill in lines around the nose and mouth.

Advantages of Surgical Lifting

A well-performed surgical facelift is beneficial for anyone who wants noticeable, but natural-looking results from professional care. Yes, surgery is involved, and that means recovery is necessary. However, the few weeks of swelling and bruising lead to years of satisfaction with the facial aesthetic. Aging continues, that is a given, but a facelift slows that process down by several years. Surgically repositioning superficial muscle tissue and removing excess skin can sharpen up the jawline and open up the eyes. When this procedure also involves fat injections, the curves of the mid-face further promote natural beauty.

What You Need to Know

Some practices state that injectables are better than a surgical facelift because this process will achieve a more authentic result. This is not true, at least not in every situation. It may seem logical that filling the lips and cheeks and other areas, and relaxing others, is more akin to how nature works when we are young. But the fact is, we cannot completely restore natural youthfulness with the synthetic product. Too much filling is too much filling, and the results can look just as unnatural as a bad facelift.

In our office on Park Avenue in New York City, patients have options that include both facelift surgery and the liquid facelift. Learn more at (212) 472-2900.

Breast Augmentation New York, NY

What you Need to Know about Silicone Breast Implants

Breast Augmentation New York, NY | Dr. Z. Paul LorencSilicone breast implants made their first appearance in cosmetic surgery back in 1962. Some improvements have occurred since the first silicone forms were used to enhance women’s shapes. The objective of innovations in breast augmentation has been to consistently improve patient outcomes. Many of the issues that plagued early patients are no longer reported. What still exists, though, are misperceptions about various aspects of breast augmentation. We’d like to address one of them here.

How long do breast implants last?

This is a question that many patients have because they have read in their research, or heard from a well-meaning friend, that breast implants must be replaced after 10 years. Well, if you’re in your twenties and desire shapelier breasts, the idea of routine replacement every 10 years can feel overwhelming. It is important to know where this idea came from, and why it may not be true.

Breast implant surgery is one of the most extensively-studied procedures in aesthetic medicine. Several years ago, the findings from one FDA study revealed that 1 in 5 women required revision or replacement of silicone breast implants approximately 10 years after the original surgery. If we stopped here, we might be somewhat alarmed at that “high” number; but there is more to take in.

That study that caused many women to believe their silicone implants had a 10-year expiration date could have been misinterpreted. Looking closer, it can be seen that, with only 100 cases observed in that study, the 1 in 5 number adds up to only 20% of patients. From this standpoint, we can see that a larger percentage of breast augmentation patients may not require revisional surgery at a pre-determined time. In fact, some patients have never had implants replaced.

The general details that you need to know are:

  • There is a manufacturer warranty to breast implants of all kinds. That does not mean the replacement is mandatory once that warranty ends.
  • The implants that are used today contain cohesive, form-stable silicone that is much more durable than previous silicone substances used for this purpose.
  • It is important to routinely examine the breasts and to obtain medical exams and diagnostic imaging to observe any changes in breast tissue or implants.

Learn facts about breast implants from your board-certified, NYC plastic surgeon. Call (212) 472-2900.

Brazilian Butt Lift New York, NY

Brazilian Butt Lift Recovery: About that Sitting Thing

Brazilian Butt Lift New York, NY | Dr. Z. Paul LorencWe are moving away from the widespread desire among women to substantially increase the projection and roundness of the buttocks. This waning trend, however, has not diminished interest in the Brazilian Butt Lift procedure. The meticulous insertion of autologous fat into the buttocks remains beneficial for women who want to restore or obtain proportionate curvature to the backside of the body.

Proportions and curves are what BBL is all about. While patients can look forward to the final results from their procedure, the tiny detail that may stick them (and stand in the way of their surgery) is the sitting thing. It is common knowledge that patients are “not allowed” to sit for two weeks after Brazilian Butt Lift surgery. When you consider how often you may sit at this time in your life, the idea of not sitting for two whole weeks, and also not lying on your back, can be more than a little daunting.

Why so Strict?

In the first few weeks after Brazilian Butt Lift surgery, the primary objective is to let newly introduced fat cells make themselves at home in their new body part. There is significant value in the fat transfer technique, including lasting results. But to achieve those results, we’ve got to support the integration of harvested fat cells with those that have always lived across the backside. The direct pressure that occurs while sitting minimizes blood flow to the area, which can decrease the viability of those newly implanted cells. This is why the “no sitting rule.”

Patients can sit to use the bathroom without concern that they will damage their delicate new derriere padding. However, all another sitting should be avoided as much as possible. If necessary, one may sit for a short period using a proper cushion that takes pressure off of the buttocks and places it on the thighs.

Patients may walk as they feel comfortable after BBL surgery. Walking is good for the circulation that is needed for healing, and it inhibits the formation of blood clots in the legs due to inactivity. As the weeks pass after Brazilian Butt Lift, physical activity may be gradually increased in duration and intensity.

It takes between 3 and 6 months for harvested fat to fully stabilize in the buttocks after BBL surgery. Until that time, patients are encouraged to be gentle with their return to exercise and long periods of sitting.

We’re happy to answer your questions about Brazilian Butt Lift surgery. Contact our NYC office for a consultation.

Brazilian Butt Lift NYC

Brazilian Butt Lift: Let’s Talk about Healing

Brazilian Butt Lift NYC | Dr. Z. Paul LorencThe popularity of buttock augmentation is no secret. In the past few years, we have witnessed an increase in Brazilian Butt Lift procedures that has reached upwards of 30% just between 2014 and 2015. The American Society of Plastic Surgeons has estimated that buttocks procedures were performed every 30 minutes of each day throughout that time frame. Here’s why . . .

The Brazilian Butt Lift is a procedure that had been dreamed about, and joked about, for years. How many times have you had the thought “if only my doctor could take fat from here and put it there”? This is the essence of the BBL procedure and the beauty of it. By slimming and refining an area adjacent to the buttocks, the volumizing that takes place further enhanced.

So you want Brazilian Butt Lift

If you are interested in adding to your backside, a Brazilian Butt Lift could be an excellent idea. Moving forward doesn’t mean jumping right into pre-op counseling; it means contacting our Park City cosmetic surgery office for detailed information. This initial step allows us to understand your goals, and allows you to get to know our high standard of care in reinstating perkiness and sensuousness to your body profile. Finally, learning about BBL also means gaining pertinent information regarding recovery. Here is a brief outline.

Initial Post-Surgical Healing

There are two areas of interest after buttock augmentation using fat grafting. Initially, the harvest site from which fat cells have been extracted will appear bruised and swollen. Tenderness or soreness may also occur but are manageable with prescription medication. Usually, patients can switch to over-the-counter pain medication such as Tylenol after a day or two. This enables them to mitigate unpleasant side effects such as constipation.

Movement is encouraged as soon as it is comfortable. Walking may be resumed a day or two following BBL surgery. This also helps to reduce constipation caused by prescription medication. Additionally, walking increases circulation and the movement of fluid. The drainage of excess tumescent fluid may occur through incision points and does not indicate post-op complications.

Can you Stand it?

One of the seemingly peculiar post-surgical instructions for BBL patients is to avoid sitting. When you consider that sitting places hundreds of pounds of direct pressure on certain points of the buttocks, though, you can see how damaging sitting can be. Cells need several weeks to fully integrate with existing tissue. During this time, patients will need to place a pillow behind the knees to reduce direct pressure. Using a circular cushion may be the easiest way to adhere to this post-op directive.

There are numerous tiny details that need to be known before BBL treatment. Learn them all during your consultation with us. Call (212) 472-2900.

face procedures NYC

Is your Age Really Under Wraps?

face procedures NYC | Dr. Z. Paul LorencMost people know not to ask a woman her age. For ages, this has been an unwelcome intrusion on privacy. Today, men and women alike prefer to keep their age under wraps. That is unless it is common for people to guess they are much younger than they are. Are you protective of your age, and interesting in making sure that certain indicators are not giving you away? We can help.

To maintain a youthful appearance need not involve cosmetic surgery. Not always. During a consultation in our Park Avenue cosmetic surgery office, you can discuss your ideal outcome with an experienced plastic surgeon with years of practice not only performing but also developing surgical procedures. Based on your preferences and the extent of improvement needed, a personal treatment plan can be developed. For optimal results, we look beyond the face to address other areas that may be inadvertently showing age.

The Neck

There is a lot of focus placed on facial rejuvenation. This makes sense because the face is the first feature that is observed as a representation of who you are. The neck is in such proximity, though, that smooth skin on the face may be quickly overridden by wrinkles and sagging on the neck. Horizontal lines may be diminished with Botox or other neuromodulator treatment. For an all-over improvement in tone, texture, and elasticity, patients may consider laser skin resurfacing or other sophisticated skin tightening technology.

The Hands

There comes the point where it is difficult to ignore the fact that aging has had an effect on our hands. The backs of the hands are similar to the cheeks; they are covered with fat pads that lie between the skin and underlying tendons and veins. With age, these fat pads thin out and disappear, making tendons and veins appear prominent. Hand rejuvenation is possible with dermal fillers or with fat injections. A short visit for hand rejuvenation can make a world of difference in decreasing the appearance of age.

The Brows

The brows are an important indicator of age that could be overlooked for a time. With age, the line of the brow often starts to droop on one side or the other. Symmetrical sagging makes the eyes appear heavy, tired, or angry. To resolve this issue, we may turn to Botox. This muscle-relaxing injectable, when strategically introduced to the area of the brow, can create a mild lift that opens the eyes for a refreshed, beautiful appearance.

For more information on anti-aging treatments, call (212) 472-2900.

facial rejuvenating Park Avenue, NYC

Is your Face Longing for some Attention?

facial rejuvenating Park Avenue, NYCIf you have ever sat down to hear Grandma or Grandpa tell stories, you may have heard the term “long in the tooth.” This phrase was an adage that was commonly stated when referring to an older individual. A person could be long in the tooth, exhibiting longer teeth as a result of gum recession. We don’t speak of such things today. Fortunately, modern dentistry has solutions that help people keep their teeth, and their gums, longer. As age affects the face, though, elongation is a prominent concern that arises.

Could you imagine if we began to refer to an older person as “long in the face?” Let’s just not. Instead, let’s look at what happens when we age, and what we can do about no matter how severe this drooping has become.

We’re talking about jowls, those pockets of skin and fatty tissue that seem to develop with extraordinary speed once we notice them. Jowls form along the jawline not because we have miraculously gained with in this area. The additional tissue that falls here had to come from somewhere; it came from the cheeks.

When collagen depletion progresses, the fat pads that round out the cheekbones slip and flatten. This volume loss degrades the foundation for the skin and superficial tissues. As this worsens, tissue from the cheeks down drops, landing squarely along the jaw.

Looking for Solutions

Jowls are a common concern. We cannot get around that completely, other than to learn how to promote healthy collagen as we age. In our Park Avenue office, several solutions can be found. These include:

  • Radiofrequency skin tightening treatments. We use ThermiSmooth and Pelleve.
  • BBL light treatments (said to help you age in reverse).
  • Laser skin resurfacing.
  • Dermal fillers to add volume to the cheeks, thus lifting the jawline.
  • Minimally-invasive techniques such as the Silhouette Instalift.
  • The surgical facelift was focusing on the mid-face.

Dr. Paul Lorenc is extensively trained and has refined his personal surgical techniques to give each patient the authentic beauty that naturally lives within. Learn more about facial rejuvenating procedures at (212) 472-2900.


facelift Park Avenue, NYC

Not Sure What to do After a Facelift? We’ve got some Tips!

facelift Park Avenue, NYCFacelifts are nothing new. Men and women have been restoring a more youthful aesthetic at the hands of their trusted cosmetic surgeon for years. Even with the advent of innovative therapies, there is immense value to be found in the surgical facelift. No other procedure or treatment can achieve the same results, nor secure the longevity of them, quite like a facelift. The fact remains, though, that we continue to age after our initial step to reinstate youthfulness. But there’s hope.

What you do after a facelift, or even beforehand in the preparation for your procedure, will make a difference in how your skin ages after your procedure. The tips are simple.

Get Protective

Protective measures don’t have to mean proactive measures. You can start protecting your skin from future damage no matter where you are at the moment. The first way to do this is by purchasing some broad-spectrum sunscreen with SPF 30. Then apply it every day. A pea-sized dollop is all you need to start your day. That is unless you will be in the sun. Then, that pea-sized dollop will need to be reapplied every couple of hours. Because UV light breaks down collagen, it is something you want to block at every turn.

Get some Zen

Zen is a buzzword. But there is value in it if you look closely. To be Zen means that you have developed ways to manage stress. This could be going for a walk or listening to music as much as it could be hitting that hot yoga class or meditating. Stress management is good for health because it can prevent the shortening of telomeres in the DNA which leads to premature cell damage and death and, thus, premature aging.

Get some Help

You’re not on your own in this journey of aging gracefully. The stars don’t do it without help, and neither should you. Facelift surgery is only one way to maintain a youthful appearance. In our aesthetic practice on Park Avenue in NYC, we perform everything from BBL treatments to laser skin resurfacing to injectables and much more to support healthy collagen production and supple skin.

Learn more about your options for facial rejuvenation. Call (212) 472-2900.

Laser Liposuction NYC | Dr. Z Paul Lorenc

Benefits of Laser Liposuction

Laser Liposuction NYC | Dr. Z Paul LorencLiposuction is a popular cosmetic surgery procedure that has been around for quite some time. Even before the process of fat removal had been refined, men and women continually expressed immense interest in this method of body sculpting. Today, there are a few different technologies that have become integral to the outcome of liposuction. Some surgeons use ultrasound or a mildly vibrating cannula. We use laser energy.

Laser liposuction is advantageous in 3 distinct ways. These include:

Minimal Invasiveness

To conduct the traditional liposuction procedure, it is necessary to use larger tubes to extract fat. More extensive movement is also required to reach the entire target area. This means a wider area of tissue disruption, which equates to more significant bruising and post-operative discomfort. Laser liposuction begins with targeted energy emissions. Laser energy is focused on fat cells in the surgical area, liquefying them very quickly. When fat cells are liquefied, they can be extracted through smaller tubes and with minimal tissue disruption.

Post-operative Recovery

Heat does more than liquefying fat cells before liposuction; it also has a positive effect on blood vessels across the surgical site. As the cannula moves through tissue, vessels are heated, which minimizes bleeding during the liposuction procedure. Instead of needing weeks to recover from surgery, patients who choose laser liposuction can often return to their normal routine (minus strenuous exercise) within a few days.

Better Body Contours

One of the unpleasant side effects that may occur after traditional liposuction is loose skin. The basic extraction of fat cells does nothing to remove or tighten what lies of subcutaneous tissue. That is unless the laser is involved. Just as laser energy heats the fat cells, and heats blood vessels, it also heats the collagen strands that run through the connective tissue beneath the skin. As these strands of protein contract, the surgical site becomes smoother, including overlying skin. This means a more sculpted appearance.

Our NYC cosmetic surgery office is located on Park Avenue. We would love to consult with you about liposuction or any other procedure that will allow you to experience ultimate confidence. Call (212) 472-2900.