Physician-Directed and Physician-Performed Laser Care

Dr. Nicole M. Batty, MD, MBA, MSF, FACP, FASCP — American Board-Certified Physician

Advanced Technology. Personalized Medical Expertise. Natural-Looking Results.

Welcome to Echelon Medical & Aesthetics, offering advanced Fotona laser treatments in Midtown Manhattan, New York City.

Our practice uses two complementary Fotona laser platforms — Fotona SP Dynamis and Fotona StarWalker — to address a variety of aesthetic concerns, including facial aging, fine lines, uneven skin texture, pigmentation, acne scars, and skin laxity.

We believe that beautiful results begin with thoughtful medical care. Instead of recommending the same procedure for every patient, we consider your skin, your medical history, your goals, and the recovery time that fits your lifestyle.

At Echelon Medical & Aesthetics, available Fotona laser procedures are directed and performed by American Board-Certified MD Dr. Nicole M. Batty, MD, MBA, MSF, FACP, FASCP.

Whether you are exploring your first laser treatment or looking for a more personalized approach to skin rejuvenation, our goal is to help you feel informed, comfortable, and confident.

Ready Today for Your Treatment?

Text (646) 647-9163 to request your personalized consultation. Same-day treatment may be possible when medically appropriate and scheduling permits.

Fotona laser technology provides different ways to improve the appearance and quality of the skin.

Some treatments focus on the skin's surface to improve fine lines and rough texture. Others deliver controlled heat to deeper tissues to support collagen remodeling and mild skin tightening. Specialized laser pulses can also target certain unwanted pigments.

This flexibility allows patients to explore treatments for several concerns without assuming that surgery or injections are always necessary.

Potential benefits of appropriately selected Fotona treatments include smoother-looking skin, improved radiance, reduced visibility of certain scars and pigmentation, and modest improvements in skin firmness.

Results vary by procedure and patient. Some treatments require several sessions, and laser rejuvenation does not stop the natural aging process.

At Echelon Medical & Aesthetics, Dr. Nicole M. Batty, MD, MBA, MSF, FACP, FASCP directs and performs laser procedures offered by the practice, emphasizing careful patient selection and realistic treatment goals.

The Fotona SP Dynamis system combines two laser wavelengths with different treatment properties.

Er laser technology is especially useful for controlled skin resurfacing. It can improve superficial skin texture, soften selected fine lines, and encourage collagen remodeling.

Nd laser technology can reach deeper tissues and is used in selected protocols for thermal skin tightening, hair reduction, vascular concerns, and other applications.

Depending on the installed accessories and clinical protocols, SP Dynamis supports treatments such as Fotona 4D®, SmoothEye®, LipLase®, TightSculpting®, and laser skin resurfacing.

The Fotona StarWalker system uses specialized short-pulse laser technology.

It is particularly associated with treatments for selected benign pigmented lesions, unwanted tattoo pigment, and certain skin-rejuvenation applications.

Because different StarWalker models have different capabilities, the exact treatment options depend on the configuration installed at Echelon.

Some patients are concerned about more than one issue. For example, they may want to improve fine lines and skin firmness while also addressing sunspots or uneven pigmentation.

The complementary capabilities of SP Dynamis and StarWalker allow Dr. Batty to consider different treatment strategies based on the patient's needs.

Not every patient requires both laser systems. Treatment selection is based on medical evaluation, skin characteristics, and the specific goals of care.

Fotona 4D® is a four-step, non-surgical facial rejuvenation protocol that addresses multiple layers of facial tissue.

It is designed for patients experiencing visible signs of aging such as fine lines, uneven texture, mild laxity, and reduced skin radiance.

Fotona 4D® combines controlled laser heating, collagen remodeling, and gentle resurfacing.

Laser energy is delivered inside the mouth to gently heat tissue around the cheeks and lips.

This may stimulate collagen remodeling and soften the appearance of smile lines.

Specialized laser energy addresses selected tissue imperfections and supports collagen remodeling.

This step may help improve uneven skin texture and visible signs of photoaging.

Controlled heating reaches deeper tissue layers to encourage gradual improvements in skin firmness.

A gentle resurfacing step improves the skin's outer surface, helping refine texture and soften selected fine lines.

Fotona 4D® may improve skin quality, mild laxity, fine lines, and overall radiance.

Some patients notice changes after initial healing, while collagen-related improvements can continue over several weeks or months.

Fotona 4D® does not replace a surgical facelift for significant sagging or excess skin.

At Echelon Medical & Aesthetics, Fotona 4D® care is directed and performed by American Board-Certified MD Dr. Nicole M. Batty, MD, MBA, MSF, FACP, FASCP, when clinically appropriate.

Ready Today for Your Treatment? Request a Fotona 4D® consultation in Manhattan.

Patients seeking a brighter, smoother complexion may benefit from treatment plans that address more than one skin concern.

Fotona offers a branded four-step protocol called Fotona4GLOW™, designed to combine specialized laser toning, collagen stimulation, skin tightening, and fractional skin refinement.

The manufacturer's signature protocol involves compatible Dynamis and StarWalker technologies. Echelon's SP Dynamis and StarWalker systems offer complementary capabilities, but the exact branded Fotona4GLOW™ protocol requires confirmation of the installed StarWalker model, software, and accessories.

Laser Toning: Targets selected pigmentation to improve uneven-looking skin tone.

FRAC3®: Supports collagen remodeling and improvement in selected skin imperfections.

PIANO®: Delivers controlled deeper heating to encourage skin firmness.

FracTAT®: Uses specialized fractional laser energy to support texture refinement and skin radiance.

For patients interested in a comprehensive glow, Dr. Nicole M. Batty, MD, MBA, MSF, FACP, FASCP can evaluate whether the available SP Dynamis and StarWalker treatment options are appropriate for their concerns.

Ready Today for Your Treatment? Ask about personalized laser treatments for brighter, smoother-looking skin.

Fotona TightSculpting® is a laser-based approach designed to address selected areas of localized fullness and mild skin laxity.

The protocol combines deeper tissue heating with a skin-tightening stage. It may help refine body contours and improve the appearance of skin firmness.

Potential treatment areas include the abdomen, waist, thighs, and upper arms.

TightSculpting® is intended for modest contour improvement. It is not a weight-loss procedure and does not provide the same results as surgical fat removal.

At Echelon Medical & Aesthetics, Dr. Nicole M. Batty, MD, MBA, MSF, FACP, FASCP directs and performs appropriate available laser procedures following individualized medical evaluation.

Ready Today for Your Treatment? Contact our office to discuss non-surgical body contouring.

The skin around the eyes is delicate and may develop fine lines, crepey texture, and mild laxity over time.

Fotona SmoothEye® uses controlled laser heating to stimulate collagen remodeling around the eye area.

The treatment may improve the appearance of fine lines and mild looseness without surgical incisions.

It does not replace eyelid surgery for substantial excess skin or protruding fat.

At Echelon Medical & Aesthetics, American Board-Certified MD Dr. Nicole M. Batty, MD, MBA, MSF, FACP, FASCP directs and performs appropriate available laser procedures with careful attention to facial anatomy and eye safety.

Fotona LipLase® uses controlled laser energy to encourage collagen remodeling in and around the lips.

It may improve lip texture, soften selected fine lines, and create a subtle enhancement in the appearance of lip fullness.

Unlike injectable fillers, LipLase® does not add a filler material or produce the same degree of volume enhancement.

Dr. Nicole M. Batty evaluates each patient's lip anatomy, expectations, and treatment suitability before recommending an available laser procedure.

Ready Today for Your Treatment? Ask about natural-looking lip rejuvenation at Echelon Medical & Aesthetics.

Men may experience fine lines, rough texture, reduced skin firmness, and other signs of facial aging.

Fotona 4D® Men applies multilayer facial rejuvenation principles with consideration for male facial anatomy and aesthetic preferences.

Treatment may help improve skin texture and mild laxity while preserving natural facial characteristics.

At Echelon Medical & Aesthetics, Dr. Nicole M. Batty, MD, MBA, MSF, FACP, FASCP, an American board-certified MD, provides individualized physician-directed and physician-performed laser care.

Laser skin resurfacing is designed to improve the appearance of damaged or aging skin.

The Fotona SP Dynamis Er laser can treat selected skin layers with controlled precision.

Depending on treatment intensity, resurfacing may help soften fine lines, refine rough texture, improve certain acne scars, and reduce visible signs of sun damage.

Gentle resurfacing may involve limited downtime, while deeper treatment can require several days or longer of healing.

At Echelon Medical & Aesthetics, American Board-Certified MD Dr. Nicole M. Batty, MD, MBA, MSF, FACP, FASCP directs and performs appropriate resurfacing procedures with treatment settings selected for the individual patient.

Ready Today for Your Treatment? Request your laser skin resurfacing consultation.

Sun exposure, aging, and inflammation can cause uneven pigmentation.

Fotona StarWalker technology can target certain benign pigmented lesions using specialized short laser pulses.

Depending on the device configuration and diagnosis, treatment may improve the appearance of selected sunspots, freckles, and other pigmentation concerns.

Not every dark spot should be treated with a laser. Melasma and some other pigment conditions require particular caution, and suspicious or changing lesions must be evaluated medically.

At Echelon Medical & Aesthetics, Dr. Nicole M. Batty, MD, MBA, MSF, FACP, FASCP evaluates pigmentation concerns and directs and performs appropriate available laser treatments.

Ready Today for Your Treatment? Ask about Fotona StarWalker pigmentation treatment in Manhattan.

Acne and acne scars can affect skin texture long after active breakouts have improved.

Selected Fotona laser protocols may be used for certain inflammatory acne concerns and to improve the appearance of selected acne scars.

Laser resurfacing can stimulate tissue remodeling, which may help soften depressed scars and create a smoother-looking skin surface.

Treatment depends on the type of scar, the presence of active acne, skin tone, and risk of pigmentation changes.

At Echelon Medical & Aesthetics, American Board-Certified MD Dr. Nicole M. Batty, MD, MBA, MSF, FACP, FASCP directs and performs appropriate available laser procedures following medical evaluation.

Scars from acne, surgery, or injury may create uneven skin texture or visible changes in skin appearance.

Selected Fotona SP Dynamis resurfacing protocols can encourage collagen remodeling and improve the appearance of certain scars.

The goal is to make scars less noticeable rather than promise complete removal.

Multiple treatments may be required, and outcomes depend on scar characteristics and individual healing.

At Echelon Medical & Aesthetics, Dr. Nicole M. Batty, MD, MBA, MSF, FACP, FASCP evaluates scar type and skin characteristics before recommending treatment.

The Fotona SP Dynamis Nd laser can be used for selected long-term hair-reduction treatments.

Laser energy targets pigment in hair follicles to reduce unwanted growth over time.

Common areas include the face, underarms, legs, arms, chest, back, and bikini area.

A series of sessions is usually necessary because hair grows in cycles. Results depend on hair color, skin type, and individual response.

Laser hair reduction does not guarantee that every hair will be permanently removed.

At Echelon Medical & Aesthetics, American Board-Certified MD Dr. Nicole M. Batty, MD, MBA, MSF, FACP, FASCP directs and performs appropriate available laser procedures.

Fotona StarWalker technology can target selected tattoo pigments with specialized laser pulses.

These pulses break tattoo pigment into smaller particles, which the body gradually clears.

Most tattoos require multiple sessions. Treatment response depends on ink color, tattoo size, depth, age, and skin characteristics.

Complete tattoo removal cannot be guaranteed, and some inks may respond poorly.

At Echelon Medical & Aesthetics, Dr. Nicole M. Batty, MD, MBA, MSF, FACP, FASCP provides individualized evaluation for appropriate available StarWalker treatments.

Selected Nd laser protocols can target small superficial blood vessels and certain vascular lesions.

Treatment may reduce the appearance of visible capillaries and selected areas of facial redness.

Because redness can have different medical causes, appropriate evaluation is important before treatment.

At Echelon Medical & Aesthetics, American Board-Certified MD Dr. Nicole M. Batty, MD, MBA, MSF, FACP, FASCP directs and performs suitable available laser treatments based on the patient's clinical needs.

Fotona SP Dynamis and the broader Fotona technology portfolio support additional medical and aesthetic applications.

These procedures require specific equipment capabilities, accessories, training, and patient selection. The following descriptions are educational and do not establish that every procedure is currently offered at Echelon.

NightLase® uses controlled laser heating in the mouth and throat to address selected soft-tissue factors associated with snoring.

It may help some patients, but snoring can also indicate obstructive sleep apnea. Medical evaluation is important, and NightLase® is not a replacement for established sleep apnea treatment.

Selected Fotona laser protocols deliver controlled heating to affected nails.

Evidence for reliably curing fungal infection with laser treatment is limited. Conventional antifungal medication may be more appropriate for some patients.

Certain Fotona laser approaches can target selected persistent warts.

Warts can recur, and laser treatment does not eliminate the underlying HPV infection.

HAIRestart® is a specialized laser approach intended to support hair-growth treatment in selected patients.

Because hair thinning has many possible causes, a medical assessment is important before treatment.

Fotona's wider treatment portfolio includes specialized approaches such as VectorLift®, SuperSMOOTH™, FracRevive®, HoneyComb® Lift, TensorTight™, and additional laser rejuvenation protocols.

The availability of each procedure depends on the specific system, installed accessories, clinical indication, and physician training.

Treatment Common Patient Concern Recovery Considerations 

Fotona 4D®Fine lines, texture, mild facial laxityTemporary redness or sensitivity; varies by settingsLaser skin resurfacingRough texture, fine lines, selected scarsMay range from brief redness to several days or longerSmoothEye®Fine lines and mild laxity around the eyesTemporary swelling or redness may occur. LipLase®Lip texture and subtle definitionTemporary sensitivity or swelling may occurStarWalker pigmentation treatmentSelected benign sunspots and pigmentationTemporary darkening, redness, or crusting may occurLaser hair reductionUnwanted hairTemporary redness or follicular swelling may occurTightSculpting®Localized fullness and mild skin laxityTemporary warmth, redness, or tenderness may occur

This table is an educational overview, not a promise of treatment availability or recovery time. Your individual treatment plan will determine expected downtime, number of sessions, and aftercare.

Fotona treatments may be appropriate for adults who want to address specific aesthetic concerns and understand that results vary.

Good candidates generally have realistic expectations, are willing to follow aftercare instructions, and can complete any recommended treatment series.

Certain conditions may require treatment to be postponed, modified, or avoided.

Examples include active infection in the treatment area, recent tanning or significant sun exposure, some medications that affect healing or light sensitivity, certain medical conditions, and a history of problematic scarring or pigmentation changes.

Pregnancy, recent cosmetic procedures, and a history of cold sores may also affect treatment planning, depending on the procedure.

These factors do not automatically exclude every patient from every laser treatment. They are reasons for individualized medical assessment.

Dr. Nicole M. Batty, MD, MBA, MSF, FACP, FASCP, an American board-certified physician, evaluates these considerations before directing and performing an appropriate treatment.

At Echelon Medical & Aesthetics, your care is centered on a physician-directed approach to aesthetic medicine.

Dr. Nicole M. Batty, MD, MBA, MSF, FACP, FASCP brings medical training and an individualized clinical perspective to the evaluation and treatment of aesthetic concerns.

Rather than focusing only on the appearance of the skin, Dr. Batty considers your medical history, treatment suitability, potential risks, and long-term aesthetic goals.

Our approach emphasizes careful patient selection, clear communication, and natural-looking improvement.

Fotona laser treatments offered by Echelon Medical & Aesthetics are directed and performed by American Board-Certified MD Dr. Nicole M. Batty, MD, MBA, MSF, FACP, FASCP.

Your appointment begins with a discussion of your concerns, previous treatments, medical history, medications, and desired results.

Dr. Batty evaluates your skin and explains whether a laser treatment may be appropriate.

You will learn which laser technology may be used, how many sessions might be recommended, and what improvements are realistic.

You will also receive information about possible risks, recovery, and alternative treatments.

Preparation depends on the procedure.

You may be advised to avoid tanning, use sun protection, and temporarily adjust certain skincare products.

Do not discontinue prescribed medications unless your treating clinician instructs you to do so.

Appropriate protective eyewear and laser safety precautions are used.

Depending on the treatment, you may feel warmth, tingling, or temporary discomfort.

Some procedures are relatively brief, while others require a longer appointment.

Some treatments cause temporary redness, warmth, or swelling.

More intensive resurfacing may involve peeling, crusting, and a longer recovery period.

You will receive individualized aftercare instructions, including guidance on skincare and sun protection.

Some improvements become visible after early healing. Collagen-related changes may continue over weeks or months.

Maintenance treatments may be recommended depending on your goals and the procedure.

Fotona laser procedures offered at Echelon are directed and performed by American Board-Certified MD Dr. Nicole M. Batty, MD, MBA, MSF, FACP, FASCP.

Our approach emphasizes clinical judgment, individualized care, and informed treatment decisions.

With Fotona SP Dynamis and Fotona StarWalker, Echelon has access to complementary laser technologies for a broad range of aesthetic concerns.

We believe that aesthetic care should be tailored to the individual.

Our goal is to provide attentive service, clear explanations, and a treatment experience that respects your priorities and schedule.

We focus on refinement rather than dramatic change.

The goal is to help you look refreshed while preserving the features that make you uniquely you.

Our office is located at 393 West 49th St., TH1E, New York, NY 10019, convenient to Midtown Manhattan, Hell's Kitchen, and the Theater District.

Echelon uses Fotona SP Dynamis and Fotona StarWalker.

Available Fotona laser procedures are directed and performed by American Board-Certified MD Dr. Nicole M. Batty, MD, MBA, MSF, FACP, FASCP.

SP Dynamis combines Er and Nd laser technologies for selected treatments involving resurfacing, tightening, hair reduction, and rejuvenation.

StarWalker uses specialized short-pulse laser technology, including applications for selected pigmentation concerns and tattoo removal.

No. Fotona 4D® is a non-surgical facial rejuvenation protocol. It may improve mild skin laxity and skin quality but does not replace a surgical facelift.

Some treatments involve one session, while others require several. The number depends on your concerns, skin characteristics, and treatment response.

Certain protocols may be adapted for darker skin tones. However, pigmentation complications remain possible, and careful treatment selection is important.

Discomfort varies by procedure. Some treatments feel warm or tingly, while more intensive resurfacing may require additional comfort measures.

Recovery varies. Some treatments involve temporary redness with limited interruption to daily activities, while deeper resurfacing may require a longer healing period.

Results depend on the treatment. Laser rejuvenation does not stop aging, and some patients may benefit from maintenance sessions.

Same-day treatment may be possible after medical evaluation, depending on the selected procedure, required preparation, and appointment availability.

393 West 49th St., TH1E, New York, NY 10019.

At Echelon Medical & Aesthetics, we combine advanced Fotona laser technology with personalized physician-led aesthetic care.

Whether you are interested in Fotona 4D® facial rejuvenation, laser skin tightening, skin resurfacing, pigmentation treatment, or improving the appearance of acne scars, your care begins with a thoughtful medical evaluation.

Discover a personalized aesthetic experience directed and performed by American Board-Certified MD Dr. Nicole M. Batty, MD, MBA, MSF, FACP, FASCP.

Business: (646) 647-9163

Email Us: info@echelonmedicalnyc.com

Address: 393 West 49th St., TH1E, New York, NY 10019

Website: www.echelonmedicalnyc.com

Ready Today for Your Treatment? Call (646) 647-9163 to request your personalized consultation.

Medical Disclaimer: Laser treatment suitability, expected results, and recovery vary by patient and procedure. Potential risks include discomfort, redness, swelling, burns, infection, scarring, and changes in pigmentation. Specific Fotona protocols require compatible equipment, accessories, and appropriate training. Not every treatment described on this page may be available at Echelon Medical & Aesthetics. No particular outcome is guaranteed.