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 RFsafely 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.
Get Radiant Skin with CO2RE CO2 Fractional Resurfacing
Wouldn’t you love to see radiant skin when you look in the mirror? If so, CO2RE CO2 fractional resurfacing is a procedure that you may want to consider trying. This procedure involves using a state-of-the-art carbon dioxide laser treatment to remove layers of skin in order to reduce the appearance of things like fine lines, wrinkles, brown spots, hyperpigmentation and scarring. This laser creates small wounds inside the skin, which helps induce healing. CO2RE CO2 fractional resurfacing only targets specific areas of the skin, and the surrounding skin is not damaged.
At Cosmetic Laser MD in Livingston, NJ, we help restore a more youthful appearance and give you radiant, glowing skin with fractional resurfacing. This non-invasive treatment can help give you back your glow in as little as one treatment. Our medical team, led by Susan Stevens Tanne, MD, can help customize a treatment plan that is tailored to your needs. To schedule your consultation, contact Cosmetic Laser MD today.
How Many Treatments Are Needed? The number of treatments can vary depending on the patient. However, many patients are able to get amazing results with just one treatment. For some patients we recommend follow-up treatments in order to maintain their results. It is important to note that the results of CO2 fractional laser resurfacing are not permanent. Most people will need to get another treatment within a few years.
Is This Procedure Painful? Most people do not find this procedure to be uncomfortable. A topical anesthetic is applied before this procedure in order to minimize the discomfort. We can work with you to ensure maximum comfort is sustained throughout the procedure.
Is This Treatment Right For Me? The only way to determine whether CO2 fractional laser resurfacing is right for you is to schedule a consultation with Dr. Tanne. The best candidates are people who have realistic expectations and are healthy. However, this treatment is not right for pregnant women. It is also not right if you have a history of cold sores.
Side Effects and Recovery It takes several days for the skin to heal. For the first 3 – 5 days, you will need to wear an ointment on your skin which we will provide you with. During this time, you may experience some oozing, bleeding, crusting and dryness. Once your skin peels, you no longer need to use the thick ointment, however diligent use of mineral based sunscreen is essential. We recommend sunscreen from ELTA MD. Your skin will still be pink, however you may wear mineral based foundation at this point. We recommend Oxygenetix. Even though the skin will usually heal within two weeks, it is important to note that some redness may persist for two to three months after the procedure. You will notice a significant improvement in your skin after you have healed completely.
Aftercare To properly recover, it is vital that you to follow all of the instructions recommended by Dr. Tanne. We always recommend that you limit sun exposure in order to help your skin heal faster. You will also need to follow a strict skin care regimen. The net results will be RADIANT SKIN!
The summer months were the perfect time to take that much-needed vacation. And while you might come home rested and refilled, your skin is another story. Typically after long flights, continuous hours in the sun and perhaps even a couple more drinks than you usually indulge in, your skin is starving for attention. Here are some tips for you to do once back home to revitalize your skin. Dry Brush To get rid of toxins built up in the skin and body and to buff away dry skin, dry brushing is a great way to detox. It stimulates the body’s circulation and lymphatic systems and can even improve digestion and kidney function. To do this make long, sweeping brush strokes all over your body towards your heart. You always want to brush toward the heart because that is the way the lymph flows naturally. Take a Bath Add 1 cup of Epsom salt and 1 cup of baking soda to warm bath water to detoxify. Alternatively, add 10 drops of ginger essential oil to warm bath water and soak for at least 20 minutes. Post bath, wrap your body in a blanket and your head in a towel so as to induce further perspiration to aid in detoxification. Exfoliate Achievethe same great results from dry brushing on your face using an exfoliating cleanser. You can buff away dry and dead skin while enhancing blood flow, leaving your face smooth and radiant. For an easy DIY overall body exfoliant, combine coconut oil with sea or rock salt and gently rub over body in circular strokes. For sensitive skin, mix with sugar instead. Moisturize One of the most noticeable side effects of too much sun and alcohol is dehydration, so make sure to replenish your skin with nourishing lotion. To make your own refreshing and hydrating face moisturizer, melt 3 tablespoons of mango butter and mix with 1 tablespoon of almond oil or jojoba oil. Blend thoroughly and refrigerate until it sets and apply to skin while still cool. Hydrate Drink half your body weight in ounces of water per day to counteract the dehydrating effects of vacation. For example, if you weigh 120 pounds, drink 60 ounces of water per day. Also, squeeze an entire lemon into 8 ounces of tepid water to create a strong diuretic that will aid in flushing out toxins from your system.
This article is based on a recent one in US News and World Report.
Battling the clock No one likes looking older…which is why we spend billions of dollars every year on over-the-counter products, prescription creams and fillers, and, most drastically, cosmetic surgery. Do any of these actually work to reduce the signs of aging? In many cases, yes – at least temporarily. But given the not-inconsiderable costs, it’s important to be smart in your choices.
Aesthetic physicians can prescribe skin creams and perform laser skin-resurfacing and chemical peels, and they can administer injections. Surgical procedures, meantime, can be performed by cosmetic and plastic surgeons. When you pick a doctor, ask how often and how frequently he or she performs the procedure that you’re having (weekly is better than monthly.
Here is a quick guide to some of the most popular treatments and procedures.
1.Retinoid creams A host of over-the-counter products claim to help fight wrinkles. One option: topical retinoid (derived from vitamin A) creams; look for retinol in the ingredient list. They are proven to get rid of wrinkles that you already have. We love our Night Defense Cream, which comes in 3 strengths, suitable for all skin types. A stronger prescription strength version is Retin-A.
2. Over-the-counter peptide creams Creams containing peptides—short snippets of linked amino acids—can be useful for reducing the appearance of wrinkles and fine lines, but they haven’t been shown to work as well as retinoids. As skin ages, it loses collagen and becomes wrinkled and thin; creams containing peptides are supposed to encourage the skin to make new collagen. Our favorite peptide boost is Daily Cocktail, which gives a one-two punch!
3. Microdermabrasion Microdermabrasion uses a very hard diamond-tipped wand to slough off cells from the top layer of the skin and encourage new skin growth. The procedure is usually quite comfortable, doesn’t require an anesthetic or recovery period, and the skin heals quickly. But you may require multiple procedures spaced a few weeks apart. A recent study found that a rougher buffing of the skin is better than a lighter touch. You will be left with ultra-smooth, polished and glowing skin.
4. Laser Skin Resurfacing Laser resurfacing uses high-intensity light to zap and improve the look of wrinkles and scars, and to tighten loose skin. The effect of your treatment and recovery time vary. We use either the eMatrix system which uses fractionated Radio Frequency, and requires little to no downtime and 3 – 4 treatments, and also the CO2RE fractional CO2 laser, which requires 3 – 5 days of downtime, but only one treatment.
These treatments can be tailored to specific needs and can be superficial or intermediate and deep. Depending on which treatment and how aggressive, you may see redness from one day to two weeks. The benefits of laser resurfacing usually last between two and five years, however, if you smoke or don’t use sunscreen, it’s likely to be on the shorter end of that spectrum.
5. Chemical Peels Used to address mild acne scars, age spots, dull skin texture, skin discoloration, or wrinkles around the eyes or mouth, chemical peels remove the outer layers of the skin and encourage the growth of new, smoother, more evenly colored skin. Depending on the peel’s intensity—which can range from superficial to medium to deep—it may cause reddening and peeling that can last up to several weeks. Our favorite peel, the Apeele, is a blended mix of several ingredients that safely and effectively addresses many skin concerns. This peel comes in 3 strengths, depending on the specific needs and concerns of each patient. The benefits of superficial and medium depth peels last up to a few months.
6. Botox or Dysport Injections of the now familiar Botox or of Dysport (our favorite) can relax tiny facial muscles, smoothing out the appearance of lines or wrinkles. The cost of Dysport or Botox will vary depending on how many units are needed. The effects of injections may last three to four months, depending on whether you’re a repeat customer. The more injections you’ve previously had, the longer the results last.
7. Filler Injections Injections of fillers containing hyaluronic acid (Restylane, Perlane, Belotero and Juvederm) and the longer lasting Radiesse, can fill in lines and wrinkles and add volume to skin. Hyaluronic acid is a naturally occurring sugar which is significantly reduced as we age. Radiesse, a longer lasting filler, acts by stimulating your own collagen formation around tiny synthetic microspheres. Injecting these fillers into wrinkles and hollows plumps them up and restores lost volume. The effects generally last between six months (hyaluronic acid fillers) and one year (Radiesse).
8. CosmeticSurgery Lifting the skin on the face, neck, eyelids, and forehead can give a tighter appearance. The effects of cosmetic surgery are somewhat permanent. With this type of surgery you are turning the clock back, but we’re not stopping the clock.
9. Try Prevention If all this sounds extreme (and expensive), remember that you can start immediately to prevent any further damage: Start wearing sunscreen every day. Lifetime exposure to the sun can wreak serious havoc. When many of our patients were younger, they didn’t think that the sun caused any harm. Now, 30 years later, they are really seeing the effects of all that exposure. We advise our patients that without diligent use of mineral based sunscreen daily, our treatments will not be an effective solution for the long term.
4 Types of Skin Discoloration and How to Stop Them
As aggravating as hyperpigmentation can be, understanding why it’s happening and how you can stop it (yes, it can be done) is rule number-one on the path to clear, even skin.
What is Hyperpigmentation? Brown, red or pink, small or large, clustered or diffuse, hyperpigmentation is a darkening of the skin due to higher than normal levels of melanin. Any part of the skin that is darker than the rest is hyperpigmented, no matter where it occurs. The most important thing to do is wear sunscreen – even if you don’t see discoloration on your skin, you should protect it from the sun to lessen your chances in the future.
Two Types of Melanin Melanocyte cells make pigment by creating one of two types of melanin: eumelanin or pheomelanin. Both are found in the skin and each creates different shades of pigment. Eumelanin is brown to black in color and is more common in those with tan or darker skin. It also absorbs UV rays, acting as a skin protector. Pheomelanin is yellow to red in color and is found in concentrated amounts in the lips and in people with lighter skin tones. Pheomelanin cannot absorb UV rays and makes the skin more sensitive to UV rays.
Types of Discoloration and How to Treat Them Melasma Light to medium brown in color, this pigmentation occurs on the cheeks, sides of the face, upper part of the nose, forehead and above the lip. It appears as splotchy patches that are inconcsistent in shape and size, and is caused by a surge in hormones, usually from pregnancy or birth control coupled with sun exposure. Melasma can be treated with: hydroquinone and Retinol; salicylic,lactic or glycolic acid peels; Intense Pulsed Light (IPL)/FotoFacial plus vitamin C; or chemical peels containing hydroquinone. (Melasma is hard to treat because of its potential to reoccur.)
Sunspots (AKA Age or Liver Spots) Light to dark brown in color, sunspots can appear on the face, chest and hands; and look like small, flat, dark spots. As their name indicates, they are caused by the sun and can be treated with Retinol plus IPL/FotoFacial or CO2RE fractional laser resurfacing.
Post-Inflammatory Hyperpigmentation (PIH) Pink, red or brown in color, PIH can show up anywhere on the face. It appears as flat spots and is caused caused by inflammatory acne. PIH can be treated with light salicylic acid chemical peels or red light and blue light treatments(if there is active acne).
Freckles Caused by the sun, freckles are light to dark brown or even red or black in color. They occur on the face, chest and arms in the form of small, concentrated spots. For treatment try IPL/Fotofacial or CO2RE fractional laser resurfacing.
May is Skin Cancer Awareness Month and with skin cancer being the most common form of cancer in the United States, there’s good reason to pay attention. One in five Americans develops skin cancer in their lifetime, but that doesn’t have to be you. Luckily, skin cancer is one of the most preventable types of cancer. Follow these tips to keep your skin safe and cancer-free:
Get an annual checkup.
Wear sunblock every day.
Never intentionally sunbathe.
Watch your brown spots and freckles.
Follow the ABCDEs (see chart on left)
How to Select the Best Sunscreen
Selecting sunscreen might be a little easier this summer thanks to new sunscreen regulations implemented by the U.S. Food and Drug Administration (FDA). All SPF products that do not pass the new FDA testing requirements will include warning labels stating their sun-protection limitations. Even makeup and skin-care products that contain SPF will be upheld to the new label policies. When you’re picking up your next bottle, check the label to learn if the sunscreen:
Is broad-spectrum, which means the sunscreen protects against UVB and UVA rays and helps prevent skin cancer and sunburn. With the new regulations, the FDA has clearly defined the testing required for a sunscreen to be labeled as “broad-spectrum.”
Has a sun protection factor (SPF) of 30 or higher. It must offer both broad-spectrum coverage and an SPF of 15 or higher. If not, the label will carry the Skin Cancer/Skin Aging Alert.
Has a Skin Cancer/Skin Aging Alert – meaning the sunscreen will only prevent sunburn and will not reduce the risk of skin cancer and early skin aging.
Is water resistant for up to 40 minutes or 80 minutes.
Find a sunscreen that feels good on your skin. If it’s heavy, greasy, looks chalky, has a strong odor, or doesn’t allow for even makeup application, you won’t use it. Keep trying different products until you find one you like. Our favorites are from Elta and SkinCeuticals. But no matter what sunscreen you purchase, it’s irrelevant if you’re not applying it correctly. We are always available to help you select the best sunscreen and tell you how to use it. Effective, cosmetically elegant, sunscreen is the best anti-aging product you can buy.
Most of you have heard Dr. Tanne talk about the importance of using MINERAL SUNBLOCK. We have carefully selected a variety of highly effective PHYSICAL sunblocks from Elta and Skinceuticals that provide excellent sun protection while vanishing on your skin.
FOR THE REMAINDER OF THE MONTH OF MAY ALL SUNSCREEN IS 15% OFF NOW IS THE TIME TO STOCK UP FOR SUMMER!
There is no doubt about it—traveling on an airplane takes a toll on our skin. We know this because when the plane touches back down on the tarmac, or even the day after, our skin rebels against us. So why is this such a tortured time for our face? Our skin dries out from airplane flights because the air is very dry. The outer skin layers may fail to shed away, clogging the skin pores and trapping bacteria in the skin, which can lead to breakouts. If your skin is oily, dry air may cause the skin to produce even more oil as a response, also plugging skin pores, trapping bacteria and causing skin outbreaks.
While it then seems obvious to keep our skin well moisturized during and after the flight, there are a few other things we must be mindful of when traveling.
Don’t Drink Alcohol on the Plane Unless you want a very “un-happy hour” after your flight, your skin will thank you for not throwing one back. Alcohol is very dehydrating. While it may help to relax you if you’re nervous about flying, the affect of alcohol will be dry skin, says So stick to water and watch a movie or read a book/ magazine to relax.
Don’t Use A Hydrating Mist A lot of women think a facial mist is their best skin accessory on a flight, but actually the opposite is true. Avoid misters as the water from them tends to dry out skin even further. Instead keep your face hydrated with your favorite moisturizer. Avoid sitting in a window seat to reduce ultraviolet exposure, and don’t forget to wear a mineral based sunscreen.
Skip the Salty Snacks Airport food in general is not very skin-friendly. While peanuts and pretzels may look delicious, salt can cause swelling. Instead, plan ahead and pack some snacks like fruits and vegetables. Carrots and apples are both filled with water and will help keep your skin and body hydrated.
Take Off Your Makeup We know you want to land in style, but you will be doing your skin a grand favor if you keep it clean while in the air. Airplane air is dry and can exacerbate your makeup’s drying-out effects on your skin, which can lead to breakouts and your pores becoming clogged on the flight.
Don’t Neglect Your Eyes Jet lag always shows through your skin, but mostly in the eyes. To keep them from getting puffy, pack an eye cream that contains caffeine. Another interesting idea is to carry green tea bags with you on the plane. Then a half hour before landing, ask the flight attendant for hot water and soak a few minutes. Add ice to cool down the bags, and apply cool green tea bags to your eyelids before landing. The green tea has antioxidants and anti-inflammatories to decrease puffiness so you’ll look your best when you land.
If ‘luminosity’ and ‘radiance’ were last year’s beauty buzz words, in 2013 we want treatments that achieve both of these things – faster and with less downtime than ever before. Regular laser treatments will become the new facials as women seek to maintain glowing, even-toned complexions and radical results with minimum side-effects.
Fast track your fix with LumiLase! LumiLase is a treatment that combines home skin-prepping with a mild laser and microdermabrasion to combat stubborn pigment and sun spots.
Microdermabrasion removes the dead skin cell layer, enabling enhanced laser light penetration, while increasing skin cell turnover. Low energy laser treatment then breaks up the brown skin pigment to smaller particles which are then cleared by the body’s natural healing process. A skin care regimen tailored to your skin is used to prevent hyperpigmentation from recurring. The LumiLase three-pronged approach is pain-free and requires no recovery or down time. More aggressive treatments can worsen melasma and hyperpigmentation by irritating and inflaming the skin but LumiLase is so gentle that it does not stimulate pigment production. Patients are amazed to see their condition begin to drastically clear within 2 to 3 weeks after just one treatment, however a series of 3 to 5 treatments is usually recommended for optimal results.
Many patients notice a tremendous difference in the color and texture of their skin after being treated by LumiLase. “Between the laser treatments and the skin care products, my skin color has improved drastically. I couldn’t be happier with the results”, said one of Dr. Tanne’s patients.
LumiLase is one of the most exciting treatments that I offer, because the results are consistently good in almost every patient treated, even those who have tried aggressive laser treatments with long recovery times. LumiLase is available at Dr. Tanne’s private Livingston-based practice, Cosmetic Laser MD.
We have all seen women with those dreaded “smoker’s lines” around the mouth – those tell-tale signs of aging that are impossible to hide with any type of makeup – THE BARCODE! So what are they, and how can we make them disappear?
Well, smoking and sun damage are the top two reasons for these dreaded lines, but aging causes thinning of the lips in most women, resulting in too much skin above those shrunken lips with no place to go except to causes pleats and folds.
While mineral based sunscreen is the best anti-aging product to prevent damage in the first place, once these lines have etched themselves in, it is time for more aggressive measures.
CO2RE fractional laser skin resurfacing will turn back the clock and erase the deep and shallow lines.
For the still present volume loss due to shrinkage of the underlying fat, injectable fillers restore a youthful fullness to this area.
The third component is to soften the puckering movement that continues to create lines with a small amount of Botox or Dysport.
The end result is a smooth, youthful mouth with no sign of that dreaded BARCODE!
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.
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.