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Lip Augmentation 101

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

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

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

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

History

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

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

Celebrities and Lip Augmentation

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

Lip Anatomy

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

Treatment

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

 



3 Ways to Treat Lines and Wrinkles

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

face treatment

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

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

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

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



ARE YOU SHOWING OFF YOUR BARCODE?

January 18, 2015 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures

lip barcode

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 or a series of eMatrix Sublative resurfacing treatments 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 Xeomin or Dysport.

The end result is a smooth, youthful mouth with no sign of that dreaded BARCODE!



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.



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.



PUT AN END TO HOLLOW EYES

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

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

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

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



New Wrinkle Eraser

March 6, 2013 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures

 

As Seen Recently in

harpers bazaar logoThe latest youth enhancing procedure involves minimal pain and downtime but delivers big anti-aging results.

face dermapenDoubly swaddled in a white robe and a plush blanket, New York handbag designer Brett Heyman lies back in the Manhattan office of plastic surgeon Jon Turk, peacefully awaiting a younger complexion. There’s little need to be anxious because, unlike most visitors to Turk’s renowned Fifth Avenue practice, the 32-year-old founder of Edie Parker is not here to go under the knife. In fact, Heyman has never had even a single Botox injection or filler. She is preparing for her second Dermapen treatment, the newest in-office procedure that promises to soften facial wrinkles, minimize pores, fade scars, and leave patients with brighter, tighter, and younger skin — all courtesy of 11 tiny needles. “In my opinion, anyone ages 35 to 60 should be getting these treatments,” Turk says. “We are not looking at it as a separate procedure like laser but as something that should be incorporated into a person’s skin care.”

The minimally invasive Dermapen treatment began popping up in doctors’ offices nationwide early this year and is now being hailed as “the best recent innovation in skin rejuvenation,” says Richard Anderson, a cosmetic surgeon in Salt Lake City. The electronically driven, pen-shaped device is an updated take on manual derma-rollers, a more painful and less precise way of puncturing tiny holes in the skin to stimulate healing below the surface, which in turn jump-starts collagen and elastin production. However, unlike derma-rollers, Dermapen is equipped with fine, vibrating needles that pierce the skin at a predetermined speed and depth, resulting in little damage to the epidermis. Downtime is minimal; patients can hide redness with mineral makeup and resume their normal activities immediately.

But perhaps the most revolutionary aspect of Dermapen is its ability to act as a “dermal infusion device,” says Turk, meaning that prior to treatment your practitioner can apply a blend of active ingredients onto your face (think vitamin C and hyaluronic acid), which are then driven deep below the skin’s surface through channels created by the needles. Using Dermapen in conjunction with topical ingredients, Turk adds, allows them to be absorbed 100 to 1,000 times more effectively, which is a huge advantage when you’re fighting the clock.

The procedure itself is quick, lasting about 20 minutes, as the device is moved across the skin in six areas: the forehead, cheeks, nose, upper lip, chin, and neck. Though Heyman doesn’t bleed during the procedure (some patients do), she clenches her fists when the needles reach her forehead and upper lip.

Most Dermapen patients describe the treatment as feeling like pinpricks or, as Heyman puts it, “unpleasant but tolerable.” For maximum results, doctors recommend three to four appointments spaced two to four weeks apart. (Cost per session ranges from $250 to $650.) Amalia Spinardi, owner of Jo de Mar beachwear (her customers include model Gisele Bündchen), travels all the way from her home in Brazil for Dermapen treatments in Turk’s office. “I come to New York for business, but my Dermapen appointments are always the first thing I do,” says Spinardi, 42. “When I turned 40, my skin started feeling saggy, and I wanted to get a lift without surgery or lasers,” she says, adding, “I don’t want a Botoxed face. I want to recognize myself.” After two treatments, she reports “tighter, younger, and more glowy skin.” Before trying Dermapen, Spinardi experimented with lasers but found them too painful to endure more than one session.

Spinardi is not alone. Many Dermapen devotees, including Heyman, are former laser patients, and according to Turk, Dermapen can produce results similar to those of Fraxel lasers but without the prolonged redness and pain. “Fraxel laser is a state-of-the-art treatment, but it’s difficult to use on dark-skinned patients, and the downtime is often greater than advertised,” Turk explains. “So if you can find a device that can do everything that Fraxel can do, or close to it, and can take away some of the negatives, then you have a very appealing product.”

Not all doctors feel this way, however. Eric Bernstein, a dermatologic laser surgeon and founder of the Main Line Center for Laser Surgery in Philadelphia, disagrees with this analysis. He claims that although Dermapen will cause a small healing response, “when you create holes in the skin with energy from a laser, more collagen will be stimulated. I don’t think Dermapen accomplishes the same end results,” Bernstein concludes.

The folks at Dermapen acknowledge that they are not reinventing the wheel. “The technology is not groundbreaking,” says Chad Milton, CEO and co-founder of the company. “We just innovated something that needed an update.” Milton hints that he wants the next generation of the device to do exactly what doctors are hoping for: inject ingredients simultaneously during the needle use.

In the end, “Dermapen is not going to put surgeons or lasers out of business. It’s another weapon in our anti-aging armamentarium,” says Anderson. For Heyman, Dermapen yields results. “My skin is smoother, my pores look smaller, and I’m not as blotchy,” she says. She happily gathers her things from Turk’s office, applies some mineral powder, and is off to a meeting, certain that no one will know she’s just come from a plastic surgeon’s office.

At Cosmetic Laser MD we treat patients with a series of Dermapen procedures – usually 4 – 6 treatments, for maximum results. We start with topical numbing cream to make the treatment comfortable. Our patients leave the office a bit pink, but usually the next day look back to normal or slightly puffy. Patients return telling us how much they love the results. CLICK HERE to learn more about DermaPen treatment at Cosmetic Laser MD.



How To Reverse Sun Damage

August 16, 2012 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures, Health News, Special Offers

While sun damage doesn’t happen overnight, it can seem like it visibly affects the skin in a rather short period of time. The more the skin is exposed to the sun, the more the collagen and elastin in the deeper layers is broken down, giving less support to the underlying muscles and the skin’s surface. As a response mechanism, the skin tries to protect itself from the damage, in turn thickening as a means of regeneration.

 

Treat sun-damaged skin at home:

Peptides and vitamin A need to be used consistently to help strengthen the skin and improve its texture. Retinol is key since it sheds the top layer of skin and strengthens it from inside out. Dr. Tanne’s favorite daytime skincare – Daily Cocktail – is bursting with peptides, antioxidants and other key repair ingredients. Her Tanne MD Medical Skin Care Night Defense is her go-to nighttime anti-aging must-have – a retinol serum blended with hydrating hyaluronic acid.

Free radical-fighting ingredients like green tea and vitamins C and E will help safeguard the skin from future damage. Check out Tanne MD Medical  Skin Care T-Power Pads and CE Ferulic Infusion.

Protection and maintenance are vital-once sun-damaged skin has been transformed, you don’t want it to regress. It is recommended to wear a sunscreen with ingredients that contain primarily physical blockers, which provide protection from all UV rays. Check out our absolute favorite, TIZO (titanium/zinc oxide).

Treat sun-damaged skin professionally:

Before starting any in-office treatment for sun damage, Dr. Tanne recommends all patients begin a 3 product at home regimen to pre-treat their skin, including:

  • Brighten Pads -These custom blended pads contain 4% hydroquinone to “shut down” unwanted pigment cells.
  • Night Defense – to help shed these unwanted pigment cells
  • TIZO – to protect your beautiful rejuvenated skin

Laser and light-based treatments, like FotoFacial RF (which combines Intense Pulsed Light with bi-polar Radiofrequency) and both ablative and nonablative resurfacing procedures, work to reinstate the skin. FotoFacial can help eliminate brown and red spots on the face and body. A downtime-free treatment, although several sessions are required, FotoFacial  helps to rejuvenate the skin so that it looks younger and fresher.

Treatments that tackle sun-damaged skin, including chemical peels – our hands down favorite is Apeele – can improve the skin, too. Acid-based peels buffer the skin, making it more sensitive to the sun. We also love DiamondTip™ Microdermabrasion to gently buff away the top layer of dead skin cells, leaving you polished and glowing.

Our new fractional CO2 resurfacing laser, CO2RE, reverses years of sun damage. Unlike older versions of the laser, which used a solid beam, this revolutionary device uses a fractionated beam so there are zones of normal skin, allowing for a shorter recovery period – less than one week, as opposed to two or three. It’s excellent for restoring skin to its natural state without all of the sun damage.  CO2RE gets rid of discoloration while improving the skin’s texture. Instead of employing light, fractional resurfacing lasers create microscopic wounds in the skin-as the skin heals, the sun-damaged areas flake off, and collagen is increased – all in ONE treatment!



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.



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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