1. Microneedling with PRP This procedure is amazing. I mean ahhhh-maz-ing. Microneedling uses tiny needles to create micro-channels for smoother tighter skin. We paired with Platelet Rich Plasma (PRP) which uses your own blood’s growth factors to stimulate new cell and collagen growth. I have seen enlarged pores and acne scars virtually disappear. One treatment will give you desirable results. The procedure is comfortable and non-invasive, not to mention a lot friendlier on the wallet than laser treatments. WATCH DR. TANNE PERFORMING THIS TREATMENT BY CLICKING BELOW: https://instagram.com/p/BRb4purBquX/
2. Retinol Something you can do every night to stop the aging process without spending a lot of money and time in a doctor’s office? Yes please! Why every woman is not on a retinol product is beyond me. This stimulates cell turnover…CELL TURNOVER! That means it takes away the dull, wrinkled, gross dead skin on the surface and replaces it with softer newer, younger looking skin. A gentle but potent blended retinol like our CLMD Enriched Serum will give you softer tighter skin after just a month of use.
3. Neuromodulators How good does a nice non-surgical brow lift sound? If you said YES then get in for a Botox, Dysport, or Xeomin treatment ASAP. Not only do these products soften the forehead and Crow’s feet, but they prevent extreme movement in those area for future wrinkle prevention.
Neuromodulators are purified proteins that are injected into facial muscles, causing relaxation of the muscle. This relaxes the pull on the skin, which relaxes the wrinkles. Neuromodulators are a great first step into the world of non-invasive cosmetic procedures. I mean who wants to be the only woman at brunch not talking about how good their Botox/Dysport/Xeomin looks?
4. Sunscreen Anyone who has ever walked through our front door has gotten the “sunscreen speech”. You already know the sun causes 80% of aging. You know that a DESIGNATED layer needs to be applied daily and even though it says your make-up or day cream contains sunscreen, it still isn’t enough to prevent hyperpigmentation, skin sagging, and wrinkles. How many of you have those three skin conditions on your bucket list? I didn’t think so. The bottom line is as much as we love to see you in the office we rather have you doing one simple extra step in your skin care routine every day, and come in less and less for anti-aging treatments.
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!
Your skin goes through a lot during the day. We unknowingly touch it with our fingers constantly and leave behind dirt, oil and bacteria. On top of that, it’s exposed to the sun, pollution and other factors that can cause damage. All of these combined are a perfect recipe for breakouts and signs of aging like wrinkles. That’s why the break your skin gets while you sleep is so important.
Follow these tips to make sure you wake up with gorgeous skin every day.
1. Get enough sleep This one seems like a no-brainer, but there are still so many that don’t get enough shut-eye. Sleep is especially important because it gives your skin time to recharge. If you don’t get enough sleep, there are both short and long-term consequences. Short term effects can be seen immediately with under eye bags, dark circles and sensitive skin.. These usually go away when the appropriate number of hours of sleep has been met. If someone is constantly not getting enough sleep, it can lead to inflammation and acceleration in aging, resulting in the appearance of wrinkles and even acne.
Additionally, when you don’t get enough sleep you yawn more. When you yawn, your eyes tear up and fluid pools in the eye area causing puffiness.
2. Avoid salty food three to four hours before bedtime Foods that are high in salt lead to dehydration, which is what you want to avoid for your skin while asleep. Salty foods can cause a fluid shift, which results in puffy eyes.
3. Sleep on your back Sleeping with your face directly touching your pillow often leads to lines and creases in the skin, which can become permanent.
While you’re at it, keep your head elevated with at least two stacked pillows to prevent under-eye puffiness. Gravity has to be leveled to avoid puffiness so that fluids are distributed everywhere, not just to one given area.
4. Give your skin a final wipe after you cleanse Cleansing is an absolute must, but to avoid having a little bit of makeup left over, do the following: After you rinse off your cleanser, do a final swipe over the skin with a wipe or soft, damp washcloth. The physical sweep over the skin makes sure that makeup is off. This will give your skin a clean slate to absorb the reparative ingredients that you’re going to use.
5. Use a good moisturizer for your skin type Many forgo moisturizer at night because they want to let their skin “breathe,” but that’s actually a misconception. The concept of your skin breathing is actually incorrect, there are no respiratory systems in your skin. Your skin is like a fish and needs water to live. Without enough moisture, the skin cells dehydrate and skin produces extra oil to compensate causing wrinkles and acne.
When looking for a moisturizer, choose one that doesn’t contain sunscreen. The main goal of sunscreen is to protect skin from UV light, but non-sunscreen moisturizers will typically have a higher concentration of skin-benefiting ingredients.
6. Use an eye cream If there’s any time of day when you absolutely should wear an eye cream, it’s at night. They work better at night because you’re not wearing makeup. That said, be careful not to put them too close to your lash line because your lashes can pick it up and deposit it into the eye, which causes puffiness.
Post from Skin Procedure News- American Society for Aesthetic Plastic Surgery
The genes you inherit from your mother have an impact on your skin quality.
Have you ever wondered why some people get wrinkles at a young age and others don’t? There are many answers to this question – smoking can cause wrinkles to form sooner, and if you don’t wear sunscreen when you’re young, you can expect signs of aging to surface earlier rather than later. But a new study finds another potential cause of early facial lines – the genes we get from our mothers.
What your mama gave you For some time now, it’s been known that the mitochondria, often referred to as the “powerhouses” of the cells that make up our bodies, have a lot to do with aging. As these mitochondria sustain damage, they mutate and lose their ability to produce energy, resulting in the breakdown of the cells that leads to signs of aging.
The new study, published in the journal Nature, finds that the mitochondrial DNA passed down to us from our mothers also influences our own rate of aging. In other words, if your mother had wrinkles at a young age, you might be more likely to see fine lines on your own face in your early years. On the flip side, if your mother had smooth, blemish-free skin well into her 40s or 50s, you could be in for the same luck.
Looking to the future This study focused solely on cell aging and genetics, but researchers hope that it may help future development of therapeutic interventions that could focus on mitochondrial function, thus slowing the aging process. Unfortunately, such developments probably won’t be available for some time until more research can be conducted.
However, there are certain cosmetic procedures available today that can help people who show signs of premature aging. No matter whether you want long-term results that target deep facial lines or something less invasive that treats fine lines, you can likely benefit from a visit to a cosmetic physicians office.
For example, Botox (Dysport/Xeomin) injections, which have become immensely popular over the past few years, offer results that last for several months. This means you won’t have to make a big commitment like you would if you chose to undergo facelift surgery, but on the downside, you’ll need to continue to get injections of the substance to keep wrinkles at bay.
As 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.
Once you have gone through a full course of treatment, it is important to protect your skin from the sun and keep it healthy to prolong your results. If not, you are just damaging your skin again.
1. Stay Out of the Sun: The best way to maintain your results is to stay out of the sun and wear a mineral based sunblock daily – rain or shine, and yes, even in winter.
2. Take Care of Your Skin: Now that your skin is healthy, you want to keep it that way. Sunscreen, antioxidants and a moisturizer are essential. Antioxidants repair damage and protect skin to prevent future damage. Moisturizers keep skin hydrated. Let us help you select the best skincare for you.
3. Use a Retinol Regularly: Retinoids (retinols and retin A) reinforce laser results by keeping the skin in repair mode, creating new collagen and exfoliating the surface.
4. Interval Treatments: Nothing lasts forever – not even the results of a laser. Re-treatments every now and then will help maintain the longevity of your results for healthier skin. Depending on what you had done, we usually recommend a single treatment once or twice a year.
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.
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.
Summer is long gone and while beach season might have come to an end, there’s a lot to love about autumn— tall boots, cozy sweaters, and scarves for one. But in addition to updating your wardrobe this fall, you might want to revamp your skin-care regimen too. It’s critical to change things up when the weather cools down. Drier fall air brings about a host of potential skin issues, but it’s possible to look beautiful—and defy your age all season long.
As you move your routine from summer to fall, use a humidifier—it’s like a moisturizing treatment all night long. Also, try showering with lukewarm water instead of hot, (hot water can be really drying to the skin) and follow with a good anti-oxidant rich moisturizer on your own body and face after stepping out. Using fragrance-free face and body wash, and laundry detergent will prevent skin issues for those with sensitive skin. And last but not least—don’t forget the sunscreen (we like mineral based products) each day—just because summer is over doesn’t mean the sun’s harmful rays aren’t out.
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.