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:

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.

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.


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.

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 .

How to Treat Under-Eye Circles in Darker Skin Tones

July 24, 2012 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures

No one likes to deal with under-eye circles and bags. But the problem can be especially hard to deal with for those who have dark skin tones because treatments that cosmetic physicians might normally suggest like lasers or chemical peels aren’t always suitable. Luckily, there is hope.
To start, it’s important to figure out the cause of your under-eye circles. There are three components to consider. First, if there’s a groove under the eyes, Dr. Tanne prefers to use a hyaluronic acid filler like Restylane to smooth the area. A prominent groove can give shadowing and make it look like there are dark circles.

Next, if you have dark pigmentation around your eyes, especially in the lower eyelids, then your best bet is to use an at-home cream, or a combination of ingredients. We like our patients to use products from our Tanne MD Medical Skin Care line including hydroquinone (found in our Brighten Pads), sometimes with a vitamin C or an antioxidant, which can lighten the skin. Retinol can help and also a light bleach like kojic acid. We recommend a variety of skin care options for each patient during a personal skin care consultation.

Last, if you have a loss of skin tissue and sagging under the eyes, it can cause blood vessels to show through and look like pigmentation. In that case using products that contain caffeine to constrict blood vessels and vitamin K to reduce redness are helpful. Or you can opt for an in-office laser treatment like eMatrix or CO2RE to promote collagen growth in the skin.

Of course, a little makeup can also go a long way. Our makeup artists, Lauren and Nicole, suggest avoiding light concealers that tend to come in a wand or twist applicator and opt for thicker ones that are usually in pans or compacts. They will recommend the right products for you from our Simply Beautiful Makeup Line. As for the application process, they recommend patting concealer on, after applying foundation, using your finger or a brush. They stress not to forget the inner corner of your eye and the inside bridge of your nose. That area tends to have darkness that we forget about and it’s important to cover it as well!

Is a Liquid Lift Right For You?

July 17, 2012 / Category: Anti-Aging, Beauty Breakthroughs, Celebrity Love, Cosmetic Procedures

When injectables and fillers were first introduced, they pretty much served one purpose: to fill wrinkles. Over time, and with off-label experimentation, their use has become more widespread as the effects of volume loss are a constant complaint. Today, the “Liquid Lift”—the use of fillers to give a more lifted and youthful look to the face—is gaining popularity as replacing lost volume via injections allows the skin to take on a lifted appearance and redefines the natural contours of the face.

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.


November 9, 2011 / Category: Beauty Breakthroughs

Cosmetic Laser MD Chosen to Receive the First Limited Shipment of Merz Aesthetics’ New Injectable Wrinkle Relaxer

New Addition to BOTOX and DYSPORT Neuromodulators

LIVINGSTON, NEW JERSEY, NOVEMBER 9, 2011 — COSMETIC LASER MD, New Jersey’s premier destination for the most advanced skin and laser treatments, is among the first 100 Aesthetic Medical Practices in the US to receive Xeomin® for cosmetic use beginning November 2011.

Xeomin®, a Merz Aesthetics product, is being referred to as the “naked injectable” by physicians because it does not contain any additives or complex proteins. The benefit of this, according to Dr. Susan Stevens Tanne, Medical Director of COSMETIC LASER MD, and top area aesthetic physician specializing in injectable and laser treatments, is that the body extremely unlikely to have an adverse reaction to the treatment. Aside from this slight molecular difference, XEOMIN is virtually identical to other Neuromodulators BOTOX and DYSPORT.

“We are thrilled to have another highly effective neuromodulator available to treat wrinkles and crows feet, said Dr. Tanne.   “By being selected to offer this cutting edge product to our patients as early as possible COSMETIC LASER MD is once again at the forefront of the latest advancements in skin treatment.  We are expert at all injectables, so we are proud to offer XEOMIN as another treatment option to our patients.  Ultimately, if this introduction creates some friendly price competition among the neuromodulators, then even better for our patients.”

Xeomin® was approved by the United States Food and Drug Administration (FDA) in July for the temporary improvement in the appearance of moderate to severe glabellar lines, more commonly known as frown lines between the eyebrows, in adult patients.   Xeomin® will be available in Aesthetic Medical Practices around the United States in the spring of 2012; however, COSMETIC LASER MD is able to offer this treatment to their patients right now.  To kick off the new product introduction, MERZ is offering a $50 rebate for a limited time. Rebate details will be given to patients at the time of their treatment.

For more information about Xeomin or COSMETIC LASER MD please visit www.cosmeticlasermd.com or call 973-716-9000.  Please call to schedule your complimentary consultation; Dr. Tanne and her team will put together a customized plan that will help you achieve your personal aesthetic goals.


Finally, the Freedom to Show Your Legs Again!

October 25, 2011 / Category: Beauty Breakthroughs, Cosmetic Procedures

The latest cosmetic procedure in the fight against unsightly spider veins has come to our shores after spending many years in Europe. Asclera™ was just approved by the Food and Drug Administration this year and is now being offered by select doctors around the country.  Dr. Susan Stevens Tanne, Medical Director of Cosmetic Laser MD, is pleased to announce that she is one of the few area doctors offering this effective procedure.   “We’re thrilled to offer our patients this safe and effective vein treatment; we are now truly a head to toe aesthetic practice,” Dr. Tanne said.

Asclera™ is an injectable agent designed to treat moderate spider veins.  The solution irritates the interior walls of the vein, dissolving the inner lining of the vessel. This, in turn, causes the walls to become sticky and constrict, eventually closing the vein completely so blood cannot enter. Without the blood rushing into the vein, swelling, bulging, discomfort, discoloration and pain associated with spider veins are effectively eliminated.

While this new drug sounds similar to other vein removal treatments, it does offer several advantages.  First, it has an impressive track record that is difficult to ignore. Asclera™ has been used in Europe for over 40 years, and has been used in over five million treatments with a high success rate. Second, its anesthetic properties make it a more comfortable treatment option for patients, meaning it causes less pain and skin irritation than current procedures. Asclera™ has proven to be very effective, and patients have showed satisfaction with the overall procedure and results.

Asclera™ is a relatively quick vein removal procedure, lasting about 30 to 45 minutes. It takes about two to three sessions for patients to see full results, which begin to show about two weeks after the first treatment and continue to improve up to 12 weeks. Recovery is fast, and most patients can return to their normal routines in about a day or two. Compression garments are highly recommended, and are available at our office.

Best of all, the reviews are in and our patients are ecstatic!  One rave we just received – “Thank you Dr. Tanne – I cannot tell you how it feels to think about wearing skirts again.  You have changed my whole outlook.  Thank you so much!”

As is the case with any of our cosmetic procedures, Dr. Tanne will evaluate you personally and review your health history to make sure you are a candidate for this procedure.  Consultations, as always, are complimentary.  Schedule yours today at 973-716-9000.

Join us for our Fall Open House on Thursday, November 10th from 5-8 when we will be talking about ASCLERA as well as several other amazing introductions! RSVP 973-716-9000.


April 26, 2011 / Category: Anti-Aging, Celebrity Love, Cosmetic Procedures, Special Offers
Before and After “Liquid Face Lift”

A REALITY TV star has revealed the truth after her fresh face and narrower nose at an event sparked speculation that she had undergone plastic surgery.

Once again, COSMETIC LASER MD’s signature procedure – the minimal-downtime, minimally-invasive “liquid facelift” – is in the news….
“I have a liquid facelift every six months,” said 47-year-old Zarin, who has appeared in all four seasons of The Real Housewives of New York City.
“It really works. No knives!”
A “liquid facelift” is “just using injectables,” said Zarin, who started getting the procedure a year ago.
Rather than using a filler to tackle individual smile lines, the dermatologist said that she lifted Zarin’s face by injecting Restylane along the jaw line and up along the sides of her face. Dr. Tanne’s artistry in sculpting and lifting with injectable fillers has been recognized by the Liquid Facelift Association. She is considered one of the premier specialists in this procedure, and has performed several hundred of them.
“It’s a little uncomfortable, but definitely not painful at all,” says Zarin, 47. “But it’s 100 percent worth it. She took ten years off my face.” Zarin said she’s been getting Botox in her forehead and between her eyes for 10 years – and more recently, in her neck. “I’m scared I’m going to get a turkey neck,” she said. “It runs in my family.”
As for her new nose, Zarin says it’s not needles or knives, but rather the work of her new hair and makeup artist, Jim Crawford. “He put brown contouring makeup on my nose and thinned it out,” she says. Crawford explains the makeup magic: “We also made her face look thinner by airbrushing the sides and hairline two shades darker,” he says. “Before she was just using TV makeup, which didn’t give any dimension.”
Getting rid of bangs also changed up Zarin’s look.
“With the bangs down, the nose takes up the largest percentage of her face,” Crawford said.
Our patients already know what the Housewives know – a little tweak here and there can refresh your look dramatically, and prevent that facelift indefinitely. Dr. Tanne and her staff perform liquid facelifts every day – sometimes on the entire face, and sometimes regionally, depending on the patients’ specific concerns.
As always, COSMETIC LASER MD offers complimentary consultations. Let us help you put together a plan to rejuvenate your look this spring.Click here to see a Very Special Offer….

Call us at 973.716.9000 to schedule a complimentary consultation or click the button below. We will discuss your concerns and establish a treatment plan to achieve your aesthetic goals.

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