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HOW YOUR FEATURES ARE AGING YOU!

April 21, 2015 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures

beautiful-mature-woman (1)One reason why our facial features lose shape and become less defined is because of fat changes. Fat is essential for fullness but over time it starts to descend in some areas and shift position. Adding your fat or synthetic dermal fillers into your face, restoring volume especially to the mid-face, is a big breakthrough in cosmetic medicine.

The “Liquid Facelift” Restores Lost Definition
Surgery is often the go-to for turning back the hands of time, but in the right patient with the right anatomy and realistic expectations, fillers and injectables can work wonders. For those who have lost volume in the face but are not experiencing the looseness that often comes with it, a “Liquid Facelift” may be what you need. Using a variety of fillers and injectables with a mix-and-match approach, Dr. Tanne can re-volumize areas that have become sunken or hollow, namely the temples, cheeks, lips and the jowls. The idea is to restore fullness to the areas that have lost it, not create a tight unnatural look.

Fill Out Thin Lips With Injectables
Aging lips means thinning of the lips, which is a common concern among many women. Lips tend to flatten out, lose their Cupid’s bow and become longer.  When using filler in the lips, it’s about restoring a youthful, natural looking shape and, if necessary, adding size. Fillers such as Restylane are the best choice for this. For vertical lines in the upper lip, Belotero and Restylane Silk help plump out those lines without adding volume to the lips. To treat deeper wrinkles around the mouth, Dr. Tanne often recommends fractional resurfacing with either eMatrix Sublative treatments or CO2RE fractional CO2 laser treatment, which can act like an eraser. 

Plump Up Saggy Cheeks With Fillers
Sagging cheeks, which is caused by a loss of fat and changes to the underlying bone structure, can lead to deep lines around the mouth. When the cheeks start to fall, so does the rest of the face. Adding volume conservatively to the cheeks can produce a natural appearance to smooth out the area and add lost fullness. If you are trying to achieve a lift in the cheek, Radiesse injected high in the outer cheek often gives excellent results.

Treat Sun Damage with FotoFacial RF
The natural aging process takes its toll on your skin over time. When combined with the effects of hormones, sun exposure and stress, it leaves you looking far from your best.
FotoFacial RF safely and comfortably treats age spots (also known as freckles, brown spots or sun spots) Rosacea, spider veins, sun damage, as well as uneven skin tone created by brown and red spots. With its bipolar radiofrequency, FotoFacial RF will simultaneously stimulate collagen production leading to softer wrinkles and tighter pores.

Refresh Your Skin With Fractional Laser Resurfacing
As skin starts to lose its natural healthy glow and the signs of time become more evident, it can cause the face to appear aged and weathered. An effective way to reverse the look of dull, aged skin is with a fractional laser treatment. Whether we use CO2RE fractional CO2 laser (which usually requires only one treatment, but some downtime) or eMatrix Sublative Rejuvenation (which has no downtime but requires a series of about 3 treatments) both accomplish controlled fractional resurfacing, forcing the skin to heal and create new, healthy collagen and a smoother, more even surface.



4 Ways to Looking Younger in 2015

January 9, 2015 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures, Health News

beautiful woman in evening dress wearing diamond earringsNow that 2015 is finally here, it’s time to put your best foot forward and kick it into high gear so that you look your absolute best.

GET ENOUGH SLEEP
Sleep does a body good. Not only will you feel better, a good night’s rest will leave you with less darkness and puffiness under your eyes and more evenly toned skin that looks fresh come morning. A good night’s sleep can also prevent unnecessary eating. Try to establish a set bedtime every night and never fall asleep with the television on.

 EXFOLIATE ON A REGULAR BASIS
Dead skin does nothing for your complexion. In fact, it makes your skin look lackluster and dull and can even make your makeup look muddy. The easiest way to get rid of pore-clogging dead skin is by exfoliating regularly with an exfoliator that’s compatible with your skin type. Treat your skin to the professional version, such as a microdermabrasion or light chemical peel, every four to six weeks.

HYDRATE INSIDE AND OUT
When your body is void of water, your skin lacks the moisture it needs to look plump and healthy. Hydration is one of the easiest ways to look instantly younger and better—and it’s simple to do. To properly hydrate your body, make sure you drink at least eight glasses of water per day. To keep your skin looking healthy and full, apply moisturizer both day and night.

TAKE A TRIP TO THE DOCTOR
For stubborn lines and wrinkles that require a little extra help, nothing does the job quite like injectables. Botox, Dysport and Xeomin work wonders on getting rid of hard-to-erase lines and wrinkles caused by smiling, laughing and squinting (think those that live around your eyes, between your brows and on your forehead), whereas hyaluronic acid fillers like Restylane, Perlane and Belotero can fill in hollows, wrinkles and folds for a more rejuvenated look. Collagen stimulating fillers such as Radiesse are excellent for restoring volume to the cheeks and also last longer than the hyaluronic acid fillers (about one year). Platelet rich plasma (PRP) such as Selphyl, uses your own platelets to “fertilize” the skin with your own growth factors. This “all-natural” treatment restores elasticity and makes you glow! For a long lasting result, fat transfer is an excellent, all natural way to restore youthful volume.



STOP THE FIRST SIGNS OF AGING

March 26, 2014 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures

face agingAs early as your mid- to late-20’s and into your 30’s, you may start to notice the very first signs of aging, which are usually subtle but still bothersome. What was once a smooth complexion may now be home to small sunspots, crow’s-feet, dark under-eye circles and uneven texture. Instead of letting the signs of aging get the best of you, take matters into your own hands and correct the changes that you’re seeing – you may even be able to prevent them from progressing as you get older with the proper plan of attack.

Crow’s-Feet
These small fine lines are easy to prevent and even easier to correct. Regular use of a highly moisturizing eye cream helps keep the delicate eye area supple and less prone to lines and wrinkles. To reduce their appearance and prevent new ones from forming, I like to inject this area with Dysport, Xeomin or Botox.

Under-Eye Bags, Darkness and Puffiness
With age, the area under the eyes becomes dark and puffy. Makeup can help camouflage bags and circles, but injectables and proper skin care can reverse them. Hyaluronic acid fillers, such as Restylane, Juvéderm or Belotero, can fill in hollows to give the illusion of fewer bags. You will also want to use a topical Retinol product to thicken thinning skin around the eyes. Another method of treating dark circles is with conservative use of hydroquinone, which may be irritating to some. Chemical peels, FotoFacial RF (Intense Pulsed Light-IPL) or fractional CO2 lasers can also help tighten the under-eye area.

Hyperpigmentation
Discolored skin can result from a variety of factors. Protecting your skin from the sun is important, but in-office procedures and prescription-strength ingredients can make a difference, too. When treating sun spots, the first line of defense is almost always hydroquinone, which stops the production of pigment in its tracks. If your skin is still discolored, your doctor may choose to use a light laser, like IPL, or a fractional laser for more severe spots.

Nasolabial Folds
If you’re starting to notice lines around your mouth that start at the corner of your nose and extend downwards, those are nasolabial folds, which, if not addressed, may worsen with time. Hylauronic acid fillers like Restylane and Perlane, or Radiesse, are best for filling in these lines, especially among women in their late 20s and early 30s. In reality, these lines are due to loss some loss or shrinking of the cheek fat, which makes the skin sag, creating the fold from your nose downward. A bit of filler just below the cheekbone starts lifting the fold, then some filler in the fold completes the rejuvenation.

Sunscreen
Although all of the above tips will correct what time has achieved, the single most important way to prevent the signs of aging is with the diligent daily use of mineral based sunscreen! This should be a dedicated layer which is not part of you moisturizer or makeup. We prefer products with a high percentage of zinc oxide. Wear this as your last layer, over any other skin care, but under makeup. Using a mineral based sunscreen every day, rain or shine, will give you the maximum benefits from these fantastic anti-aging treatments. 



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.



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.



3 Non-Surgical Ways to Rejuvenate the Face

September 7, 2012 / Category: Anti-Aging, Beauty Breakthroughs, Celebrity Love, Cosmetic Procedures, Health News

When you want to look and feel younger, your face is the front and center battleground of that fight. And while there are a few ways to surgically make the face look years younger (facelift, neck lift, even a nose job), many women might not be ready for the commitment or cost of a surgical procedure. If not, there are “best practices” for rejuvenating the face without reaching for the scalpel. Here are some of the best treatments to get a younger face without surgery.

SKINCARE – First and foremost, start with a good skin-care routine. Routine skin care by trained, experienced estheticians is invaluable in producing, improving and monitoring the skin. Let’s face it – beautiful skin always creates a more youthful look. A comprehensive skin-care program that may include professional products and treatments (like microdermabrasion and facial peels) can minimize sun damage, soften fine lines, reduce acne, rehydrate dry skin and brighten dull, aging skin.

INJECTABLES – If you want to take it one step further, a cosmetic physician has more options available to make the face look younger. Before finding the best method for facial rejuvenation, your doctor has to take into account your age. When you are younger, we’re getting rid of wrinkles with products like Dysport, Botox and hyaluronic acid fillers such as Restylane, Juvéderm and Belotero. For restoring more volume in an aging face my choice filler is Radiesse.

LASERS – Noninvasive radio-frequency treatments, on the right patient, can work wonders. I am a big fan of eMatrix Sublative Rejuvenation and Sublime Skin Tightening (the eTwo duo). I also love to treat with FotoFacial RF for color correction and eMatrix for texture improvement with my FotoMatrix combo.  For a more significant result CO2RE Fractional CO2 Resurfacing is my go-to treatment. It is an ablative laser, but it’s not as invasive as making incisions. It is a very effective tool in treating fine lines, irregularities and brown spots. With one treatment, a major improvement can be obtained.



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 .



Simple Steps to Improve Elasticity in The Skin

July 18, 2012 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures, Health News

As we age not only do we experience a loss of collagen in the skin but reduced skin elasticity too, causing wrinkles and sagging skin. Fortunately, there a few ways to improve elasticity so that you can maintain a more youthful appearance and keep your skin functioning at a younger age too.
With each passing year we lose collagen and skin elasticity in our face. This means wrinkles and sagging skin. While there’s no way to completely stop the clock, you can increase your skin’s elasticity for a lifted, firmer and younger looking face with a couple of proven methods. Maintain a more youthful appearance and keep your skin functioning at a younger age too.

First, let’s test your skin’s functional age to find out if its aging younger, older or the same rate as your biological age. Here’s what to  do. Lay your hand on a flat surface, palm down. Then pinch the skin on the back of your hand for five seconds. Let go and count how many seconds it takes for your skin to flatten back out. If it took one to two seconds your functional age is under 30; three to four seconds and it’s about 30 to 44; five to nine seconds and it’s about 45 to 50; and ten to 15 seconds it’s about 60 and so on.

TIME:            FUNCTIONAL AGE:

1 – 2 sec        Under 30
3 – 4 sec        30 – 44
5 – 9 sec        45 – 50
10 – 15 sec    60
35 – 55 sec    70
56 sec+        Over 70

There are cosmetic procedures that help with skin’s elasticity like dermal fillers which help stimulate collagen as well as lift and contour your features. Laser and other energy based treatments such as eMatrix Sublative Rejuvenation, Fractora Fractional Skin Resurfacing and CO2RE CO2 Fractional Skin Resurfacing (a newer, better version of Fraxel Repair) create significantly improved texture and firming. Fractora Firm and ReFirme/Sublime are non-invasive technologies to tighten the skin. Ingredient driven skin care such as our Tanne MD Medical Skin Care give you a twice a day at-home opportunity to nourish and hydrate your skin. Ask us about the right treatments for you, so you can look as good as you feel.



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.



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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