Anatomy of Aging

Anatomy of Aging

There are many ways that our face changes over time. Skin descends, volume disappears, muscles sag and relax, bone structure is resorbed. Here are some interesting images of mother and daughter to help you understand the process. Let us help you turn the clock back by addressing some or all of these issues as you age. We can also be proactive in preventing changes too!

How your mother ages can provide a glimpse into how your face may change over time.
As we age and lose facial volume, the contour of the face changes, causing shadow patterns to develop while youthful highlights fade. We’re going to see these changes, layer by layer, starting with the skin.
AS WE AGE, facial bone changes, soft tissues (like fat-pads) deflate and fall due to gravity, and skin sags and droops downward. Facial fat-pads shift, while the
fat-pads beneath the chin can increase in prominence, causing fullness between the neck and chin, also known as a double chin, and jowling.
• Youthful skin is soft, supple, smooth, and well hydrated
• As we age, we lose moisture, collagen, and elastin, which can lead to sagging
• Sagging skin may lead to the formation of dynamic and static wrinkles
DYNAMIC WRINKLES—formed by everyday, repetitive facial movements, such as smiling , laughing, frowning, or squinting.
STATIC WRINKLES—dynamic wrinkles that are gradually etched into the skin overtime since the skin is no longer able to bounce back as it did in our youth.
MANY FACTORS IMPACT THE WAY OUR SKIN AGES. Some people experience premature – onset aging of their skin, and potentially, at a fast rate of progression.
• A less firm and sunken face compared to our youth
• Hollows to form beneath the eyes
• Lines around the nose and mouth (“nasolabial folds”)
• A sagging jawline and jowls
• Increased fullness under the chin (“double chin”)
FACIAL VOLUME in the entire face decreases with age, leading to an overall deflated look.
That’s when more wrinkles, folds, and sagging of skin appear.
A goal for facial rejuvenation is to restore FACIAL VOLUME , which helps to decrease the appearance of wrinkles and folds.
AS WE AGE, loss of facial fat, combined with gravity and repetitive muscle activities(eating ,laughing ,smiling, frowning, etc), can lead to deep wrinkles in the face.
FACIAL MUSCLES ALSO GET WEAKER OVER TIME. The loss of muscle tone and thinning skin can give the face a loose, sagging appearance. Our jawline loses its contour, and our chin profile becomes less defined.
• Full and high cheeks
• Defined brow bones
• Less sunken eye areas
BONE STRUCTURE gives us our unique facial shape and contour.

Treatment options include general and specific skin care for the surface, volumizing with fillers, relaxing muscles that create dynamic wrinkles with Botox, and lifting sagging tissues where needed with surgery. We study the anatomy of your face and create custom solutions to rejuvenate!

Appeal of the peel

Appeal of the peel

So what is the appeal of a skin peel? When we’re talking about peels we are talking about skin care and improving the quality of the skin on the surface. The perfect time to do this would be in the fall when you just start to see the summer changes disappear from your skin. A jumpstart towards purification of the skin would include an exfoliation of the skin to help remove some of the dead layers that have built up over the summer and some To even out of the skin tones it’s necessary at this time of year. Now what are peels? The peels include various assets formulations specifically for the skin to allow the dead layers to be relieved from the surface and thus leaving a fresh layer of healthy skin below. The peels are typically followed up by some hydration and moisture which is done for several days following the peel in order to keep the skin moist and allow for a good transition to a healthy new complexion.

Our signature peels at the Aesthetic Associates Centre are custom blends of retinol, alpha hydroxy acids and hyaluronic acid which can be adjusted specifically for an individuals needs.

Take the time to treat your skin to rejuvenate and rewind your complexion.

New Filler Now at Aesthetic Associates Centre!

New Filler Now at Aesthetic Associates Centre!

RHA Collection – Only Buffalo Practice Offering it!

September 14, 2020

The #RHACollection is here! RHA®, Resilient Hyaluronic Acid, is designed to treat dynamic wrinkles and folds. The Aesthetic Associates Centre for Plastic Surgery is currently the only practice in all of Buffalo to offer this advanced filler technology. Your skin is designed to move and your filler should be, too. Expect the newest and the best when you visit Aesthetic Associates Centre for Plastic Surgery!

Contact us at 716-839-1700 for a FREE consultation or for any questions!

I Hate My Neck!

I Hate My Neck!

Neck Rejuvenation- What you need to know

I hate my neck”.  How many times do I hear that in one week!  It seems that as we age, the first area to show our age and wrinkles is the neck.  Why?  Because of the thin nature of the skin and the fact that the neck skin has very thin dermal layer (the layer just below the skin surface).  Selecting a neck skin rejuvenator to firm, lift and reduce crepey texture requires certain qualities. 

What should I use?

I recommend a rich cream/serum which combines ingredients to both hydrate and firm.  Natural ingredients like Aloe Juice, Hyaluronic Acid and Cucumber Extract  help to moisturize and firm the neck leaving you with a rejuvenated appearance.  Because the skin on the neck is very sensitive, Aloe can help to reduce inflammation.  Hyaluronic Acid is a powerful humectant that can hold on to water and help to prevent dehydration of the skin.  Peptide ingredients will penetrate to help with collagenesis to promote/stimulate new collagen production. 

Step-by-step procedure

  1. Cleanse the skin with a mild face wash/cleanser.  Do not use harsh scrubs or exfoliants on the neck, as they will irritate the thin skin.
  2. Immediately after cleansing, while the skin is still moist, apply the neck firming cream in an upwards motion from the bottom to the jawline.

Consider Recommended Products
“I love our new ‘Lift’ neck firming cream.  It is formulated with all of the needed neck rejuvenating ingredients and none of the harsh irritating ones.  By including Arginine, ‘Lift’ offers helps to protect the skin from free radicals, increase skin hydration, and boost collagen production.  Our patients have seen significant results in just 2-3 weeks with twice a day application.” 

Jump Start the rejuvenating process
To get the process going, I recommend an in office treatment with microdermabrasion or Focus Laser to the entire neck.  This will help to gently remove the dead layers on the surface and ‘jump start’ your rejuvenation process.  Prior to your treatment, the skin care specialists/Aestheticians will fully assess your concerns and help to create a custom treatment package to best suit your needs.

Don’t let your neck appearance get you down.

I want to hear…”I Love My Neck!”  Get started today.



Have you been the victim of Dilutox? You know, when you finally get some Botox and it just doesn’t seem to last very long? This is most likely due to a provider diluting the Botox, Dysport or Jeuveau with excessive amounts of liquid and thus undertreating an area. Usually, when you see a ‘too good to be true‘ deal advertised, or several areas for a “low, low” price, this could be the reason. The result of your Botox injection has little to do with how many injection sites are being used, and everything to do with what the dosing is per spot. Many injectors charge by the area of treatment, such as the frown lines, they may charge a certain price, let’s say $200. That sounds like a great price, but if they only give you 10 units, you are paying $20 per unit! Or ion the case of Dilutox, the injector may be over-diluting the Botox and giving you less number of units when then required and charging you the same amount. At the Aesthetic Associates Centre, we inject the exact number of units required for the maximum results with the least amount of dilution needed. This ensures that whatever area on the face we are treating becomes wrinkle free for the longest amount of time, on average, 3-4 months. In addition, we use fresh vials almost daily. Our team trains health professionals, in our Aesthetic Learning Academy, on the proper techniques of injectables. Using the right dose per injection is critical to getting the best result. Do your homework. Beware of the “Special Deals”. Don’t be a victim of Dilutox!

Michelle McCarthy- PA-C

Physician Assistant– Aesthetic Associates Centre for Plastic Surgery and Advanced Skin Care



Maskne (or mask-related acne) breakouts are becoming part of the “new normal”. Aggravating as the COVID epidemic is, it may becoming increasingly difficult to maintain healthy skin while wearing a mask.

I for one have never had issue with my skin getting irritated due to waring a mask in surgery. Sometimes, I perform surgical cases which last several hours, but generally, the surgery is done in a cooler operating room space which limits the amount of heat and moisture under the mask. More recently, I have found my skin to be more sensitive due to wearing a mask the entire day while seeing patients or in surgery.

Why it happens.

Warmth and moisture buildup under the mask is a perfect environment for buildup of yeast, bacteria and other irritants to the skin. Breakouts in the form of small pimples and rosacea can develop, leaving one with red and inflamed skin. Friction from the mask can also create issues, particularly with those individuals with acne prone skin.

For men, late in the day, I notice that my mask will create some irritation from the 5 0’clock shadow. Some masks with a soft lining may reduce this sensitivity.

Avoid wearing a mask if possible.

As annoying as it is, not wearing a mask is NOT AN OPTION! Be considerate to people around you. Limiting the time of mask use may be helpful. Stay home if possible. Do not take the risk of going out without a mask. If you get the Coronavirus, your skin may be the least of your worries.

What can you do to treat Maskne?

The key to limiting Maskne, and for that matter, general acne issues, is to keep your skin clean. Using toner and a cleanser with salicylic acid or alpha hydroxy can help prevent breakouts.

Once acne breakouts develop, consider using an Oily Skin Detox Mask. The mask can be used once a week or more frequently if needed.

Come in for a skin care analysis and consultation. Our Aesthetic Team is here to offer assistance with Maskne and any other skin issues you may have.

Why go to Dr. Shatkin?

Why go to Dr. Shatkin?

Dr. Shatkin is an Expert Surgeon

  • Dr. Shatkin performs over 800 face, breast, and body procedures each year.
  • He is a Diplomat of the American Academy of Plastic Surgeons
  • Dr. Shatkin has annually been recognized as a top doctor in both Castle Connolly’s America’s Top Doctors since 2012, and Who’s Who in Healthcare for Plastic Surgery since 2013.
  • Dr. Shatkin has a reputation of always being available for his patients. He shares his cell phone number for post-op questions and concerns.
  • His office surgery center has been accredited since 1989 and utilizes only Board Certified Anesthesiologists.
  • He has lectured worldwide on topics in Plastic Surgery, Skin Care and Wellness.
Filler Longevity

Filler Longevity

Injectables are becoming more and more popular as a way to soften lines and create balance for the aging face. We all would like them to last forever and selecting the right filler for each area is something an experienced injector can provide.

We use dermal fillers for a variety of treatments, including filing fine lines and valleys and adding volume to areas such as the cheeks or lips.

Unfortunately, dermal fillers are temporary and will gradually be absorbed by the body over a 6-12 month period.

So how can you get the best results and have your dermal fillers to last?

Here are a few things that you should consider.

Choose a reputable provider

Make sure you choose the right injector. Very often patients price compare. Shopping around for the best price may be the right thing to do when looking for a refrigerator or camera, but the quality of your result will be a direct reflection on who does the injection and what product your expert selects. Don’t bargain shop! Look at the filler provider’s background, experience and reputation. Referrals from friends can be an excellent source. Check out their credentials. Also, many times a filler is not the right choice and non-surgical treatments may leave a less than ideal result. Going to a center that can offer all aspects of aesthetic treatments, such as fillers and skin treatments, as well as surgical options if needed, will assure you will receive the optimum treatment. Ideally, injectable fillers are performed in a plastic surgeon’s office by a provider who understands both proper injection technique and aesthetics.

Watch out for marketing ploys and advertising that sounds “too good to be true”. Many injectors, mainly non-aesthetic health professionals trying to tap in to the aesthetic market, will advertise an unbeatable price, and yopu may not be getting the product you expected. Extremely low pricing can come from manufacturer rebates, but if now, the provider may just be using a different product or diluting the product to keep the cost down. Check for reviews online, a reputable website, and before and after photos, and during your consultation, ask plenty of questions! Do your research before the visit. Injectable fillers can cause untoward effects when not done properly. Safety first! Do your research prior to scheduling a filler appointment to ensure not only your health and safety but the best possible results as well.

Follow instructions

Your provider will recommend being gentle on the areas that were treated and not to rub for 1-2 days. You may use ice to limit bruising and swelling. In addition, you should limit sun and heat exposure as well as alcohol for 1-2 days.

Follow your injectors guidelines closely and contact them with any questions.

Use the proper skin care routine

To achieve an optimum aesthetic result, you should maintain good healthy skin care including cleansing and moisturizing. Your skin care provider will often recommend a good skin care routine that is customized for you to help maintain healthy looking skin on the surface, while the fillers can reduce lines and add volume where needed. Healthy skin will make your results even more aesthetic. Using a skin care regimen customized for you will help improve skin texture, elasticity and tone.

Stay healthy inside out!

The best way to maintain an attractive, youthful appearance is by maintaining a healthy lifestyle. Here are some to focus on.

Lifestyle factors:

  • Maintain well balanced diet with plenty of fruits and vegetables and limit calories from carbohydrates.
  • Reduce stress which can accelerate aging
  • Get 7-8 hours of sleep daily
  • Stay hydrated, drink plenty of water.
  • Protect your skin from the sun, and use sunscreen.
  • Avoid smoking and excessive alcohol consumption

Fillers do not last forever

I discuss with my patients the need for maintenance. Rather than having the filler be gone completely, I instruct my patients to come in to layer the filler at the appropriate time. No filler will last forever and some fillers will last longer than others. Proper timing for treatments will maintain a softer, natural look without dramatic changes from one injection to the next. Most dermal fillers can last anywhere from six months to two years – sometimes even more, depending on the type. Most hylauronic acid fillers (most common type used) last between 6-9 months and will depend on type and location of injection.

How to treat FAT?  Picking your doctor wisely.

How to treat FAT? Picking your doctor wisely.

If you are interested in having some body contouring, and by that, I mean removal of unwanted fat deposits in areas of the body, then your best option is to seek out a Board Certified Plastic Surgeon that offers both surgical and non-surgical options. Too often, patients go to the closest, least expensive body contouring ‘doctor’ who is not an aesthetic specialist or board certified in the specialty of Plastic Surgery. Credential are important! In addition, if the doctor performing the treatment only offers non-surgical options, the end result may fall short of the ideal. the old adage, “if all you have is a hammer, the whole world looks like a nail” could apply here. This past week I saw a patient that had CoolSculpting treatments followed by Laser Liposuction, both done my non-surgeons. Based on our conversation with the patient, it appeared that the patient had skin laxity that would not be amenable for a treatment that did not remove her loose skin. Needless to say, she spent a great deal of money ($9000 +), and time ( over 2 years) and still has not achieved an aesthetic result. A surgical tummy tuck and liposuction, (costing less than $9000 total) would have given her the ultimate flat/tight tummy she was seeking.

At the Aesthetic Associates Centre, my staff and I can offer non-surgical body contouring using Warm Sculpting- Sculpsure which is a 20 minute treatment, and typically requires 2-3 sessions. When surgery is needed, such as liposuction or Tummy Tuck, I can perform that procedure in our office surgery center or at the local hospitals.

My suggestion is to get a second opinion before treating your body to a procedure. Some individuals spend more time picking our an appliance than a medical doctor.



Summertime Fun! Save Now!

If you are thinking about starting with our “PreJuvenation” treatments, now is the time to get your injectable treatments! The Aesthetic Associates Centre for Plastic Surgery and Advanced Skin Care is offering an amazing special! Get $150 off your Botox or Juvederm injection. Injectables, such as Botox and Juvederm, are perfect, no-downtime solutions to soften lines and wrinkles on the face. Our practice has been doing injectables for more than 30 years, and no practice in WNY has more years of experience. And we are creating this amazing offer. But don’t wait! This offer is only available until July 31st, 2020. Call us now! 716-839-1700 to set up your free consultation for treatment.