Positively Skin Newsletter

Happy New Year, and so long 2020!  The start of the new year is often an exciting time for reflection and change. Have you ever looked in the mirror and thought this is the year? Maybe it is losing weight, or you have had ongoing issues with your skin you would like to improve. In fact, if you take a quick google search of the emotional impact of skin problems, you will find plenty of information from credible sources on how skin issues like acne, scars, even wrinkles can affect your confidence and self-esteem. Many of these self-esteem busters are conditions we can help with dermatology or cosmetic procedures offered in the office.

This month we are focusing on treatments that are popular in the winter months and why.

Body Contouring and Liposuction

Losing weight could be the most popular resolution of all. With a fresh year in front of us and 6 months until summer starts, time is on our side for the moment. Time is also necessary for weight loss to occur and body contouring results to be completed.

When to Consider a Procedure

Genetics and middle age are responsible for common areas that accumulate fatty deposits that can be unresponsive to diet and exercise. This can be incredibly frustrating and demotivating for some after putting in the effort only to still have problem areas. “Love handles” are a common area that both men and women experience. Other popular areas are the abdomen, chin, upper arms, and bra area, outer or inner thighs. Although it is up to you when the time is right, if you’ve tried everything and want to improve upon problem areas, it might be time to explore help.

Liposuction vs. UltraShape

Liposuction is still the 2nd most popular (invasive) cosmetic procedure and for good reason, it works. If you are unfamiliar, liposuction works by inserting a small tube (cannula) through one or more small incisions that suctions out the fat. It is a highly effective technique (hence its popularity) that also contours the area, so it looks natural. Results are immediate with minimal downtime. Downtime includes soreness, bruising and swelling. This can last a couple weeks and temporarily suspend activities like workouts. Most people are candidates and if you want an effective way to remove fat once and for all this is the procedure for you.


Non-invasive body treatments have gained popularity over the years because of the ease of treatment without downtime. They can also be more cost effective depending on how many areas are treated making this an attractive option. The device we prefer is UltraShape. UltraShape uses ultrasound waves (ultrasonic cavitation) to destroy fat cells that are eliminated naturally from the body. The percentage of reduction varies but in clinical studies a 30% reduction in the abdominal area has been shown. Patients often comment on a loss of anywhere from 2 to 5 inches once the treatment is completed. This is not a weight loss treatment. There are other treatments available like cryolipolysis (freezing the fat) but it is important to note this technique can have more painful side effects vs. UltraShape. UltraShape requires 3 treatments spaced 2 weeks apart for best outcomes. It can also take up to 3 months to see the final result so plan ahead for this one.

Change Your Skin with Laser Resurfacing

If you have deeper wrinkles, pigmentation, or acne scars laser resurfacing can help. There are other benefits too, like skin tightening which is attractive to patients looking to accomplish a lot in one procedure. This procedure is not just for cosmetic reasons, therapeutic treatments to reduce pre-cancerous actinic keratosis are efficient and effective. Patients that are high risk for skin cancer may show a prophylactic benefit for preventing non-melanoma skin cancers.  We have both men and women patients who have struggled with ongoing skin cancers and get to the point where they want to do something to improve the overall health of their skin not just look.

About the Procedure

Dr. Michalak uses the laser device called Total FX, the “FX” meaning fractional or breaking the laser energy up into thousands of tiny beams that treat a fraction of the skin. Some skin is left intact helping to heal the skin faster, so less downtime. This laser can also treat other areas including the neck and around the eyes. It has features called Active FX and Deep FX, meaning the depth and energy level can be adjusted to be safe on areas where the skin is thinner. There is downtime with this procedure, anywhere from a week to 10 days.

Why do This in the Winter Months?

Simply, laser treated skin is hypersensitive to the sun for a period of time and it is easier to manage in the fall and winter months. Newly lasered skin is also at risk for developing something called post inflammatory hyperpigmentation. Sun exposure brings this on and although it can be treated, it is best to not risk developing it in the first place. Sunscreen with SPF of 30 or higher is a must following your procedure and ongoing. Daily use protects your investment, and further development of sun damage leading to pigmentation, wrinkles, and skin cancer.


January specials can be found on our specials page and include chin liposuction, UltraShape, Ultherapy and skincare.

Botox Week in February

Interesting in learning more? Consultations are the best way to learn more and determine if you are a candidate. Dr. Michalak offers cosmetic consults for these and other procedures for a fee. UltraShape consultations are complimentary. Questions can be submitted via the contact form or give us a call.


Wishing You All the Best in 2021