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Having Dr. Forley as a surgeon has changed my life…through his talent, understanding, honest guidance, and expert skill.
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Having Dr. Forley as a surgeon has changed my life…through his talent, understanding, honest guidance, and expert skill.”
Judith L.
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He is by far the best of the best and I would never go anywhere else.
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He is by far the best of the best and I would never go anywhere else.”
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There is no doctor as honest and caring and knowledgeable as Dr. Forley
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There is no doctor as honest and caring and knowledgeable as Dr. Forley!”
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I completely trust his vision, skill and his ability to intuitively know what's best for me.
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I completely trust his vision, skill and his ability to intuitively know what's best for me.”
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Non-Surgical Skin Tightening

Text, photos, and videos by Dr. Forley

Surgery is not for everyone and in some cases a non-surgical skin tightening approach is preferable. New technology has made this possible with the use of heat energy below the skin to stimulate contraction and new collagen deposition. FaceTite and AccuTite utilize radiofrequency (RF) energy to lift sagging tissues and enhance skin quality. BodyTite combines fat contouring with non-excisional RF skin tightening. Morpheus8 and Morpheus8 Body use microneedles to deliver radiofrequency energy at different depths below the skin to improve contours and tighten skin without surgery. Evoke delivers precisely controlled RF energy below the skin to remodel the jowls and neck in a series of painless, non-invasive, no downtime treatments. Ultherapy lifts and tones the skin with focused ultrasound energy. Silhouette InstaLift uses absorbable suspension sutures containing small, smooth cones to improve facial folds and jawline definition.

FACETITE / BODYTITE / ACCUTITE / MORPHEUS8

Skin tightening without surgery is possible with the new InMode RF system that utilizes bipolar radiofrequency (RF) energy to achieve a lifting of sagging tissues. The FaceTite/BodyTite/AccuTite applicators require only a needle entry point to be positioned immediately below the skin. A painless gliding movement of the applicator, under local anesthesia, delivers controlled heating of the fibrous bands attached to the undersurface of the skin as well as the external skin surface. MORPHEUS8 is a microneedling RF device that can be used to remodel fat contours and enhance the overall tightening and qualitative improvement of the skin in a series of 3-6 monthly treatments. It has a synergistic effect when combined with FaceTite/BodyTite/Accutite. Most patients experience minimal post-procedure discomfort with minor bruising and swelling that usually resolves over 4-5 days. The scarless tightening and lifting process that the treatment initiates evolves over a span of 6-12 months and can last for several years.

Radiofrequency Assisted Liposuction (RFAL) is a technique that combines liposuction of unwanted deposits of fat from specific areas of the body including the face and neck, upper arms, trunk, abdomen, buttocks, hips, thighs, and knees with the InMode RF system. RFAL enables the treatment of localized fat deposits that do not respond to diet or exercise and simultaneous RF non-excisional skin tightening using the thermal field that flows directly from the tip of the cannula to the external surface electrode. This process enables the treatment of sagging tissues of the body without the more extensive visible scars that result from excisional surgical procedures.

EVOKE

Evoke delivers precisely controlled radiofrequency (RF) energy below the skin to remodel the jowls and neck in a series of painless, non-invasive, no downtime treatments. Specially designed masks to position the surface electrodes for the lower face and jowls as well as the neck are connected to the base energy unit and applied securely to the treatment sites. The RF energy that is delivered through the electrodes is constantly calibrated to maintain a consistent therapeutic level of bulk heating for each 45 minute session. The feeling is one of a gentle warmth that is well tolerated. You will be able to sit up and read, use your phone, or work on your laptop while the hands-free treatment is being delivered. Following an initial clinical evaluation by Dr. Forley, a series of 3-6 weekly or biweekly sessions are usually advised for the best results. The gradual, natural appearing improvements that begin to appear over the first month will continue to progress for several months. Evoke can be used as an independent treatment or to enhance the results of other non-invasive procedures. It can also be used to improve the quality of the tissues of the face and neck and stimulate blood flow in preparation for surgical procedures. The interval for maintenance treatments will vary but the average is about 12-18 months.

ULTHERAPY

Ultherapy is a non-surgical treatment that uses ultrasound energy to safely lift and tone the skin without any downtime. The ultrasound image on the viewing screen allows Dr. Forley to see the precise level at which the energy is being delivered. The focused sound waves create targeted heating of the deep layers of the face, brow, and neck that have lost their elasticity and firmness over time. Because the sound waves pass directly below the surface of the skin, the deep support layer responsible for sagging is tightened without disrupting the skin. Ultherapy can also be utilized for treated wrinkling of the décolletage that frequently results from sun damage. Following an Ultherapy treatment, some early improvements may be visible with contraction and firming of the tissues but the building of new collagen occurs gradually over 3-6 months. The combination of contraction of the tissues and new collagen formation can achieve significant lifting and tightening results. Although the outcome does not duplicate that of surgery, the visible improvements of Ultherapy make it a compelling non-invasive option for those who are not ready to undergo a more extensive procedure. Dr. Forley uses selective nerve blocks with local anesthesia and the patient controlled Pro-Nox inhalational nitrous/oxygen gas system to decrease any discomfort or anxiety associated with the treatment.

SUTURE LIFT

The Silhouette InstaLift uses fully absorbable suspension sutures containing small, smooth cones that lift the tissues below the skin to improve facial folds and jawline definition. The specially designed sutures are placed under the skin using the attached needles to enable mechanical fixation of the deep layers of the cheek. Once the sutures are implanted, the lax tissues of the face are lifted by using the opposing orientation of the cones to compress and fix the loose facial layers in an elevated position. A process of biological fixation occurs over the first few months in which the cones become encapsulated by collagen thereby securing the lift in the desired position. The presence of the suture material itself gradually results in added volume and contour in the face due to its collagen stimulating properties. Results generally will last for a period of 18-24 months.

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5 MYTHS ABOUT SKIN TIGHTENING

01 NON-SURGICAL SKIN TIGHTENING PROCEDURES DON’T WORK ON THE FACE

The effectiveness of any procedure requires proper patient selection. When choosing a non-surgical skin tightening procedure to lift and tighten the face and neck, patients who are in the earlier phases of the aging process will generally see better results than someone who has more advanced skin laxity. Dr. Forley will evaluate your face and neck to determine if you are a good candidate for this approach. Minimally invasive radiofrequency procedures such as FaceTite and Accutite combined with Morpheus8 deliver meaningful improvements with little downtime and no scars. Evoke is a no downtime, non-invasive option that can improve the jawline and neck with precisely calibrated radiofrequency bulk heating. As a plastic surgeon, Dr. Forley has the ability to offer you a surgical option if he feels a non-surgical approach will not produce the outcome that you desire.

02 IF I HAVE A NON-SURGICAL SKIN TIGHTENING PROCEDURE IT WILL MAKE IT MORE DIFFICULT TO HAVE A FACELIFT IN THE FUTURE

FaceTite and Ultherapy are skin tightening procedures that also deliver qualitative improvements to the skin and deep tissues by stimulating new collagen deposition and additional vascularization or blood supply to the region that has been treated. This benefit accompanies the tightening and lifting effect that is generated by the controlled delivery of radiofrequency or focused ultrasound energy. In fact, Dr. Forley has seen some of his best surgical results in those patients who decided to proceed with surgery several years following a FaceTite or Ultherapy procedure.

03 SURGERY IS MY ONLY CHOICE IF I HATE MY NECK

Surgery remains the gold standard for improving a sagging neck. However, a very significant improvement without scars can be achieved in the neck with a minimally invasive procedure like FaceTite or AccuTite combined with Morpheus8. Radiofrequency energy and contouring of excessive fat with liposuction, when indicated, will create tightening under the chin and sharpening of the jawline. Evoke is a non-invasive radiofrequency option that delivers bulk heating to reshape the neck in a series of 3-6 weekly no downtime sessions. Dr. Forley will examine your neck during your consultation and discuss if a surgical or non-surgical approach would work best for you.

04 I AM TOO OLD TO BENEFIT FROM A NON-SURGICAL SKIN TIGHTENING PROCEDURE

Both chronological age and physical age need to be considered when deciding which procedure would best deliver the desired skin tightening outcome. Skin of the face and body naturally loses its elasticity over time but this process can be accelerated by a history of excessive sun exposure or weight loss. Sometimes premature skin aging can result in surgery being the best option for a younger patient. An older patient who has taken care of their skin over the years may opt for a non-surgical procedure as the treatment of choice.

05 A TUMMY TUCK IS MY ONLY CHOICE FOR A MOMMY MAKEOVER AFTER CHILDBIRTH

Pregnancy can have an impact on the skin, fat, and muscle of the tummy to a variable degree amongst women. In some cases, a tummy tuck is the only option to achieve an improvement in the post-partum appearance of the abdomen. However, others may find muscle integrity and tone of the “abs” are maintained after childbirth but there is excess fat and a moderate degree of skin laxity that persists. A scarless BodyTite procedure will be of great benefit to these patients with the added advantage of minimal downtime and discomfort compared to a tummy tuck.

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MORE PATIENT EXAMPLES

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the Guide to the Top 5% New York Physicians in more than 30 Specialties Castle Connoly Top Doctor Dr. Bryan G. Forley Plastic Surgery, Fifteen Years Tatler Beauty and Cosmetic Surgery Guide 2008 VogueBeauty drs.feelgood

New York Super Doctors

Annual guide to the top 5% of New York City Physicians.

Doctors are selected from ballots sent to over 18,000 New York City physicians. Identifies those doctors held in highest regard by their peers. Dr. Forley has been listed annually since 2008.

Castle Connolly Guide-Top Doctors: New York Metro Area

The authoritative guide to finding highly qualified physicians throughout the New York region. Doctors are selected based on nominations by their peers and reviewed by Castle Connolly’s physician-directed research team.

TATLER

UK-based Tatler discussed Dr. Forley in its 2008 Beauty and Cosmetic Surgery Guide as one of the "A-list of cosmetic surgeons"..."who are at the top of their game"...and whose "innovations are shaping the art of cosmetic surgery around the world." It was noted that Dr. Forley’s "discreet Upper East Side clinic is perfect for women and men in search of minimally invasive natural-looking surgery.

Vogue

Julia Reed writes that Dr. Forley, "disarms me by asking what I might like to have done. Nothing, I say, sure that I mean it. And then he shows me before and after books of tiny little neck lifts, subtle browlifts involving tiny little incisions well hidden within the hairline. In ten years, he assures me, I’ll be thinking about it. I actually like him. And I fear he may be right."

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