Fillers and Volumizers

Restylane ~ Juvederm Ultra ~ Radiesse ~ Sculptra ~ Perlane/Restylane Lyft ~Juvederm UltraPlus~Belotero~Restylane Silk~Restylane Refyne~Restylane Defyne~Voluma~Volbella

Dr. Christine Brozowski offers injectable fillers in both her Berkeley, California and Ketchum, Idaho offices. She has extensive experience with injectable filers and volumizers and has performed over a thousand filler procedures* with NO permanent complications.  More than any other cosmetic treatment, the success of filler treatment is based on the artistic skill of the physician. Dr. Brozowski combines her artistic training as a painter with her medical training to produce the most artful, beautiful and natural results. She administers all treatments personally so you can be confident of safety and results. The use of injectable fillers has become one of the highest-satisfaction cosmetic procedures in our office.

Filler injection, as an aesthetic procedure, has been used in the United States and Europe for more than ten years, and is growing in popularity. Fillers are used to restore volume and fullness to the face and lips, and to correct wrinkles and deeper facial folds.  Recent studies suggest that much of facial wrinkling and hollowing of the face is the result of a loss of facial volume, rather than sagging of the skin.  Filler therapy will fill in wrinkles, restore volume to face and lift cheeks. The use of a filler by a cosmetically trained physician will restore a youthful countenance and enhance facial features.

Dr. Brozowski performs a 'Liquid Facelift' in lieu of surgery, using filler therapy. It is a safer and more natural treatment for the reduction of wrinkles and restoration of lost volume associated with aging. Filler therapy is also less expensive than plastic surgery and is administered in under an hour with a minimal recovery period.

We recommend all our patients who use the Injectable Fillers: Juvederm, Juvederm Ultra, Voluma, or Volbella sign up for the Brilliant Distinctions reward programs.  Patients who use Restylane, Restylane Silk, Restylane Lyft, Restyane Refyne or Restylane Defyne should sign up for he Aspire rewards program.  Sign up online at: BrilliantDistinctionsProgram.com and AspireRewards.com.  This allows us to credit you points for each treatment.  As you earn points, the company then sends you an INSTANT credit towards a treatment!  Please call us for any questions!

For patients with aging hands, Dr. Brozowski is a Radiesse Hand Certified injector, and can help minimize the signs of aging on your hands, to match your face!

The use of fillers to smooth facial wrinkles, augment the lips, cheeks, and fill in dark circles under the eyes or lost volume in the face and hands has become one of the highest-satisfaction cosmetic procedures in our office. We offer all available FDA-approved fillers including: Restylane, Restylane Silk, Restylane Lift, Restylane Refyne and Restylane Defyne, Juvederm Ultra, Juvederm UltraPlus, Voluma, Volbella, Belotero and Radiesse. We also offer Sculptra; it is not a traditional filler, but provides overall fullness for loss of volume associated with aging. Dr. Brozowski will consult with you regarding the best filler choice for your skin and facial type. Schedule a consultation to find out more about which fillers might be appropriate for you.

*From 1/1/05 to 11/1/15, Dr.Brozowski performed 2,306 individual injectable filler procedures.

 

Benefits

Fillers can smooth out folds and wrinkles by adding volume, which can make an enormous difference to your appearance. Filler injection can dramatically improve facial lines and wrinkles, depressed scars and a loss of volume in the face and lips. Unlike plastic surgery, the procedure enhances, but does not exaggerate, your natural features, and can be artistically sculpted to give results that vary from subtle to dramatic, depending on your aesthetic and treatment goal. The result is smoother skin and the replaced fullness lost with age. Areas that can be treated with fillers include:

  • Lip border definition and fullness
  • Lift and augment apples of the cheeks
  • Smile lines (nasolabial folds)
  • Laugh lines (marionette lines)
  • Tear troughs or dark circles under the eyes
  • Fine lines ('smokers' lines') of the upper lip or lateral face
  • The mid-face, enhancing cheekbones to lift sagging skin below
  • Aging hands with prominent tendons
  • Frown lines between brows
  • Creases that turn down the corners of the mouth
  • Straighten a crooked nose
  • Straighten a jaw line -- fill in pre-jowls
  • Fill in lost facial volume or hollow cheeks or temples

 

Before and After

Preventing Bruising

Here are some tips we share with out patients who have scheduled a treatment with injectables such as filler, Scuptra, Kybella or resorbable thread lift.

To Prevent Bruising:

1.       Discontinue all blood-thinners including baby aspirin, Ibuprofen, Aleve, Fish oils and (possibly) vitamin supplements.

2.       Eat a pineapple and/or take oral Bromelain the evening before and morning of procedure.

3.       Do not drink wine or any alcoholic beverage within 24 hours of procedure.

4.       Come in early to ice a full 15 minutes before procedure (note:  this is not for pain management, it causes vasoconstriction of blood vessels.  When vessels are smaller, there is less chance of injuring them with a needle and if punctured, they bleed less, resulting in less bruising).

5.       Ice after procedure for a full 10-15 minutes in the office, and then as much as possible over the next 24 hours.

6.       Start oral Arnica before procedure.

To Remedy Bruising

1.       Ice.  Do not push on injectable filler, simply hold ice gently against skin. Ice as often as possible over the first 24 hours after treatment.

2.       Take Ibuprofen -  wait at least 2 hours after procedure to start, then take 2-3  200mg tablets every 6-8 hours for the next 3 days.

3.       Take oral Arnica.  Patients that run out of the Arnica we gave them, who complain of bruising may come by the office for an additional strip of Arnica, complimentary.

4.       Take Bromelain supplements, found at a Natural Pharmacy.

5.       Use topical Auriderm post-op gel (available in our office).

6.       Use Corrective Colors by Jane Iredale (available in our office).

Q&A

What are the results of filler therapy?

Smoothing out folds and wrinkles by adding volume can make a significant difference to your appearance. Dramatic results are immediately apparent and last several months to two years, depending on the filler used. All fillers will last longer with repeated treatment. In some facial areas, such as the brow and lips, Botox injection will make the filler last even longer. Touch-ups are recommended to maintain volume and prevent recurrent lines from forming. Properly applied, fillers enhance, but do not exaggerate features (as does plastic surgery) and do not effect normal facial expression.

What are the different filler options?

All the fillers used in our office are highly purified and have an excellent safety profile and are FDA approved. Hyaluronic acid fillers, such as Restylane, Restylane Refyne, and Juvederm Ultra, and Juvederm UltraPlus are medium-lasting fillers. These fillers are ideal for shallow wrinkles, the area between the brows, nasolabial folds (the facial lines around the mouth formed by smiling), volume in lips, as well as horizontal lines of the neck.  

Belotero, Restlane Silk and Volbella are newer fillers introduced into the U.S. market, and are excellent for fine lines of the lips and for subtle lip volume.

Radiesse, Restylane Lyft, Restylane Defyne and Voluma are longer-lasting fillers.  They can last up to 12 months and are appropriate for deeper lines or an enhancement of the cheekbones,and the mid-face.

Sculptra has an exceptional lasting ability, up to two years, but is not appropriate for filling specific wrinkles or folds. Instead it is used to provide an overall fullness to hollow cheeks or a narrow face. It can be concentrated in areas of the cheeks or temples, as needed.

All fillers last longer with repeated treatments. It is recommended that you consult with Dr. Brozowski, who will determine what results you may achieve with each of the filler options and recommend the best filler enhancement for your facial contours and aesthetic.

What are the safety concerns and possible side effects?

Safety is of utmost importance.  Therefore, cosmetic services are performed exclusively by the physician. Dr. Brozowski has performed more than a thousand filler procedures, without any permanent complications. Therefore, you can be confident that you are receiving the highest quality medical care. With all injectables, such as fillers and Botox, is especialy important to have a licensed physician trained in Cosmetic Dermatology administer the procedure.

When used by an experienced doctor, the most commonly reported side effects are temporary redness and swelling at the injection site. Longer-lasting fillers such as Voluma, Radiesse, Restylane Lyft, Restylane Defyne and Sculptra, or fillers injected at the lip or tear tough, such as Restylane Silk, Belotero or Volbella, may also cause transient bruising with some downtime. These typically resolve within a few days. The use of ice, ibuprofen and arnica can minimize swelling or bruising after the procedure, and are recommended.

What is collagen?

Collagen is a natural substance that provides strength and elasticity to the skin.  Young, healthy skin contains an abundance of collagen and hyaluronic acid.  As we age, we lose approximately 1% of our dermal collagen per year.  This is exacerbated by overexposure to the sun and the loss of volume and fat beneath the skin.  Where collagen diminishes, unwelcome lines, wrinkles and sagging skin begin to appear.  Resurfacing procedures such as photofacial laser therapy, Clear+Brilliant laser treatments and medical microdermabrasion can increase the collagen level in your skin overall.  Injectable fillers stimulate dermal collagen production in specific areas for a fuller effect.

What is the level of discomfort during and after the treatment?

Depending on the area treated, topical or injected anesthesia may be used to minimize discomfort. Immediately after the treatment, you can expect a slight redness, swelling, tenderness or itching in the treated area. This is a normal result of the injection. The discomfort is only temporary and generally disappears in a few days. Patients are able to continue their daily routine after the treatment.

What are patients saying about their experience with fillers in our office?

Patient comments include:

"I am thrilled with the results from the filler treatments I have been receiving from Dr. Brozowski. My forehead and brow were beginning to show the signs of aging. I now look much more relaxed and have had many compliments on how good I look."

"My lips make me look like a teenager! Thank you."

"I can't believe the difference! It still looks natural! It's like sculpture. I would recommend this to friends!"

"I've had the following done by Dr. Brozowski: microdermabrasion, filler, Botox and a Blue Peel -- and loved them all, in particular the filler, which in combination with everything else has really made me look younger and feel better about myself. I would highly recommend all of the above."