Cosmetic Surgery in San Diego

Welcome to the website of Dr. Eugene J. Nowak, a Cosmetic Dermatologist in San Diego. Dr. Nowak knows that a beautiful look is comprehensive: the shape of your body, the tone and texture of your skin and the features of your face! You can trust Dr. Nowak to provide you with the most up-to-date cosmetic treatments available to his patients including laser liposuction, facial fillers, CoolSculpting, and Botox in the South Bay.


Fotona 4D

4 Different Procedures In One

Natural Results • No Surgery • No Downtime

The Fotona 4D is an amazing, cutting-edge rejuvenation procedure that uses 4 different treatments combined into one for a multi-layer approach and comprehensive result – all without surgery and little to no downtime.

Watch the above video to see our FOX 5 News feature about Fotona 4D Laser!

Smooth Mode – Treats facial laxity by plumping and stimulating collagen from inside your mouth – something very advanced and unique that you don’t see with most lasers.

FRAC3 Mode – This mode treats the surface of the skin to tighten, remove pigmentation, and lightly resurface – without the discomfort and downtime of traditional methods.

PIANO Mode – Heats deeper, middle skin layers to homogenously stimulate collagen and tighten skin.

SupErb Mode – Safely resurfaces skin to reduce the appearance of fine lines, wrinkles, and pores while improving overall skin tone and texture – customizable treatment levels from gentle with no downtime to full laser peel with minimal downtime. A Fotona 4D session (with all 4 treatment modes) can be done during your lunch break and with a series of sessions 14 to 28 days apart, you’ll have a natural looking result – no one will know you had the procedure, but you!

Schedule your appointment today at 619-420-1840.

What areas can be treated?

Face, Neck, & Chest.

How many sessions do I need?

It is recommended to have a series of treatment sessions 14 to 28 days apart. Dr. Nowak will work with you to determine a treatment plan that’s right for you.

Does Fotona 4D require downtime?

The treatment levels are customizable from gentle (with no downtime) to full laser peel (with minimal downtime).

How long will it take to see visible results?

Most patients will see some immediate results with the final results appearing gradually over a period of 2 – 3 months.

What does the treatment feel like?

There is a sensation of warmth and sometimes a mild pinching that dissipates quickly. If you’re treatment includes the SupErb Mode we will apply a topical numbing cream for your comfort.

Can I still have the treatment if I have fillers?

Yes! However it is recommended that you wait 2 weeks after your last injection before having a procedure.

Before & After Photos

This 63 year old patient was concerned with the creases around her mouth area and her sagging cheeks. She received Fotona 4D to tighten, plump, and resurface her skin, as well as Radiesse, Voluma, and Juvederm to restore her youthful profile. Notice the smoothing of the creases by her mouth area as well as the the lift and glow of her overall skin texture.
This 57 year old patient was concerned with her rough skin texture, deep creases, and wrinkles. Notice the reduction in the creases around her eyes and the smoother, softer skin texture.

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