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Face Fillers

Dermal Fillers

Dr. Kronowitz personally injects dermal fillers in all of his patients using his "pioneering face fillers, cheek fillers, and under eye filler techniques" his philosophy is to focus on treating each patient's face and neck depending on the patient's specific needs and desires. He prefers a combination of injectables - Dysport - and fillers - Restylane and Juvaderm - because most patient's need their wrinkle filler treated, as well as face fillers to restore the descended upper face with cheeks fillers and under eye filler that occurs with aging.  Dr. Kronowitz considers it imperative for a natural look with strength and vigor!

What are injectable fillers?

Injectable fillers can plump thin lips, enhance shallow contours, soften facial creases and wrinkles, or improve the appearance of recessed scars.


Enhancing your appearance with soft tissue augmentation

The visible signs of facial aging occur over time as a result of sun exposure, heredity and lifestyle.

One of the earliest signs of aging is a loss of facial fullness and the development of wrinkles. Softening of these facial lines and the restoration of volume and fullness in the face often can be achieved non-surgically with injectable fillers. If you would like to restore facial contours, or reduce the appearance of lines and creases, injection therapy with soft tissue fillers may be right for you.


Injectable fillers can:

  • Plump thin lips
  • Enhance shallow contours
  • Soften facial creases and wrinkles
  • Improve the appearance of recessed scars


What it won't do:

Soft tissue augmentation does not stop the aging process. If you wish to change the elements of your face, surgery such as a facelift, brow lift or eyelift may be the answer.

Non-surgical rejuvenation treatments such as injectable fillers cannot achieve the same results, but may help delay the time at which a facelift becomes appropriate.

Is it right for me?

While not as involved as surgical cosmetic procedures, soft tissue augmentation is a medical procedure. You should do it for yourself, not to fulfill someone else's desires or to try to fit any sort of ideal image.


Tissue fillers are a good option for you if:

  • You are physically healthy
  • You do not smoke
  • You have a positive outlook and specific, but realistic goals in mind for the improvement of your appearance


Injectable fillers at a glance

Soft tissue fillers were one of the top five minimally-invasive cosmetic procedures performed in 2009. 1,722,054 people had soft tissue filler augmentation in 2009.

What happens during soft tissue augmentation?


Step 1. Dr. Kronowitz will carefully evaluate your facial appearance and skin tone, and examine the areas of your face to be augmented with injectable fillers.

Step 2. Strategic points on your face may be marked as guides to the appropriate injection sites for the dermal filler.

Step 3. The injection sites will be cleansed with an antibacterial agent and icing or a topical numbing agent may be offered to make more sensitive patients comfortable.

In some cases, the filler itself will contain an anesthetic agent. In other cases local anesthetic may be administered to the treatment site.

Step 4. Injection takes only a few moments per site and a few minutes for a course of treatment.

Step 5. Following injection, any markings will be cleansed and icing may be offered to alleviate any temporary, minor discomfort. Makeup may be carefully re-applied so long as care is taken not to apply pressure to the treatment area.


Filling wrinkles or recessed scars involves multiple cosmetic injections. In some cases where deeper injection of fillers is required, a local anesthetic may be used prior to treatment.

Common sites for deeper tissue fillers are the nasolabial folds and marionette lines, or to enhance fullness in the cheeks.


An improved appearance is visible almost immediately, although minor swelling or bruising may appear at the injection sites.


With some fillers, a slightly “over-filled” appearance may be initially present. These conditions will resolve within a few hours, or at most a few days. The duration may be as long as a few weeks with injection of one’s own harvested fat.

Risks and Safety

The decision to have soft tissue augmentation is extremely personal and you’ll have to decide if the benefits will achieve your goals and if the risks and potential dermal filler side effects are acceptable.

Dr. Kronowitz and/or staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks and potential complications.


Complications from fillers are uncommon

The risks vary depending on the specific filler used and the relative permanence of the filler substance and include:

  • Fillers derived from non-human sources may require a pre-treatment allergy test
  • Infection at the injection site
  • Fillers that are not completely fluid and contain microscopic granular substances carry a risk of “clumping” as a result of facial movement and the natural aging process. Over time, these can result in lumps or nodules that may require surgery to treat
  • Acne-like skin eruptions
  • Antibodies to filler material may reduce the effectiveness of future injections
  • Asymmetry
  • Bleeding, bruising and swelling
  • Filler material may migrate from the original site and produce temporary paralysis of other muscle groups or other unintended effects
  • Skin might die (skin necrosis)
  • Skin rash, itching and swelling
  • Skin redness
  • Skin sensitivity
  • Under or over correction of wrinkles


Choose a professional

Although tissue augmentation is a quick, in-office procedure that can produce a marked improvement in restoring facial fullness and a more youthful appearance, effective and safe use requires a physician with specialized training and a thorough understanding of facial anatomy to recommend and inject an appropriate filler.

Choosing a plastic surgeon, Dr. Kronowitz to treat your face with face fillers means that your treatment will be performed by someone who not only has training in injection therapy, but in all types of non-surgical and surgical facial rejuvenation.


Be sure to ask questions:

It’s very important to ask Dr. Kronowitz questions about your tissue filler procedure. It’s natural to feel some anxiety, whether it’s excitement for your anticipated new look or a bit of preoperative stress. Don’t be shy about discussing these feelings with Dr. Kronowitz.

Recovery After Injection

The results of soft tissue augmentation using dermal fillers are apparent immediately. Your initial appearance after treatment with any filler may include:

  • Mild dermal filler swelling or bruising
  • Temporary numbness or redness
  • An “over-filled” appearance to treated areas

These conditions can be alleviated with topical icing and will improve within a matter of hours or just a few days.

Where fat is the injected filler, these conditions may persist for a few weeks.

Results

The results of soft tissue augmentation with injectable fillers are not permanent, even though a filler substance may be considered permanent. The continued aging of your face and variables in the absorption of fillers will affect how long your results last.


Should you choose not to repeat treatment, your appearance will return to its original condition. Improved wrinkles, creases and scars will visibly recess and fully reappear in time.

Injectable filler results can change over time; as you age naturally, these fillers may shift or clump.


Your initial treatment will include a complete consultation. Subsequent follow-up procedures may take only a few minutes, as the full process of consultation is not necessary to repeat, although consent is required at each visit.