Injectable Fillers Restore the Volume of Youth: Get A Lift Without Surgery

As we age, our faces begin to show the effects of gravity, sun exposure and years of facial muscle movement, such as smiling, chewing and squinting. The underlying tissues that keep our skin looking youthful and plumped up begin to break down, often leaving laugh lines, smile lines, crow's feet or facial creases over the areas where this muscle movement occurs. A youthful face has a smooth full appearance. As we age, we lose volume, which gives a sagging and/or wrinkled appearance. Restoring the volume of youth is one of the main benefits of injectable fillers.

Injectable fillers have added new dimensions to the field of cosmetic medicine, allowing new forms of facial rejuvenation and wrinkle treatment without surgery. Injectable skin and wrinkle fillers are used to increase tissue volume (as with lip augmentation), reduce wrinkles, and improve skin's overall contour. Soft–tissue fillers can help fill in these lines and creases, temporarily restoring a smoother, more youthful–looking appearance. There are numerous applications for fillers that create a subtle, beautiful and natural appearance. Fillers can be used for anything from smoothing out a little wrinkle to evening out a deep furrow.



Injectable fillers can correct hollowness under the eyes, add fullness to thin lips, or balance a disproportionate face. They can be used to restore fullness that is naturally lost as fat diminishes from the face with aging, or can be used to create stronger features such as prominent cheekbones or a more angled jaw line. Injectable fillers provide immediate results with no need for allergy testing and last from 3 months to 2 years depending on which filler is used. Injectable fillers may be used alone, or in conjunction with Botox Cosmetic, laser, light and resurfacing procedures, for a total "no down–time" rejuvenation.




What Are The Available Cosmetic Fillers?

Over the years a variety of filler agents have been successfully used. Each filler is a different material and the duration of filling may vary between the different substances.


Radiesse logo

Radiesse is the newest non–surgical facial contouring filler that delivers immediate, long lasting results.  Now you can sculpt cheekbones, the nose, and chin and anywhere you need enhancement.  It also works as a dermal filler to fill in deeper lines and ridges, and generates new collagen to add volume to the treated area. Safe and effective, it requires no skin testing and the risk of an allergic reaction is virtually eliminated.

Radiesse™ is made of very small biocompatible smooth calcium hydroxylapatite (CaHA) microspheres, the same calcium minerals that form bones and teeth, which are suspended in a water–based gel carrier. The microspheres (particles) form a scaffold through which your body's own collagen grows, and this produces the desired long–term effect, lasting 1–2 years. These unique advantages make Radiesse the ideal choice.

Juvéderm® XC


Juvederm® XC contains lidocaine which give improved comfort while still providing the results that you have come to expect from Juvederm.  Juvederm® XC restores volume and fullness to the skin while simultaneously softening wrinkles. Juvederm® XC gives a smooth, long–lasting correction with two formulations available, Juvederm® XC Ultra and Ultra Plus, and provides immediate dramatic results. This allows Susan Stevens Tanne, M.D. to provide a personalized approach to help patients maintain their youthful appearance.

Juvederm® XC fills in moderate to severe facial wrinkles and folds and achieves a smooth and natural look. It corrects and adds volume to the nasolabial folds (the folds running from the sides of the nose to the outer corners of the mouth), the hollows under the eyes and the creases between the brows.

Juvederm® XC is a perfect choice for restoring volume and fullness to lips that have receded, enhancing their shape and giving a beautiful, natural–looking, more sensuous look.  The key component in Juvederm® XC, hyaluronic acid, is a naturally occurring, biodegradable complex sugar found in the human body and in all living animals. Among other things, hyaluronic acid hydrates the skin and adds volume, contributing to the overall appearance of the skin. Patients have reported a much more comfortable treatment experience with the new lidocaine formula in Juvederm® XC.


Juvederm® XC is safe for all skin types and colors, and requires no allergy testing. A single treatment of Juvederm® XC, in the majority of patients, can last six months or longer. Juvederm® XC treatment is one of the most exciting procedures available for patients looking to maintain their youthful appearance.

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Restylane-L ®

Restylane-L (the L stands for lidocaine) By combining lidocaine with Restylane® and Perlane®, Restylane-L and Perlane-L help reduce discomfort during and after treatment. Restylane-L adds volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds).

Restylane-L works immediately by adding volume to smooth away wrinkles. A clear gel formulation of hyaluronic acid, Restylane-L is specifically formulated to act like your body’s own hyaluronic acid. So, you can use Restylane-L to visibly reduce moderate to severe facial wrinkles and folds for a younger-looking you.

Biocompatible with the human body, Restylane-L is eventually broken down naturally.

Perlane-L ®

Just like Restylane-L , Perlane-L adds volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds).

Like Restylane-L , Perlane-L is a clear gel formulation of hyaluronic acid that is specifically formulated to add fullness like your body’s own hyaluronic acid.

What makes Perlane-L different is the average size of the particles and the depth of injection. On average, the gel particles in Perlane-L are larger than those in Restylane-L, which makes Perlane-L a good choice for wrinkles that benefit from a deeper injection into the skin.

In three clinical studies of 150 patients each, on average 70% of patients maintained improvement for six months after just one Perlane-L treatment.

During your consultation, Dr. Tanne will decide which product is right for you.


Selphyl™ is today’s safest most effective way to naturally promote cell regeneration.

It is the next best thing to a facelift.

Click to see Dr. Tanne's ABC Interview -"Vampire Facelift" Uses Blood to Get Rid of Wrinkles

Selphyl™ is a patented technology using patient’s own blood platelets to increase skin volume and trigger new collagen growth. During treatment, a small amount of blood is collected and separated into a concentration of platelets and fibrin or PRFM (Platelet-rich Fibrin Matrix). The PRFM is then injected back into the skin to increase and restore skin volume. Because Selphyl™ uses patient’s own platelets instead of artificial materials, there is virtually no risk of allergic reaction. This natural procedure is performed by Dr. Tanne in her office and takes only about 20 minutes, rejuvenating without swelling, bruising or lumping. Increased skin volume and amazing rejuvenation occurs over a few weeks as new collagen and blood vessels develop - while your own tissues virtually reverse the signs of aging naturally.


After determining that Selphyl™ platelet rich fibrin matrix (PRFM) is right for you, a small amount of your blood will be drawn, similar to having basic blood tests at your doctor’s office.  This will then used to prepare the Selphyl™ in a 6 minute process.  During that time, the areas of the face to be treated will be cleansed and numbed with a small injection.  Once this is done, the Selphyl™ is injected into the skin to be treated.  Cool compresses are then applied to these areas.  The entire process typically takes no more than 15-20 minutes.

Selphyl™ can be used in areas of the face and body to stimulate cell proliferation, increasing volume and skin rejuvenation. By injecting Selphyl™ into your skin, Dr. Tanne can improve wrinkles, folds and scars (including acne scars) on your face in a natural way, without surgery or lasers. Patients have seen long lasting results with visible effects noted as early as 3 weeks after injection.


  • Selphyl™ uses your own blood’s natural resources to treat wrinkles
  • Selphyl™ triggers cell migration/proliferation to increase skin volume
  • Selphyl™ rejuvenates without swelling, bruising, lumping or allergic reaction
  • Selphyl™ employs the safe & rapid preparation of PRFM – Platelet-rich Fibrin Matrix – which results in a smooth gel for natural treatment
  • Selphyl™ treatments can be used in any body area – without side effects
  • Selphyl™ is great for both men & women who want to look younger
  • Selphyl™ produces long lasting results
  • Selphyl™ is the next best thing to a facelift – without the surgery

Does treatment with injectable cosmetic fillers hurt?

Dr. Tanne makes every effort to provide a pain free experience for her patients. To achieve this she uses topical numbing cream to anesthetize the skin. Often local anesthetic and/or a painless dental (nerve) block is also used to fully numb the area being treated. This is especially important when lip augmentation is being done, and allows her patients to comfortably watch as immediate, beautiful results are obtained.

What kind of reactions can occur after cosmetic filler injections?

Reactions to filler agents are rare and generally resolve with time. Some common injection–related reactions might occur, such as swelling, redness, pain, itching, discoloration and tenderness at the implant site. They typically resolve spontaneously within several days after injection into the skin.

What can I do to optimize cosmetic fillers results?

Filler agents are ideally combined with BOTOX®, Dysport or Xeomin injections (neuromodulators) that are used for wrinkles caused by too much muscle tone. Wrinkles such as frown lines, crow's feet, marionette lines and vertical lip lines are better treated with neuromodulators than a filler agent. Neuromodulator injections are also use to provide a "chemical" brow lift, causing the brow to arch and raise up, giving a more open look to the eye. Ideally anti–aging skin treatments will include not only filler agents and neuromodulators, but also skin rejuvenation treatments and the various non–surgical resurfacing, skin tightening and laser treatments available in our office.

Will there be any downtime?

No, there is no downtime. You may immediately return to your daily routine. Some common injection–related reactions might occur, such as swelling, redness, pain, itching, discoloration and tenderness at the implant site. They typically resolve spontaneously within several days after injection into the skin.

Who should avoid treatment?

Do not use injectable fillers if you have an infection at the site where they will be injected. Avoid neuromodulators if you are allergic to any of its ingredients or are pregnant. Some conditions may increase the chance of infection, so Dr. Tanne should be advised before pursuing treatment if you have a serious medical condition, are breastfeeding or plan to become pregnant.

Instructions for before treatment

Tell Dr. Tanne about any allergies you have, any serious medical conditions and all medications you are taking, both prescription and non–prescription. To reduce bruising, avoid anticoagulants, aspirin and other blood thinners for a week before treatment.

Instructions for after treatment

Avoid vigorous activity directly after treatment, and continue to avoid blood thinners until any bruising diminishes.

How do I find out if I am a candidate for cosmetic fillers?

Dr. Tanne will meet with you during your free consultation and help plan the most effective treatments to achieve your aesthetic goals.