Male Sexual Dysfunction

Male Sexual Dysfunction and How to Correct a Long Standing Problem

The aging andropausal male should no longer sit in the shadows awaiting new synthetic drugs form Big Pharma that are ineffective, not covered by insurance and are costly again with no or limited satisfaction. We in the medical profession should be looking to fix the problem, not cover it up and try to only treat symptoms with medications. The aging male (and female) should be treated in a regenerative manner, fixing the sexual problems and rebuilding tissue and blood supply.

Erectile dysfunction

Erectile dysfunction is the bane of existence of every man in his time, some faster than others. Age, medical issues (hypertension, diabetes), and habits (smoking and alcohol/drugs) add to the frustration of achieving youthful sexual wellness. Today, doctors can help in a natural way to fix vascularity and get rid of plaque, opening up the canals thereby improving male sexual satisfaction. This is a God-given function that does not have to end. What is life, but to fully enjoy one’s existence?

What is libido?

A sexual urge, an emotion, a fantasy or all three? Libido comes from your brain and in the andropausal male, a lack of testosterone causes a falling off of these vital feelings. Therefore, looking at the total and free testosterone and correcting it, putting it into a healthy range makes all the difference. What about the mechanical problems associated with ED? What happens to the vascular supply? Every man and woman loses vascularity over time. Can it be given back? Yes, by stimulating the body to rebuild it.

For men now we have two modalities:

  • Platelet Growth Factors (the P OR Priapus Shot)
    Platelet growth factors from the patient’s blood stimulate growth factors that build vascular blood supply. Sounds gory, but done right it is quick and effective.

  • Acoustic Wave Therapy or Shock Wave Therapy
    AWT are wave forms that are faster than sound which causes microtrauma in the penile shaft so that the body rebuilds the blood supply in what’s called COLLATERAL CIRCULATION. The body rebuilding itself. All procedures have no downtime and have been shown to work.

    What is the difference between VIAGRA/CIALIS versus these therapies? Medications cause dilation of EXISTING blood supplies – we build NEW blood supplies that are natural to the patient. Life is to be enjoyed to the fullest, it’s not your granddad’s time anymore. Get back what you think you lost and thought you could not find again. Think regenerative medicine, think AWT and The P-Shot, and of course think Smooth Solutions Medical Aesthetics in beautiful Williamsville NY. Call 716-633-6100 today to learn more.

  • ALMI – Anti Aging Buffalo NY

    ALMI for Collagen Induction? What Does It Mean

    Did you know that by the time you hit your 40’s you will start to lose about 20% of the collagen in your skin? And by the time you hit your 50’s you will experience about a 30% loss of collagen which means that the more you age, the more collagen you are going to lose and the more fine lines and wrinkles you are going to gain. So, what can you do to help restore the collagen in your skin and get a more youthful complexion? Let’s take a closer look at one procedure that is taking our patients skin by storm: ALMI.

    What Is ALMI?

    ALMI may sound like the name of someone’s alma mater, but it actually stands for Autologous Lipocyte Micronized Injection. This state of the art procedure uses a person’s own tissue and cells to help renew and restore damaged tissues and volume loss; leaving you with more collagen in the process. Specifically, at Jack Bertolino’s office, we combine the use of a patient’s fat that broken into nanoparticles with Platelet Rich Plasma (PRP).

    What Is PRP?

    We’ve discussed PRP on our blog before but because it’s so popular, let’s talk about it again. PRP is a procedure that involves extracting the plasma from your blood and then either placing it on your skin by itself or using microneedling beforehand to help the PRP penetrate deeper into the skin. Because your plasma has so many proteins in it, it helps to regenerate collagen and volume in the skin.

    Here at our office, Jack Bertolino has a variety of different anti-aging procedures and techniques that can be used to help restore volume and collagen in your skin. If you want to learn a little bit more about ALMI and other anti-aging procedures, contact our Williamsville office and call us at (716) 633-6100.

    Acne Treatment Buffalo NY

    Suffer from Adult Acne? How Dr. Bertolino Can Help

    Having acne when you’re thirteen is one thing, but having adult acne can make you feel like you’ll forever be stuck in puberty. And although you may think that popping your pimples and using over-the-counter ointments are going to help your acne get better, if it’s not already long gone by now, it’s time to move on to bigger and better acne treatments. Whether you suffer from hormonal acne or acne that’s caused primarily by bacteria, Dr. Jack Bertolino may have a few treatments to help you. Let’s take a closer look.

    Omnilux Blue LED Light

    One of the best ways that we have seen acne treatment work is by treating the source. By using Omnilux Blue LED light, we are able to kill acne-causing bacteria on contact. Then, we usually follow up 48 hours later with the Omnilux Red LED light to help manage the inflammation.

    Chemical Peels and Microdermabrasion

    Another option that we use to help get rid of the acne-causing bacteria and inflammation is a combination of chemical peels and microdermabrasion which work to get rid of dead epithelial cell and make sure that the pores stay open and clean.


    This at-home acne fighting kit is great at helping you get rid of acne and maintaining your results from the comfort of your own home. Depending on how severe your acne is, it will help Dr. Bertolino determine if Dermworx will be strong enough to fight it.


    Platelet-rich plasma isn’t just good at helping treat patients who are suffering from fine lines and wrinkles. In fact, Dr. Bertolino uses it for a variety of things including helping treat acne in the acute phase to get rid of scarring and improve your skin heal up.

    clear CONCEPT

    This acne treatment process combines acne treatments and technology to help give you superior clinical results without the need for prescription drugs.

    With all of these options, you may be wondering how you’ll know what treatment is best for you. During your initial consultation with Dr. Bertolino, he will conduct a brief skin evaluation and help determine what treatment will work best for you. To learn more, schedule a consultation at our Williamsville office and call us at  (716) 633-6100.

    Stretch Marks Removal Buffalo NY

    Post Pregnancy Stretch Marks: How to Get Rid of Them

    If this is your first pregnancy, you will quickly learn that there are only a few things that you have control over and one of them is your body. Although there are simple things you can do to alleviate nausea and help get rid of the potential for stretch marks, ultimately, your body is going to do what it’s going to do; no matter how much stretch cream lotion and oil you apply. If you have some unwanted post-pregnancy stretch marks that are making you feel a little self-conscious, Dr. Jack Bertolino has a few solutions to help you get rid of them. Let’s take a closer look.

    What Are Stretch Marks?

    Before we delve into the different stretch mark treatment options we offer, let’s take a look at what stretch marks are and how they are caused. Your skin is the largest organ on your body, and although it can stretch and grow with your body, sometimes there isn’t enough collagen in your skin to keep up with how fast it grows; leaving you with stretch marks. Another factor that leads to stretch marks during pregnancy? Hormones.

    How Can They Be Treated?

    Some stretch marks will fade on their own with time. Other stretch marks, however, need a little bit more tender love and care to get rid of them. Luckily, here at our office, Dr. Jack Bertolino offers patients four different stretch mark solutions.

    • IPL
    • Microneedling
    • PRP
    • Ultrasonic Dermawave

    No Recovery Time

    The great news about all of these treatments is that they are all non-invasive which means that you won’t have to worry about any surgery or recovery time. And, as a new parent, we know just how valuable all of your time is.

    Is It Safe For Nursing?

    If you are a nursing mother, we may recommend that you wait until after you’re done nursing to undergo any of these procedures. However, during your initial consultation with our staff, we will go over all of your options.

    What If I Plan On Having More Babies?

    Depending on the severity of your stretch marks, we may recommend that you wait until you’re entirely done having babies to get one of these stretch mark treatments. However, many women prefer to enjoy their body and their skin in between pregnancies, which is enough reason to treat stretch marks sooner rather than later.

    Having a baby and going through a pregnancy is a real joy for many women. However, it can also leave you with a body full of stretch marks. If you are interested in learning more about any of the stretch mark option we offer, schedule a consultation at our office and call us at (716) 633-6100.

    Body Design and True Contouring

    Body design and contouring is a “learning curve,” it is not just done on the fly after buying a machine that states or uses the term “contouring” or “sculpting” (think “CoolSculpting”). Any art form should arouse a passion in the artist whether it be a sculptor using clay or marble or a physician sculpting fat and skin around muscle. No machine can sculpt a person, only another human using a sculpting cannula and his or her hands can truly design what that patient’s body can offer.

    There are a lot of variables to consider when selecting candidates and doing consultations. First, the size of the patient and the amount of fat to be removed. Do they need surgery because of their size? Skin turgor – is the skin too lax, has it been damaged by large pregnancies? Will the skin come in nicely after suction? The patient deserves to know the answers so as not to keep him or her in the dark. Results and honesty matter. Professionalism is key, especially with dealing with the patient’s well being, and the fact that they are spending their money. Patient reviews matter to your bottom line, so do your very best for them. That’s common sense.

    Drawing the body out anatomically is the doctor’s best blueprint to giving the patient results with respects to line, shape, symmetry and form. Not everyone can look like an athlete, so be honest. Small surgical scars should be placed in areas of the body that hide their appearance so your work looks natural, almost virgin. That’s a great result with a happy client and hopefully a bang up review, which leads to more business.

    A learning curve takes time, patience and reading. I love the work of Alfredo Hoyos, a Columbian plastic surgeon who uses the Vaser Hi Def lipo system like me – with fantastic results. Lastly, a physician/artist should pick his tool. I love the Vaser Hi Def. ultrasound system. It helps break down fat quickly and painlessly, making removal and sculpting a breeze. It also allows for fat transfer as the fat stem cells are not killed but left intact to be placed in another region if the patient wants. Remember, do not be fooled by advertising gimmicks that use keywords like “sculpting” or “contouring.” Look at results. Only an artist can create, sculpt.

    Sexual Dysfunction Williamsville NY

    Sexual Dysfunction

    In today’s fast paced, technologically driven society we often don’t have the time to satisfy our own needs and wants. We tend to dismiss simple quality of life issues as “aging” – never looking, thinking, or trying to better our own wellbeing. Menopause and andropause (male menopause) are thought of as being part of the natural aging process, but some don’t look for remedies to better help their brain and bodily functions improve.

    Bioidentical Hormone Replacement Therapy

    Bioidentical hormone replacement therapy using natural plant-based remedies helps mimic the natural hormonal functions that we have lost over time. They stop hot flashes, improve sleep and short term memory, combat fatigue and improve libido improving brain function, muscle mass and bone structure thereby improving quality of life. They do not improve sexual dysfunction which centers on mechanical difficulties that change in our organ systems with respects to blood supply. Of course, I am alluding to erectile dysfunction in men and vaginal dryness and anorgasmia in women.

    Sexual Dysfunction Treatment

    As men, we lose natural penile blood supply with age and a declining health status. Women lose blood supply intravaginally secondary to age and natural child birth. Today we have remedies to help men and women get back in the sexual game. What about Viagra / Cialis? Both drugs dilate only EXISTING blood supply. For men, we offer the Priapus Shot (intra penile platelet injections to buld new blood supply as well as AWT (SHOCK) wave therapy to help the penis also rebuild new blood supply. For women, we offer ThermiVa radiofrequency treatments to improve blood supply as well as the O-Shot (intra vaginal platelet injections to help build blood supply).

    To learn more about treating sexual dysfunction, call Smooth Solutions Medical Aesthetics today!

    O-Shot® Buffalo NY

    When to Consider the O-Shot

    It used to be that the only shots you had to get were the ones you dreaded the most, but we have a new shot that gives females something that’s worth getting excited about: the O-shot. This unique, non-surgical procedure helps patients improve orgasms, become aroused, and even get rid of urinary incontinence. But how?

    How Does the O-Shot Work?

    You may have heard of platelet-rich plasma (PRP) in regards to its popularity with vampire facials, but PRP can also be used to help women feel more sexually satisfied as well. Once the platelets are extracted from the blood, they are then injected near the clitoris or inside of the vagina. Then, those platelets stimulate the production of new cells in the injected areas— opening up a whole new world for you. So, when should you consider getting the O-Shot? Let’s take a look at three different reasons.

    You Have a Hard Time Getting An Orgasm

    One thing that a lot of women suffer from— especially as they age— is the ability to get an orgasm. If you have had trouble getting orgasms, then the O-shot may be worth considering. Once the PRP is injected near the clitoris and inside the vagina, it makes these areas more sensitive to the touch which helps enhance orgasms.

    Arousal Takes a Little Too Long

    Do you have a hard time getting sexually aroused? Does it seem like it takes a lot out of you to even get into the mood? The O-Shot can help. As previously mentioned, because the o-shot makes your vagina and clitoris more sensitive to the touch, it makes arousal a lot easier for women— and we mean A LOT.

    You Suffer from Urinary Incontinence

    Although the O-shot s great at helping women with satisfaction, that’s not the only thing that it’s famous for. Another reason to consider the O-shot? Urinary incontinence. Whether you suffer from urinary incontinence because of pregnancy, hormones, or anything else, the O-shot can help you gain back control of your bladder.

    Does the O-shot sound like something you’re interested in learning more about? If so, contact our Williamsville office today at  (716) 633-6100

    Hyperhidrosis Treatment Buffalo, NY

    Why You Don’t Need to Sweat the Small Stuff: Vaser for Hyperhidrosis

    With summer just about here, you probably have a list of things you want to do; go on some new hikes, try some new places for brunch, spend time by the pool, and have some friends over for a barbecue may be a few of the fun things that you have at the top of your list. And although all of those things are fun, if you suffer from a condition like hyperhidrosis or excessive sweating— all of those fun scenarios can suddenly turn into something a bit more embarrassing. Here at our office, Dr. Jack Bertolino and his staff have got you covered with a treatment called Vaser.

    What’s Vaser?

    Vaser initially gained popularity as a body contouring procedure. However, here at our office, we use it for more than just body contouring— we use it to treat patients with hyperhidrosis. Vaser uses ultrasound technology to break up unwanted fatty sweat gland tissues that contribute to your excessive and incessant sweating. Once the fat has been broken up, it is liquefied and then sucked out with a device called a cannula.

    Why Not Just Get Botox?

    You may be surprised to learn that Botox is another alternative to treat hyperhidrosis. Botox works to temporarily block the nerve signals that stimulate your sweat glands. And although Botox can be effective in treating hyperhidrosis, the only problem is that it’s temporary whereas Vaser is permanent.

    If it seems like you are constantly having to change your shirt because of excessive sweat or if you get embarrassed all of the time by the amount of sweat you have on your clothes, then you may have a condition called hyperhidrosis. Luckily, Dr. Jack Bertolino can help you find permanent relief from this condition so that you can live a more normal, confident life.

    Ready to schedule your consultation? Contact our Buffalo or Williamsville office today and call us at (716) 633-6100.

    Cellulite Treatment Buffalo, NY

    Lost Weight but Still Have Cellulite? How We Can Help

    Nothing can be quite as discouraging as losing weight before summer. Not only can weight loss alone be hard enough, but reaching goals on the scale and having the body of your dreams can sometimes look like two completely different things. For instance, although that number on the scale may be a dream come true, you may still have cellulite on your buttocks and upper thighs that make you feel discouraged. Luckily, here at our office, Dr. Jack Bertolino treats a variety of concerns including cellulite. Let’s take a closer look at cellulite and cellulite treatments.

    Anyone Can Get It

    Although there are some genetic implications in regards to cellulite, it can strike any person at anytime— even if you have a supermodel body. In fact, you may be surprised to know that some of Hollywood’s hottest celebrities have enough cellulite themselves to keep them out of a swimsuit.

    It Can Be Treated

    Because cellulite doesn’t necessarily always respond to diet and exercise, it can seem impossible to get rid of. However, with our ThermiSmooth 250 or SmoothShapes procedures, we can help you get rid of that unwanted cellulite and finally show off the body you’ve worked so hard for. By smoothing out the dimpled skin from the inside out, these treatments help patients get rid of dimpled, cellulite skin with no downtime at all.

    During your initial consultation at our office, Dr. Jack Bertolino will conduct a brief physical examination and help determine what cellulite treatment is best for you.

    Take advantage of our special that’s running until June 1st where you can get 20% off your first cellulite reduction treatment and 25% off of your second treatment. Ready to schedule your appointment? Contact our office today and call: (716) 633-6100.

    Platelet Rich Plasma (PRP) Treatment Buffalo, NY

    Why a Multi-Step Skin Care System Is Worth It

    When it comes to having younger, more youthful skin, it takes a lot more than just investing in good skin care— although that can help too. Here at Dr. Jack Bertolino’s office, we specialize in a variety of different skin care solutions to help patients temporarily get rid of fine lines and wrinkles, get glowing skin, and feel like themselves again. One of the skincare solutions we offer uses a combination of platelet-rich plasma and laser. So, why is this multi-step procedure so effective? Let’s take a closer look.

    What Is This Multi-Step Procedure?

    Our electric plasma lift is a popular procedure at Smooth Solutions Medical Aesthetics. With this procedure, we use a combination of RF or lasers to traumatize the skin at first, and then we inject PRP into the skin or topically to help it heal.

    How Is It Done?

    PRP is a state of the art procedure, that is popular amongst celebrities everywhere and more, and more of our patients are hopping on board. By extracting the plasma from your blood and then injecting it into your skin, it stimulates stem cell responses and encourages new collagen and blood vessels to help repair damaged skin and reduce the signs of aging. However, in conjunction with a laser, our electric plasma procedure, helps the plasma to penetrate even further into the skin and leave patients with even better results.

    What Are the Benefits?

    The good news about PRP is that there is no risk of an allergic reaction because we use your blood and plasma. Additionally, there are eight essential growth factors, and healing proteins that are released are extracted from your blood which helps rejuvenate your skin. Additionally, many patients receive long-lasting results as well.

    Sometimes one procedure is better than one– which is why our multi-step electric plasma procedure at Smooth Skins Medical Spa is popular amongst our patients. Are you ready to schedule your skin care consultation? Call our Buffalo office today at (716) 633-6100.