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.


Juvederm San Diego


JUVÉDERM® is a dermal filler, it’s a gel and is FDA approved. People who have tried JUVÉDERM® are happier with the results than with other dermal fillers, it’s safe, and people all skin types and ethnicities can use it. The JUVÉDERM® injection procedure takes only 15 minutes and results are immediate. There is little to no downtime and there’s minimal recovery time needed.

As our faces age, volume from the upper part of the face and cheeks falls due to gravity and settles in the jawline, creating jowls and accentuating the smile lines (nasolabial folds). Volume is also lost from the temples, under eye area, cheek and sub cheek region. This can give a person a tired, worn out look.

Nutrition, environmental factors (such as smoking), and genetics all play a role in the loss of collagen and the thinning of the skin’s dermal layer. As a result of being less elastic, our skin will start to show fine lines and wrinkles.

Juvéderm® is a smooth, hyaluronic acid based gel filler used for the treatment of mild to severe facial creases. It’s commonly used to smooth out face wrinkles, plump lips, and correct acne scars. It can also reduce the lines on the forehead, fill in under eye hollows, enhance cheek volume, enhance the jawline, as well as reduce the aging appearance of hands.

Watch the video to learn more about Juvederm

How It Works

Young, healthy-looking skin contains an abundance of hyaluronic acid – a naturally hydrating substance. Like a sponge, its primary function is to bind and absorb water, which creates volume in the face. As we age the amount of hyaluronic acid diminishes, causing our skin to lose structure and volume, thus contributing to the appearance of lines and folds.

Juvéderm works to correct this by restoring hyaluronic acid to our skin. Immediately after injection, volume is added and the appearance of wrinkles and nosolabial folds are diminished.
Juvéderm is different than other hyaluronic acid fillers due to its unique formulation. Hylacross technology is used during the manufacturing process to give Juvéderm its special smooth-gel structure that holds up over time.

Who is a candidate for Juvéderm®?

Any healthy woman or man who wants to alleviate aging lines and wrinkles and add a more youthful fullness to their face and hands. It is especially popular among men and women who want to reduce the appearance of deep folds along the grooves and folds between their cheeks and nose (nasolabial folds), as well as the so-called “marionette lines” that form between the nose and outer corners of the mouth.

What areas can be treated?

Juvéderm® immediately reduces the appearance of wrinkles and folds. It can also be used for:

  • Filling marionette lines
  • Filling nasolabial folds
  • Improving cheek and chin contour
  • Plumping lips
  • Hand rejuvenation
  • Reducing the appearance of certain scars

How long does Juvéderm® last?

Results are clinically proven to last from 6-12 months depending on the area treated, the amount of product used, and your body’s ability to break down the product. .

What’s the difference between Juvéderm® XC and Juvéderm Voluma™ XC?

Juvéderm® XC and Juvéderm Voluma™ XC are both made of hyaluronic acid, but are specifically engineered for different areas of the face.

Juvéderm® XC is used to smooth out moderate to severe wrinkles and folds around the nose and mouth area while Voluma™ XC is used to lift and add volume to the cheek area.

Both Juvéderm® XC and Voluma™ XC contain lidocaine, a numbing agent, to improve comfort during treatment.

What’s the difference between Juvéderm® and Belotero®?

Both are made of hyaluronic acid, however the properties are different. Belotero is softer and less viscous which is good for fine lines or delicate areas. Juvéderm® is better for areas that need stronger lifts such as deep wrinkles around the nose and mouth.

Can other fillers be used with Juvéderm®?

Other fillers such as Voluma, Radiesse and Belotero have unique cohesive properties and densities. They can be used in layers to fill more superficial lines and wrinkles.

Other Treatments That Lift and Tighten Sagging Skin

Fillers address volume loss and wrinkles, but can be combined with skin tightening, lifting and resurfacing treatments such as Ultherapy, Thermage, Fractional CO2, Fraxel, MicroPen, and PRP for better results.


Before & After Photos

This 57 year old patient was treated with a number of fillers as well as BOTOX® to receive what we call the Nowak Liquid Facelift! 1 Radiesse was used on her cheeks and 6 Juvederms were used for her smile lines, the corner of her mouth, the border of her lips, and her marionette lines while BOTOX® was used to treat her forehead, crows feet, and inner eyebrow. This amazing result was performed entirely with BOTOX® and fillers such as Radiesse and Juvederm without any surgery or anesthesia.
This 54 year old female patient has been a smoker for 30 years. With only 1 Radiesse and 2 Juvederms, you can see the improvement in her smile lines, marionette lines, as well as the borders and corner of her lips. Be sure to check out her video testimonial!
This female patient was worried about the deep creases in her smile lines. She had Radiesse and Juvederm which really softened the appearance of her nasolabial folds and marionette lines. She is very happy with her results.
This patient was concerned with volume loss in her cheek area and had Voluma injectable filler to correct this. Notice in the youthful lift in her cheek profile after having Voluma!


Watch the video to see a Juvederm live demo

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