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Exercise, diet, and skin care are always the first line of offense when it comes to building a strong, heal hy body, as we all know But sometimes, even the most intense workout or diligent self-care

3 Exercise, diet, and skin care are always the first line of offense when it comes to building a strong, heal hy body, as we all know But sometimes, even the most intense workout or diligent self-care is no match for a stubborn spot. Body treatments of all kinds have improved dramatically, thanks to new high-tech devices designed specifically for use on areas from the neck down. And for anyone who has one nagging issue that's messing with their self-esteem, they can be a godsend. "These treatments are for those who have tried everything else to no avail," says Anne Chapas, M.D., a dermatologist in New York City Sound like you? Read on. Even out your skin tone Zap dark marks and mottled skin-on your chest, shoulders, wherever-with a fractional laser, which delivers tens of thousands of pixels of heat into the deeper layers of the skin, while leaving the surface of the skin relatively unscathed. "You'll have what looks like a sunburn for about a week," says Paul jar rod Frank, M.D., a dermatologist in New York City. "After that, expect fresh, rejuvenated skin that's less pigmented and smoother." Fractional lasers have been around ;;r-- for awhile, but because the latest versions are designed for the body they work faster. The Fraxel Dual, for example, can remove 10 to 15 years of sun damage in two to three treatments, each of which takes less than half an hour. Expect to shell out about 51,200 per session. ~ 3 4 J UNE 2017 SHAPE. COM

Smooth cellulite Cellfina (about $3,500) makes tiny incisions in your temporarily numbed skin to clip the cords that create puckered spots, which takes less than an hour.

4 Smooth cellulite Cellfina (about $3,500) makes tiny incisions in your temporarily numbed skin to clip the cords that create puckered spots, which takes less than an hour. You'll see results once swelling dissipates after a couple of weeks. "The treatment works great for dimples. But for cellulite that looks like cottage cheese, you'll have to turn to the VelaShape 3," Dr. Chapas says. This device ($850 per tre.atment) vacuums up the skin and then blasts it with heat. "I can also smooth out uneven texture with a filler called Sculptra, which I inject into the recessed areas in the skin," says Dr. Frank. "It lasts for up to two years and kick-starts the production of collagen to help plump." This will cost about $4,500. The truth: Most people have a combination of cellulite types, which means you might need a combo of these therapies to see a real difference. Contour your middle "If you have a teacup or less of fat on your abs, hips, or legs that won't budge despite a healthy diet and regular exercise, then you're a good candidate for a body-contouring treatment," says Dr. Frank. These new devices use heat or energy (either ultrasound or radio frequency) to mechanically break down fat cells, fastest option-it heats up the fat with a laser during a 25-minute treatment (which will cost up to $1,600). Some patients report no pain, othimmediately following treatment and start to see results in as little as six weeks, with optimal results typically seen after three months." which are eventually metabo- ers feel just slight cramping. The newest ultrasound lized, just like the fat you burn "Best of all, there is absolutely machine, called the from working out. The heat or energy is delivered via a handheld or strapped-on device and travels deep into the skin without hurting the surface. SculpSure is your no downtime, which is what my patients love most," says Dennis Gross, M.D., a New York City-based dermatologist. "They can go back to their normal activities UltraShape Power, is a more intense option because it takes 45 minutes, says Dr. Chapas. But it can remove 30 percent of fat, compared to the typical15 to 20 percent of other treatments. ''I'm set:!ingthe most significant changes on the abdomen, which, thanks to the device's large attachment, disrupts fat cells from the breastbone to the pubic bone all at once," says Dr. Chapas. Expect to go in for three sessions spaced two weeks apart, which cost anywhere from $750 to 51,700 each JUNE 2017 SHAPE.COM

$u SCANTOSHOP! Download the free Lo<-e MyShapeapp and scan the page. ~ '{\ Athomehelo Four new (cheape~ ways to get into top form this season.$

5 u SCANTOSHOP! Download the free Lo<-e MyShapeapp and scan the page. ~ '{\ Athomehelo Four new (cheape~ ways to get into top form this season. 3, SOFTEN YOUR SOLES Pour an alpha and beta hydroxy acid blend into the socks that come with Patchology Posh Peel PediCure (S35 for two, patchology.com). Wear for one hour. then watch the dead skin slough off for up to a week. CLARINS PAR I S 1/LIFT YOUR CHEST AND BUTT Slip Nannette de Gaspe Plumping & Lifting Techstile Infusers for Bust and Tush (S175 each, nanettedegaspe com) in your bra and the back of your underwear for one hour a day for up to eight days. Shaping ingredients, like marine collagen and hyaluronic acid, will give your skin a temporary boost. 2/ DITCH SOME DIMPLES Work Clarins Body Fit Anti-Cellulite Contouring Expert (S70. clarins com) into your thighs and butt for 15 minutes. The massaging, plus caffeine and quince leaf, flushes excess water from the area to make dimpling less pronounced. biceps, around the belly but- ton, and above the knees. Let's say you dropped Doctors turn to the same some unwanted weight. fat-zapping energy tech- Yay' Now, though, there's nologies that we described loose, crepey skin above to tighten skin too. "I left behind. "I call this like a device called the Tighten a trouble spot adult-onset athleticism: Exilis Ultra because it com- When you lose weight as bines both ultrasound and a kid, your skin bounces radio-frequency energy, back," Dr. Frank explains. covers large areas, and "When you get fit as an adult, the procedure is very fast," your skin sags because Dr. Frank says. You'll see there's no longer enough skin tighten up to 50 percent collagen or elastin to sup- after about five treatments port it." He says he sees that range from 5400 to this issue most under the 51,000. Flash flawless underarms on all hair and skin colors. You also needn't worry about compensatory sweating, meaning that you won't sud- Go confidently sleeveless anytime MiraSmooth (which will set you back about denly start sweating more in 52,800 for one session) kills a different area of your body. sweat glands and hair fol li - "The device gets rid ofl percles with electromagnetic cent of your body's sweat energy. It only takes one or glands, so there are plenty of two treatments to elimi- remaining glands to release nate underarm perspiration sweat," Dr. Chapas explains. and reduce hair growth. "It Your doctor will numb the works so well; my patients area before the one-hour are happy with the results treatment, and you may for years and years." says Dr. experience swelling for a few Chapas. Unlike many other days after the procedure. To lasers, this device is effective that we say, no sweat. * 38 JUNE 2017 SHAPE. COM

From light waves to diamond wands, it s a new day at local spas

From light waves to diamond wands, it s a new day at local spas HIGH-TECH COMES TO THE s p a By CATE LECUYER Photos by KEN YUSZKUS Mary Engstrom demonstrates the use of intense pulsed light technology