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Lip Augmentation 101

September 24, 2017 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures

Lip augmentation using injectable filler adds volume and shape to the lips.

Lip augmentation using injectable filler might be right for you if:

  • You want to enhance their appearance.
  • Your lips have thinned out and you want them to look fuller.
  • Your lips have lost definition.
  • You have wrinkles around your mouth AKA “smoker’s lines” or “the bar code”.

History

Woman have wanted plump lips since ancient times. Since the early 20th century in the United States  various methods have been used to achieve this but most of the attempts were unsuccessful and even dangerous. Silicone injections started to become popular in the 1960’s but turned out to have several hazards including forming granulomas and other reactions. Bovine (cow) collagen injections were used starting in the 1980s, but required a skin text weeks before treatment. Also the results didn’t last very long.

Now, injectable hyaluronic acid fillers are available which are require no skin testing and give instant smooth, beautiful results that can last for 6 months.

Celebrities and Lip Augmentation

The influence of celebrities in the entertainment world has people clamoring for perfectly plump lips. Think Angeline Jolie! Another huge factor is the enormous use of selfies and social media. Instagram posts showing bee-stung lips has woman everywhere looking to get “that look”.

Lip Anatomy

The lips are probably the most sensual part of the face. Emotionally suggestive, evoking intimacy and secrets – it’s no wonder lip augmentation is so popular. After all, plump, full lips make people look sexier and more attractive.

Treatment

Understandably, many people are afraid of pain both during lip augmentation and after treatment. When done carefully and correctly the treatment should be completely painless! Dr. Tanne uses topical freeze spray, a combination of local and nerve block injections and a small vibration device to make numbing comfortable and highly effective. Also, instead of needles, she usually uses a blunt cannula to fill the lips, which is more comfortable and results in minimal to no bruising!!! The results are instant with lips that are gorgeous and natural looking.

 



3 Ways to Treat Lines and Wrinkles

August 20, 2015 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures

face treatment

Just because you have lines and wrinkles (and are bothered by them), doesn’t mean you have to live with them. Here are 3 treatments that help reduce their appearance:

Fillers
The depth and severity of your lines and wrinkles will dictate what type of  filler Dr. Tanne will use. When there is a loss of volume from shrinking of the bone or fat pads, the skin loses its scaffolding and signs of aging such as sagging skin and wrinkles are created. By using volumizing fillers, Dr. Tanne can help slow down the aging process and maintain a natural, youthful appearance for you. Hyaluronic acid fillers, such as Restylane, Perlane, Restylane Lyft and Belotero stimulate collagen and add volume to plump wrinkles.Collagen stiimulating fillers, such as Radiesse, work on thick folds and wrinkles and stimulate collagen to fill from the inside out. Volumizing fillers are the key ingredient in maintaining a youthful appearance. 

Fractional Lasers
Fractional resurfacing lasers, such as our CO2RE fractional CO2 laser, can be used on wrinkled skin that’s the result of sun damage. These lasers work to help lessen the appearance of wrinkles and lines by plumping skin, increasing collagen production and removing the rough, aged outer layer to create a more youthful appearance.

Neuromodulators
Injectable toxins (also referred to as “neuromodulators”), like Botox, Dysport, and Xeomin work to smooth out the skin’s surface by temporarily stopping the contraction of the muscles that are responsible for creating wrinkles. Neuromodulators reduce the muscle movement that creates the fold and, over time, often reverse the lines that may already be present in the skin. We recommend Botox or Dysport, Xeomin or Botox when patients start to see a trace of a wrinkle when the face is at rest. This helps prevent etched lines that are more difficult to treat.



ARE YOUR EYES AGING YOU?

October 13, 2014 / Category: Anti-Aging, Beauty Breakthroughs, Celebrity Love, Cosmetic Procedures

eye filler

Fillers, fat or surgery: Which one should you choose? Each option has its place when correcting the eyes. Base your decision on what bothers you, your budget and the result you are looking to achieve.

Choose  fillers to fix hollowing in the tear troughs if there is no loose skin. Ideal patients are those who have a depression like a tear trough in the lower lids, had too much fat removed during surgery or are hollow under the eyes.  Some physicians prefer fillers (such as Restylane or Belotero Balance) because they are reversible and to not require overcorrection.

Choose fat for longer-lasting results. Your physician will gently remove a very small amount of fat from elsewhere on your body (often the love handles), clean it and then inject it under the eyes for a volumizing effect.  Fat can also be used to blend the area between the lower lid and the cheeks.

Choose surgery to correct loose skin or excessive muscle and/or fat in the lids.



8 Surprising Ways You’re Showing Your Age

April 8, 2014 / Category: Anti-Aging, Beauty Breakthroughs, Celebrity Love, Cosmetic Procedures

Certain areas of the face are prone to fat loss—others are not. The cheeks and eyes frequently fall victim to the effects of volume loss first; the lips, eyes and temples eventually catch up.

skin rejuvenation jpeg

Around the Upper + Lower Eye Sockets
The majority of fat in the face is in the cheeks, and as these pockets deflate, a depression forms from the inner corner of the eyes straight downward (called a tear trough or hollow). The appearance of hollows is related to loss of fat and bone expansion. Since the same amount of tissue is occupying a larger volume, the result is that the eyes look hollow. Sometimes, the fat protrudes, creating a bag.  Adding a hyaluronic acid filler or fat restores volume, making the eyes the focus of the face.

Around the Brows  
A loss of fat and fullness in the brows coupled with lines and wrinkles between the brows and on the forehead can create a saggy brow and hooding on the upper lids. Fillers and fat are the most common ways to fix the problem. Just a little bit of volume (using a filler like Restylane) helps, and it is even more dramatic when combined with a neuromodulator (Dysport, Botox or Xeomin) for an overall rejuvenating effect. The combination of fillers (injectables or fat micro-grafts) plus a neuromodulator produces a better result than either one alone.

At the Temples 
You wouldn’t think of the temples as an area of concern but they are. As fat diminishes from the temples, they become sunken and appear narrow. Hollow temples can call unwanted attention to the cheeks. Filler such as Restylane, Perlane and Radiesse, used to gently, soften the area for a more youthful look. Fat micrografts are a good alternative and give a more permanent result.

In the Cheeks
The cheek area is one of the first parts of the face where a loss of volume is noticeable. As the fat in the cheeks begins to descend, it creates nasolabial folds (smile lines) around the mouth and a flattened look in the cheeks, making you look “tired”. To correct the folds and the cheeks, the natural volume needs to be restored, using either injectable fillers or fat micro-grafts, for a refreshed, natural look.

In the Lips 
The lips are made of collagen, oil and tissue—not fat—but they too experience the effects of volume loss as they start to thin out. While fillers or fat can help to reinstate plumpness in the lips, the surrounding lines need to be softened with either laser resurfacing or a combination of Botox, Dysport or Xeomin and fillers (I prefer Restylane and Belotero). 

At The Corners of the Nose Down Toward the Mouth 
As the fat in the cheeks begins to fall, there is less support for the skin around the mouth, causing folds to develop in the area where the end of the nose and the lips meet.

On the Jawline
The jaw area loses definition with time and the natural contours become boxy and saggy. Volume loss in the jaw area usually comes along with a lack of structure in the cheeks. Injections of hyaluronic acids, Radiesse or fat can all help reshape and revolumize the area.

The Skin Smoother
Crystal free DiamondTip™  Microdermabrasion removes the topmost layer of skin, delivering optimum exfoliation for softer, smoother, supple and vibrant skin. This is accomplished by gently abrading the skin with a variety of stainless steel tips imbedded with laser cut diamond chips, while using suction to remove the dead skin cells and stimulate collagen production.

Similar to microdermabrasion, the SilkPeel™ Dermalinfusion™ System combines non–invasive exfoliation with deep delivery of patient–specific solutions directly to the skin without the use of crystal or other chemical exfoliants. These serums are infused deep into the skin where they are most effective, deeply delivering the vitamins, antioxidants, and other therapeutic ingredients that your skin needs most.



How to Treat Facial Volume Loss

February 5, 2014 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures

woman looking in mirror1Each filler that I use in my practice has its own set of characteristics that make it the right choice. “I tell my patients that what we use depends on what area of the face needs improvement, how long they want the results to last, and how much downtime they can endure,” says Dr. Susan Stevens Tanne, medical director of Cosmetic Laser MD.

For my patients that have never tried any type of fillers or injectables, I usually recommend that they begin with fillers made of hyaluronic acid, such as Restylane, Belotero or Perlane, since they can be reversed if you don’t like the way you look, and they fade over time.

Some of my patients need more significant lifting and/or filling of the cheeks, and filling of the chin area. I see this in patients as they age, with shrinking of the fat pads that normally act as scaffolding for the skin. This is also common in those who are very thin, or are hard-core exercisers. This type of hollowing results in a gaunt, tired look. I use Radiesse or Perlane for a more significant filling effect in these patients. Filling these larger areas require that the filler be placed deeper, which is why Radiesse works well in these patients. “Done properly, my patients achieve very natural looking youthful results, which lasts from six months to one year and sometimes longer,” says Dr. Tanne.

“One of the biggest improvements in the placement of injectable fillers has been the introduction of microcannulas, which I have been using almost exclusively for the past couple of years. Rather than using sharp needles that can result in significant bruising, a small pilot needle is used to just puncture the skin, which has been numbed, and then the needle is removed and replaced with a blunt tipped cannula. This method required much less numbing and is more comfortable for the patient. A microcannulas has a rounded, closed end, rather than a sharp cutting end, typical of traditional needles, and a small side opening to allow the filler to flow out. Patients have responded very favorably to this method, and love the almost total absence of bruising”, says Dr. Tanne.

For some patients, fat transfer is the preferred treatment rather than using synthetic filler in their face.  To obtain the fat, a microliposuction procedure is done, removing only a very small amount of fat after you have been carefully numbed with an anesthetic solution.  You may be a little swollen for a few days after this part of the procedure. The fat is then spun in a centrifuge to remove any oils and debris, before being re-injected into the face. Unlike fillers, fat transfer requires some downtime, ranging from a few days to one week, if the fat is placed in multiple areas of the face. Fat can be a more cost-effective option for patients that are using many syringes of filler every year, and can be a long-term solution. However, since this can produce a long-term to permanent result, I usually only recommend this option for patients that have tried synthetic fillers several times previously. One added bonus is that fat contains your stem cells, which gives a youthful smoothness and vibrancy to the skin.



PUT AN END TO HOLLOW EYES

August 7, 2013 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures

HOLLOW EYESWe talk a lot about reducing under-eye puffiness, but we know that some of you suffer from another issue: eyes that look sunken and hollow, especially for those who have more slender faces. However, there is help for those who may be genetically predisposed to hollow eyes or have lost soft tissue and bone density, which can make the eyes appear sunken.

PRODUCT FIX:
Applying products with vitamin C can reduce the dark circles that sometimes accompany eye hollowing. Retinol is a good ingredient to help the fragile skin become stronger, and humectants will add a bit of a plumping effect under the eyes. If you find that you have dark circles too, a prescription of hydroquinone can help to lighten up under-eye shadows.

FILLER FIX:
At the first signs of hollowing, a filler composed of hyaluronic acid such as Restylane or Belotero or fat can help to fill in the spots that appear in the tear troughs. Hyaluronic acid fillers, which last for about 6 months, are effective in filling deficient areas under the eyes when it is injected deep into the tissue.
Fat grafting  involves taking a small amount of fat, usually from your belly. We then mix the fat with Selphyl to promote new blood vessel formation in the grafted fat. This combination is re-injected into the under-eye hollow (tear trough) giving you a long term to permanent improvement.
FAT TRANSFER UNDER EYES AND CHEEKS-1



CORRECT CHEEK CONCERNS WITH INJECTABLES

March 19, 2013 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures

CHEEKSCheek augmentation is a popular procedure since it reinstates lost volume, making the cheeks look fuller and younger. Depending on the current state of your face, there are multiple ways to enhance your cheeks. If the problem at hand is strictly a loss of fat, then injectables can plump up the cheeks. On the flip side, when the skin on the mid-face is loose and accompanied by more extreme volume loss, surgery, like a facelift, is necessary to address all the concerns.

If you have flat, sunken cheeks, then choose fillers like Perlane or Radiesse. Both hyaluronic acid fillers and collagen-stimulating fillers can add dimension and definition to cheeks that have become flat and sunken over time. After injections, your cheeks will be instantly fuller with a natural contour to them. Collagen-stimulating fillers (Radiesse) last longer (12 to 18 months) than hyaluronic acid fillers (Perlane), but neither is permanent.

Dr. Tanne is a specialist in facial revolumizing using injectable fillers, and uses her artistic eye and medical skills to give her patients youthful, natural-looking results.



Lift Aging Features With Injectables

March 5, 2013 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures

lift with fillersThink fillers and injectables serve the purpose of just erasing lines and filling wrinkles? Guess again. While these “liquid miracles” may have originally made their mark as wrinkle eliminators, they are now just as well-known for their sheer ability to lift and contour ill-defined and aging features.

When injectables and fillers were first introduced, they pretty much served one purpose: to fill wrinkles. Over time, and with safe off-label experimentation, their use has became more widespread as the effects of volume loss is a constant complaint. In different compartments of our face there is a shifting of the fat pads and re-absorption. Reconstructing the face with filler allows the architecture of the framework of the face to be lifted and restores the youthful contours. With only a handful of product options available, the main difference between filling and lifting comes down to where the filler is placed and how deep.

Dr. Tanne likes to use different fillers in different compartments of the face, sometimes layering them if needed. With dermal fillers and neuromodulators are used in combination, the results is a “Liquid Facelift“.

1. Straight Lifting With Some Volume 
Perlane: Fills in deeper, thicker lines and folds. Because of its denser nature and thickness, it provides good lift to areas of the face like the cheeks and lower part of the face.
Radiesse: Lasts about 1 year. Immediately smoothes out folds around the mouth, lifts the cheeks and the area between the cheeks and the eyes and the jowls. In terms of the longer-lasting fillers, this is said to give more lift.

2. More Volume, Some Lifting
Restylane, Juvéderm and Belotero:
Lift and contour but on a more superficial level for those that don’t need as much structural improvement for areas like under the eyes, marionette lines and for lip augmentation.

3. Freeze the Muscle
Botox, Dysport and Xeomin:
These neuromodulators reduce the muscle activity that causes vertical frown lines to form (like those above the eyebrows) so muscle movement is limited (or minimal) to give a lifting effect, or Chemical Brow Lift.



Two Ways to Plump Limp Lips

February 27, 2013 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures

red lipsIf your lips have slimmed down over the years, the reason is because of collagen loss. Factor in less moisture, sun damage and fine lines (above the lips), and your pout may be looking less-than-full sooner rather than later.

For a fast fix, try lip-plumping products. Lip plumpers employ either ingredients that swell the lips or add moisture to give a fuller-looking pout. A good lip plumper is a quick and easy way to enhance your lips. But if you find those that make use of irritants, essential oils or cinnamon uncomfortable, opt for something that plumps via moisture such as those made with organic ingredients and natural mineral pigments. These richly colored glosses lend a hydrating effect, too.

Injecting the lips with hyaluronic acid (Restylane, Juvéderm, Belotero) gives way to fuller, sexier-looking lips. In order for the lips to look natural, the center part should be slightly fuller with a defined Cupid’s bow. The upper lip to lower lip should be about a one-third to two-thirds ratio. Steer clear of thicker filler as well as silicone and permanent fillers, which can result in lumps, nodules and an unnatural look.



Get Better Injection Results With Less Bruising – A Gentle Approach to Dermal Filling

August 7, 2012 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures, Health News

There are many upsides to injectable fillers like Radiesse, Juvederm and Restylane (as well as Botox and Dysport). They work pretty instantly and when done correctly, they can take years off your face by softening wrinkles and adding volume to the face. However, one of the downsides of injectables, albeit temporary, is the potential for swelling and bruising.

As the use of fillers continues to progress in what they can do, so do the technologies that go along with how they are injected. Needles are still a popular choice for injections, but the new wave is cannulas—about 100 times smaller than what is used during liposuction and they have a blunt tip for less trauma when placing volume deeper. A  lot more product is injected via one puncture mark. The cannula is moved into various locations before the filler is inserted, to give really good lift. The other upside: Because there are fewer punctures made in the skin, there’s less of a chance of bruising and swelling and when properly done is just as comfortable as when a needle is used after significant numbing.

As for other methods to keep bruising at bay: Prep yourself at least one week before your scheduled procedure. It is best to avoid aspirin, fish oil supplements and Vitamin E supplements. Dr. Tanne also advises her patients to remain off ibuprofen and all other NSAIDS for a few days before filler treatment. Dr. Tanne also recommends that her patients use Arnica pellets, a natural homeopathic medicine placed under the tongue, before and after injections as they say it helps lessen bruising. She also suggests eating some pineapple, which contains the anti-bruising enzyme Bromalain, before filler treatment .



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