The Youth Fountain is Central Jersey's premiere Medical Spa led by Drs. Emil and Rada Shakov.

Emil Shakov, MD, FACS is a board certified general surgeon who has been providing aesthetic procedures for patients since 2013.  After completing a surgical residency and fellowship, Dr. Shakov performed bariatric surgery prior to opening The Youth Fountain in 2013.

Rada Shakov, MD is a board certified physician specializing in medical aesthetic procedures since 2015.

The Youth Fountain specializes in hair transplants, facial injections, laser assisted liposuction, thread lifts, non-invasive body-contouring, hormone replacement, and weight loss services including hCG diet.


Dr. Shakov is a board certified physician specializing in medical aesthetic treatments since 2015.

Rada Shakov, MD

Dr. Shakov is a board-certified general surgeon with years of experience in medical aesthetic treatments

Emil Shakov, MD, FACS

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Doctor or Physician

General surgeon

A surgical procedure that improves the appearance of sagging breasts by elevating them to a higher position. Although different techniques exist, a common method involves an incision around the nipple area, downwards, and underneath the breast. Sometimes the incision is restricted to around the nipple in less extensive lifts. A breast lift can be performed as part of breast augmentation or breast reduction. Breast lift surgery is usually performed under general anaesthesia.

Breast lift

Improving the appearance of obvious dimples, usually in the buttocks and thighs, by placing a small cutting device under the dimple.  This procedure is usually performed under local anaesthesia.  After the areas are marked and the numbing is applied, a small needle or special cutting blade is inserted under the skin to release the dimple that is being pulled down by fibres under the surface.  A compression bandage or garment may be advised after the treatment.

Cellulite dimple release

Various technologies and devices are available on the market designed to help improve cellulite.  Non-invasive cellulite therapies include physical massage with rollers, shockwave therapy, ultrasound, and radiofrequency.  Most of these devices heat the tissues under the skin or manipulate the tissues physically in order to improve blood flow, release growth factors, and stimulate lymphatic drainage. The result is a smoother appearance. Regular treatments are usually advised.

Non-invasive cellulite therapy

A series of small injections of a purified neurotoxin that temporarily blocks nerve impulses to muscles or other tissues, causing the muscles to relax.  When muscles relax, the overlying skin moves less, effectively reducing wrinkles.  Botulinum toxin injections can be strategically placed for various other indications, including rejuvenation of the upper and lower face, reducing sweating, and medical conditions such as migraine. The effects usually wear off after a few months.

Botulinum toxin injections

The most commonly used fillers today are non-permanent and consist of hyaluronic acid, a naturally occurring molecule found in skin, joints and in the eyes.  Several brands of hyaluronic acid filler are available.  They all comprise a clear, soft, sterile gel that is injected into the skin or beneath the skin to soften lines, contour facial features, or add volume.  Fillers may be injected under local anaesthesia, and results can last about 6-18 months.

Fillers

The brow may be lifted or elevated using threads to make the eyes appear more youthful or to improve the aesthetics of the eyebrow shape. The most commonly used threads are filaments made of a dissolvable material, such as PDO, which are inserted into or under the skin under local anaesthesia. Some threads have cogs or cones to grasp the tissue, and they may be anchored to the deeper layers higher at or behind the hairline.

Brow lift with threads

In some cases, fillers are injected into the soft tissues to reshape the nose and make it appear straighter or more defined.  The most commonly used fillers for this purpose are non-permanent fillers like hyaluronic acid, a clear, sterile, biocompatible gel substance.  Other non-surgical rhinoplasty techniques use botulinum toxin injections to elevate the tip of the nose.  Some doctors use threads to modify the appearance of the nose.

Non-surgical rhinoplasty

Various threads are used to lift different parts of the face, or even body. These can be dissolvable or permanent materials, and have different appearances. Some are smooth, some have tiny hooks or barbs, others have cones. A thread lift is usually performed under local anaesthesia as a minimally invasive treatment. The threads may be anchored or ‘free-floating’. Some thread lifts require small incisions whereas others are inserted through punctures without making incisions.

Thread lift

Liposuction is used to contour the body by removing fat that lies under the skin through special suction tubes called cannulas. Liposuction can be performed under local anaesthesia or general anaesthesia. Almost all parts of the body can be treated with liposuction. Various forms of liposuction exist, including those that use suction alone, or those that use energy to assist the procedure, such as laser, ultrasound, or vibration.

Liposuction

A peeling treatment that uses lasers, such as carbon dioxide and erbium lasers, to remove the outer skin layers precisely. The type of laser and settings used determine how the skin peels and heals. Laser skin resurfacing is used to reduce sun damage, pigmentation, and fine wrinkles. The treatment usually requires some form of anaesthesia and special skin care during the healing period after the treatment.

Laser skin resurfacing

A skin resurfacing or peeling treatment that uses chemicals, usually special acids, to remove the top layer of skin. A chemical peel is indicated to treat pigmentation, sun damage, acne, or fine wrinkles. The depth of peel, results, and recovery period depend on which chemical is used during the peel. Chemical peels can be superficial, medium depth, or deep peels. Peeling agents include salicylic acid, azelaic acid, glycolic acid and trichloroacetic acid (TCA).

Chemical peel

Lasers are powerful devices that emit light at certain wavelengths in order to have an effect on tissues in the skin or body. Ablative lasers vaporise or peel skin. Non-ablative lasers usually heat skin without peeling. Lasers can heat collagen effectively, causing improvement in texture, tightness and pores. Lasers can be used to rejuvenate by treating blood vessels, removing hair, stimulating biological processes or peeling the outer, unwanted layers of skin or tissue.

Laser rejuvenation

Microneedling is a treatment where numerous tiny needles penetrate the skin to stimulate collagen, resulting in tighter skin with fewer lines and improved texture. The needles are small, usually up to three millimetres in length, and arranged on a device such as a stamping tool, pen, or roller. Local anaesthesia may be used to numb the skin before microneedling is performed. The skin can appear pink after the treatment, which may be repeated several times for best results.

Microneedling

This treatment uses tiny needles to penetrate the skin and deliver heat at the same time.  Radiofrequency energy passes through the needles in order to provide heat, either through the whole needle or just the tip. Radiofrequency needling is designed to stimulate collagen and tighten tissues more than needling alone.  The treatment is usually performed using local anaesthesia.

Radiofequency needling

A non-ablative laser is a laser that does not peel away the outer layers of skin during treatment. The wavelength of non-ablative lasers does its job by heating specific targets in the skin or tissues, such as collagen, blood vessels, or hair follicles,  without vaporising the skins surface to any significant degree.  Non-ablative lasers usually do not have the recovery and downtime associated with ablative lasers.

Non-ablative laser

Low-level laser therapy (LLLT) is used to have an effect on cells in tissues without heating them.  Light at a certain wavelength is delivered to the tissues using the device at a low energy.  This may be used to reduce fat or weight non-invasively.

Low-level laser therapy

Cryolipolysis, also known as fat freezing, is a non-invasive body contouring treatment that uses cooling of subcutaneous tissues to cause the fat cells to die. This results in localised reduction of fatty areas in the body. A device is placed on the tissues for a period of time during the treatment. Specific areas only can be treated depending on the applicator used.

Fat freezing

Vascular lasers can treat variety of conditions including dilated or unsightly blood vessels. The lasers employ a specific wavelength of light the targets the blood in blood vessels, heating the vessels and effectively destroying them. Vascular lasers include pulsed-dye lasers and NdYAG lasers.  They can be used for conditions such as leg telangiectasias or “broken veins”.  A number of treatments may be required for optimum results.   

Vascular laser

Lasers use a specific wavelength of light to exhibit their effects. The wavelength determines the target for that specific laser. Most lasers are designed to heat and destroy a specific target and leave surrounding tissue untouched and undamaged. Lasers can peel skin, remove hair, rejuvenate skin, treat vascular conditions and remove pigmentation and tattoos. Various safety protocols are required when lasers are used, such as eye protection with goggles or eye shields.

Laser

The pigment in skin tattoos is destroyed using a powerful laser.  Only lasers with very short pulse durations, such as picosecond lasers, are able to break down the ink particles in tattoos effectively during these treatments.  Usually several sessions are required to clear the tattoo as much as possible.

Laser tattoo removal

This is a blood product that is prepared by spinning a whole blood sample in a centrifuge in a special syringe. The blood separates into different components, including plasma rich in platelets, cell fragments that release growth factors. The gold-coloured platelet-rich plasma is used to rejuvenate tissues such as skin or hair, usually by injecting it in small droplets.

Platelet-rich plasma (PRP)

The device is used to remove the outer layer of skin using plasma. Plasma is a form of matter generated when atoms in gas molecules, such as nitrogen, lose their electrons and become positive ions. Although a plasma device is not a laser, it can have similar applications, such as tightening skin or removing fine lines. Plasma devices may remove the top layer of skin, resulting in a some downtime during healing.

Plasma skin rejuvenation

Skin tightening that occurs when collagen is stimulated due to heating of the tissues from radiofrequency (RF) electromagnetic energy. Usually a solution is applied to the skin and a probe passes over the surface, gently heating the tissues to the desired temperature. External RF is a non-invasive treatment. A number of treatments may be recommended.

Radiofrequency external skin tightening

Follicles are taken, usually from the back of the head, individually using a special instrument and transplanted one by one to the recipient area under local anaesthesia.  During the follicular unit extraction (FUE) procedure thousands of follicles can be transplanted in this way during a delicate procedure that includes designing the recipient area or hairline, preparing the grafts under a microscope, and placing the grafts into their new home in a certain density and direction.

Hair transplantation FUE

A strip of hair is surgically removed from the back of the head under local anaesthesia during follicular unit transplantation (FUT)  The strip is carefully dissected under a microscope in order to prepare individual hair follicles so they can be transferred to the recipient area.  Once the recipient area is designed and tiny holes are created using a needle or special instrument, the follicles are carefully placed, allowing new hair to grow over time.

Hair transplantation FUT/strip

Using lasers designed to specifically target the pigment in hair so that the hair follicle is destroyed selectively. Laser hair removal is most effective on dark hair, particularly when the skin is fair. Darker skin types can also be treated effectively using lasers with a long pulse width. Typically, several treatments are required for permanent hair reduction. Lasers for hair removal vary in their wavelength, power, and methods for cooling the skin during treatment.

Laser hair removal

Agents such as creams, lotions, serums and ointments that contain active ingredients designed to help improve the skin or lesions on the skin.  Cosmeceuticals include vitamins, anti-oxidants, acids and retinoids that have several benefits for skin.  Many of them are home use agents, applied according to specific protocols and they exhibit their beneficial effects over time.

Cosmeceuticals and topicals

A powerful light source consisting of a range of light wavelengths depending on the chosen targets.  Intense pulsed light (IPL) devices can be used for hair removal, skin rejuvenation, and the treatment of rosacea, acne, and pigmentation.  Usually a gel is applied and the IPL device is applied to the skin.  The flashes of light target the top layer of skin whilst the skin is simultaneously cooled for protection.

Intense pulsed light (IPL)

Several small injections are made into the middle layer of skin in order to deliver agents such as vitamins, antioxidants, hydrating or other substances.  Mesotherapy is used in aesthetics to hydrate skin, improve radiance, or stimulate cells in hair follicles and fibroblasts to help improve collagen production.  Topical numbing may be applied and the substance is injected either manually or using a special injecting device called a mesogun.

Mesotherapy

Hyaluronic acid gel fillers can be removed by injecting an enzyme called hyaluronidase into the filler or area. To remove permanent fillers, it may be necessary to use surgical methods. Fillers may need to be removed if they are causing lumps, asymmetry, reactions, or more serious complications like blocking blood vessels causing damage to tissues.

Remove filler

A substance is injected through the skin into the underlying fat to destroy fat cells. Usually these injected substances reduce fat by breaking the fat cell membranes. Injection lipolysis is used to reduce small pockets of stubborn, unwanted fat like under the chin. After the treatment, the area tends to become red and swollen for a few days. Several treatments may be necessary for a full result.

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