A wrinkle is a fold or crease in the skin. Skin wrinkles typically result from age, genetic predisposition and most importantly sun damage. Smoking, dry skin, excessive motion, poor hydration, and several other factors may contribute. Although there are numerous topical options on the market, few have any significant efficacy compared to procedural means. Contrary to popular belief, a facelift does not treat wrinkles, only loose skin. There are several dermatologic treatments using injectables and laser treatments to dramatically improve their appearance.
Wrinkles
Treatments for Wrinkles and Fine Lines at PFRANKMD
The Miria represents the future of non-ablative laser skin tightening for scars, fine lines, and wrinkles. It introduces a new approach to non-ablative fractional resurfacing.
Fillers such as Silicone, Radiesse, Juvéderm, Restylane, Sculptra, and Perlane are used to lift an indentation that wrinkles cause. Fillers can also be used to lift the skin for a facelift type effect. Done non-invasively this is called a filler facelift or FLT procedure.
Botox and Dysport are FDA-approved muscle relaxers that address wrinkles associated with motion.
For a few decades now, lasers have been used to resurface wrinkles on the face and body. Currently, the state of the art technology is Fractional Skin Resurfacing.
Ellacor is the first device of its kind to non-surgically remove wrinkles while lifting and tightening skin. By utilizing rapidly automated fine needle extractions of skin throughout the area of treatment, the device removes eight percent of skin per session under local anesthesia.
The EMFACE Under Eye applicators are a revolutionary treatment that leverages high-intensity muscle stimulation and radiofrequency energy to tighten, lift, and smooth the under-eye region.
Before & After Wrinkle Reduction Treatment
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For wrinkle treatment in NYC, schedule your personalized consultation with PFRANKMD by Dr. Paul Jarrod Frank. Age gracefully and confidently for the best version of you — inside and out.
SOCIAL MEDIA
𝐈𝐏𝐋 𝐁𝐮𝐫𝐧 𝐂𝐨𝐦𝐩𝐥𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬: 𝐖𝐡𝐲 𝐌𝐞𝐝 𝐒𝐩𝐚 𝐏𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞𝐬 𝐍𝐞𝐞𝐝 𝐌𝐞𝐝𝐢𝐜𝐚𝐥 𝐎𝐯𝐞𝐫𝐬𝐢𝐠𝐡𝐭
At the Complication Corner, I discuss a case featuring a patient who suffered second-degree burns with blisters from an IPL device at a med spa chain. Unlike controlled first-degree burns from properly administered laser treatments, this procedure was performed without healthcare professional supervision or medical oversight.
I explain how proper wound care and follow-up helped achieve healing, though some pigmentation irregularity remains, which we plan to treat with non-ablative Pico lasers and Fraxel Thulium.
This case highlights the serious risks of getting laser and light-based procedures done at med spas without appropriate medical supervision, as these are controlled burns that require professional expertise.
Fraxel is one of the most advanced laser technologies for treating stretch marks—both new, red marks and older, faded ones.
✨ How it works: Fraxel creates microscopic columns of controlled injury in the skin, stimulating collagen production and encouraging the skin to remodel itself. This improves both the color and the texture of stretch marks, making them less visible over time.
📅 On average, it takes 3–6 treatments for noticeable improvement, though the exact number depends on the depth, age, and type of stretch mark. Consistency is key—stretch marks that are older or deeper often require more sessions.
📊 Results shown here are after 5 Fraxel treatments. Each patient is unique, and the best outcomes often come from a customized plan that may combine Fraxel with other cutting-edge technologies available at PFRANKMD.
At PFRANKMD, our team takes a science-backed approach to create personalized solutions that deliver long-term beauty and confidence.
✨ Ready to treat your stretch marks? Click the link in bio or call (212) 327-2919 to schedule your consultation.
Check out these unbelievable non-surgical skin tightening results on the abdomen achieved without surgery. ✨
Results shown are after a single Ellacor treatment, a great option for post-pregnancy skin laxity and patients looking to tighten and smooth without downtime from surgery.
Call (212) 327-2919 to schedule a consultation and see if Ellacor is the right treatment for you.
𝐓𝐫𝐚𝐧𝐬𝐟𝐨𝐫𝐦 𝐘𝐨𝐮𝐫 𝐒𝐤𝐢𝐧 𝐓𝐡𝐢𝐬 𝐘𝐞𝐚𝐫 𝐰𝐢𝐭𝐡 𝐅𝐫𝐚𝐱𝐞𝐥 𝐑𝐞𝐬𝐮𝐫𝐟𝐚𝐜𝐢𝐧𝐠
New year, new skin! Say goodbye to sun damage and hello to a fresh, rejuvenated complexion with a Fraxel laser treatment- the gold standard in skin rejuvenation! This treatment is perfect for anyone over the age of 25 who wants to reduce sun damage and reveal a newer and healthier appearance of the skin. Get ready for the best you to shine through!
Follow for more pro-aging tips and to schedule a consultation, call (212) 327-2919 or click the link in bio.
𝐄𝐥𝐥𝐚𝐜𝐨𝐫 𝐏𝐚𝐭𝐢𝐞𝐧𝐭 𝐓𝐞𝐬𝐭𝐢𝐦𝐨𝐧𝐢𝐚𝐥 | 𝟐𝟒 𝐇𝐨𝐮𝐫𝐬 𝐏𝐨𝐬𝐭-𝐏𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞
Our patient shares her experience just 24 hours after her first Ellacor micro-coring treatment, highlighting how comfortable the procedure felt and why she chose Ellacor to tighten and sculpt her face with minimal downtime.
Erin, 45, describes the treatment as virtually painless, noting only a mild sunburn-like sensation 24 hours after the treatment. Her goal was natural-looking tightening and improved facial contour without surgery. At just one day post-procedure, she already felt confident about her decision and impressed by how manageable the recovery has been.
Planning for an event? While Ellacor has significantly less downtime than traditional surgical options, optimal results develop gradually as the skin rebuilds collagen and elastin. For best results, we recommend starting Ellacor at least 8–12 weeks before a major event, allowing time for healing, collagen stimulation, and refinement of results.
Some patients may benefit from a series of treatments depending on their skin goals and timeline.
Ellacor is ideal for patients seeking meaningful skin tightening with natural results. Call (212) 327-2919 or click the link in bio to schedule a consultation.
𝟐𝟎𝟐𝟔: 𝐓𝐡𝐞 𝐘𝐞𝐚𝐫 𝐨𝐟 𝐅𝐚𝐭 – 𝐑𝐞𝐠𝐞𝐧𝐞𝐫𝐚𝐭𝐢𝐯𝐞 𝐌𝐞𝐝𝐢𝐜𝐢𝐧𝐞 𝐚𝐧𝐝 𝐍𝐚𝐭𝐮𝐫𝐚𝐥 𝐁𝐞𝐚𝐮𝐭𝐲
Fat transfer was once a foundational part of my practice, before the rise of fillers and biostimulatory agents. Now, with advances in microfat and nanofat processing, fat-based treatments are experiencing a powerful resurgence and for good reason.
Fat is one of the most accessible and regenerative resources in the human body. Rich in stem cells and growth factors, it offers remarkable potential not only in aesthetics, but across regenerative medicine including orthopedic and cardiac applications. These innovations allow us to harness fat’s natural healing properties in a more refined, precise way, supporting skin quality, tissue regeneration, and long-term vitality.
As we move into 2026, I am increasingly focused on helping patients age better naturally, optimizing their appearance and health while minimizing reliance on foreign substances. This evolution reflects a broader shift toward regenerative, whole-body approaches that align beauty with longevity.
I am deeply grateful for my career, my patients, and the opportunity to continue advancing medicine in a way that supports natural beauty, resilience, and pro-aging from the inside out.
Featured in “Ozempic Body: Solutions for Sagging Skin” written by @ingridanneschmidt for @hollywoodreporter
The article explores how rapid weight loss from GLP‑1 medications like Ozempic, Wegovy, and Mounjaro can lead to accelerated facial aging — including sagging skin, hollow cheeks, and a more gaunt appearance. When weight drops quickly, fat volume in the face diminishes, skin loses elasticity, and collagen and elastin production slow down, leaving patients looking older than before.
One of the newer solutions highlighted is Ellacor fractional micro‑coring technology. This minimally invasive procedure uses hollow needles to remove thousands of micro‑cores of skin in a precise, grid‑like pattern while delivering controlled heat. As the skin heals, it tightens and contracts naturally — improving skin laxity, fine lines, and crepiness without the downtime or scarring associated with surgery. For many experiencing “Ozempic Face,” Ellacor can be combined with other treatments like fillers or collagen stimulators to both restore lost volume and firm loose skin.
“I see it every day in my office. A 50‑year‑old patient will come in, suddenly super‑skinny and needing filler for the first time. I ask, ‘How long have you been on Ozempic?’ and I’m right 100 % of the time.” – Dr. Paul Jarrod Frank
By understanding how medications affect skin and facial structure — and knowing that treatments like Ellacor exist — patients can take a proactive approach to maintaining a healthy, natural, and youthful look after weight loss.
The ongoing increase in fear surrounding dermal fillers stems from observing a trend towards exaggerated, overdone facial appearances, often resulting from individuals receiving excessive treatments and being overfilled with product. I examine the current landscape of injectable treatments in aesthetic medicine, emphasizing concerns about repeated overuse, the proliferation of unlicensed and illegal practitioners, and the critical importance of selecting experienced, qualified professionals to ensure safety and optimal results. It’s important to recognize that fillers are here to stay.
The safety and success of these procedures hinge more on the skill and technique of the provider than on the specific product used.
🎧 Click the link in bio to listen to the full episode of The Pro-Aging Podcast to hear the complete conversation
𝐓𝐡𝐞 𝐏𝐫𝐨-𝐀𝐠𝐢𝐧𝐠 𝐏𝐨𝐝𝐜𝐚𝐬𝐭: 𝟐𝟎𝟐𝟓 𝐘𝐞𝐚𝐫 𝐢𝐧 𝐑𝐞𝐯𝐢𝐞𝐰
We’re wrapping up the season with a special solo episode.
In this final episode, I break down the biggest shifts in aesthetic medicine in 2025 and what I believe is coming next in 2026, from injectable awakenings to surgical hype and the rise of regenerative medicine.
𝐖𝐞 𝐝𝐢𝐯𝐞 𝐢𝐧𝐭𝐨 𝐭𝐡𝐞 𝐦𝐨𝐬𝐭 𝐭𝐚𝐥𝐤𝐞𝐝-𝐚𝐛𝐨𝐮𝐭 𝐝𝐞𝐯𝐞𝐥𝐨𝐩𝐦𝐞𝐧𝐭𝐬 𝐨𝐟 𝐭𝐡𝐞 𝐲𝐞𝐚𝐫, 𝐢𝐧𝐜𝐥𝐮𝐝𝐢𝐧𝐠:
✨ The rise of “filler fear” and why injectables still have a place when used responsibly
✨ The year of celebrity surgery and the deep plane facelift hype, plus why technique and timing matter
✨ Regenerative medicine and peptides, what’s promising, what’s over-marketed, and what needs more data
✨ Why the next 5 to 10 years will be the decade of maintenance, with lasers, resurfacing, and injectable-sparing technologies
✨ Why fat is poised to be the next major focus, and the resurgence of microfat and nanofat for regenerative results
To close, I share what I’m watching for 2026 and beyond as aesthetics continues moving toward smarter, safer, more natural pro-aging outcomes.
Thank you for listening all year. Your support is what makes this podcast possible. Here’s to a strong finish to 2025 and an even better 2026. 🥂
🎧 Click the link in bio to listen to the full episode and catch up on the rest of the season wherever you get your podcasts.
For more on pro-aging, check out my book, The Pro-Aging Playbook.
Check out these unbelievable non-surgical skin tightening results on the abdomen achieved without surgery.
Results are after a single Ellacor treatment.
Call (212) 327-2919 to schedule a consultation and see if Ellacor is the treatment for you.
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Aesthetic and Longevity Healthcare
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PFRANKMD| The Most Cutting-Edge Technologies| Customized Signature Treatments| Only Licensed Healthcare Professionals
𝐀𝐜𝐡𝐢𝐞𝐯𝐢𝐧𝐠 𝐭𝐡𝐞 𝐀𝐢𝐫𝐛𝐫𝐮𝐬𝐡𝐞𝐝, 𝐅𝐢𝐥𝐭𝐞𝐫𝐞𝐝 𝐋𝐨𝐨𝐤 𝐰𝐢𝐭𝐡 𝐂𝐎𝟐 𝐋𝐚𝐬𝐞𝐫 𝐑𝐞𝐬𝐮𝐫𝐟𝐚𝐜𝐢𝐧𝐠
CO2 laser resurfacing, a procedure that can get rid of fine lines, even out pigmentation, shrink pores, and tighten skin in a way that face surgery can’t. It has a one-week downtime, is painless, and done in a 15-minute procedure under IV sedation. This classic but ever-evolving technology can make fine lines, smoker’s eyes, and crepey skin under the eyes disappear, giving you the ‘shrink-wrapped’ look you can only get from filters.
CO2 Laser with the Fraxel Re:pair requires the expertise of skilled practitioners who create a customized treatment plan catered to each individual’s unique skin concerns.
Call (212) 327-2919 or click the link in bio to schedule a consultation.
𝐅𝐫𝐚𝐱𝐞𝐥 𝐑𝐞:𝐩𝐚𝐢𝐫 𝐂𝐎𝟐 𝐋𝐚𝐬𝐞𝐫- 𝐓𝐡𝐞 𝐆𝐨𝐥𝐝 𝐒𝐭𝐚𝐧𝐝𝐚𝐫𝐝 𝐟𝐨𝐫 𝐒𝐤𝐢𝐧 𝐑𝐞𝐣𝐮𝐯𝐞𝐧𝐚𝐭𝐢𝐨𝐧
In a landscape filled with rapidly evolving non-invasive technologies, fractional CO2 laser resurfacing with the Fraxel Re:pair remains unmatched in tightening skin, smoothing fine lines, and refining texture. This advanced treatment effectively reduces deep wrinkles, crepey skin, large pores, and stubborn scars—turning back the clock with just 7-10 days of social downtime.
Utilizing state-of-the-art laser technology, Fraxel Re:pair removes the outer layers of skin, promoting fresh, new growth for a refreshed and youthful appearance.
Patience is essential during recovery, as the skin needs time to heal completely.
To achieve optimal results, the Fraxel Re:pair treatment requires the expertise of skilled practitioners who create a customized treatment plan catered to each individual’s unique skin concerns.
Call (212) 327-2919 or click the link in bio to schedule a consultation!
