As early as your mid- to late-20s and into your 30s, 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, Dr. Tanne can inject the area with Dysport, Botox or Xeomin.
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, Restylane Silk and Belotero, can fill in hollows to give the illusion of fewer bags. You’ll also want to use retinol and a product with growth factors 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, Intense Pulsed Light (IPL)/FotoFacial,fractional CO2 lasers and eMatrix Sublative Rejuvantion can also help tighten the under-eye area.
HYPERPIGMENTATION Discolored skin can result from a variety of factors. Protecting your skin from the sun with a mineral based sunscreen 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/FotoFacial, or a fractional laser, such as CO2RE fractional CO2, 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 Restylane Lyft (previously known as Perlane) are best for filling in these lines, especially among women in their late 20s and early 30s. The next best thing to injectables that doesn’t necessitate the use of a needle are topical products containing hyaluronic acid that temporarily add some volume.
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.
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!
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!
Now 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.
Choose fillers to fix hollowing in the tear troughs if there is no loose skin. Ideal patients are those who have a depression like a tear trough in the lower lids, had too much fat removed during surgery or are hollow under the eyes. Some physicians prefer fillers (such as Restylane or Belotero Balance) because they are reversible and to not require overcorrection.
Choose fat for longer-lasting results. Your physician will gently remove a very small amount of fat from elsewhere on your body (often the love handles), clean it and then inject it under the eyes for a volumizing effect. Fat can also be used to blend the area between the lower lid and the cheeks.
Choose surgery to correct loose skin or excessive muscle and/or fat in the lids.
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.
If you have deep lines on and around the eyes, fairly good skin elasticity, are over the age of 40,laser resurfacing is the best option to reduce the appearance of fine lines and wrinkles around the upper eyelids.
What it can’t do: Get rid of loose skin, or lift like surgery would.
What it can do: Stimulate collagen production to give a tightening effect; improve tone & texture
CO2fractional lasers, such as our CO2RE laser,work to stimulate collagen from within to decrease fine lines and also address crepey (not excess) skin around the eyes. Unlike injectables, which can’t be used on the eyelid but just on the outer corners of the eyes, fractional CO2 lasers—they combine the resurfacing power of more traditional CO2lasers with the healing and anti-demarcation benefits of a fractional laser—can be used on both areas to rejuvenate skin that’s laden with both lines and wrinkles.
When used properly and on the right patient, lasers can smooth out some of the lines around the eyes, but not correct significant laxity, hollows or bulging fat pads.
Fractional CO2lasers will also help even out any discoloration around the eyes, like age spots, which may accompany the type of skin that is suitable for this treatment. Lasers work best on surface irregularities from sun damage.
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.
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.
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 NoseDown 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.
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.