Dr. Eugene Nowak is an innovator in the aesthetic world, employing effective, cutting-edge technologies. As a board-certified dermatologic surgeon with over 20 years in practice, he offers cosmetic surgery procedures and skin rejuvenation treatments in the San Diego and Chula Vista area of California. His specialties include body contouring, injectables, and cheek and chin enhancement. Dr. Nowak received his medical training from Midwestern University and then completed his residency at POH Medical Center at Michigan State University. He is board certified by the American Osteopathic Board of Dermatology and a member of the American Society of Dermatologic Surgery. In addition to helping his California patients achieve their aesthetic desires, Dr. Nowak speaks at medical conferences both stateside and abroad. He also helps train physicians and cosmetic surgeons in dermatologic and cosmetic surgery procedures at the University of California San Diego. Nowak Aesthetics boasts a talented medical team that's well-versed in a broad range of surgical and nonsurgical treatments. Whether you're seeking facial injectables to rejuvenate your skin or otherwise wish to enhance your face or body with noninvasive treatments like CoolSculpting or Ultherapy, Dr. Nowak and his team are ready to assist.
Jenny has been doing my treatments for over two years and I have been extremely pleased. I get both Botox and filler and always trust her to determine the places I need it most. She makes me feel comfortable and always explains what she is doing. I also love all of the girls that assist her! They make you feel calm and welcomed. It is always a great experience!
I first came to Nowak Aesthetics for my Botox. I was recommended by my sister bc she also comes here. I saw Mayte for my consult and she was amazing. I ended up getting Botox and a filler package & now I'm a member of theirs. Mayte is so sweet and trustworthy, and that's super important to me when having a procedure. I know she's recommending something bc I need it, not just selling me...
Amazing positive experience. very knowledgeable explained everything before my treatment let me know options for any bruising took her time with the treatment doesn't rush listens to my concerns very energetic
Best thing I've done for myself! I'm 3 weeks out from a Thermalipo 360 with Jennifer Adams PA-C at Nowak Aesthetics and at 60 this procedure has been both physically and mentally transformative. I've lost 3 inches off my waist so far-with Thermalipo your swelling continues to decrease for 3 months and tissue continues to tighten. I was awake through the whole process. The nurses gave me some...
Getting PRP from Jennifer has been a pleasure. Very knowledgeable and you can tell she truly cares for her patients. I've been coming to Nowak Aesthetics for years. I've been to numerous aesthetic clinics all over the country and am comfortable saying this one is top-notch with their facility, professionalism, technology and overall approach to taking care of every client. This clinic even...
A: Thank you so much for sharing - I find Fractional CO2 laser treatments & recovery can vary so tremendously, I enjoy the opportunity to share what 20+ years of dermatological experience has shown me. CO2 laser procedures are one of the most corrective procedures for skin irregularities, texture issues, acne scarring and the like. However, this level of correction can be maximized with minimum recovery time if proper skin care is utilized during both the pre & post treatment time frame. With all of my CO2 patients, I not only include preparatory & post-procedure skin care regimens, but also a series of facials to be performed in the office within the first 10 days after the CO2 to help expedite recovery & reduce post procedure complications.
In regards to the residual scarring you still notice on your skin - remember, it can take a full 6 weeks for the skin on the face to fully turn over - and after a CO2 - you will continue to see improvement for the months following. As others have mentioned though, a dynamic issue like acne scarring cannot be 100% corrected with just a single procedure. Although this procedure can greatly enhance the appearance of the skin & scars, it is important to maintain realistic expectations (also remember that continued medical grade skin care, other resurfacing treatments, and/or serial CO2 treatments can continue to improve your results after you have reached your new baseline!)
To address your continued erythema (redness) present on the skin, hopefully it has continued to improve (when compared to immediately after your procedure) as some patients may continue to have transient redness at this stage. Many things can be contributing factors: current skin care regimen, compliance to avoiding UV exposure, pre-existing conditions (rosacea etc.), underlying skin tone and more. Without knowing more about your clinical case, I would encourage you to evaluate your sun exposure first and foremost. Be sure to use a physical barrier (hat, scarf, buff etc.) in addition to a minimum 40 SPF daily - with re-application every 2 hours. Then consider your current skin care regimen: irritating agents, alcohols, retinols etc. that may be causing redness. Also consider adding soothing agents to reduce redness.
If you cannot determine a causative agent, or if you simply wish to ensure how to proceed with your post-procedure care - I encourage you to seek consult with a board-certified dermatologic cosmetic surgeon who is very experienced with performing these procedures to discuss & develop a personalized plan for you. There are a LOT of options available - so do not get discouraged! I wish you luck on your recovery & hope this response was helpful.
A: To give a simplified answer: Belotero lasts for approximately 6-12 months. However, being able to detect a remnant of a filler in the tissue and trying to maintain an immediate post-injectable result can be affected by many variables and just some of these include:
- The amount of filler placed (sometimes, if more volume is placed, the longevity may be slightly longer)
- Where it was placed (highly mobile & dynamic areas - for instance, around the mouth/lips, may experience a slightly lower duration than less mobile areas and thus require more frequent filler maintenance)
- The type of filler placed (the viscosity of the filler - i.e. the thickness of the filler - with 'thinner' injectables not lasting as long as more 'hefty' fillers), and even
- The type of patient (patients with high metabolisms may experience less longevity with their injectable treatments).
As you can tell, just these few variables can tremendously impact the lifespan of a filler. However, after your first injectable procedure, you and your provider will likely develop a treatment plan in order to maintain your results which can give you a better idea of what YOUR individual timeline should be!
A: Liposuction is unlikely to cause the development of new stretch marks, as stretch marks are indications of permanent dermal damage caused by the stretching & expanding of skin. Sometimes after liposuction, when the skin contracts due to less fat 'supporting' the skin, stretchmarks that previously were stretched out and less visibly noticeable, may now become collapsed & more visible. Regardless, I highly recommend consulting with your surgeon as there will likely be before & after photos to review.
Additionally, I always encourage my patients to be PATIENT during this immediate post operative period. Although having surgery is very exciting and there are some immediate results following your procedure, many more results continue to develop over the weeks and months following your procedure. So although it can be filled with anxiety as your body and results continue to develop, keep an open dialogue with your surgeon during this time so that your concerns can be appropriately addressed and when needed, provided with an appropriate treatment plan.
I wish you luck during your recovery and cannot wait for you to be able to truly appreciate your final results in a couple of months!
A: We love working with CoolSculpting at Nowak Aesthetics. We have performed thousands of treatments since 2011, while it was FDA cleared since 2010. While everyone has different areas treated and different pain tolerance, just about every single patient has a great experience during and after CoolSculpting.
The worst thing that can happen after CoolSculpting would be tenderness to touch, swelling, bruising and or numbness. These common side effects usually subside within 3-5 days naturally.
From the thousands of treatments performed, we have called in an actual prescription for discomfort once and twice we have given anti-inflammatory injections.
We also have had a handful of patients that have opted to come back the nest day for additional massage to the areas treated with CoolSculpting because it feels good!
There's really not much required after CoolSculpting besides living a healthy lifestyle and being active in order to maintain the same weight.
A: Following any injectable procedure, it is best to avoid exercise or any activity that can significantly elevate your blood pressure for at least 24 hours. Other helpful tips to reduce effects of swelling and/or bruising, would be to use cold compresses and sleep with the head of your bed elevated for a night or two after your procedure. I hope this is helpful!