Craig Ure: Good morning and welcome to
our hang out today. Today we are going to be discussing with Dr. Jeffery
Rapaport how to get rid of unwanted fat fast and how to reduce fat
non-surgically.
Now, I know fat reduction; how to
get rid of it is probably the number one cosmetic procedure, but so many people
are confused with all the different options of technologies or the different
techniques available out there so today Dr. Jeffery Rapaport is going to
explain all the different options that there are available and the best choices
for you.
Good morning Dr. Rapaport and
welcome!
Dr. Rapaport: Thank you, thank you for having me
back again.
Craig Ure: Good.
I think for the quick definition.
What is the difference the real difference because I know there are surgical
options and non-surgical options and when people see all these different
technologies advertised out there. Just give us a definition of what is
surgical and non-surgical and specifically what you do in your practice.
Dr. Rapaport: Surgical liposuction, which I have
done hundreds of procedures really came into its own about 15 years ago. It was
invented by a dermatologist actually. It involves taking the patient, putting
in numbing fluid and taking a long tube and going in underneath the skin and
sucking out the fat with a suction machine and that is an invasive procedure.
Dermatologist usually do this
without an anesthesiologist, in other words we don't put people to sleep. A lot
of the plastic guys will put people to sleep or put them into some sort of
Michael Jackson type trance and what happens is we use...I don't first of all
use the invasive any more because the advances in the non-invasive are so large
and people really don't want to take the time off, but I am just going to go a
little bit for you into the invasive procedure.
The invasive procedure usually
takes anywhere from two to three hours. The advantage of the invasive procedure
is that you can take a lot of fat out. You can take between 1.5 and 3-4 liters
of fat out and each liter is about two pounds of fat. So you can take anywhere
from three to six or seven pounds of fat out.
If you have someone who has very,
very large fat deposits they can be removed in a single session, which usually
takes about three hours. The only problem is there is a significant amount of
down time and most people anywhere from five to 14 days. There is a significant
risk of infection. There is a risk of irregularities and that is one of the
things that it is funny that we use non-invasive things to correct now but the
regularities with liposuction is fairly common and "redos" in other
words, repeating procedures average between 10 and 20%.
Craig Ure: Right.
Dr. Rapaport: With the society that we have
today Craig, people don't want to take off that much time, they don't want to
do the redos and they don't want the risk of infection and/or the anesthesia.
Craig Ure: Right.
Dr. Rapaport: Fortunately, about three to four
years ago non-invasive techniques started becoming in vogue and started being
developed and that is where the future of body contouring and fat removal is
headed.
Craig Ure: I have certainly seen a lot
advertised. When you see the ads in the newspapers and you have cosmetic
surgeons, plastic surgeons all over advertising these different methods.
I have been in this industry a
long time and I find it certainly confusing all the different options. You hear
things like lasers. You hear sound wave machines. You see all sorts of
different options out there of technologies. Even freezing of the fat [inaudible:0:4:40]
with the Excilis. I have heard of Zoronas. I have heard of lasers being able to
get rid of fat. I can understand now the difference between the invasive and
the non-invasive and it makes sense that people want to not go under the knife and
to have procedures that don't necessarily need anesthesia and that is
definitely the way forward without a doubt. When I go to all the trade shows I
see all this equipment.
Can you give us indication what
technologies there are available; the height of the technology because
obviously in this industry technologies change all the time. What are the
latest technologies available in the non-invasive, non-surgical route and what
options do you actually have in your practice?
Dr. Rapaport: As you mentioned there are
low-level lasers, theres freezing there is radio frequency. What you have to
realize is that everyone of these non-invasive techniques no matter what
technology you use the whole idea is to disrupt the fat cells. Any method that
is around that can disrupt the fat cells will basically work.
I think you have to realize that
there are probably two techniques or two technologies that stand way, way ahead
of the other technologies.
One is radio frequency, usually
mono polar radio frequency, which was originally developed years ago for
thermage for treating tightening skin and that has been developed and people
have improved it over the years, which is a mono polar radio frequency. There
are other devices besides the thermage, such as Exilis, which I think are far
superior and then the newer technology, which is criolipolisis and the
criolipilisis is a way of disrupting the fat cells by freezing them.
Craig Ure: Right.
Dr. Rapaport: So all of these non-invasive
techniques are attempting to disrupt the fat cells. The question that you need
to keep in mind and that is what people don't think about it what else is
happening besides disrupting the fat cells and that is where you see the
difference in the different units.
Craig Ure: Right, so you have the ultrasound
technology, you have the...did you say ultrasound?
Dr. Rapaport: Ultrasound is another thing too
that is disrupted. Some are more painful than others and I personally have
selected two that are probably the best two because they are really not even moderately
painful and they get the job done.
When you talk about ultrasound
technology such as liposonics etcetera these are painful techniques. They do
work, mind you they do work very well but you have to give either Demerol or
oral pain medications in order for the patient to tolerate them.
In my mind if you are going to do
something non-invasive, lets make it truly non-invasive where you really don't
need to put hte patient in some sort of trance or give them pain medications
and that is why I have selected two fat-reduction, non-invasive techniques that
I think are excellent.
Number one would be the
CoolSculpting technique, which is from the Zeltiq Company. I think that is the
number one gold standard today in non-invasive body contouring.
Craig Ure: Right.
Dr. Rapaport: Then the second thing is a
monopolar radiofrequency device called Exilis that not many people know about
but we have been using in the office for about two years that I think is
excellent because it also it non-painful and besides removing fat it also has
the ability to tighten skin. When you take these two and I can tell you where I
use each on of these devices. When you take those two; a combination of both of
these I think we have the best additive techniques and we have something that
is non-painful that gets the job done.
Craig Ure: Okay, so Cool Sculpting,
freezing the fat and then the Exilis machine...so taking those two machines can
they both technologies get rid of fat throughout the entire body or do they
both work different areas of the body? Just explain what can you actually get
rid of fat-wise on the body.
Dr. Rapaport: You can get rid of small amounts
of fat. Remember, if someone is very large and they need three liters of fat
removed then they are liposuction candidates.
Craig Ure: Right.
Dr. Rapaport: Okay, so if you talk about
somebody who is pretty close to their ideal body weight that comes in and they
have handle bars that they can't get rid of or they have bra fat, they have a
little fat around their knees or they have fat underneath their chin or even
now if they have fat underneath their eyes and their eye pads we can use these
non-invasive techniques to get rid of the fat.
We choose in my mind as to
whether or not we need to get some skin tightening. Originally, when
CoolSculpting came out I personally thought that the ares that were going to be
treated with Cool Sculpting would end up with loose skin and the studies have
shown that that is not true. The skin stays the same but you don't get skin
tightening.
With Exilis you get removal of
fat but you also get skin tightening. The way I divide this up is for larger
areas that need fat removal the gold standard is CoolSculpting and that is what
we use. iF someone has a large tummy, if someone has flanks. The cool sculpting
is FDA approved. There is no needles or incisions. It has been developed at
Harvard and it is FDA approved for the abdomen and the flanks.
We do use it for other areas, but
those are the two areas that are the best. Someone can come in and we can treat
an entire abdomen. The newest technique is called "Treat the
Transformation" where you actually do multiple sessions and we can get
liposuction-like results with multiple sessions.
When we see that there is a need
for skin tightening and you have not that much fat but you have loose skin and
fat that is where we use our Exilis machine because these Exilis machine is
superb at tightening the skin and we will combine the tightening with the fat
reduction with the Exilis machine because that is what it does. We just alter,
make some simple changes in the technology of the head and we can get both
tightening and removal with that.
Let me try to tell you where we
use each one.
Craig Ure: Yeah, that is exactly what
was going to be my next question. Try to explain where you use each one. It
sounds like you are using the technologies in conjunction with one another as
well.
Dr. Rapaport: We used to do both of them as a
matter of fact. I used to do Cool Sculpting followed by Exilis, but we found
that we really didn't need to go the Exilis portion after the CoolSculpting
because there wasn't as I originally thought going to be any loose skin.
The Exilis we have used for the
pads underneath the eyes. So the people that have puffy bags underneath the
eyes that are from fat pads, we have been using that. We have been using it for
jaws and we have been using it for jaw line and especially for fat underneath
the chin.
Craig Ure: Okay.
Dr. Rapaport: It works terrifically.
Most of the Exilis treatments we
have tried all different protocols but we now know that you need to do six
treatments either one to two weeks apart and we are seeing results that I used
to see in liposuction in that. You get really fabulous, fabulous results with
the Exilis on the neck. It is probably our number one area that we are treating
and people are very, very satisfied.
Remember, as I told you whenever
we talk that no results are guaranteed and everybody's results could be
different but we are seeing very, very good results and people are happy
because when they are not happy they come to me and the few people that weren't
happy I went back and gave them a few extra sessions and it did tightening and
remove the fat so it is also dependent upon the number of treatments but we
have developed the protocol with six treatments and I think six treatments is
what you need.
The other thing it works well for
is fat underneath the arms, which is a tough area to treat because you
also...remember the Exilis if for areas where you have fat and loose skin.
Craig Ure: Yes.
Dr. Rapaport: So when you treat underneath the
arms you have fat and loose skin and that is a terrific area to treat.
Craig Ure: The bat wings.
Dr. Rapaport: Yes, and the last area that we
treat is with fat and loose skin and that is the knee. Now, sometimes is the
loose skin is too much to be able to do with a non-invasive we will sometimes
have to do some Cellulaze, which is another procedure that we will talk about
another time, which gives you even more skin tightening around the knees, but
the knees a lot of times can be done with the Exilis technique.
Craig Ure: Right. Now, one of the
questions that I always get is with these non-invasive type techniques and
treatments, procedures. What is the percentage of success rate? So I know you
are using CoolSculpting and Exilis but what would be the success rate of a
typical patient be in terms of getting the results that they are wanting to
achieve? What are the process if somebody comes into you; and I am sure not
everybody can be a candidate surely, there is a certain percentage overweight
or have to reduce so much fat than liposuction and the invasive route is the
way to go, but if you are a certain candidate then you can treat them but what
is the procedure when somebody comes in for consultation with you. What sort of
percentage of patients can you accept? Just talk us through that process and
what exact percentage of results you are getting in the practice right now.
Dr. Rapaport: I think the key is to be honest
with the patient and let them know if realistically a non-invasive procedure is
for them. People that really need liposuction, and...here is the big
"and" Craig, and are willing to tolerate the risks. I have people
that need liposuction but refuse to do anything surgically, are not willing to
tolerate the risks who would rather do 10 or 12 Treat the Transformation
CoolSculpting. It is not only what I think. I have to do the assessment. It
also has to do with what the patient says.
If the patient has a lot of fat
and is willing to do a procedure then I will send them to my partner and he
will do laser liposuction on them. If they say "I do not want anything
invasive" and we look at them and they are a candidate with multiple
sessions to Treat to Transformation, which means to treat a lot of areas with
one or two repeat sessions on a single area then we will do the CoolSculpting.
It is important and I tell people
that with CoolSculpting sometimes you have to repeat the treatment in a certain
area. A lot of doctors don't mention this. Remember, that with cool sculpting
what you are doing is you are cooling the fat cells down and causing them to
disrupt and then slowly go away. Some areas such as the flanks have a mixture
of fibrous cells and fat cells and it is not the fibrous cells that are
responding, it is only the fat cells that are responding.
We will tell people if they have
fibrous areas that they need a second treatment with the CoolSculpting. If they
come in with localized fat deposits. The fat deposits are nice and soft or if
they are harder we tell them they may need a second treatment. We will set up a
treatment plan for them.
Craig Ure: Right.
Dr. Rapaport: Now, I always in my office I am
trying to be cost effective and I try to stay within people's budgets. If
someone has a budget that is lets say large enough to do two treatments cycles
and they have a whole bunch of different things that need to be done that has
to be discussed with them because we won't be able to satisfy them or we could
do just one or two different areas. I think it is important in your
consultation to consider number one the expectations of the patient and number
two the budget of the patient, number three the health of the patient.
We also have some patients that
do cool sculpting that are not candidates for liposuction because they either
have an arrhythmia, they have stints and they wouldn't be cleared for
liposuction and we will do CoolSculpting for some of those patients.
Craig Ure: Right.
Dr. Rapaport: So it is important to take your
medical history. It is important to see the patient's expectations. It is
important to see what the patient's budget it and it is important to see how
much fat they have and how much you can do.
The average treatment for
CoolSculpting takes about 25-30% of the fat away from the area that you are
treating. That is the number that the studies have shown.
Craig Ure: Okay.
Dr. Rapaport: So remember, 25% is not a small
amount. It is not a large amount, but what happens is if you repeat the 25% you
get to 50% so people with larger amounts we would go back and treat the area a
second time.
Craig Ure: Now, just before we go this
is one question that came to mind. There are a lot of people that go to health
clubs. My background is health clubs but those people that currently don't need
a lot of weight to lose but just want to lose those small areas that they just
cannot get rid of; however much they go to the gym. Would that be cool
sculpting or Exilis?
Dr. Rapaport: It depends on what area it is. For
instance, a lot of the "mommy makeovers" where people will come in
and they have loose skin on their abdomen but not much fat. Those are really
Exilis-type patients.
Craig Ure: Right.
Dr. Rapaport: You have to look at the situation.
If there is really not much loose skin and there is fat, that is a
CoolSculpting patient because the cool sculpting is the gold standard and we
usually get more fat out. If someone is coming in with a little bit of fat and
loose skin predominately then that is an an Exilis-type patient. That is a
radio frequency monopolar patient because you want to tightening the skin. So
you have to access how much loose skin there is and the loose skin factor is
important in deciding which modality you use.
Craig Ure: When you use this word
"sculpting" just like a sculptor can sculpt a piece of clay can you
actually with the technique really get that focused into real small areas.
People's fat distributes in many different ways that is why there are so many
different shapes of people, but can you really get that into those little
areas, those problem areas that people may have that don't have lots of weight?
Dr. Rapaport: Okay, I am glad you said "one
of those patient's that don't have lots of weight." Excuse me, because
when someone is very large you can't be doing that much sculpting.
Craig Ure: No.
Dr. Rapaport: People that don't have large
amounts of weight that are in the health clubs I have done over a thousand
liposuctions and with the liposuction the main thing is you have to sculpt and
you have to take it off and it has to come of symmetrically and I really feel
with my experience the whole thing here when you do the CoolSculpting is where
do you place the unit? The unit looks like a hand-size suction device and you
have to know what angle to place it at. There is a lot of finesse in where you
place the unit and the angle.
Craig Ure: It's an art.
Dr. Rapaport: There is an art to it.
Craig Ure: Right.
Dr. Rapaport: I really think my liposuction
experience really makes it a lot easier for me to decide. Sometimes when we do
a consultation a patient will say "I want this done, this way and this
done this way." But the reality is I have to place it differently because
I want to give them a sculpted look. I want to give them something that is
aesthetically pleasing, which I can do with my experience in liposuction.
Craig Ure: Right.
Excellent, because that is
definitely a question I get asked all the time. There are so many doctors doing
these different treatments why is one better than the other? But that answers
your question that there are thousands of procedures that you have done, helps
you with the non-invasive treatments as well.
Now, the other question I always
get asked is after these procedures will the fat come back? You have answered
that you have a program, you have a consultation, you have a program, depending
on the patient this is how many treatments you will need, this is what
modalities we will use to get rid of your particular circumstance and to get
the results that you desire, the sculpting results that that particular patient
desires, but...how long is it going to last? Just like some of the facial
fillers and different injectables that there are on the market you have to keep
coming every six months for a top off. How does this non-invasive method of fat
reduction, does it come back? Do you have to keep coming for a top off? How do
you answer that one?
Dr. Rapaport: It is a very simple answer. When
you do the non-invasive you destroy the fat cells. The body has a huge number
of fat cells so there is always a few extra fat cells around. The ones that you
get rid of, you get rid of permanently. The key here is if you keep your weight
stable and you don't gain weight they will not come back. Absolutely, 100% will
not come back. If you gain 10 or 15 pounds then the ones that we treated are
not coming back, but some of their other ones that are their buddies next door
are going to pick up some of the additional weight and you will start gaining
weight again, but if you can keep your weight stable with diet and exercise you
absolutely will not need to do a top off. You will not need to do it again, it
is permanent.
Craig Ure: Wow.
So, if you do actually put weight
back on will you come back a different shape then?
Dr. Rapaport: A little bit different yes, a
little bit different. It will go to other areas, yes.
Craig Ure: Right, so that is when you
come back to you and get rid of that as well then?
Dr. Rapaport: Yes.
Craig Ure: Well, I just know people they
try and do these things and have all good intentions but don't necessarily keep
the weight off and more comes back on.
Dr. Rapaport: Well, then you are chasing the
next area.
Craig Ure: Right, okay.
Alright, my last question unless
you certainly want to share with us more information but...prices? People are
always interested in "alright, these procedures over here cost this much
money. Then I see these people advertising over here and there is offers and
there are deals and there are Groupons." It is so confusing out there. The
options of do I go see this particular doctor or this doctor over here? It is
confusing and that is why this Google hangout here will certainly help a lot of
people make that decision and hopefully come and see you of course, but where
are we at with prices with this? It just seems to be all of the place when you
see the magazines and television and on the Internet. How do the prices work in
your particular practice?
Dr. Rapaport: Well, first of all the Zeltiq
people when you buy the machine have a contract and they will not allow you to
do a treatment for less than $600 per area, which personally I think is against
fair trade, but they enforce that.
Craig Ure: Are you saying Zeltiq, that
is the CoolSculpting?
Dr. Rapaport: Yes, so we try and stay at the
lowest price we can get. We can't go lower than $600 because we will lose our
Zeltiq unit and I know people that have gotten letters from the cooperate
counsel when they advertise prices lower than $600. So it really cannot be
lower than $600. There are plenty of people that charge a lot more, but we stay
at the lower price we can charge, which is $600.
Craig Ure: Right.
Dr. Rapaport: Per area.
As far at the Exilis is concerned
the average runs between $300-400 per session and you need usually six sessions
and we usually charge you for five so it runs somewhere between $800 and $2000
to do a full set of treatments.
Craig Ure: Right. That would obviously
be discussed with each individual patient in the initial consultation.
Dr. Rapaport: Yes, we discuss the prices. I like
to know what people's budgets are because I can decide better than they can how
to make good use out of their budget and we will try as be as forthcoming and
honest as we can with people to try to give them what they need at the price
they can afford, and the consultation is extremely important. I get people who
send me pictures and send me things like that and sometimes we can do this with
pictures but it is better to see people and actually feel the fat because as I
said to you before soft fat works a lot better than firm fat.
Craig Ure: Right, so to me when I see a
lot of different doctors advertising similar services like CoolSculpt and
Exilis you see a lot of different doctors and options and the consumer has many
different options available in their local area. It sounds to me the decision
when trying to make a decision "shall I go see this doctor and this
doctor?" The prices can be very similar, but it sounds like to me it is an
art. I mean body sculpting is not "well, just because that person has this
machine and they've got that machine it is just going to have the same results."
Dr. Rapaport: 100% the placement and the
direction with the CoolSculpting of the individual hand piece is an art and you
have to be able to sculpt the patient and you hit upon that earlier. You need
someone who has a lot of experience in doing body sculpting procedures in order
to know exactly where to put the hand-held unit because if you don't put it in
the correct place then you are not going to get as good as a result or not as
much of a wow result, because it is not going to have the beautiful body
symmetry. You have to know the contours that the body; and the other thing that
is very important and a lot of the cosmetic doctors will forget about that is
that if you are going to do a certain area you don't treat one area in
isolation. You have to take the person, move them back, look at their whole
body and say "if I am going to do this, is it going to match the upper
part of the areas around it? The lower part of their body, the areas that are
below that? Or am I going to create something that when the eye, without even
thinking about it, when the brain thinks about it and says "this area is
very thin and the rest of the area doesn't match."" I think you get a
result that is less desirable than you do something that matches.
Symmetry, the eye catches
symmetry very well and you really need to have all different parts of the body
match.
Craig Ure: Oh, absolutely. I totally
agree. I have seen some misshapes out there.
Just as a thought so for those
people who are looking at surgical options, non-surgical options. I think Dr.
Rapaport has given us a great rundown of exactly why you should choose one or
the other, but as I thought if you see all these different advertisements out
there; cool sculpting over there, Cool Sculpting over here and think that
everybody does the same or the results are going to be the same you are wrong
in thinking that because of the art.
I have one other closing
question, but how many...because it is an art. I heard you mention a figure of
a thousand procedures. How many procedures have you actually done with it?
Dr. Rapaport: I have done over a thousand
liposuctions and I think actually liposuction is a tremendously valuable
training for the non-invasive also because after you have taken the actual fat
out manually you know exactly where the fat is on the body and you can envision
what is underneath the skin.
Craig Ure: Right.
Dr. Rapaport: I have done thousands of
liposuctions and I was the first dermatologist I think the Zeltiq unit has been
out for three or four years. I was the first dermatologist in Jersey to have
the Zeltiq unit. I have embraced it and doing it for a long time now. There is
a lot of people around and the company keeps pushing units out there but we
have extensive amount of experience; I do in the CoolSculpting and we have been
doing it for many, many years.
Craig Ure: So, if somebody wants to have
a consultation what is the best procedure? Go to your website that we have
detailed down here? What is the best procedure?
Dr. Rapaport: I am located in northern Jersey
and we actually have two locations. My main office is in Englewood Cliffs, New
Jersey, which is just close to the George Washington bridge and we also have a
more mid-Jersey location in Old Bridge and we do consultations in Old Bridge,
New Jersey in the hospital center off of route 9 and we do consultations in
both of those locations.
The best thing to do is to call
our main number, which is 201-227-1555 and ask for Violet and Violet will set
up a consultation in one two of the offices, whichever one is closer to you. I
highly recommend there are a lot of people that come in and say that they want to do the procedure the day
they come in. That is okay, but I have to be there. I have to be there to do
the consultation and I want to do the initial consultation and I want to give
people the best possible results by allowing me to evaluate them.
Craig Ure: So the evaluation, the
consultation is always done with you. I know a lot of practices they come in
and it is a Nurse Practitioner or it is just some other member of staff, it is
always with you then.
Dr. Rapaport: A cosmetic consultant/sales
person.
Craig Ure: Right.
So it is always with you?
Dr. Rapaport: Always with me.
Craig Ure: Okay, excellent.
Good! Well, I have enjoyed this.
I think this has been very helpful to answer those questions, which was the
whole idea. Most people have these thoughts in their head "is this a good
method? Is this a good method? What about this technique? I have seen that.
This doctor is selling this. This doctor is selling the other." I think it
has been very helpful for me in all these sessions that I host to try and get
these questions out for the consumer, which is the whole purpose of this.
So, I would encourage anybody who
is interested in having a fat-reduction procedure whether you have a little bit
of fat that you can't get rid of when you go to the gym everyday or you have
those 10,15, 20 pounds heavier that you are trying to get rid of, or even
larger. Certainly, I would definitely advice you go and speak with Dr.
Rapaport, have a consultation and go to the cosmeticskin doctor website below
and call up his office and make sure you get down there to see him.
I don't have any further
questions...
Dr. Rapaport: I wanted to ask you. Last time
there a little snapoo with Google. Are we able to show some before and after
pictures at the end of this hanging out? Are we still limited by Google?
Craig Ure: I know Google Hangout; can I
go to your website and grab some pictures?
Dr. Rapaport: Yeah, sure.
Craig Ure: Let me try and just grab...
go to the website...I know Google that on this particular tool that we are
using here they sometimes have this problem of not being able to show the
screen. Where are we going?
Dr. Rapaport: Go to the CoolSculpting section.
While you are doing that I want
to tell you that a lot of people have come to me about the acne scaring hangout
that we did and they really watched the entire thing and they came to me with a
lot of positive feedback saying that the acne scaring; that they learned a lot
of different things that sort of inside information that they wouldn't have
learned before.
Craig Ure: Alright, well that is
excellent.
Well, I have got all the
CoolSculpting reviews. I was just looking for the CoolSculpting pictures.
Dr. Rapaport: Well, if we can't do it the
patient's can go to our website anyway.
Craig Ure: Yeah, I am not exactly
finding them very quickly, but I think, yes if everybody goes to
cosmeticskin.com they will be able to see a lot of your patient reviews. Video
reviews that patients have left. All their before and afters
[inaudible:0:37:26].
So yes, if you go to
cosmeticskin.com you will be able to see all of that information. Hopefully,
for future hangouts we will overcome this little blip that Google are having.
Dr. Rapaport: Well, I certainly appreciate you
having me again and hosting this and the other thing is that I was thinking it
maybe one of these next couple of hangouts that we could encourage patients or
potential viewers if they have to post or ask some questions on multiple topics
that we may be able to answer in a hangout.
I know that we want to do a
cellulite hangout. That would probably be the next something because people
have been asking me about that, but I am more than happy to do just a question
and answer session if people want to send in their questions.
Craig Ure: Yeah, that is a great idea. I
would encourage people again go to cosmeticskin.com and go to the "Ask the
Doctor" you have on your website. Ask the Doctor, questions and comments
form. I highly recommend people go and look on the cosmeticskin.com and fill
out that form. Get some feedback.
Dr. Rapaport: Alright, so anything else I can
answer for you?
Craig Ure: No, that has been very
helpful, thank you. Unless there is anything else you want to cover but I think
we have covered a lot of detail there.
Dr. Rapaport: Okay, I want to thank everybody
for watching and I hope I get a chance to meet a lot of you in person. If you
have questions regarding anything dermatological or dermatologic surgery
oriented and it has been a pleasure and I thank you for paying attention.
Craig Ure: Thank you, Dr. Rapaport. Have
a good day, bye.
Dr. Rapaport: You have a great day.
Craig Ure: Bye-bye.
