The Cosmetic Healthcare Group

Cosmetic Healthcare Group Logo
The Cosmetic Healthcare Group was born out of a need and desire to provide patients with maintenance options for face and body rejuvenation. Treatments are based on tried and true technology to tone and tighten aging skin and delay the ageing process. Like going to the gym or following a regular healthy lifestyle, these treatments produce wonderfully natural results in delaying the signs of aging.

The previous approach to cosmetic rejuvenation was to make big changes at one time. The recommended procedures were performed in a cookie cutter fashion which produced many of the tell tale signs of having had work done whether it’s the “Long Island Nose’, the ‘LA look’ or the Upper East Side ‘Facelift’. Our clients frequently reference current celebrities like Jennifer Lopez or Jennifer Anniston- who are aging fantastically and appropriately without appearing ‘done’. When compared to old Hollywood stars, the current celebrities appear youthful and natural by following a total body approach to rejuvenation: good diet, regular exercise and facial/body maintenance therapies.

Dr. Madnani believes that the same options available to celebrities should be available to all of us. The key is in knowing what therapeutic options are available and understanding who is a candidate for which procedure. Patients come to us with a series of cosmetic concerns with early or late stage signs of aging. After a decade of experience and having performed thousands of facial rejuvenation surgeries, Dr. Madnani has developed a sharp eye for detail and a natural aesthetic. He believes that there is no one size fits all approach when it comes to aesthetic rejuvenation and after having researched and tried these minimally or non invasive cosmetic technologies, he has come up with a series of custom treatments to enhance the overall appearance of your skin—face, neck, hands, décolletage —These ‘Aesthetic Care Plans’ combine cutting edge technology to give the best therapeutic results, no matter at which stage of the aging process you are at.

These are exciting times we are living in as current technologies and treatments are more efficacious, safer, with minimal downtimes if any. These treatments have been around for many years and the technology behind them has been honed and improved with fascinating and wonderful results for us all to benefit from.

Located at 30 Central Park S #11B, New York, NY 10019 & 199 Froehlich Farm Blvd Woodbury, NY 11797 contact us today at 516.582.8976 for more information.

What happens to the body when aging begins?

The tissues in our bodies cannot last forever; they begin to break down over time, especially as we move past our twenties and beyond. Our cells are all set on ‘molecular timers’ that cause us to age. We produce less collagen and lose innate hydration and elasticity. Our faces hollow, skin stretches, metabolism slows down and we have to work harder at maintaining our current youthful selves. Your genetics, lifestyle (diet and exercise) and your medical health—all affects on how this aging occurs.

 

Volume Loss
In our faces, the first noticeable change that occurs is the loss of volume in the cheeks. Volume loss also occurs in the lips, temples and around the mouth and hands. The majority of this occurs due to losses in the layers of fat we store under the skin. This causes our faces to appear tired, our cheeks begin to appear hollow and causes sagging skin around our jowls. The great news is that replacing the volume restores your youthful look and when placed expertly, make it all appear natural.

 

Lines and Wrinkles
As we age, we continue to earn lines and wrinkles on our faces and other sun expose areas such as the neck, décolleté and hands. We tend to pay little attention to protecting these areas in our youth and we frequently hear from our clients that they wish they had taken better care of them as they tend to our age away. The lines and wrinkles on our face form after repeated use of muscles in the area through regular facial expressions; we develop horizontal forehead lines, ‘11’ lines between our eyes, ‘crows feet’ or ‘smile lines’ around our eyes and even vertical lip lines and cheek and neck lines. One way to delay these aging signs is decreased sun exposure and the the regular use of sunscreen on sun exposed areas, the early use of neuromodulator agents like Xeomin or Botox on our faces and neck can prevent make us appear rested and prevent deepening lines as we age.

 

Loss of Skin Texture, Tone, Hydration and Elasticity
Over time with repeated facial expressions, the lines become etched into our skin so even at rest, we appear to have deep lines over our face. Our skin also appears dull, loses its firmness and hydration. Once this occurs, the neuromodulators still play a role in softening the lines, however, skin resurfacing procedures become an important addition to the maintenance of the skin tone and texture. Resurfacing works my causing controlled microinjuries to the skin surface. The body produces a healing response to these controlled injuries and increases blood flow and to the areas treated. The stimulated healing response and increase in blood flow rejuvenates the skin by increasing collagen and elastin production along with improved blood flow bringing vital nutrients to the skin. The resulting improvement in appearance of skin tone, texture and hydration results in a rejuvenated appearance with glowing skin. Different treatment options can produce different depths of controlled injury to the skin; so the deeper the treatment, the longer the recovery. Options for skin resurfacing vary from facials and microdermabrasion to microneedling and laser skin resurfacing.

Treatment options

SculpSure
At CHG we can help reduce stubborn body fat without surgery, through SculpSure™ treatments. This innovative technology is perfect for targeting problem areas such as the abdomen and love handles.

Many people have pockets of fat that seem impossible to remove even with strict diet and exercise. With SculpSure™ body contouring, we can target those areas, allowing you to achieve your desired shape in only 25 minutes per treatment.

SculpSure™ is able to target and destroy fat cells that will be naturally absorbed and removed from the body. Results are seen in as quickly as 6 weeks with full results shown at 12 weeks. This treatment is an effective way to remove problem areas without any downtime or surgery.

sculpsure

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Dermal Fillers
The most commonly used treatments for volume enhancement include dermal fillers. The products are made from materials, such as Hyaluronic acid- which is a sugar, naturally present in our cells that can hold water; and Hydroxyapatite- which is a calcium based product placed deep in the soft tissues to restore volume.

The different products are made with different viscosities, so some are like honey, and some more watery. These are placed in different parts of the face depending on what the problem is. So hollow cheeks require a thicker product to fill and lift. Hollows under the eyes or superficial lip lines require a thinner product to delicately fill and a medium thickness filler works wonderfully in the marionette and nasolabial lines as well as for fuller lips. Most patients require at least two syringes of product to adequately achieve the results they are looking for and different products can be combined for optimal results. A profound understanding of dermal fillers placement techniques and ideal combinations of products will ensure safety and natural results. The regular use of dermal or facial fillers over time has been shown to maintain volume and delay inevitable aging. When regularly performed, the fillers can be spaced out further apart as the act of injection can also stimulate collagen production. Depending on the number of syringes and types of filler used, these results can be maintained for 6 months to 2 years before a touch up is required.

Another more natural option for replacing lost volume is Facial fat transfer. This has the benefit of producing longer lasting volumization and has the added benefit of adding stem cells to the face. These stem cells are responsible for long term rejuvenation and their effects extend further than just adding volume. They also awaken ‘sleeping cells’ and stimulate them to produce new collagen with further rejuvenates and delays the aging process. The back of hands is another part of the body that benefits tremendously from volume replacement. Radiesse is a hydroxyapatite based dermal filler that is approved for hand rejuvenation and fat transfer is also an option for both adding volume and stem cells.

 

Neuromodulator Agents
Neuromodulator agents are developed around the botulinum toxin molecule. They work by stopping muscles from moving, so when we make facial expressions, we appear more rested, less angry and younger. These wrinkle reducers are placed into the specific muscles of interest and begin to work after a few days. The full results are usually seen after 2 weeks. We are still able to make facial expressions, however, they appear less forceful. These ‘restful’ results last anywhere from 4-6 months depending on the amount of product used, the strength of the individual patients muscles and the metabolism of the patient.

Neuromodulators are also used to shape the face. Some patients complain of having a wide face. This is usually from an enlarged masseter muscle, the muscle that sits ontop of our jawbone in front of the ear. Artful placement of the neuromodulator into the masseter muscle will decrease its size and cause the face to appear more angled and heart shaped. Another use for neuromodulator agents is in the case of hyperhidrosis (excessive sweating). Patients that work out a lot or sweat a lot and are bothered by the odor or staining of clothes can benefit tremendously from this. The injections are place into the axilla (armpit) and the results last anywhere from 3-6 months. The neuromodulator agents decrease the amount of sweat produced by the sweat glands in the area. Less sweat means less odor and fewer uncomfortable situations from staining of clothes.

 

Laser Skin Rejuvenation
Laser skin resurfacing works by applying light energy to the surface and deeper skin layers to create micro-wounds. This in turn stimulates the body’s natural healing processes to increase blood flow and inflammation. This leads to the creation of new tissue and collagen for younger looking skin. Different lasers work on different skin layers and can even address color problems like sun spots. Laser resurfacing can be done for the full face, neck, chest and hands. Laser resurfacing can also be performed to improve acne scarring or surgical scars on the face.

 

Micro-needling
Micro-needling is a minimally invasive procedure used for skin rejuvenation. Similar to laser skin rejuvenation, it creates micro-wounds in the skin surface. This stimulates a healing response and the body produces new collagen and elastin and increases blood flow to the skin. Tiny needles are rolled into the skin or by use of needling pen for precise application. Micro-needling is one of the safest skin treatment procedures and can be used on every skin type. It is commonly used to improve facial scars, acne scars, fine lines and wrinkles and stretch marks.

 

Micro-Channeling
Micro-channeling is similar to micro needling however it takes it a step further by actually injecting medications or treatments into the skin. It uses multiple tiny needles that are attached to a chamber in which treatment medications are placed. Micro-channeling is used to place combination of neuromodulator agents and hyaluronic acid fillers to refresh and rejuvenate the skin. Medications such as topical minoxidil can be placed and the areas of hairloss can be treated using this method to place the minoxidil directly into the skin, closer to the hair follicles than topical application can achieve.

 

PRP
Platelet-rich plasma is blood plasma that has been enriched with platelets. Our blood is composed primarily of plasma, blood, platelets and white blood cells. The plasma and platelets contain several growth factors and cellular signaling factors that play a significant role in the biology of healing. PRP has been used as an adjunct in hair restoration and skin rejuvenation by stimulating stem cells and other cells in the microenvironment of the hair follicle and cells in the skin dermis. Individual results vary with each patient and no guarantees of success can be made. Clinical trials and research studies show promising results in the use or PRP in hair restoration however data is incomplete and not all studies show a positive response.

Candidates for PRP are those with thinning hair who have tried other therapies like propecia or minoxidil and have still not seen a positive response. Consider it a bridge therapy for those patients who are not candidates or not interested in undergoing a hair transplant, a nonsurgical therapeutic option for stimulating hair growth.

 

Ultherapy
CHG is proud to provide ultherapy as an option for face tightening. Ultherapy is the only FDA cleared device on the market for noninvasive face and neck lifting. It uses microfocused ultrasound energy to heat soft tissues and muscles deep under the skin which stimulates collagen production and tightens connective tissue deeper than other noninvasive devices.

The procedure is performed using an ultrasound to first determine the patients anatomy. Once visualized on the screen, the energy is precisely delivered to the deeper then more superficial layers. Ultherapy is used for lifting and tightening skin in the brow, around the eyes, jawline, neck, chest and around the mouth. Comfort and results are directly related to the providers performing the procedure. The ideal candidate are those with mild to moderate skin laxity or for those candidates who do not want a surgical procedure. Maximal results are seen over 3-6 months and results are permanent. What that means is that even a few years after the procedure is performed, your skin will be tighter than it would have been if you had not had the procedure done. Some patients opt for extra treatments a year or two after the initial tightening The benefit of having Ultherapy at CHG is that all treatments are performed or supervised by Dr Madnani, a Facial Plastic Surgeon, who is an expert in the surgical anatomy of the face and neck. Treatments are expertly administered and patients are very comfortable as they are premedicated using relaxing medications such as Valium and pain medications.

 

SculpSure
At CHG we can help reduce stubborn body fat without surgery, through SculpSure™ treatments. This innovative technology is perfect for targeting problem areas such as the abdomen and love handles.

Many people have pockets of fat that seem impossible to remove even with strict diet and exercise. With SculpSure™ body contouring, we can target those areas, allowing you to achieve your desired shape in only 25 minutes per treatment.

SculpSure™ is able to target and destroy fat cells that will be naturally absorbed and removed from the body. Results are seen in as quickly as 6 weeks with full results shown at 12 weeks. This treatment is an effective way to remove problem areas without any downtime or surgery.

Customized Aesthetic Services

Wrinkle Reducers
Botox or Xeomin: Address ‘11’ lines between the eyes, forehead lines, crows feet lines, vertical lip lines. Full results seen in 2 weeks, lasts 4-6 months. No downtime.

 

Dermal Fillers
At CHG, a combination of different fillers may be recommended depending on your specific areas of concern.

  • Juvederm- plump lips, soften nasolabial lines and marionette lines.
  • Voluma- plump and lift cheeks which enhances the midface area and the cheek lift results in a sharper jawline.
  • Radiesse- plump cheeks, soften nasolabial lines and marionette lines. Also used in hand
    rejuvenation to make it the veins and tendon less conspicuous.
  • Belotero- used to soften under eye hollows and to fill in superficial lines on the face, around the
    lips and cheeks.

These fillers last anywhere from 6months to 2 years depending on the type of filler used and the
amount of filler used. There is usually no downtime associated with these treatments.

 

Smoother skin

  • CO2 Laser Micropeel- superficial laser skin treatment. 2 days downtime. Suggested frequency 1-2 times a year.
  • CO2 Laser Resurfacing- deep laser skin resurfacing. 5-7 days downtime. Suggested frequency once every 2 years.

 

Wrinkle Reducers with hydration
Microchanneling using a mixture of xeomin and dilute belotero- a hyaluronic acid to immediately refresh, plump and rejuvenate dull skin. Effects seen immediately. No down time.

 

Facial Fat Transfer
A more permanent solution to facial volumization using your body’s own natural filler. Fat is obtained from one part of the body (usually the abdomen or thighs), then transferred to the face. Not only does fat provide volume to the deep soft tissues of the face but, it also adds stem cells that stimulate the overlying skin on the face. This further enhances the rejuvenation effects by brightening and hydrating dull skin. Procedure takes about 2 hours, performed under local anesthesia. There is about 5-7 days of downtime.
Ultherapy

  • Upper face – to lift the brow and eyelid
  • Lower face- to lift the jowls and tighten the jawline
  • Neck – to lift and tighten skin on the neck
  • Decollete- to tighen skin in the lower neck/chest area
  • Combinations – Lower face and Neck
  • Full Face – upper face, lower face

Ultherapy takes about 1-2 hours to perform. There is no downtime associated with this procedure however patients are medicated with pain medication and relaxing medications for the procedure. Maximal results are seen at 3-6 months.

 

Hair Loss
PRP is injected into areas of hair loss to attempt to thicken existing hair and to prevent further hairloss. For new clients it is suggested to undergo 4 sessions of PRP, one month apart with a booster session once every 6 months or 12 months after. For patients who have already had the initial 4 sessions, only the follow up booster treatments are recommended once every 6 months to 12 months.
Hyperhidrosis
Xeomin or botox is injected into the axilla (armpits). There is no downtime associated with this procedure. Results last 4-6 months.

 

Combination Care Plans

Face

  • Dermal Fillers + Wrinkle Reducers
  • Micro-needling + Dermal Fillers
  • Micro-needling + PRP
  • Laser micropeel + PRP
  • Laser Resurfacing + PRP
  • Ultherapy + CO2 Laser – combines a noninvasive face lift with skin rejuvenation
  • Ultherapy + CO2 Laser + PRP – adding the beneficial effects of the PRP to these treatments
  • Fat transfer + CO2 Laser – combines long term volumization with skin rejuvenation
  • Fat transfer + CO2 Laser + PRP – adding the beneficial effects of the PRP to these treatments

 

 

Hand

  • Radiesse – filler to volumize the hand and minimize appearance of tendons and veins
  • CO2 Laser Micropeel – to rejuvenate the skin on the hands, improve sun spots
  • Radiesse + CO2 laser micropeel- volumize and rejuvenate skin

Our aesthetic custom plans will help you control these signs of aging over the course of a year. Having an understanding of all your options in facial rejuvenation is key to what Dr. Madnani and his team take pride in!

What happens to the body when aging begins?

The tissues in our bodies cannot last forever; they begin to break down over time, especially as we move past our twenties and beyond. Our cells are all set on ‘molecular timers’ that cause us to age. We produce less collagen and lose innate hydration and elasticity. Our faces hollow, skin stretches, metabolism slows down and we have to work harder at maintaining our current youthful selves. Your genetics, lifestyle (diet and exercise) and your medical health—all affects on how this aging occurs.

 

Volume Loss
In our faces, the first noticeable change that occurs is the loss of volume in the cheeks. Volume loss also occurs in the lips, temples and around the mouth and hands. The majority of this occurs due to losses in the layers of fat we store under the skin. This causes our faces to appear tired, our cheeks begin to appear hollow and causes sagging skin around our jowls. The great news is that replacing the volume restores your youthful look and when placed expertly, make it all appear natural.

 

Lines and Wrinkles
As we age, we continue to earn lines and wrinkles on our faces and other sun expose areas such as the neck, décolleté and hands. We tend to pay little attention to protecting these areas in our youth and we frequently hear from our clients that they wish they had taken better care of them as they tend to our age away. The lines and wrinkles on our face form after repeated use of muscles in the area through regular facial expressions; we develop horizontal forehead lines, ‘11’ lines between our eyes, ‘crows feet’ or ‘smile lines’ around our eyes and even vertical lip lines and cheek and neck lines. One way to delay these aging signs is decreased sun exposure and the the regular use of sunscreen on sun exposed areas, the early use of neuromodulator agents like Xeomin or Botox on our faces and neck can prevent make us appear rested and prevent deepening lines as we age.

 

Loss of Skin Texture, Tone, Hydration and Elasticity
Over time with repeated facial expressions, the lines become etched into our skin so even at rest, we appear to have deep lines over our face. Our skin also appears dull, loses its firmness and hydration. Once this occurs, the neuromodulators still play a role in softening the lines, however, skin resurfacing procedures become an important addition to the maintenance of the skin tone and texture. Resurfacing works my causing controlled microinjuries to the skin surface. The body produces a healing response to these controlled injuries and increases blood flow and to the areas treated. The stimulated healing response and increase in blood flow rejuvenates the skin by increasing collagen and elastin production along with improved blood flow bringing vital nutrients to the skin. The resulting improvement in appearance of skin tone, texture and hydration results in a rejuvenated appearance with glowing skin. Different treatment options can produce different depths of controlled injury to the skin; so the deeper the treatment, the longer the recovery. Options for skin resurfacing vary from facials and microdermabrasion to microneedling and laser skin resurfacing.