By Dr. Michael S. Mall

Michael S. Mall, M.D. is the medical director of Michael S. Mall, MD | Medical Concierge and New Image Advanced Laser Skin Center. Dr. Mall answers some common questions about health, but encourages those with concerns to seek professional help.

Q: I always want to look my best at any age but I am wondering if there is anything I can do now so that maybe I won’t need plastic surgery as I get older.

A: It is important to realize that the collagen, elastin and hyaluronic acid concentrations decrease making our skin appear thinner and more transparent. Plastic surgery makes skin appear smoother by stretching the loose skin tighter but further decreasing the concentration of collagen, elastin and HA, and actually thinning the skin. The latest treatment to address all three of those elements is Profound, which actually heats the reticular layer of the skin below the surface with micro fine needles for three seconds. The procedure only requires topical and local anesthetic with swelling for three to seven days as a recovery phase with no bruising. Profound is currently the only procedure to actually increase elastin (by 18 percent), increase collagen as well as hyaluronic acid. The lift is about 37 percent of that obtained by a surgical face lift. The procedure can be repeated every five years to maintain the skin at a youthful biological age, avoiding plastic surgery altogether.

Q: I work out and take good care of myself but I still have cellulite. Help! What can I do?

A: Cellulite is the age-old enemy of women’s legs. Profound has been FDA cleared for cellulite reduction with a hand piece dedicated to fat reduction. However, sometimes what appear to look like cellulite as dimply skin is not actually cellulite, but moderately loose skin. Profound can actually tighten loose skin anywhere on the body including arms, buttocks, thighs, legs and love handles.

Q: How do I know what skin care treatment is right for me?

A: A good aesthetician can evaluate your skin taking into account biological age, laxity, sun damage, lines, age spots and genetic predisposition to determine the best customized treatment plan with the appropriate prescription grade skin care products including Skinceuticals and Skin Better, a unique newer prescription grade skin care product line.

Q: Does skin treatments really help those in their 20s and 30s?

A: The earlier you start properly caring for your skin the better the outcome in skin care treatments. Prevention of sun damage and environmental damage is the best way to preserve youthful skin. Correcting already present damage to restore youthfulness is the next step, and can start as early as in the 20’s. The most important point is to work with an aesthetician that specializes in advanced skin treatments from skin care products to full resurfacing lasers in order to determine best individualized life long treatment plan.

Michael S. Mall, MD | Medical Concierge and New Image Advanced Laser Skin CenterMichael S. Mall, MD | Medical Concierge and New Image Advanced Laser Skin Center offers a new approach to health care, especially for women and their unique needs. Dr. Mall and his team adhere the highest medical standards and utilize the most advanced technology. For more information, visit and