Norman J. Pastorek, MD, PC, FACS -  - Facial Plastic Surgeon

Norman J. Pastorek, MD, PC, FACS

Facial Plastic Surgeons located in New York, NY & Madison, CT

Our cutting-edge medical aesthetic treatments harness the power of advanced fillers to restore youthful contours, enhance features, and rejuvenate your skin. Our experienced team combines artistry with medical expertise to deliver personalized results that leave you looking refreshed and revitalized. Whether you're seeking to smooth fine lines, add volume, or sculpt your desired look, our range of premium fillers are tailored to meet your unique goals. Discover the transformative potential of fillers and unlock a more radiant, confident you.

Fillers Q & A

What are dermal fillers?

Dermal fillers represent a transformative advancement in the world of medical aesthetics, offering a non-surgical solution to restore youthful volume and enhance facial contours. These injectable treatments have gained immense popularity for their ability to smooth wrinkles, plump lips, and rejuvenate the skin. Read on to discover how dermal fillers can help you achieve a refreshed and radiant appearance.

Dermal fillers are gel-like substances composed of hyaluronic acid or other biocompatible materials. They are skillfully injected beneath the skin's surface to add volume, fill lines, and enhance facial features. Dermal fillers are a versatile tool in aesthetic medicine, providing natural-looking results with minimal downtime.


What are the key benefits of fillers?

  1. Wrinkle Reduction: Dermal fillers effectively smooth out fine lines and wrinkles, restoring a more youthful and refreshed appearance.

  2. Lip Enhancement: Enhance and define your lips with dermal fillers, achieving fuller, more sensuous lips tailored to your desired look.

  3. Cheek and Contour Augmentation: Hollow or flat cheeks can be beautifully rejuvenated with precise dermal filler applications, creating a lifted, sculpted appearance.

  4. Nasolabial Folds and Marionette Lines: These common signs of aging around the mouth can be softened and minimized with dermal fillers, providing a smoother complexion.

  5. Non-Surgical Nose Job: Dermal fillers can be used to reshape and refine the nose, correcting minor imperfections without the need for surgery.

  6. Hand Rejuvenation: Restore lost volume to the back of the hands, reducing the appearance of veins and tendons for a more youthful look.

  7. Under Eye Rejuvenation: Dermal fillers can brighten the under-eye area, reducing dark circles, hollows, and bags for a refreshed, well-rested appearance.

  8. Customized, Natural-Looking Results: Skilled practitioners can tailor dermal filler treatments to your unique facial anatomy and aesthetic goals, ensuring a natural and harmonious outcome.

  9. Biorevitilization: A popular choice for individuals seeking a non-invasive, rejuvenating treatment to enhance and maintain their skin's youthful vitality. Biorevitilization stimulates collagen production, hydrates, and nourishes skin, and evens skin tone.


How Long do the benefits of fillers last?

The duration of fillers can vary depending on several factors, including the type of filler used, the area of injection, individual metabolism, and lifestyle habits. A consultation with a member of our team will explain the expected duration of fillers for your specific treatment plan.


What fillers are offered at the practice?

Highly experienced in administering all of these fillers, Dr. Pastorek and Janice Pastorek advise each patient as to which will best achieve his or her goals.

  • Juvéderm® Voluma
  • Juvéderm® Ultra XC
  • Juvéderm® Ultra Plus XC
  • Juvéderm® Volbella XC
  • Restylane® - L
  • Restylane® Lyft
  • Restylane® Silk
  • Restylane® Refyne/Defyne
  • Belotero Balance®
  • Radiesse®
  • Revanesse Versa


What to expect at your appointment for fillers?

Here is an overview of what a typical filler procedure entails:

  1. Consultation:

    • During your consultation with our team, we will discuss your aesthetic goals, medical history, and any specific concerns you have. We suggest you stop taking multivitamins, Advil, aspirin, omega-3 oils, and vitamin E supplements several days prior to your treatment.  
  2. Assessment and Treatment Plan:

    • We will assess your facial anatomy and determine the areas that would benefit from filler treatment. We will discuss the type of filler, the amount needed, and the expected results.
  3. Preparation:

    • The area to be treated may be cleaned and, if necessary, a topical anesthetic or numbing cream may be applied to minimize discomfort during the procedure.
  4. Injection Process:

    • Using a very fine needle or a blunt-tipped cannula, we will administer the filler into the predetermined areas. A chiller device will be used to blow cool air over the area treated to ensure comfort and help minimize bruising. 
  5. Monitoring and Adjustments:

    • Throughout the procedure, we will assess the progress and make any necessary adjustments to ensure symmetry and balance.
  6. Post-Procedure Care:

    • After the injections, the treated area may be gently massaged to ensure even distribution of the filler. Homeopathic remedies will offered to help you avoid bruising prior to treatment. 
  7. Recovery and Downtime:

    • Most filler procedures have minimal downtime, and patients can usually resume normal activities immediately after the treatment. However, it's recommended to avoid strenuous exercise, excessive sun exposure  and alcohol consumption for the first 24-48 hours.
  8. Follow-Up:

    • Depending on the type of filler used, a follow-up appointment may be suggested to monitor the results and make any necessary touch-ups.
  9. Results:

    • The effects of dermal fillers are often visible immediately after the treatment, although there may be some initial swelling and redness. Over the following days or weeks, the filler may settle into its final position.
  10. Longevity and Maintenance:

    • The duration of results varies depending on the type of filler used. Touch-up treatments may be recommended to maintain the desired outcome.


Why choose fillers?

Choosing dermal fillers can be a highly effective and appealing option for various individuals seeking non-surgical cosmetic enhancements. Here are some reasons why you may choose fillers:

  1. Non-Surgical Solution:

    • Dermal fillers offer a non-invasive alternative to surgical procedures, allowing individuals to achieve their aesthetic goals without the need for incisions, anesthesia, or significant downtime.
  2. Natural-Looking Results:

    • Dermal fillers can enhance one's natural features, providing subtle yet noticeable improvements that do not look overdone.
  3. Restoration of Youthful Volume:

    • As we age, the face naturally loses volume, resulting in wrinkles, sagging, and hollowed areas. Dermal fillers effectively replenish this lost volume, giving a more youthful and refreshed appearance.
  4. Versatility:

    • Dermal fillers can be used to address a wide range of aesthetic concerns, including fine lines, deep wrinkles, volume loss, and contour irregularities, making them a versatile treatment option.
  5. Customized Treatment:

    • Each individual's facial anatomy is unique. Dermal fillers can be customized to address specific concerns and achieve personalized results, ensuring a tailored approach to aesthetic enhancement.
  6. Minimal Downtime:

    • Unlike surgical procedures, dermal filler treatments typically have minimal downtime. Most individuals can resume their normal activities shortly after the procedure.
  7. Long-Lasting Effects:

    • Depending on the type of filler used, results can last from several months to over a year, providing enduring benefits for a prolonged period.
  8. Collagen Stimulation:

    • Some types of dermal fillers stimulate collagen production, promoting natural firmness and elasticity in the skin over time, contributing to longer-lasting results.
  9. Safe and FDA-Approved:

    • Dermal fillers are composed of biocompatible materials, ensuring a high level of safety. They are approved by regulatory bodies, providing patients with added confidence in their treatment.
  10. Gradual, Reversible Enhancements:

    • Dermal fillers allow for gradual enhancement, meaning adjustments can be made over time as needed. Additionally, many fillers are reversible if the desired result is not achieved.


Ultimately, the decision to choose dermal fillers should be based on individual preferences, aesthetic goals, and consultation with a qualified and experienced healthcare professional. They can provide expert guidance and help determine if dermal fillers are the right option for achieving the desired look.