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.


Two Popular Fillers, Two Different Uses — Restylane vs. Perlane

Dermal fillers are a simple concept. Take a substance and inject it below a wrinkle, pushing the skin back up and removing the wrinkle. In other words, fill that wrinkle in, hence the name.

And that’s not a new concept. It is thought that German physician Franz Neuber was the first doctor to use fillers. Neuber used a patient’s autologous fat taken from other areas of the body to fill out depressed facial defects. That was way back in the late 19th century!

Fast-forward to today and it seems there are new dermal fillers coming to market every few months. Patients hear about different fillers from friends and co-workers and they can confuse them. But it’s important to remember that every filler is designed to target a certain skin condition. They are not meant to be lumped together. Take two of Dr. Nowak’s more popular fillers, Restylane and Perlane.

dermal fillersRestylane and Perlane are both made by the same company, QMed. And both are hyaluronic acid fillers, meaning they are made from hyaluronic acid, a naturally occurring substance in the body responsible for skin plumpness and hydration.

But that’s where the similarities end.

Perlane is three times thicker than Restylane. Because it is thicker, Perlane can potentially be seen under the skin after it is injected. So, Perlane needs to have fat in the injection sites to help hide the filler. Its thickness makes Perlane effective for adding volume to the cheeks, chin, and nasolabial folds. Perlane is designed for moderate to severe folds. And its results last around 18 months.

Restylane has been used much more than Perlane: it has been injected over 11 million times. As mentioned above, it is much thinner in consistency than Perlane. This allows Restylane to flow and spread out when injected. This makes it effective for defining the lip edges or filling the hollows under the eyes. Restylane works well in areas with thinner skin. Restylane results last about one year.

Now you know the difference between Perlane and Restylane. Do you have areas on your face that could use one or both of these fillers? Call Dr. Nowak and let our team help you decide what facial issues you’d like to address with dermal fillers. Call 619-420-1840 for an appointment.

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