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Juvederm®
Juvederm Ultra™ and Juvederm Ultra Plus (Juvederm) are non-animal derived dermal fillers consisting of a smooth gel that when injected help to instantly restore your skin's volume and smooth away facial wrinkles and folds such as the nasolabial folds—the creases that run from the bottom of the nose to the corners of the mouth). Juvederm is made of Hyaluronic acid, a naturally occurring substance in the body that helps to hydrate and add volume to the skin. The hyaluronic acid in Juvederm supplements the body’s natural supply of this substance.
Filler injections represent the fastest growing non-surgical aesthetic procedures in the United States. There are many different types of fillers and each has its particular benefits, advantages and use. A physician who is experienced and competent in injecting a variety of different fillers will be better able to tailor a treatment to your needs.Juvederm comes in two formulations, Juvederm Ultra and Ultra Plus. The latter formulation is more robust, giving us the ability to better treat deeper folds and wrinkles. It may last a bit longer as well.
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What areas can be treated with Juvederm?
Juvederm™' injectable gel will help to smooth moderate to severe facial wrinkles and folds and create fuller lips (see Lip Augmentation). The most common uses for Juvederm include:
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Wrinkle correction |
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Diminishing worry lines, smile lines (nasolabial folds), crow’s feet, marionette lines at corners of the mouth (oral commissures), and smoker’s lines (vertical lip lines)
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Lip enhancement
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Reducing the severity of nasolabial folds |
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Chin augmentation
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Filling cheek depressions
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Redefining lip border |
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Softening acne scars |
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Filling hollows under the eyes |
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Creating a temporary eyebrow lift |
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Correcting facial depressions caused by fat loss |
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Softening the appearance of jowls |
It takes about 15-20 minutes to perform Juvederm injections. The results are immediate and actually improve over the following week.
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What makes Juvederm™ different than other dermal fillers?
Juvederm™ has a high concentration of cross-linked hyaluronic acid that is responsible for the longevity of results. Because the gel is smooth in consistency, this provides for a natural feel in the skin.
How long do the results last?
The FDA recently cleared Juvederm for longevity of one year. Some individuals may find the result begins to wane after about six months and additional treatment would be required. Part of what determines the longevity is whether sufficient volume was used initially to correct the volume defect. Ideal results may require using more than one syringe of Juvederm. For budgetary reasons sometimes only one syringe is utilized initially with the understanding that the results of the first treatment will not last as they would otherwise. To maintain the ideal result it may only take one syringe in the future.
How is Juvederm™ different from BOTOX® Cosmetic?
Juvéderm™ is used to treat wrinkles and folds resulting from a loss of volume beneath the surface of the skin such as in the nasolabial folds. BOTOX® Cosmetic relaxes muscle activity and is used to treat moderate to severe lines caused by repetitive muscle activity. Common areas where BOTOX Cosmetic is used includes the area between the eyebrows (the glabellar area), crows feet region and in the forehead. It is very common for Juvederm and BOTOX Cosmetic to be used in combination for long lasting, exciting results.
Is treatment with Juvederm™ injectable gel painful and is downtime required after treatment?
Juvederm injections are tolerated quite well. Some patient’s desire pre-treatment with topical anesthetic. For lip enhancement we recommend local anesthetic injections similar to what a dentist provides. There is no discomfort after the procedure. If there is mild swelling or bruising, this is generally short lived.
What are the possible side effects of JUVÉDERM™?
Most side effects are mild in nature, and their duration is short lasting (5 days or less). The most common side effects include, but are not limited to, temporary injection site reactions such as: redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, and discoloration. As with all skin injection procedures there is a risk of infection. Complications are very rare with Juvederm.
What are the pretreatment recommendations?
For a one week period before injections, we suggest avoiding St. John’s wart, high doses of vitamin E, aspirin (unless prescribed by physician), advil, nuprin and other agents that can increase bruising. If you are prone to cold sores we may want to institute antiviral therapy such as Famvir or Valtrex. There is no pre-treatment allergy skin test required before the use of Juvederm.
Can people with different skin tones/colors be treated with JUVÉDERM™?
Yes. In fact, Juvéderm™ injectable gel is the first FDA-approved hyaluronic acid dermal filler that has proven its safety and effectiveness in persons of color. Studies with Juvéderm™ showed no increased risk of hyperpigmentation or hypertrophic scarring in patients of color.
Why should I choose the physicians of Reflections to undergo filler injections?
Dermal filler injections are one of the most common procedures performed at Reflections. We utilize all of the FDA approved fillers and are thus able to tailor a treatment to your needs. Some of the fillers offered include Restylane, Juvederm, Perlane, Juvederm Ultra Plus, Radiesse, Cosmoderm 1 and 2, Sculptra, Hylaform, Captique and Cosmoplast.
The physicians will discuss the specific advantages and uses of each of these products and work together with you to decide the best treatment option. The filler to be utilized for you will be based on depth of creases, location to be used, longevity, cost as well as other factors.
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