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Face Fillers

Dermal Fillers

Dr. Kronowitz personally injects dermal fillers all of his patients using his "pioneering face fillers, lip fillers, and under eye filler techniques" that focuses on treating each patient's face and neck using a unique approach depending on the patient's specific needs. He prefers a combination of injectables and fillers - Restylane and Juvaderm - because most patient's need their wrinkles treated, lip injections, as well as adding volume back to the upper face with under eye filler and cheek fillers. This results in an immediate youthful and natural aesthetic. You will be amazed at the beauty Dr. Kronowitz can create for you without the need for surgery! Dr. Kronowitz also performs a non surgical face lift using only filler!

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Lip Fillers

What are Dermal Fillers?

If you'd like to restore youthful fullness to your face, enjoy plump lips, enhance shallow contours or soften those facial creases and wrinkles, dermal fillers may be the answer. Dermal fillers have been called "liquid facelifts" because they offer many of the benefits of a surgical facelift without the downtime.

Although they can't help with excess sagging skin, these soft tissue fillers can add more volume and provide immediate results at a lower cost compared to surgery. But these treatment aren't permanent; they must be repeated and maintained.

Some dermal fillers are used in conjunction with other skin rejuvenation treatments such as injections of botulinum toxin. Dr. Kronowitz will assess your needs and recommend one or a combination of treatments to achieve your desired results.

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How the Treatment Works

Wrinkle fillers can be divided into two categories: temporary and fat transfer to face.

Temporary

Human fat, also known as autologous fat, is harvested from your own body. Using your own fat requires a more extensive procedure than other injectable fillers because you first must undergo liposuction to extract the fat prior to injection. By using your own fat, you eliminate the risk of allergic reaction or rejection by the body. You should know that not all of the live fat cells survive when transplanted into a new site. You can expect a fairly high rate of re-absorption. Because of this, your doctor will likely overfill the area being treated. At first you might look abnormal, but it will soon settle and you'll enjoy a new look. When your doctor extracts this fat via liposuction, it's possible that there will be more than is needed for one application. Most natural fat can be stored for touch-ups.

Hyaluronic acid is also a natural substance found in your body. High concentrations are found in soft connective tissue and in the fluid surrounding your eyes. It's also in some cartilage and joint fluids, as well as skin tissue. If the name sounds familiar, it's because the same substance is often injected into the aching joints of people with arthritis to ease pain by providing extra cushioning. Hyaluronic acid is not derived from animal sources. Brand names include: Perlane, Restylane-L, Restylane Silk, Restylane Lyft, and Restylane.

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Special Considerations, Risks and Recovery


There is no downtime with dermal fillers. You can resume most activities right away. Just take care not to rub the treated area so that the filler material remains undisturbed. You'll likely experience swelling or a bit of bruising, which should fade within a few days.

If you opt for human fat as a filler, you'll notice an "over-filled" appearance at first. It should resolve within a few hours or, in some cases, a few days. But for some people, this over-filled appearance could last for a few weeks.

Fillers that are derived from non-human sources require a pre-treatment allergy test.

Complications from fillers are uncommon. The risks include:

  • Acne
  • Antibodies, or rejection of filler material, may reduce the effectiveness of future injections.
  • Asymmetry
  • Bleeding
  • Bruising
  • Fillers that contain microscopic granular substances, particularly, calcium hydroxylapatite, may clump as a result of facial movement or your natural aging process. As time progress, these clumps can turn into lumps or nodules. Surgery can remove the lumps.
  • Infection at the injection site
  • Itching
  • Migration of filler material away from the original site.
  • Necrosis (skin death)
  • Redness
  • Skin rash
  • Skin sensitivity
  • Swelling
  • Temporary numbness
  • Temporary paralysis of facial muscles
  • Under- or over-correction of wrinkles


In the long term

It's important to realize that dermal fillers are not permanent. The way your face continues to age and how your body absorbs fillers will determine the timing of repeat treatments.

If you decide not to re-treat, your appearance will return to its original condition. Wrinkles and scars will return, and plumped lips will lose volume.

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Questions to Ask Dr. Kronowitz

Be sure to ask questions, and don't be shy about discussing any concerns. 

  • Am I a good candidate for a dermal filler?
  • What will be expected of me to get the best results?
  • Who will perform the dermal filler injections?
  • Have they been specifiaclly trained in this procedure?
  • Where and how will you perform my procedure or treatment?
  • How long of a recovery period can I expect?
  • What are the risks and possible complications associated with my procedure?
  • How can I expect to look over time?
  • Do you have before-and-after photos I can look at for this procedure?
  • What results are reasonable for me?

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