Restore volume and give natural-looking fullness to your face, lips, cheeks, and jawline with expertly applied dermal fillers by Dr. Janowski.
Dermal fillers use hyaluronic acid (a naturally occurring compound in the body) to add volume, soften fine lines, and smooth out wrinkles. Dermal fillers give your face hydrated natural look.
In short, fillers help to diminish facial lines, restore volume, and add fullness to the face. As we age, we all lose volume in our faces (lips, cheeks, under eyes) as there is generally a loss in subcutaneous fat. As there is less fat, our muscles work closer to the skin, creating deeper smile lines and crows feet.
There are other factors that contribute to deeper lines and loss of volume, including sun exposure, lifestyle, and genetics. Cosmetic fillers can literally fill in the areas of volume loss, giving us the appearance of a more youthful face, at a fraction of the cost (and downtime) of “traditional” surgical facelifts.
Wrinkle fillers can also be used as “volumizers” – plumping and lifting trouble areas like cheeks, jawlines, chins, and temples, or filling in thin lips – or to help fill in acne scars. Treatments are usually quick and easy. For the most natural looking results, you want to work with someone who has experience, as well as artistic eye for detail. Ideally, the use of dermal fillers help you look like a younger, natural, refreshed version of yourself.
In our Broomfield, Colorado office, Dr. Janowski prefers a variety dermal fillers. Each offer slightly different results, and can be used in different areas. He will recommend what will work best for your concerns in your one-on-one consultation.
Dermal fillers can be used to give a nonsurgical brow lift. Part of the reason why brows and eyelids sag is due to a loss of volume in the eye area. Restoring volume can turn back the clock, and may give even better results than surgery. Usually injected under the eyebrow Restalyne Lyft is an excellent choices for the because they can add enough structure to lift the brow. Another common area where volume is lost is the region under the eyes. This can lead to a hollow that is shaded, giving the appearance that the skin under your eyes has become discolored, the so-called bags under the eyes. This is also described as a tear trough deformity because the curved line that runs from the inner corner of your eye looks like it’s designed to catch and guide tears. Using a very soft product like Restalyne Silk can add volume without puffiness to this delicate area.
Lifting the midface often creates the most dramatic and beautiful changes to the overall face shape. As we age, the proportions of our face change. We go from have a diamond-shaped face, with defined cheeks, to having a drooping face – more like a square – often with heavier jowls and hollow cheeks. If you have always wanted higher or more prominent cheekbones, we can achieve that appearance using fillers designed to give good tissue support like Radiesse, Restalyne Lift, or our favorite filler, Sculptra.
If you are developing hollows in your cheeks due to excessive weight loss or aging, the same structural fillers can be used to restore volume to give your face a healthy, youthful appearance.
If you’ve never had luscious lips or if your lips have thinned with age, dermal fillers can be used for lip augmentation. Fuller lips are both more attractive and more youthful in appearance.
Although smiling is in itself good, some of the effects it leads to may not be. Common smile lines around the mouth include the nasolablial folds, which curve from the corners of the nose around the mouth and downward. They may be called “marionette lines” if they extend all the way down.
Dermal fillers can also be used for chin augmentation if you have a receding chin, want to create a cleft chin, or want to otherwise change the appearance of your chin.
Most of the time people see us at different angles, rarely straight ahead. It is actually the lateral two thirds of the face that require more rejuvenation efforts, particularly if one is thin, active or athletic. This is where the majority of our youthful volume is lost. Sunken temples, sharp cheek bones and hollows under the cheek are tell-tale signs of age-related volume loss. Look at a picture of a young model (or a picture of your younger self). They are full with soft contours around the sides of the face, with minimal shadowing. Jawlines are straight with no jowling. Jowls form as a result of loss of cheek volume. So when we volumize these areas, often the jawline will straighten out again.
Most of the time people see us at different angles, rarely straight ahead. It is actually the lateral two thirds of the face that require more rejuvenation efforts, particularly if one is thin, active or athletic. This is where the majority of our youthful volume is lost. Sunken temples, sharp cheek bones and hollows under the cheek are tell-tale signs of age-related volume loss. Look at a picture of a young model (or a picture of your younger self). They are full with soft contours around the sides of the face, with minimal shadowing. Jawlines are straight with no jowling. Jowls form as a result of loss of cheek volume. So when we volumize these areas, often the jawline will straighten out again.
Hyaluronic acid is a naturally occurring substance in the body and breaks down over time. How fast the filler breaks down depends on your own body chemistry – and so the figures provided are just estimates. We often find that our more athletic and/or sun loving patients “burn” through fillers more rapidly.
These can be used anywhere in the face and lips – but each has it’s own best use. Some are thicker and others are softer – affecting where they should be placed. If you use a filler that is too soft in an area that needs more structure – the filler can “get lost”. If you use filler that is too firm in an area that calls for a softer filler – your results can look unnatural or stiff. Also, the softer the filler, the more superficially (or closer to the surface) it can be injected -which is good for shallow areas – like under the eyes or in the lips. This is why it’s important to see a Dr. with extensive experience when deciding on filler treatment.
*Radiesse is an a category of it’s own. It is a shorter-term filler, but is not made of hyaluronic acid. Radiesse is made of Calcium Hydroxylapatite (a substance that occurs naturally in human bones and teeth). It breaks down over time – usually after 1 year. It’s a firmer filler and is good for people needing to add structure to aging faces – especially in the mid-face area. We also find it to be a great filler for me – who sometimes need a more structural filler because of their thicker skin.
As more and more products become available, our approach to using them continues to evolve. We think that collagen-stimulating fillers are the most exciting development in this field so far, and are a true game-changer!Â
Long-term collagen stimulating fillers actually stimulate your own collagen to grow in as the filler. This takes some time, but the results are very long-lasting – from 2-5 years in the areas treated. While your face will continue to age, and you will need annual touch-ups, once you’ve completed a Sculptra treatment series – the results will have long-term staying power. Fillers can be used anywhere in the face EXCEPT the lips. Because of their longevity, they can offer patients a great value.
Relaxes muscles and
reduces wrinkles
In my opinion, and after 13 years of daily practices using fillers with thousands of patients, I still believe that dermal fillers still provide the most aesthetic “bang” for the buck. I would estimate that 75% off all facial aging could be attributed to volume loss. Thus, fillers combat one of the fundamental problems of facial aging. Now, with fillers that can last up to 5 years, their value increases exponentially. Here are some important newer ways we are thinking about fillers:
The easiest way to think about this is our face changes from a triangle, to more of a square as we age (and, eventually, to an upside-down triangle). This is because the middle third of our face is the most volumized when we are young, and with time, this area “deflates”. At the same time skin becomes loose and jowls form in the lower third of the face. We need to reverse this by adding volume back into the middle third, thus “pulling up” the lower third. The lifting quality of fillers is one of the most important.
Lines and wrinkles form for several reasons: our skin thins out with age due to less collagen and elastin; we lose volume underneath the skin; our skin is damaged by sunlight, smoking, and other factors. We used to think of fillers as products that simply go after these lines and fill them back up. That can be done, but we do not want to miss the forest for the trees. Volume correction is how we achieve a more youthful result, not filling in lines. Even lines around the mouth require volume support in addition to the typical “filling in” of smokers lines, etc.
Older thinking was simply to correct an “area” such as cheeks, mouth lines, etc. Newer thinking is to provide full facial correction and have it last for many years. Collagen-stimulating fillers such as Sculptra can achieve this. We want to look at not only each area of volume loss, but how it relates to the areas around it. For example, to fill cheeks but ignore the temples above and the jawline below is to provide an incomplete treatment, one which changes the normal proportions of the face. It is not wrong to do this, but does not yield the best possible result.
With the above-mentioned collagen stimulators like Sculptra and Restylane, we now can provide results that last 5 years or more. This completely changes how we think about these products, and how we perceive their value. Whereas traditional fillers will last typically a year, disappear, and then require full treatment again, collagen-stimulators are placed in a series of treatments, get better over the ensuing 6-12 months, then require only minor touch-ups over the next 3-5 years. Thus the cost-curve is reversed: Sculptra gets cheaper with time, where traditional fillers get more expensive.
I went to Dr Janowski for the first time for some lines around my mouth that concerned me.. The office is very nice and the doctor makes you feel very comfortable and helps determine what would be the best treatment for the issue that concerns you. He injected me with a filler he thought best and it turned out so great! Also, he is very gentle and is good at giving the injections, so it was not painful at all. I will definitely go back to him again. Thank you!”
— Pam P.
While 90% of patients have bruising and swelling, it is always a possibility. We recommend that you do not have filler injections immediately before a big event, but rather give yourself two weeks beforehand to ensure you have the best results.
Bruising is much less likely with the advanced injection techniques using microcannulas that Dr. Janowksi uses. Any bruising and swelling will fade naturally within a few days to a week.
Again, a modest additional of volume to the mid-face looks great on most people. Having fuller cheeks is a short-cut to looking younger.
Dr. Janowski always recommends starting conservatively, and adding more filler, if needed. Fillers, if done properly, always look natural and not overdone. Ideally, friends and family will think you look younger, but can’t quite put their finger on why.
Of the three fillers Dr. Janowski use, most last about one year. However, how long each lasts depends on your particular body chemistry, as well as what area you have had treated.
Lips are in constant motion, so the product wears off more quickly, and lip injections generally last 6-12 months.
Most people choose to have a touch up done within a year of the original treatment, and results are best with continued use, so be sure to schedule your next appointment as the results are beginning to fade.
When treating wrinkles, pain relief is usually not needed but can be easily achieved with topical anesthetic and or a local anesthetic placed by the doctor. However, dermal fillers themselves are formulated with lidocaine (a local pain killer), and so the area is actually numbed as it is being injected. The vast majority of patients report little to no discomfort. If you have a fear of needles, called Trypanophobia, read about how we can help put you at ease in our new blog!
Reactions are very uncommon, but about 1 in 2000 persons have experienced transient swelling, redness and tenderness at or near the treatment site(s) up to several weeks after treatment. For further details concerning your specific treatment, please consult the doctor.
Immediately after the treatment the treated area can be slightly swollen and red. Some patients may also experience bruising around the injection site. This is a normal result of the injection, and it generally goes away in 72 hours. We provide all patients with ice and topical Arnica (if appropriate) which helps alleviate bruising and swelling. We also recommend patients avoid (if medically appropriate) blood thinners like Ibuprofen or Aspirin, as these can increase the risk of bruising.
Dr. Janowski is one of the most experienced injectors in the state, and has seen thousands of patients since 2004. He is currently ranked #1 in Colorado (and top 20 in the United States) for his expertise in injecting dermal fillers, and is an official trainer to other Dr’s on use and technique!
He has even developed his own technique, called the “snap technique” in order to minimize pain and bruising, and to ensure longer lasting and more natural results. This is his own specialized way of holding the needle so that he is able to insert into the skin as quickly as possible. Once the needle is under the skin, it generally doesn’t hurt – and he can then carefully place the product in the most ideal location.
Additionally, we take special care and time with each and every patient in order to determine which filler is best for you and which areas can best benefit from filler treatment.
We would love to meet with you to answer any other questions you might have, or to schedule a free 1 on 1 consultation with one of the best injectors in the state (and country). Feel free to give us a call or send an email!
