Smooth Solutions Medical Aesthetics

Dr. Jack Bertolino is taking hair restoration, aesthetics and sexual rejuvenation for men and women to the next level with regenerative medicine. Discover the regenerative power of amnion-derived regenerator cell therapy. Dr. Bertolino is one of the premier doctors in all of New York State to offer amnion therapy. He is proud to offer patients in Buffalo, Williamsville, Batavia, Rochester, and the surrounding areas this groundbreaking therapy. WHAT ARE MESENCHYMAL STROMAL CELLS? Mesenchymal stromal cells are adult, fibroblast-cells that have broad use for immunotherapy and regenerative functions. At Dr. Bertolino’s practice, we use mesenchymal stromal cells harvested from amniotic fluid sources to help our patients recover from injury, combat the aging process, and improve sexual health. These cells have potent growth factor value and healing capabilities. The growth factors present are epidermal growth factor, vascular endothelial growth factor, and transforming growth factor. These proteins are essential for growth and development of the fetus, which makes their recovery from umbilical cord fluid exciting for adult healing. These growth factors can be used for various regenerative and repair functions. Where do these cells originate? – Dr. Bertolino’s regenerative cells are derived from umbilical cord blood donations. These donations follow strict protocols and guidelines. All are received from reliable hospital sources long after the baby is delivered with full consent from the mother. Once collected, the cord blood is transferred to the laboratory where it is tested and the mesenchymal cells separated, leaving a serum made of growth factors, plasma, and mesenchymal cells. All of these tissues are screened under FDA protocols to assure the highest quality standards. Call Today to Learn More WHAT IS AMNION THERAPY? It is the use of human biologicals to develop biological related products that will foster regeneration and healing for many conditions. It contains natural factors, called growth factors, for site-specific use to modulate inflammation, reduce scar tissue, and enhance local healing. Growth factors are powerful agents that our bodies produce to signal cells to come to the target site, help the site to heal, and help your own cells regenerate the damaged tissue. There have been many different growth factors, specialized cytokines and enzyme inhibitors identified in our amnion-derived therapy. All the amniotic membrane tissue is donated by healthy consenting mothers undergoing scheduled Cesarean sections during normal, healthy childbirth. All tissue donors are tested for infectious diseases, like the testing done for blood donation. The amniotic membrane then undergoes a validated proprietary process to thoroughly cleanse and preserve the tissue. HOW DOES AMNION-DERIVED THERAPY WORK? Amnion Therapy takes advantage of the body’s ability to repair itself. Dr. Bertolino will inject amnion-derived fluid into the affected area. These growth factors stimulate the release of the body’s own natural regenerator cells and have anti-inflammatory properties, similar to corticosteroids. While steroids provide a decrease of inflammation and pain, regenerator cells actually restore degenerated tissue while providing pain relief. The growth factors in our amnion-derived fluid injections replace damaged cells in your body. Additionally, they contain hyaluronic acid, which lubricates joints and tendons, easing pain and helping to restore mobility. Once the serum of mesenchymal cells, blood plasma, and the various growth factors is obtained, Dr. Bertolino injects it directly around the treatment area. For more complicated treatment areas, the serum is applied both directly to the treatment area and around the supporting structures. The procedure is not difficult or time-consuming. Contact Us to see how Amnion Therapy can help you WHAT IS AMNION THERAPY USED FOR? The mesenchymal stromal cells gathered from amniotic fluid have incredible healing and growth capabilities. Here are a few areas where Dr. Bertolino is using these cells: Hair Restoration – The amnion-derived allograft fluid creates a rich cellular environment that can help cells regain its regenerative ability it once lost. The results can lead to increased hair count and thickness. Microneedling – The combination of microneedling and amnion-derived allograft fluid can help regenerate collagen, repair facial blemishes, skin tightening and provide a more youthful appearance.

What Is Cellulite? Cellulite is a term that describes the dimpled appearance of skin caused by fat deposits just below the skin’s surface. It is found in women, typically in the skin of the abdomen, lower limbs, and pelvic region. Who Is At Risk For Developing Cellulite? Cellulite affects approximately 85% of post-pubescent women. Women are more likely to experience cellulite results in dimpled, uneven skin with an “orange peel” appearance What Is VASERsmooth™? VASERsmooth is a cellulite reduction device that reduces cellulite through tissue tightening, cuts cellulite-causing fibers and promotes the creation of new collagen fibers within your body. Benefits Of VASERsmooth™ VASERsmooth is safer and more predictable than competing laser technologies because the procedure is 50% faster and works at lower temperatures. Lasers require heat to perform the cellulite reduction procedure. The necessary operating temperature for lasers is very near the point at which skin burns. In addition, lasers by design, destroy the cells they remove. Consequently, the fat cells and stem cells cannot be transferred to indented areas that may require filling. How Does VASERsmooth™ Cellulite Reduction Work? VASERsmooth™ uses a high-frequency ultrasound at 36,000Hz known as VASER technology. VASERsmooth is specially designed with a cutting edge about 2 cm from the tip of the wand. This instrument cuts the fibrous material that causes the dimpling effect on the skin. Furthermore, the tip of the ultrasound probe delivers energy to mobilize the fat, helping to even out adjacent areas. PRP And Cellulite Removal Excess bulging fat can be smoothed out, and areas of persistent indentations can be filled in by redistributing the fat loosened during the procedure, stem cells and/or platelet rich plasma (PRP). Schedule A Consultation Is VASERsmooth right for you? Please contact us for a consultation at (716) 633-6100 or fill out a Contact Form here. We will discuss your needs and concerns, and determine your best course of action.

WHAT IS HYPERHIDROSIS? Hyperhidrosis is excessive sweating, specifically to the underarms. Dr. Bertolino at Smooth Solutions Medical Aesthetics offers Vaser for excessive sweating treatment in Buffalo and Williamsville, NY. WHAT IS THE HYPERHIDROSIS TREATMENT? Excessive sweating can be treated with Vaser. Vaser works by destroying the sweat glands under the arms. We then simply lipo the armpit and suction the sweat glands out. IS THE EXCESSIVE SWEATING TREATMENT PAINFUL? Pain is minimal. Some patients may require minimal oral sedation. HOW IS VASER BETTER THAN BOTOX FOR REDUCING UNDERARM SWEAT? The use of Botox or Dysport as an underarm injection is expensive and only lasts 3-4 months. Vaser is permanent. IS IT SAFE? Vaser is a safe, minimally invasive way to remove sweat glands lodged in the axillary fat. Interestested in hyperhidrosis treatment in Buffalo or Williamsville, NY? Contact (716) 633-6100 to schedule an appointment!

What Is Fat Transfer? Fat Transfer is the removal of fat cells and stems cells from one part of your body and the subsequent injection of them into another part so as to increase the size of the area (e.g. buttocks). As a result, you can improve your overall appearance. Smooth Solutions Medical Aesthetics offers cutting-edge fat transfer technology for sculpting your body to look younger and feel better about yourself. Fat Transfer Procedure Often a fat transfer procedure can serve as a less expensive and less risky alternative to buttocks implants. The excess fat removed from one area of the body is re-injected into areas needing a lift. Once the cells are injected into the desired area during the fat transfer, your body will produce new blood vessels to nurture these cells. Because the fat is natural and your own, there are less likely issues with the body rejecting the fat cells. In addition, the results of a fat transfer are likely to look very natural. The procedure is far less invasive and far less expensive than traditional buttock enhancement procedures. How Long Is Fat Transfer Recovery Recovery time after a fat transfer is also significantly shorter. You may experience some swelling, bruising and numbness in the incision or puncture areas during your recovery. Most patients can return to work within seven days after the fat transfer surgery and can resume most normal activities in about two weeks. Fat transfer, results vary from person to person but the corrections generally last several years or more. What To Expect After Fat Transfer Procedure The post-procedure process takes time, and you can expect slightly more than half of the cells to survive. However, the results of a fat transfer are long-lasting, and you’ll see beautiful changes and a new you! Though the procedure is minimally-invasive, there still may be mild bruising or swelling at the injection site. The extent of this bruising and swelling will depend on the number and areas being treated. Any post-treatment discomfort can often be treated with over-the-counter pain medication. Schedule A Consultation Please call (716) 633-6100 or fill out a Contact Form here for a fat transfer consultation. We will discuss your needs and concerns, and determine if fat transfer is a viable option for you.

The Sculptra® Aesthetic injectable is most commonly used to reverse the signs of facial fat loss that occur with aging. The Sculptra® injections are regularly used to restore collagen and fill out nasolabial folds. Sculptra® Aesthetic can also be used to achieve a “liquid butt lift.” Dr. Bertolino uses several vials in the upper pole of the buttock to raise and contour, giving a lift and better S-curve. The effects last approximately 2 years. Sculptra® Aesthetic’s main component is an alpha hydroxy acid called poly-L-lactic acid. PLLA which is a safe and long-lasting, biocompatible, biodegradable substance that has been used for over 20 years in various surgical products, including dissolvable sutures and soft-tissue implants. HOW MANY SCULPTRA® INJECTIONS ARE NEEDED? The number of injections and treatments needed depends on how many vials are needed, which depends on the person and the look desired. No more than 2 vials will be added per side at any appointment. The plus side is there is no downtime! There is some post-injection discomfort which can last for 1-2 hours. CAN A PATIENT HAVE A CONSULTATION AND GET SCULPTRA® INJECTIONS ON THE SAME DAY? Yes, a patient can have a consultation on the same day as their treatment. Please call to schedule an appointment. IS THE TREATMENT PAINFUL? The treatment area is numbed with anesthetic cream prior to the Sculptra® injections. Sculptra® Aesthetic also has lidocaine mixed in to cause less pain. HOW MUCH DOES THE TREATMENT COST? Cost is based on how many vials are used depending on the desired effect. Interestested in a Sculptra® Aesthetic Liquid Butt Lift in Buffalo or Williamsville, NY? Contact us today to schedule an appointment! Call (716) 633-6100 or fill out our contact form today.

What Is ThermiVa? This new vaginal rejuvenation technology, ThermiVa, uses radiofrequency energy to gently heat vaginal tissue, both externally and internally, to rejuvenate collagen. The treatments improve vaginal laxity and tighten and improve the cosmetic appearance of the external labial tissues. The result of ThermiVa is vulvovaginal youthfulness and a great sense of confidence and sexual wellbeing. Childbirth and the natural aging process causes changes that cause a stretching of the vaginal genitalia, leading to thinning of vaginal tissues that cause dryness, pain with intercourse, decreased orgasm, and urinary incontinence (stress incontinence). ThermiVa vaginal rejuvenation at Smooth Solutions Medical Aesthetics in Williamsville NY can help! Call today to schedule an appointment or for more information. Vaginal Rejuvenation This a 3 treatment package with noticeable effects after the 1st treatment. The effects of vaginal rejuvenation can last up to 18 months with no pain and no downtime. The ThermiVa vaginal rejuvenation procedure is as simple as having a pap smear at your doctor’s office. At Smooth Solutions Medical Aesthetics, we want you to not only look great, but we are committed to you feeling great, and restoring your confidence. Contact us today if you are interested or if you have any questions regarding ThermiVa, a non-surgical vaginal rejuvenation procedure! How Is ThermiVa Similar Or Different From Labiaplasty? ThermiVa vaginal rejuvenation is a non-surgical proprietary technology that uses RF (radio frequency) to tighten vaginal tissues. This can be used externally for enhancement of the labia to greatly improve the cosmetic appearance that has been changed due to age, menopause and childbirth. Internally it tightens the vaginal canal and puts the G spot (orgasmic tissue) in line and back into play. These structures are stretched and atrophied from age, menopause and natural child bearing. The most significant improvement is seen with the full correction of urinary incontinence (stress incontinence) and leakage seen with coughing, laughing, sneezing and jumping, which are all quality of life issues for women’s health. Labiaplsty is a painful surgical procedure that only cosmetically improves the external structures. ThemiVa causes no pain, downtime (even intercourse can occur in the same day), and is done like a simple pap smear. Three treatments are necessary, one every three months. Maintainance is once yearly. Treatment time is 35 minutes. External labia improvement and incontinence are both improved after the 1st treatment session. You can add bioidentical hormone replacement if you are a menopausal or peri menopausal female, and you will you have just improved quality of life by 100%. Again no surgery, pain or downtime. We are the ONLY medical practice in most of New York state, southern Ontario and part of Pennsylvania performing this service. ThermiVa Frequently Asked Questions What Type Of Female Patient Is An Ideal Candidate For ThermiVa? Any female who has had child birth and now needs tightening for sexual wellbeing and or dryness and incontinence of urine. Also ThermiVa can help women that have been stretched and atrophied from age, menopause and natural child bearing. Can Peri, Menopausal Or Post Menopausal Females Have ThermiVa? All women in this age group benefit from vaginal rejuvenation because of dry, thin vaginal laxity. Anatomically their G-SPOT has been displaced and sex is painful and without pleasure (anorgasmia). How Should We Treat Undiagnosed Pelvic Pain? ThermiVa is an incredible treatment for the following complications, atrophic vaginitis, levator spasms, pain from lichen sclerosis, and hyperplastic dystrophy. Undiagnosed lesions or pre-cancerous conditions should NOT be treated. How Old Do You Have To Be To Undergo Vaginal Rejuvenation? You must be 18 and older to schedule and undergo a ThermiVa treatment. Can A Woman Be Treated With ThermiVa With An IUD? Yes, as long as the IUD nor the uterus is not prolapsed. Can A Woman On Hormone Replacement Therapy Be Treated For ThermiVa? BHRT is encouraged in women for a number of beneficial reasons, and ThermiVa vaginal rejuvenation can improve quality of life even further. Can Women Who Have Had A Hysterectomy Have Vaginal Rejuvenation? We can treat with ThermiVa to the vaginal cuff. Is There A Change That Occurs In A Women’s Periods After Treatment? No. There are no changes to either the flow or length of cycle after ThermiVa vaginal rejuvenation. Do Patients Need Anesthetics Pre-Treatment? No. Patients will feel comfortable during ThermiVa vaginal rejuvenation treatment, with a sensation of warm heat. How Long Is The Vaginal Rejuvenation Procedure? Typically, 10-15 minutes for the labial major and 15-20 minutes for vaginal tightening. There are 3 treatments 1 month apart.

The Electric Plasma Lift uses ThermiSmooth 250, which is a radiofrequency and with combination with PRP tightens and evens out the skin. Platelet-rich plasma rejuvenates collagen and elastin, as well as gives skin a younger glow. WHAT IS THE ELECTRIC PLASMA LIFT PROCEDURE? At Smooth Solutions Medical Aesthetics, we use a combination of services in order to get you the best results. Since any trauma to the skin activates PRP, RF or Lasers traumatize the skin first, then PRP is applied via injection or topically to help heal the skin. Using Platelet-Rich Plasma Treatment (PRP): A leading edge procedure harnessing the healing power of your body’s growth factors and platelets. This stimulates stem cell responses whereby, you grow more new collagen and blood vessels, in order to repair, regenerate and renew damaged skin and reverse signs of aging. Your body thereby heals itself, promoting macrophages and fibroblasts to enhance epithelialization and healing. There is no risk of an allergic reaction as the PRP is specific to each individual. Eight (8) essential growth factors and signaling proteins are released after your blood products are separated by centrifugation. WHAT IS THE RECOVERY TIME? Downtime after the procedure is 1 day to 2 days with no makeup and limited sun exposure.

MUCH CHEAPER AND LESS PAINFUL THAN A TRANSPLANT! Hair restoration (not transplant), is a technique whereby platelet rich plasma (PRP) is applied to thinning hair follicles to increase their growth and thicken the follicles. PRP is spun in a centrifuge, then applied to the scalp topically and injected into certain areas. The PRP is then microneedled, and rolled with a specifichair rolling device. The PRP is then left on the hair for 24 hours and not washed, to attain its fullest effect. Our procedure also uses Omnilux red LED light to help strengthen the follicles and promote the growth factors of the PRP. PRP is angiogenic and grows new blood supply thereby thickening the hair. Three PRP treatments are required and eight(8) red light treatments over three (3) months. Special shampoo is also used to further the process. Omnilux LED red is a key component and is only offered here at Smooth Solutions Medical Aesthetics. The process is NOT for areas where there is no hair follicles. SMOOTH SOLUTIONS NOW USES THE NEW REJUVAPEN FOR MICRO-NEEDLING Rejuvapen micro-needling works by using 9 precisely placed micro-needles to make tiny tears in the epidermis. This allows the skins natural repairing system to start generating more collagen and elastin to repair the micro-perforations. New ALMI Procedure Used For Hair Restoration ALMI (Autologous Lipocyte Micronized Injection) uses fat cells in combination with PRP to give a much better result to thicken and grow hair follicles. This is a natural regenerative process which can not negatively affect the patient. Learn more here. What Is PRP Treatment? How Does It Work? PRP stands for Platelet Rich Plasma. Platelets are angiogenic and vasculogenic meaning they, with their growth factors, build blood supply and enrich the the tissue they are working on, in this case the scalp and thinning hair follicle. PRP is used to heal scars and decrease the damage of stretch marks. It is used in orthopedics to help failing joints and neuro-surgically to help brain function after stroke. The trick to PRP is getting a higher concentration of platelets, which depends on both product and the type of centrifugation. Not to get too technical but the objective is to get higher platelet concentration factor as well as platelet yield and growth factors. Dr. Bertolino is now using the new Pure Spin Centrifuge to yield a much higher concentration than the Eclipse system that many competitors are using. Pure spin has a 87.7% platelet recovery vs. 16.7% for Eclipse How Do I Regain Hair Without A Transplant? This procedure is to increase follicular growth and thicken hair in the male and female. If a person is bald they need a transplant. Why Do I Need Multiple Products/Treatments? Products are for home maintenance. The protocol is 3 treatments 6 weeks apart. The PRP is micro needled and injected into the numbed scalp during treatments. Will The Hair Look Natural? Will It Be My Own Hair? The hair is your own natural hair, only with more follicular growth and thicker follicles. It is like seeding the earth but not on barren land. The scalp like the patch of earth has to have SOME potential, to begin with. What Does The Omnilux LED Light Do? Red LED light is an added service my competitors don’t use. Red LED “helps the plants grow” like the sun. It is highly anti-inflammatory, thereby helping the platelet growth factors grow. We offer 6 Red LED treatments with this package. Red led plays a BIG factor in skin and acne management for the same reason. Why Does Hair Loss Occur? Hair grows in stages, and hair loss is genetic and hormonal, not to mention loss from everyday stressors. For more information about hair restoration in Buffalo NY, give us a call at (716) 633-6100 or fill out a Contact Form here.

What Is Renuva? Renuva is a new long-lasting dermal filler made of cadaver fat with the DNA removed. It builds a fat matrix in the face and creates collagen. Dr. Bertolino is the first physician in all of western New York to offer this amazing product. What Is Renuva Used For? RENUVA a new dermal filler product that is natural desiccated cadaver fat with the DNA removed. The fat is rehydrated in the office and injected for volume enhancement and to correct cellulite dimples. It is natural and very long lasting. It is FDA approved. It builds a structural matrix in the face and promotes natural collagen and fat production. People these days complain about “dermal filler fatigue” because standard fillers although cheaper don’t last and don’t build a matrix in the face. This is also approved to fill large cellulite dimples. What Is The Advantage Of Renuva Over Traditional Dermal Fillers? The procedure takes only a little longer than a standard dermal filler but lasts up to a year or greater. It builds an adipose(fat) matrix in the face that is more natural and longer lasting. Customers talk about “filler fatigue” because fillers don’t last long and they have to go back for another treatment. Dermal fillers don’t produce much collagen. How Much Does Renuva Cost? The cost is typically more expensive than standard dermal fillers; however, since there are fewer treatments involved the cost is the same of less in the long run. You can pay now or pay later. Interested in Renuva in Buffalo or Williamsville, NY? Contact (716) 633-6100 to schedule an appointment!

Acoustic shockwave therapy (also known as Acoustic Wave Therapy, or AWT) uses the energy from low-intensity shock waves to trigger a process called neovascularization in the penis. Neovascularization creates new blood vessels and new blood supply in the corpus cavernosum of the penile shaft, which improves and increases blood flow. Microtrauma is caused in the tissue that helps the body develop a new blood supply, this is called angiogenesis. HOW DOES ACOUSTIC SHOCKWAVE THERAPY HELP WITH ERECTILE DYSFUNCTION (ED)? Blood flow is the critical component of a man getting an erection. When a man is sexually stimulated, the arteries relax and open up. At the same time, veins close up. Now the penis fills with blood; the blood is what makes the penis firm. By building new blood vessels and improving blood circulation, acoustic shockwave therapy helps restore natural function without the need for reliance on ED pills. ACOUSTIC SHOCKWAVE THERAPY FAQS WHO IS A GOOD CANDIDATE FOR ACOUSTIC SHOCKWAVE THERAPY? Men who have erectile dysfunction are good candidates for acoustic wave therapy with Dr. Bertolino. The process is well tolerated and non-invasive. It doesn’t matter if the patient is taking medication for erectile dysfunction or not. WHAT ARE THE BENEFITS OF ACOUSTIC SHOCKWAVE THERAPY? Blood flow is critical to gaining and maintaining and erection. As men age, their circulation decreases as a natural byproduct of aging. This can lead to erectile dysfunction. For many men, there is a serious stigma to this and it can lead to issues with self-esteem. While pills for erectile dysfunction are effective, acoustic shockwave therapy may be able to return a patient’s ability to naturally gain erections without the ED treatment drugs. HOW IS ACOUSTIC SHOCKWAVE THERAPY ED TREATMENT DIFFERENT FROM VIAGRA OR CIALIS? ED treatment pharmaceuticals are a temporary solution to the problem. They dilate only existing blood supply for erections, they don’t create new vessels the way AWT does. WHY DO YOU SUGGEST ACOUSTIC SHOCKWAVE THERAPY WITH THE P-SHOT? Acoustic Shockwave Therapy and the P-Shot compliment one another. PRP helps develop new blood supply as well, giving a better, stronger result. IS THE ACOUSTIC SHOCKWAVE THERAPY PROCEDURE PAINFUL? HOW MANY ED TREATMENT SESSIONS ARE NECESSARY? Dr. Bertolino has found six treatments, twice a week over three weeks, to be sufficient. Each ED treatment session is 15 minutes in length and is completely painless. HOW MUCH DOWNTIME IS INVOLVED WITH THE ACOUSTIC SHOCKWAVE THERAPY PROCEDURE? There is no downtime with Acoustic Wave Therapy and the P-Shot, you can resume intimacy right away. HOW LONG DO THE RESULTS OF ACOUSTIC SHOCKWAVE THERAPY LAST? Results vary by the patient, but most can expect improvements for up to a year. DO ALL MEN QUALIFY FOR THE ACOUSTIC SHOCKWAVE THERAPY PROCEDURE? Yes, but the physician must know about any medical or surgical history to be able to judge if the procedure is right for the individual. If you are looking for ED treatment and are interested in Acoustic Shockwave Therapy in Buffalo or Williamsville, NY, contact us today to schedule an appointment! Call (716) 633-6100 or fill out our contact form today.

Dr. Bertolino at Smooth Solutions Medical Aesthetics in Buffalo and Williamsville is the first to offer ALMI in the entire New York state. This procedure is great for hair restoration, facial filling, hand restoration and sexual wellness for men and women. What Is The ALMI Procedure? A patient’s fat is broken down into nanoparticles which are mixed with PRP (platelet rich plasma) to establish and create new lasting volume for facial restoration, hand volume restoration, and establish growth and thickness of hair follicles to restore thinning hair. WHAT DOES ALMI STAND FOR? The ALMI procedure stands for Autologous Lipocyte Micronized Injection. ALMI REJUVENATES THE FOLLOWING AREAS: Sexual Wellness Hand Rejuvenation Facial Rejuvenation Hair Rejuvenation Pain Management HOW OLD SHOULD I BE TO START TREATMENTS? Collagen production starts to slow in patients mid 20’s, by 40 there is a noticeable 20% loss of collagen. By age 50 a loss of 30%. ALMI can help rejuvenate this loss of collagen production. Wrinkle Removing Procedure ALMI restores needed volume through a small needle or cannula. Years ago fat transfer into the face was lumpy and unattractive, no longer true with the ALMI procedure. For more information about ALMI Anti- Aging treatments in Buffalo and Williamsville NY, give us a call at (716) 633-6100 or fill out a Contact Form here.

You may have heard about the dangers of using man-made compounds such as Provera and Premarin to serve as a hormone substitute intended to supplement the hormones that naturally occur in your body. The dangers are real. Premarin is actually made from an extract of the urine of pregnant mares (as in horses). Yes, this compound contains a human estrogen (estrone), but it also contains a number of equines (i.e. horse estrogens) that are not found in humans. Consequently, the use of Premarin and Provera together have produced a number of adverse effects, such as increased risk of breast cancer, stroke, and heart problems. The levels of the hormones Progesterone and Estrogen (in women), and Testosterone (in men) tend to decline as you age. However, just because your body isn’t making as much doesn’t mean that you don’t need them! Fortunately, there is a safe alternative to these potentially dangerous man-made compounds – Bioidentical Hormone Replacement Therapy, or BHRT. Dr. Bertolino specializes in bioidentical hormone replacement therapy for patients in Buffalo, Cheektowaga, Williamsville, NY and the surrounding area. Bioidentical Hormones are exactly what their name implies – compounds that are identical to the natural molecules that your body produces. These are not chemicals made from animal waste, rather, they are formulated from soy products or yams by pharmacists to match your body’s hormones identically. Through Bioidentical Hormone Replacement Therapy, patients are likely to reap the benefits of the human hormones without the side-effects associated with non-human hormones. HORMONES ARE ESSENTIAL Progesterone increases bone mass and Testosterone helps to prevent Alzheimer’s disease and improves cognitive function. That being said, a loss or decrease of hormones can have adverse impacts, including: Increased likelihood of heart disease Bone loss Decreased cognitive function Loss of muscle mass Reduced sex drive Restless leg syndrome Mood swings Hair loss Osteoporosis Depression Weight gain Thinning of skin.1 Until recently, the majority of hormone replacement therapy applications were done orally with pills, placed directly on the skin with creams or gels, or via injection. There are problems with all of these applications, including improper dosages, patches falling off, and the patient’s failure to take pills as prescribed. The newest technique is the implanting of a time-release pellet underneath the skin on the buttocks. By implanting the dosage beneath the skin, you are ensured of getting the proper dosage released regularly. Each implant can last six months. Dr. Jack Bertolino is the only physician in Western New York to offer this cutting-edge procedure. WHAT IS BIOIDENTICAL HORMONE REPLACEMENT THERAPY OR BHRT? In the 1970’s and up through today, the pharmaceutical industry has been putting billions of dollars into hormone replacement therapies but little to no responses to quality of life and safety have been addressed. Premarin (now Prempro) is an FDA approved hormone for peri menopause and menopause, which still today can cause serious side effects and does not treat the underlying problem or balance the individual. Synthetic thyroid replacement, again, doesn’t hit its true targets and patients decline through life. Bioidentical Hormone Replacement Therapy is a safe proven alternative that uses compounded, not conventional or synthetic products. These hormones are plant based and to date are the closest match to the human endocrine system. These hormones balanced effectively, give safe proven results for both health and quality of life. IS BIOIDENTICAL HORMONE REPLACEMENT THERAPY SAFE? Bioidentical Hormone Replacement Therapy is a safe proven alternative that uses compounded, not conventional or synthetic products. These hormones are plant based and, to date, are the closest match to the human endocrine system. These hormones balanced effectively, give safe proven results for both health and quality of life. There have been no cases of breast or uterine cancer with a bioidentical hormone in the literature. So what are the dangers associated with Bioidentical Hormone Replacement Therapy? Like any medication, there are precautions. If you remember, oral birth control pills can and did cause blood clots. If you are monitored appropriately, however, with proper laboratory evaluation and follow up, this should not be a problem. Individuals especially females can develop some breakthrough bleeding and breast tenderness but these are not symptoms that lead to cancer. All patients need a primary care physician and GYN for continuing care. Mammogram yearly are necessary, and will be required, as in any practice in America.

Dr. Charles Runels, the famous inventor of the Vampire Facelift® and the O-Shot®, has also applied PRP therapy to combat problems associated with erectile dysfunction. Circulation in the male body decreases as they age, including in the groin area where the ability to attain and maintain an erection can be impacted. Look beyond ED medications – a better solution is the Priapus Shot®. WHAT IS THE P-SHOT? The Priapus Shot uses a patient’s own blood platelets and stem cells to improve penile function. Utilizing the healing and regeneration power of platelets, the P-Shot stimulates new tissue growth and increases blood flow. The P-Shot procedure is a fast, painless injection intended for men who have lost function due to an enlarged prostate, prostate cancer, drug side effects, conditions such as diabetes, or the after-effects from surgery. Named for Priapus, the Greek god of virility, the P-Shot can be an effective treatment for erectile dysfunction. HOW DOES THE P-SHOT® HELP WITH ED? The growth factors present in platelet-rich plasma stimulate the growth of new tissue and blood vessels in the penis, increasing the size and blood flow. The goal of the Priapus Shot® injection is to use PRP to enhance the patient’s erections, enlarge the penis, and create greater sensitivity and thus satisfaction. HOW CAN A PATIENT WITH ED BENEFIT FROM THE P-SHOT®? The P-Shot® is ideal for enhancing the penis and providing a more pleasurable sex life for aging men. The advantages of the P-Shot® include: Although it will decrease slightly 3-5 days following the initial injections, men will experience an immediately larger penis Firmer and stronger erections Straightening of the penis Increased circulation and blood flow in the penis Increased sensation Enhances the effects of other therapies such as Viagra No allergic reactions HOW IS THE P-SHOT® PROCEDURE PERFORMED? To begin with, lidocaine cream is applied topically to the patient’s penis. Similarly to the O-Shot®, a small vial of blood is then drawn, and the PRP is separated before a few drops of calcium chloride are added to activate the growth factors. Next, a tiny needle is used to inject the PRP back into the penis. The injection locations are the corpus cavernosum and the head of the penis. These injection sites and the protocols used are patent protected and performed by physicians trained specifically in PRP treatments. WHEN WILL I SEE MY RESULTS AFTER I RECEIVE THE P-SHOT? Improvements in erection quality and duration are immediate. Noticeable increases in size will take a few weeks to allow for tissue regeneration and other growth factors to take effect. Results are variable between patients. HOW LONG WILL MY RESULTS FROM THE P-SHOT LAST? The P-Shot improves symptoms of erectile dysfunction in men for one year. These results can vary between patients, but generally, patients experience stronger, longer, and firmer erections. The results of the P-Shot® are immediate and increase over the next 2-4 weeks. WHAT ARE THE ALTERNATIVES TO THE P-SHOT? Some degree of erectile dysfunction will impact virtually all men as they pass their 50th or 55th birthday. It’s a simple fact of life as the male circulatory doesn’t deliver the amount of blood to the penis as it did in the patient’s younger days. Also, blood vessels can constrict with age, another widespread part of aging. The alternative to the P-Shot is the use of drugs to treat erectile dysfunction. You know the brand names of these drugs. Most of them have now lost their patent exclusivity and are available by their generic names as well. These are the available drugs Sildenafil (brand name, Viagra) Tadalafil (Adcirca, Cialis) Vardenafil (Levitra, Staxyn) Avanafil (Stendra) Many men like the idea of the P-Shot because it uses the patient’s own blood platelets to improve circulation, rather than prescription drugs. IS GETTING A P-SHOT PAINFUL? There is no pain involved. Prior to the procedure, the injection area is fully numbed with topical lidocaine. Dr. Bertolino uses a very fine, short needle for these injections, as well. This isn’t a painful treatment. IS THE P-SHOT COVERED BY HEALTH INSURANCE? No. These are considered to be elective procedures, so they are not covered by health insurance. Schedule A Consultation If you are looking for an alternative to ED medications and are interested in the P-Shot® in Buffalo or Williamsville, NY, contact us today to schedule an appointment! Call (716) 633-6100 or fill out our contact form today.

A leading edge procedure harnessing the healing power of your body’s growth factors and platelets. This stimulates stem cell responses whereby, you grow more new collagen and blood vessels, in order to repair, regenerate and renew damaged skin and reverse signs of aging. Your body thereby heals itself, promoting macrophages and fibroblasts to enhance epithelialization and healing. There is no risk of an allergic reaction as the PRP is specific to each individual. Eight (8) essential growth factors and signaling proteins are released after your blood products are separated by centrifugation. What Is PRP Treatment (Or A PRP Injection)? Autologous PRP (Platelet Rich Plasma) is a high concentration of platelets surrounded in its own plasma. Blood drawn from a patient, has its red cells separated from the platelet rich plasma through centrifugation. With a quick simple procedure, a high concentration of biological nutrient-rich cells are created. When activated, at least 8 essential growth factors and signaling proteins are derived. Using these growth factors can cause no allergic reaction or rejection, since it’s from the patient’s own blood serum. Would I Be A Good Candidate For PRP Treatment? Because PRP (platelet-rich plasma) is generated using your own blood, there aren’t any risks of a reaction in your body. The only limitations are for people with active infections or cancer. If you’re taking aspirin on a daily basis, you’ll need to discontinue it for about one week prior to your PRP treatment. For microneedling, there aren’t any limitations. You can have microneedling regardless of your skin color or skin type, as well. When Will I See Results From PRP And Microneedling? The results from your PRP treatment are not immediate, as the platelets need to get to work in your skin. Results begin to show themselves in three to four weeks as new collagen is added to the treatment areas, and these results continue to build for months. For the best results, we recommend three PRP treatments, spaced 1-2 months apart, although this varies depending on the treatment you are having. How Long Will My PRP Treatment Results Last? Your skin will be smoother, firmer, and will have more volume once the platelets and growth factors get to work. These changes will last for up to a year. But the aging process will continue, so Dr. Bertolino recommends PRP with microneedling treatments on a bi-annual basis to maintain your improvements. These timelines vary somewhat between different procedures, such as the O-Shot and P-Shot, but we’ll discuss what you can expect for the longevity of your results. The Pure Spin Centrifuge PRP treatment is used to heal scars and decrease the damage of stretch marks. It is used in orthopedics to help to fail joints and neuro-surgically to help brain function after stroke. The trick to PRP treatment is getting a higher concentration of platelets, which depends on both product and the type of centrifugation. Not to get too technical, but the objective is to get higher platelet concentration factor as well as platelet yield and growth factors. Dr. Bertolino is now using the new Pure Spin Centrifuge to yield a much higher concentration than the Eclipse system that many competitors are using. Pure spin has an 87.7% platelet recovery vs. 16.7% for Eclipse Dr. Bertolino Discuss PRP Treatment on NBC Cosmetic Uses Of PRP Your body’s immune system growth factors and proteins can do amazing things for you through the use of PRP treatment. Use or a PRP injection include: PRP Treatment Buffalo NY Healing of Damaged Skin Improvement in Scars from Acne Resolution of Stretch Marks Reducing Fine Lines (Rhyatids) Tightening and Toning Skin Improvement of Dark Circles Under the Eyes Rosacea Improving Fat Grafting after Liposculpture PRP Treatment as Discussed on “The Dr’s” What To Expect After PRP Treatment PRP injection Buffalo NYMicro-needling with PRP or a hyaluronic serum aides in the repair of acne scarring, dyschromias of the skin, stretch marks, fine lines and wrinkles. It improves texture and skin tone by causing controlled micro-injuries to the skin in order to aid in the production of collagen and elastin. The skin’s repair process results in a thicker epidermis with a softer appearance of wrinkles.

What Is Acne? Often misunderstood, acne really comes down to the sebaceous glands, which are located at the base of the hair follicles. These glands are tasked with producing the oils that keep our skin and hair lubricated and moist. Problems occur when the sebaceous glands clog. This traps oil beneath the skin and the skin reacts with various signs of inflammation: occluded pores (whiteheads and blackheads), red bumps (pimples), pustules, or cysts. What Causes Acne? Acne has an interesting combination of mystery and misinformation surrounding it. Why some people have severe acne, while others don’t isn’t fully understood. Acne develops from a combination of factors. In teens, hormones are the cause, particularly the rise in the male sex hormone androgen. Androgen levels rise in both sexes during puberty, and this causes the sebaceous glands to produce more oil than normal. If the oil cannot be dispersed quickly enough, the glands can clog. Now the p.acnes bacteria that are common in the hair follicles (where the sebaceous glands are located) start to multiply. This causes inflammation of the follicle resulting in a breakout. Different people have different sensitivity to this inflammation. In one teen such inflammation may lead to a pimple or two while in others it may trigger a full breakout. Genetics also play a role. In some, their skin simply reacts more aggressively to the inflammation of the p.acnes bacteria. Hormonal changes during pregnancy can trigger acne outbreaks, even if you got off easy as a teenager. Certain cosmetics and medications cause breakouts for some people. Friction and heat from sports helmets can cause what is known as acne mechanica. In adults, full breakouts are very rare because adult hormones don’t fluctuate to the degree of teenagers. Pregnancy, birth control pills, and other hormonal changes can lead to limited breakouts. In adults, it’s usually a single hair follicle clogging and creating an isolated pimple or two. How Do We Treat Acne? For years doctors have been treating acne vulgaris with oral antibiotics. This never really managed the problem, but was cheap through insurance and caused lots of rashes and GI side effects. At Smooth Solutions we treat the source, killing acne on contact with Omnilux Blue LED LIGHT. To manage the inflammation we use Omnilux Red LED light 48 hours later, for a total of 8 light treatments over 1 month. With that, we employ chemical peels and microdermabrasion to get rid of dead epithelial cells and keep skin pores open and clean. A home maintenance system is used with a company called Dreamworks. After acne is out of the inflamed, acute phase we employ microneedling with PRP ( platelet-rich plasma )and occasionally Pearl laser to soften and get rid of scarring. For severe cases, we might throw in Minocycline as an antibiotic. The program is about 6 weeks long. Smooth Solutions Medical Aesthetics offers clearCONCEPT™, highly effective treatment to address the problems of acne and acne scarring: clearCONCEPT™: The clearCONCEPT acne treatment process, developed by the leading dermatologists of the MedSurge Acne Centers, combines the latest proven acne treatments and technology, physician-only cosmeceuticals, and best practices to deliver superior clinical outcomes—without relying on prescription drugs. Additionally, we feature “concierge” service, ensuring you get the care you need when you need it. Who Would Be A Good Candidate For Acne Treatment At Smooth Solutions? Anyone, especially those saddled with continuing acne, is a great candidate to come see our team at Smooth Solutions so that we can get a handle on their acne. This is particularly true if the patient has cystic acne, which can lead to permanent acne scarring across the face and upper back. These conditions are a good sign it’s time your acne needs professional treatment: It is making the person unhappy, overly self-conscious, or uncomfortable It is producing scars It is causing dark patches to appear on the skin It is severe with deep nodules and persistent pimples It isn’t responding to over-the-counter treatments Are There Risks With Acne Treatment? Our Omnilux Blue and Red LED light therapy doesn’t involve any risk. The LED light simply kills the bacteria in the hair follicles. Patients wear eye protection during these treatments. Your skin may be somewhat red after your session, but this passes very quickly. Compared to the side effects involved with the antibiotic treatment of acne, these procedures at Smooth Solutions are very safe and effective.

Who wouldn’t like to have a naturally glowing, even complexion without having to put on makeup every day? That’s the idea behind BB Glow, a new facial skin treatment where semi-permanent BB cream is implanted into your facial skin through microneedling. This gives you a natural looking, incredibly even base that last up to six months. Dr. Bertolino now offers BB Glow at Smooth Solutions Medical Aesthetics to patients in Williamsville, Buffalo and surrounding areas. Call today to schedule an appointment! What Is BB Glow? The BB Glow facial at Smooth Solutions takes pigmented vitamin serum imported from Russia and uses microneedling to infuse it into your skin. This creates a natural glow and the appearance you’re wearing foundation makeup that is making your skin tone perfect. But you’re not wearing makeup — you’re wearing BB Glow…for about six months. HOW DOES BB GLOW WORK? At first, you may think this sounds like tattooed makeup, the kind used for permanent eyebrows and eyeliner, but that’s not the case. The pigment particles in the serum are much smaller, meaning they don’t alter the color of your skin. This light-to-medium coverage of BB Glow softens the appearance of hyperpigmentation, rosacea, blemishes, and dark under eye circles. Treatment at Smooth Solutions starts with a 20-minute numbing session to prepare your facial skin for the microneedling. Then your skin is given a double cleanse. You should also try to not wear any makeup to your session. A thin layer of the BB Glow serum is then applied completely across your facial skin. Next, we use a microneedling pen, complete with its 12 needles that move up and down penetrating the outer epidermis, and move it across your facial skin. The numbing cream makes this painless. This microneedling helps the BB serum penetrate into the dermis. The final step it to sit with a hyaluronic acid mask on your face for 20 minutes. This helps seal the BB Glow pigment into your skin. Now your skin will have an even skin tone and will be virtually blemish free. This will last for up to six months. WHAT ARE THE BENEFITS OF BB GLOW? Provides instant skin lightening Reduces melanin content in the skin Restores even skin tone and radiant complexion Reduces skin discoloration Effectively brightens the skin tone Does not clog pores, as with makeup foundation Removes the need for application of foundation WOULD BB GLOW BE RIGHT FOR ME? BB Glow basically gives you a permanent foundation without applying foundation makeup to the outer skin. This makes your skin even and without blemishes. If you’re plagued by areas of darker pigmentation, rosacea, broken capillaries, acne scarring, age spots, blemishes, and other issues you’ve used foundation to mask, BB Glow could be a great procedure for you. IS IT SAFE? The BB Glow treatment has been popular in Korea, Singapore, and Russia. The serum is imported from Russia. This treatment has not been studied or reviewed yet by the FDA. There are possibilities of a skin reaction to the BB Glow serum and this could result in skin irritation and possible inflammation. Thus far, we have not been seeing any issues with our Smooth Solutions patients. WHEN WILL I SEE RESULTS AFTER MY TREATMENT? You’ll need to not wash your face for the first 24 hours after your BB Glow treatment. You’ll also need to avoid sun exposure for one week. When you first leave our offices your face will appear as if it has a heavy layer of foundation makeup, but this passes after a few hours as your skin absorbs the remainder of the serum. From that point, you will see your results. It will appear as if your skin is more radiant, much more even in tone, and will be overall brighter. Problems like acne scarring will be effectively masked. You’ll be amazed at how much simpler your makeup routine will be. For the first 72 hours you need to refrain from using skincare products, but even after that you’ll find that a gentle cleanser may be all you’ll feel that you need. If you are interested in BB Glow in Buffalo, Williamsville, or Batavia NY, contact us today to schedule an appointment! Call (716) 633-6100 or fill out our contact form today.

Unlike Microdermabrasion, Chemical Peels use a chemical solution to improve and smooth the texture of the facial skin by removing its damaged outer layers. Exfoliation is the key to younger, healthier, more vibrant skin. We’re constantly shedding old skin cells to be replaced by new cells. As Smooth Solutions Medical Aesthetics, we offer chemical peels to simply help the exfoliation process along. What Is A Chemical Peel? Our skin is our largest organ. Unlike most of our other organs, however, the skin is constantly exposed, taking a beating from the sun, wind, and the environment. It consists of three layers: the epidermis, the dermis, and the fat layer. We are continually shedding our skin cells — we shed our entire skin about once a month (skin cells are a major part of dust in our homes)! The process is called exfoliation. Chemical peels simply give the process a boost. Peels remove layers of skin so that younger, healthier skin cells can show themselves. In the process, your skin is rejuvenated and becomes healthier. The purpose of a peel is to erase imperfections and improve skin tone and texture. How Long Does A Chemical Peel Take? The actual peel portion of these treatments at Smooth Solutions varies depending on the type of peel and the peeling agent. Overall, the entire treatment usually takes around 30 minutes. We first thoroughly clean your skin and then apply the peeling agent. This is left on for a prescribed amount of time and is then neutralized and removed. Your skin is rinsed with cool water. For most peels, a calming mask is then applied. Is There Anything I Need To Do Before I Have A Chemical Peel? You don’t want your skin to be more sensitive than normal. So, you’ll need to stop using any products or have any procedures that may increase your skin’s sensitivity leading up to your peel. These would be products such as Retin-A, products with retinol, benzoyl peroxide, or alpha-hydroxy acids. This also includes natural supplements that increase skin sensitivity, along with treatments such as Intense Pulsed Light. Also, don’t have any hair removal treatments, be it waxing or depilatory creams or lasers, for at least one week before your peel. What Are The Types Of Chemical Peels? Chemical peels are divided into three categories, based on the depth of penetration of the peeling agent. There are light/superficial, medium, and deep peels. At Smooth Solutions, we do not perform deep peels due to their lengthy recovery periods and potential for pigmentation changes. We prefer our laser skin resurfacing procedures rather than deep peels. LIGHT CHEMICAL PEELS Light chemical peels are excellent for exfoliating the outermost layer of the epidermis, removing dead and damaged skin cells and refreshing the skin’s glow. For these chemical peels, the peeling agents are natural in origin. These acids come from the alpha-hydroxy family: glycolic acid, lactic acid, and salicyclic acid. These acids come from sources such as sugar cane, citrus, grapes, or sugar beets for glycolic acid; sour milk for lactic acid; or other plants for salicyclic acid. After your first few light peels, your skin may have some redness and irritation, but as your skin becomes more exfoliated this will pass and your skin will simply glow after your peel. Light peels can be done on a regular basis to keep your skin looking its best; there is no limit to how many light peels a person can have. MEDIUM CHEMICAL PEELS At Smooth Solutions, we also offer more aggressive peels that require some recovery. Medium-depth peels penetrate more deeply, into the dermis layer. The peeling agent with many of our medium peels is trichloroacetic acid. Unlike superficial peels, which really don’t require any recovery, there will be some recovery with a medium peel. They leave the skin red and stinging, and there will be some crusting. Facial redness can linger for up to a few weeks. You can have three or four medium peels in a year. What Skin Problems Can Be Improved With A Chemical Peel? We use chemical peels for a variety of skin conditions: Fine lines and wrinkles Texture issues Acne Scaly patches Chemical peels are not meant to address issues such as sagging skin or deep lines and creases. Schedule Your Consultation Today! Contact Us to schedule an appointment for a chemical peel in Buffalo and Williamsville, NY.

GET RID OF UNWANTED HAIR WITH LASER HAIR REMOVAL Smooth Solutions Medical Aesthetics provides a longer-lasting hair removal alternative to shaving, waxing, creams, and tweezing for patients living in Buffalo, NY and surrounding areas. In this fast-paced world of ours, technology has made life easier for most of us. That includes taking care of our health issues and bodily needs. Lasers in aesthetic medicine have improved our appearance, giving us a better quality to our lives. One of the first technologies out there has been (and still is) laser hair removal for both sexes. No longer are men growing long hair and sporting a hairy chest like the 1970’s. Women have longed to stop shaving and add smooth legs and unwanted facial and axillary hair growth to the list of cosmetic quality of life issues. Laser Hair Removal Procedure We at Smooth Solutions Medical Aesthetics use the Mediostar laser hair removal system from Asclepion, a German-based company. The procedure is quick, effective, and safe in the right hands and clears 93% of unwanted hair follicles in 6 easy hair removal treatments 4-6 weeks apart. Lasers target the pigmented follicles under the skin so shaving is necessary. Laser hair removal uses the energy of the laser light to specifically hinder hair growth. The laser penetrates the upper layers of skin and transfers its energy to the hair. The energy is absorbed by the hair and light energy is converted into heat and emitted. IDEAL CANDIDATES FOR LASER HAIR REMOVAL The best candidates for laser hair removal are patients with dark hair. All skin color groups are accepted as long as the follicle is not white or light blond. Hair grows in cycles, so face treatments are 4 weeks apart and body treatments are 6 weeks apart. Topical anesthetics are used for sensitive areas. Sun exposure and tanning should not be done for several weeks after any laser hair removal procedure. Smooth Solutions uses the Asclepion MeDioStar XT Laser system for laser hair removal treatment. Through this treatment, the entire follicle area is intentionally damaged by the heat, and the hair follicle itself essentially “dies.” Meanwhile, the cooling in the laser system prevents the epidermis from suffering heat damage. After the laser hair removal treatment, there may be some slight reddening of the skin, but this disappears by itself after a short period. THE EFFECTIVENESS OF LASER HAIR REMOVAL DEPENDS ON SEVERAL FACTORS: Skin color Hair color Hair thickness Depth of the hair in the skin The diameter of a hair varies between 0.03mm and 1.0 mm. Hairs on the arm are thinner and lighter colored, those in the bikini area are somewhat thicker and darker. Generally, lighter-colored hairs are more resistant to laser hair removal treatment. In these cases, greater energy is required for removal. Ideally, 3 to 6 laser treatments are necessary for sustained hair removal. In addition to the factors mentioned above, hairs constantly undergo various growth cycles. Only hairs in the growth phase may be removed on a sustained basis with the aid of lasers. Smooth Solutions can address your hair removal needs. For more information about laser hair removal in Buffalo NY, give us a call at (716) 633-6100 or fill out our Contact Form here.

What Is Micro-Needling Therapy? Automated Micro-Needling (also known as Collagen Induction Therapy), is a procedure whereby, tiny needles are used to create controlled micro-injuries to the skin in order to aid in the production of collagen and elastin. As the skin repairs itself, a thicker dermis is produced. This softens fine lines, wrinkles and improves skin tone and texture. The tiny micro-channels allow gels, serums and platelet-rich plasma (PRP) to be effectively absorbed. Dr. Bertolino offers his experience in Microneedling to Buffalo, NY and it’s surrounding areas. Benefits Of Rejuvapen Microneedling Rejuvapen micro-needling works by using 9 precisely placed micro-needles to make tiny tears in the epidermis. This allows the skin’s natural repairing system to start generating more collagen and elastin to repair the micro-perforations. Improves: hyperpigmentation uneven skin tone scarring from trauma or acne stretch marks This procedure takes 15 – 20 mins with 1 – 2 days of downtime with NO MAKE-UP. A package of treatments is recommended based on the application used and the problem to be treated.