In a word, No. That's according to CST advisor Joe Niamtu, III, D.M.D., an oral and maxillofacial surgeon with a practice limited to cosmetic facial surgery in Richmond, Va. When we asked him what he was anticipating regarding technology in aesthetics in the coming year, his prediction isn't which machines will deliver the best results. Nor is it which device patients will ask for most by name. Rather, it's that we could see a growing division between surgical and non-surgical practices. And as far as he's concerned, he's sticking to his surgical guns.
“As a surgical practice, I don’t have a ‘spa’ component to my business. Although I generate significant production with injectables, I don’t use ‘machines.’ Although many surgical practices have a ‘spa’ component they will be, more and more in the future, competing with non-surgical practices that don’t do surgery and only use ‘machines.’  Although many of the noninvasive machines for fat reduction and skin tightening have some result, they cannot deliver the results that surgical procedures do. 
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