Oceane Medical Aesthetics and Wellness By Dr. Mark Epstein

As time passes, our skin shows the natural, inevitable signs of aging — wrinkles, sagging, and sun damage. But you can counteract those effects with several non-surgical cosmetic procedures available at our practice. From fillers to lasers to peels, cosmetic treatments can smooth lines and wrinkles, raise sunken areas, tighten sagging skin, reduce blemishes, correct uneven pigmentation, minimize the appearance of facial veins, and produce fresh, glowing, youthful skin. To learn more about our various non-surgical services or to determine whether you are a candidate for treatment, call 631-638-6800 today to schedule a consultation at our Suffolk County office! Dr. Mark D. Epstein and his expert team look forward to serving you! Click here to view our menu of aesthetician services BOTOX Cosmetic Overview of Injectable Facial Fillers Bellafill Juvederm Ultra Plus Juvederm Volbella Juvederm Vollure Juvederm Voluma Kybella RHA Fillers VISIA Complexion Analysis Joule X Laser Morpheus 8 (Microneedling With RF) BBL Broadband Light/BBL Hero HALO™ Laser Contour TRL Laser Profractional laser Non-surgical Hair Restoration Silhouette Instalift Moxi Coolsculpting® Elite (Fat reduction) CoolTone (Muscle toning) Votiva (Vaginal rejuvenation) Venus Legacy Bare it Skin Care Products Spa Services Vitamin Drip Semaglutide VI Peel Clear Silk Schedule Your Non-Surgical Procedure In Long Island! Dial 631-638-6800 today or fill out the form in our contact page for your non-surgical procedures consultation in Suffolk County! At our practice, Dr. Epstein can offer you the information and experience you need to reach your aesthetic goals!

At Epstein Plastic Surgery, we are here to help you achieve your weight loss goals. When you join our Semaglutide weight loss program, you are not only getting a Semaglutide shot but a revamp in your lifestyle. Our patients are treated by a highly qualified PA who is certified in anti-aging. Beginning with your consultation, we go through your medical history, draw blood, review nutrition, and go over expectations to ensure you are a candidate. Once approved, you will visit us weekly for your Semaglutide shot and we will monitor your progress. Once you are ready to come off Semaglutide, we hope that you have adopted healthier lifestyle habits to keep you healthy and happy. Whether you simply need to lose weight or you need to lower your BMI for surgery, we are here to support you on your weight loss journey! What does Semaglutide do? Semaglutide is a glucagon-like peptide 1 (GLP-1) receptor agonist which reduces cravings and makes you feel fuller quicker by delaying gastric emptying. Is Semaglutide the same as Ozempic? Semaglutide is the generic form of Ozempic. Ozempic is the brand name. How often do I need to get an injection? Once a week given by us in the office How do you determine if I am a candidate and if so, what does the appointment look like? Initial Consultation: a full medical history is obtained. Nutrition and weight loss goals area discussed. Blood work is drawn and sent to the lab. Can I still get Semaglutide if my BMI is considered healthy? Every patient is different and weight loss expectations are carefully reviewed and a plan is discussed. How long do I need to stay on Semaglutide? It is customized to an individual's weight loss goals and success. Are there any side effects? Most common side effects are fullness that can lead to abdominal discomfort/bloating, gas, and nausea. Is there a specific diet I should stick to? Semaglutideis part of a lifestyle change and we recommend following a healthy diet full of vegetables and lean meats. Foods to avoid are processed grains, high fat, and high sugar foods. What happens after I complete my Semaglutide treatment? Once off the medication your body just continues to works as it usually does. We hope through your semaglutide journey you have adopted a healthy nutrition that fuels your body and a healthy mild to moderate exercise habit. Can I get Semaglutide to lower my BMI before surgery? Yes. It is best to see your surgeon for a consultation and find out what your optimal BMI would be and work together to develop a plan that will work for you and give you the best results for your cosmetic surgery.

Taking vitamin supplements is certainly beneficial. However, few people realize that when you swallow a vitamin pill or multi-vitamin, the body’s natural absorption process can render up to 85% of that vitamin useless. In other words, when you ingest vitamins by mouth, only 15% of the active nutrients may eventually find their way into your bloodstream. When you receive a Vitamindrip® “IV” the nutrients enter your bloodstream directly and immediately to help the body to begin healing itself. You get much higher concentrations of nutrients delivered directly to your body’s cells, thus allowing your body to better absorb and utilize these nutrients. Are you exhausted or jet-lagged? Feeling the need to rehydrate or recover? Fighting the fu or training hard in your sport? We have the perfect solution for you! It is our pleasure to introduce to you Vitamindrip® - the world’s first wellness company specializing in Intravenous Micro-Nutrient Therapy. Vitamindrip® treatments deliver vitamins, minerals, amino acids and antioxidants directly to your body’s cells. At Vitamindrip® our team of doctors and health care professionals will assess and evaluate your unique physical needs and carefully put together a personal formula or "cocktail" of vitamins and nutrients based on your unique requirements. Vitamindrip® Intravenous Micro-Nutrient Products are formulated to enrich your body with fuids, vitamins, minerals and amino acids BEFORE, DURING and AFTER all life’s draining activities. drip Our Top IV Treatments Energy Promote adrenal function, mental acuity, and stress tolerance Diet & Detox Say good bye to stubborn fat. Detoxify your body to rid it of unhealthy toxins. Boost energy levels and more. Libido Enhancer The compounds present in Vitamindrip® may have a "Viagra-Like" effect, relaxing blood vessels and increasing blood flow. Mood Support Boost the body’s natural levels of serotonin and help promote calmness. Cosmetic Fortified with amino acids and active ingredients to repair and stimulate collagen growth naturally.

The appearance of fine lines and wrinkles on the skin is considered an inevitable part of the aging process for most people. It resulting in creases, folds and hanging skin, on the face, neck, hands and other areas of the body. These changes in the skin often make you look older, sad, angry or tired, and may not reflect the energy and youthfulness you still feel. Many people are bothered by the appearance of wrinkles and seek treatment to rejuvenate the skin and restore a younger-looking appearance. Fortunately, there are countless treatment options available to reduce the appearance of fine lines and wrinkles, including creams, dermal fillers, peels, laser treatments and surgery. The best procedure for each patient depends on the patient’s individual skin condition and amount of correction desired. Causes of Wrinkles and Fine Lines The skin is made up of three different layers, the epidermis, dermis and subcutaneous tissue. Each of which contribute to the full, strong and smooth appearance that we are born with. The epidermis, which is the outer layer, protects the skin from environmental toxins with special cells called keratinocytes. Underneath the epidermis is the dermis layer, which provides connective tissues including collagen, elastin and other proteins that provide strength and flexibility to the skin. The subcutaneous tissue at the bottom layer is made up of fat cells that insulate the body and produce a full, plump appearance to the skin. Each of these layers is affected over time as a result of aging, genetics and environmental factors, leading to a more wrinkled, sagging appearance. The skin layers tend to thin while production of tissue slows down, making the skin more susceptible to damage and changes as it lacks its previous support and fast repair abilities. The result is thinner skin with visible lines and wrinkles that can no longer be “filled in” by collagen and fat cells. Treatment of Wrinkles and Fine Lines As the skin ages, lines and creases form in areas that are affected by common muscular movement, such as facial expressions around the eyes, on the forehead or at the corners of the mouth. Through years of repeated muscle contraction, lines and wrinkles tend to develop in these areas. Over time, habitual sleeping positions, poor hydration, and rapid changes in weight loss and gain may also lead to the formation of wrinkles. Fortunately, there are a wide range of treatment options to help restore a natural, younger-looking appearance that help patients look as good as they feel. Treatment depends on the cause and severity of wrinkles, as well as the age and personal preference of the patient, and may include: Topical creams Microdermabrasion Photorejuvenation Laser treatments Chemical peels Soft tissue fillers Facelift Prevention of Wrinkles and Fine Lines There are many ways to prevent or reduce the effects of photoaging on the skin which require simple lifestyle changes and adjustments. If avoiding the sun is not possible, it is essential to use sunscreen with adequate SPF and wear a hat and protective clothing. Avoiding alcohol and smoking can also keep skin healthy and prevent wrinkles from developing. Eating a balanced diet and keeping stress at a minimum helps maintain an overall healthy lifestyle and allows skin to look its best as well. Maintaining a healthy lifestyle can help prevent or postpone wrinkles and other signs of aging. There are also many over-the-counter anti-aging products available to help prevent wrinkles from developing. The doctor will help the patient develop a comprehensive individual plan for long-term prevention of the appearance of wrinkles, fine lines and other skin changes. Environmental Factors Many people also develop wrinkles and other unwanted skin changes as a long-term result of excessive exposure to harmful substances. Ultraviolet light from the sun or artificial tanning is the leading cause of premature aging, and causes the collagen and elastin fibers to break down. Resulting in sagging, weakened skin that can more easily develop wrinkles and other signs of aging. Smoking and air pollution also affects the appearance of the skin and can result in early aging by triggering changes in the blood supply to the skin. These factors lead to photoaging, which accounts for up to 90% of premature skin aging. What are Dermal Fillers? Fillers are substances that are injected into the skin of the face to add volume where it has been lost subsequent to the aging process. Fillers can be classified as temporary, semi-permanent and permanent.

Proven Results with Non-Surgical Fat Removal For many years, men and women have searched for ways to reach their weight goals. Healthy eating and regular exercise are advantageous but, as you may know, only get you so far. If you are one who finds yourself in that “in-between,” an area where you want more for your body but aren’t in need of surgical intervention like liposuction or abdominoplasty, you may be interested in CoolSculpting® Elite technology with Dr. Mark Epstein. What is CoolSculpting® Elite? FDA-cleared Non-surgical Safe and effective CoolSculpting® Elite is an FDA-cleared device that melts fat cells by targeting them with freezing temperatures. The fat-dissolving process is referred to as cryolipolysis. The cooling of fat destroys cells by causing crystals to form inside of them. This crystallization within fat cells destroys them. The body’s natural immune response is to then eliminate these cells. Coolsculpting® Elite is a body-contouring method that has been widely studied and found to be one of the most effective modalities to date based on proven, lasting results. Who is a candidate for CoolSculpting® Elite? CoolSculpting® Elite is an excellent body-sculpting option for men and women who are at or near their ideal weight and who understand how the treatment works. The ideal patient is someone who has excess fat around the abdomen, flanks, chest, arms and inner/outer thighs. Body-sculpting is not intended for weight loss. In fact, most people do not experience any change in weight after undergoing CoolSculpting® Elite. The primary benefit of this treatment is that you can look better from every angle thanks to the targeted destruction of fat cells. CoolSculpting® Elite Results To get the body into the state in which fat cells are destroyed, the CoolSculpting® Elite cooling panels treat fat tissue in a given area for about one hour per treatment area. Tissue is held between panels with gentle suction. Patients are encouraged to bring entertainment with them. Some people listen to music or read during CoolSculpting® Elite sessions, while others watch movies or answer emails. It is not uncommon for a patient to doze off while lying comfortably on the treatment table. You will feel a sense of coolness for the first minute. After that, the treated area goes numb. You may feel a little discomfort at the start, but it will go away soon after treatment has begun. Treatment can last from 1-6 hours depending on the number of areas that the patient would like treated. What areas can be treated with CoolSculpting® Elite? In addition to treating stubborn fat on the lower abdomen, CoolSculpting® Elite is also commonly used to refine areas including the: Abdomen and flanks Inner or outer thighs Backs of the arms Double-chin Bra fat Will I need more than one treatment? The number of treatments is determined by how many problematic areas you would like treated. Dr. Epstein keeps your personal goals in mind to help optimize results. CoolSculpting® Elite Results Your final results will not be visible until the patient has the necessary amount of treatments needed to improve the specific area. The number of treatments needed will be discussed during your consultation. The results attained from CoolSculpting® Elite are long-lasting. CoolSculpting® Elite is completely non-surgical, so you can return to normal activities immediately. Patients often return to work on the same day after their treatment is completed. CoolSculpting® Elite Recovery Unlike other fat removal procedures like the tummy tuck or liposuction, this fat freezing treatment is completely non-surgical. Therefore, people are able to return to their everyday activities and responsibilities immediately after their appointments. In fact, most patients take the morning off and then return to their workday after their procedure. If you are looking for a low time-commitment option for fate reduction, in terms of recovery, CoolSculpting® Elite is the best option for you.

Regardless of age, most of us would like to look in the mirror and appreciate a healthy, glowing complexion and soft skin. The fact is everything from the texture to the tightness of our skin changes as we grow older. In recent years, we have been fortunate enough to witness the development of numerous non-surgical modalities to slow the signs of aging, and even reverse them. Our staff continues to be impressed with innovative new devices, like the Morpheus 8 by InMode. We are pleased to share new technologies with you to help you address your cosmetic concerns. Dial 631-638-6800 today to schedule your Morpheus 8 consultation in Suffolk County! What is Morpheus 8? Morpheus 8 is a device that is designed to combine micro-needling and radiofrequency to achieve deep fractional remodeling. The Morpheus 8 doesn’t just address superficial tissue; it directs energy toward the adipose fat that is notorious for creating jowls, bra rolls, and more. What is Microneedling with radio frequency? Radiofrequency is a type of energy that has been scientifically proven to provoke collagen remodeling. Microneedling is a technique of creating tiny puncture wounds in the superficial dermis to stimulate an increase in the production of collagen, elastin, and new skin cells. Several radiofrequency devices have been developed in the past decade. This energy is safe and effective for cosmetic improvements that include scar reduction and skin tightening. The Morpheus 8 combines the two, delivering the thermal energy of radiofrequency waves to deeper layers of tissue via the adjustable microneedles. Ultimately, micro-needling with radiofrequency affects both the epidermis and the dermis for maximum results. How does Morpheus 8 compare to other microneedling treatments? The Morpheus 8 is FDA approved as a Subdermal Adipose Remodeling Device, or SARD. This demonstrates a crucial difference between this device and standard microneedling. During a Morpheus 8 treatment, the provider can adjust the ultra-sharp microneedles to a depth of up to 4 millimeters, deeper than any other microneedling device to date. Can Morpheus 8 be combined with other treatments such as Fractora? Morpheus 8 can and often is combined with Fractora treatments, also both developed by InMode. This combination may be referred to as EmbraceRF, a treatment that targets the lower third of the face. When combined with Fractora, the Morpheus 8 aspect of the process enhances the final outcome of treatment by sculpting adipose tissue to support youthful facial contours. Is microneedling with radiofrequency painful? It is important to us that our patients have access to the treatments they want without the fear of intolerable discomfort. Microneedling with radio frequency is conducted after a topical anesthetic has been applied to the skin. Within approximately thirty minutes, the cream desensitizes epidermal nerve endings to reduce the sensations from radio frequency to a mild heat. This also significantly reduces or eliminates the sensation of the microneedles passing over the skin. In addition to numbing superficial tissue with topical analgesic, we also offer patients the opportunity to increase their physical and emotional comfort using ProNox®. This self-delivery nitrous oxide system puts the power in your hands as you undergo the treatment of your choice. Ask about ProNox® during your consultation for skin tightening with Morpheus 8 or any of our other innovative devices. Who is a candidate for microneedling with RF? Many adults are excellent candidates for microneedling with radio frequency. This minimally-invasive technique may be ideal for you if you wish to reduce the appearance of: Acne or acne scars Poor skin texture Sun damage Deep lines and creases Mild sagging or jowls Enlarged pores Stretch marks Combining microneedling with radiofrequency and other radiofrequency treatments like FaceTite or Fractora may be ideal for: Bridging the gap. Many people have cosmetic concerns that don’t quite qualify for facelift candidacy. The EmbraceRF protocol provides a perfect in-between; a way to promote younger-looking skin without injectables or surgery. Conservative treatment. Patients who are interested in achieving tighter, smoother skin but prefer to do so without surgery and its risks may be ideal candidates for the latest RF treatments. Facelift maintenance. Individuals who have undergone facelift surgery generally want to establish good habits to maintain their results. Radio frequency treatments may be an integral aspect of their ongoing care.

What is the ProFractional Laser? ProFractional laser is an innovative fractional treatment that ablates only a portion of the skin. The majority of the skin’s surface remains intact, decreasing side effects and the need for recovery time. ProFractional resurfacing uses a microbeam of narrow diameter to accomplish this minimally-ablative technique that allows patients to resume their normal activities more quickly without a significant decrease in positive results. What can be treated with the ProFractional Laser? This laser treatment can address several concerns medical acne problems simultaneously, including: Skin discoloration Sun damage Fine lines and wrinkles Acne scarring Traumatic or surgical scarring Poor skin tone or texture Collagen depletion How does the ProFractional Laser work? The ProFractional laser platform is an Erbium ablative laser that creates thousands of tiny pinpoints on the skin. This happens because the Erbium laser energy is attracted to the water in the skin. When the microbeam touches the skin, a point of ablation occurs. This happens at a precise depth that is determined by our consultation. Microabrasion can target up to 1500 microns deep. The points that are ablated during treatment are seen by the body as injuries. This sends an influx of collagen to heal and regenerate healthy new tissue. Because there are bridges of untouched tissue in between, healing occurs more rapidly. The entire process typically takes half an hour. As the skin heals after ProFractional treatment, the infusion of healthy new collagen creates a tighter, smoother surface. Collagen remodeling continues for up to six months after the procedure, further enhancing rejuvenating effects over time. Who should be considered for ProFractional treatment? The ProFractional skin rejuvenating procedure is appropriate for many adults. Good candidates are healthy and free of skin infections at the time of treatment. Our skin expert conducts a thorough consultation and skin examination to ensure this treatment can achieve the desired outcome without unwanted side effects. What areas can be treated? This method of laser skin resurfacing can be performed nearly anywhere on the body. The most common treatment areas are those that have been exposed to the sun, including the face, neck, chest, and hands. How many ProFractional Laser sessions will I need? Close up of ladies laser fractional resurfacing One of the benefits of ProFractional laser treatment is that the settings on the device can be adjusted to achieve a truly customized procedure. Depending on how deeply the microbeam delivers energy, a patient may achieve outstanding results with just one treatment session. However, some patients desire a more conservative approach and choose to extend their treatment to include several sessions. What should I expect in terms of recovery? Downtime can vary depending on the settings that are selected. More conservative ProFractional treatment can improve the texture and tone of the skin with only a few days of downtime. Treatments that target deeper layers of tissue may require 3 to 7 days of healing before returning to normal activities. After ProFractional treatment, the skin may appear pink or red, depending on the strength of the laser. This resembles a sunburn. Patients will need to apply an ointment or cream to the skin a few times a day for a few days. It may be necessary to avoid wearing makeup for 3 to 4 days. It is also important to avoid sun exposure after laser skin resurfacing. Before going outdoors, patients should apply a zinc-based physical sunscreen to prevent photodamage. Does ProFractional treatment hurt? Before Surgery Patient comfort is important. A topical anesthetic may be applied for approximately 20 minutes before ProFractinal laser treatment. Additionally, we offer ProNox to patients undergoing various procedures. ProNox is a self-administered nitrous oxide (“sweet air”) technique that increases a person’s pain threshold and also decreases nervous response that may occur during treatment. Patients who have undergone ProFractional laser treatment describe it as mildly uncomfortable but tolerable. How much does ProFractional treatment cost? The cost of treatment can vary based upon the inclusion of adjunctive therapies or injectables, and the number of treatments a person needs to achieve their desired outcome at their preferred pace. The full details regarding ProFractional laser treatment, including cost, are discussed during our consultation visit. Schedule A Consultation We love helping our patients revitalize their appearance. For more information on ProFractional laser treatment, call our Long Island office at 631-638-6800 . We’re happy to schedule a consultation with one of our providers to get to know your needs.

Facials Radiance Facial - This customized facial suits all skincare needs by cleansing, dual exfoliating, and masking to purify, brighten and hydrate the skin. Relax while you rejuvenate, preserve and protect the skin with these medical grade products from Revision Skincare. This treatment will leave your skin smoother and free of vellus hair and is a great way to maintain other resurfacing or broadband light treatments. DiamondGlow Facial - 25-minute treatment - Brighten, hydrate, and purify the skin with this next-level skin resurfacing that simultaneously exfoliates, extracts, and infuses a serum suitable for specific skin conditions and needs. This noninvasive treatment is intended for the face, around the eyes, lips, and body. Your skin will be left luminous, nourished, and renewed. This medical grade facial is also a great addition to upkeep injectables and has a unique technique to keep lips plumb. Relax, renew, and detox your skin to reveal your best glow yet! DiamondGlow Signature Facial - 50-minute treatment - Relax longer and glow further by treating face, neck and Decolletage to reduce sun damage, dehydration lines, and uneven skin texture all around. Enjoy an arm, Decolletage and scalp massage while eye masking to reduce puffiness and tired looking eyes followed by an uplifting eye treatment. Get glowing while looking more rested with this signature treatment. DiamondGlow Body Treatment - 75-minute treatment - Glow from head to toe! Help clear, brighten, and smooth skin from acne, pigmentation, and uneven texture due to sun pollution and other triggers over the years while preventing further damage. The body deserves to glow just as much as the face! Illuminize Peel 60 - For mild skin imperfections. Brightens overall appearance with no down time. Leaves your skin looking radiant. A MUST before any special event. Vitalize Peel 125 - For mild to moderate skin imperfections. Addresses fine lines, wrinkles, and roughness. Noticable results after just one peel, compelling results after 3-6 treatments. Rejuvenize Peel 175 - For moderate to severe skin imperfections. Addresses fine lines, wrinkles and roughness. Noticeable results after just one peel, compelling results after 3-6 treatments. SkinMedica Skin Care Products - We highly recommend the use of medical grade SkinMedica skin care products to keep your skin hydrated and vibrant daily. CoolSculpting® CoolSculpting® is an FDA-cleared device that melts fat cells by targeting them with freezing temperature. The fat-dissolving process is referred to as cryolipolysis. The cooling of fat destroys cells by causing crystals to form inside of them. Coolsculpting is a body-contouring method that has been widely studied and found to be one of the most effective modalities to date based on proven, lasting results. CoolTone CoolTone is a recent advancement in body contouring brought to us by Allergan, the maker of Botox and CoolSculpting. This nonsurgical, noninvasive treatment is intended for focused, controlled muscle contractions that tone and sculpt the body. Votiva (Vaginal Rejuvenation) Votiva is a medical device developed to improve vaginal wellness using the latest in radio frequency technology. The device combines gentle volumetric heating with fractional tissue coagulation to achieve optimal outcomes with minimal downtime. Votiva can address concerns both internally and externally, all without surgery and its inherent risks. Laser Treatments At our office in Hauppauge, NY, we are proud to offer an array of laser treatments through the Joule X Laser by Sciton. This laser treats unwanted hair, vascular conditions, and skin imperfections to give you glowing, radiant skin. Microneedling We combine the healing properties of your own blood products with microneedling for the ultimate facial skin rejuvenation. Microneedling improves fine lines, acne scars, and other facial skin problems, but combining it with your own blood products takes it to a whole new level. Consult With Our Aesthetician our Licensed Medical Aesthetician and is experienced in many different medical grade skin-care modalities such as chemical peels, facials, radio frequency, various lasers, and microneedling. She is also well trained to get rid of those stubborn areas of fat with CoolSculpting.