Juvederm®  is made of hyaluronic acid, a naturally occurring substance in the body that helps to hydrate and add volume to the skin.

Juvederm®  is one of the most popular fillers used in America, and has been FDA-Approved for use in cosmetic treatments since 2006. It takes 15 to 20 minutes to perform Juvederm injections. The results are immediate and actually improve over the following week. This is because Juvederm is a hydrophilic filler, meaning that it absorbs and holds on to water easily, creating a nice plumping effect.

This is perfect for areas like the lips and cheeks where we want to get a plumping effect, but you can probably guess that this doesn’t work well for other areas. For example, under the eyes, where puffiness is definitely not the desired result.

That’s why Juvederm is just one of the many dermal fillers we carry. We know there’s no one filler that’s great at everything, so we use Juvderm only for where it’s the best option.

“From the very first treatment with Juvederm, I could see a dramatic difference in the way I looked… It has been over a year now & the results are dramatic, incredible, & natural! People tell me I look absolutely amazing & mistake me for being in my twenties!”
–Anonymous Patient of Reflections, on RateMDs.com

BEFORE & AFTER PHOTOS

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What Results can Juvederm® create?

JUVEDERM injectable filler is probably best known for its popularity as a lip filler, but it can be used nearly anywhere on the face to help smooth moderate to severe facial wrinkles and folds1.

Juvederm’s Best Uses:

Juvederm Lip Filler

Juvederm really became a household name as lip fillers became popular over the past several years. It’s the most popular filler for lip injections because it is the most hydrophilic filler on the market, and that ability to swell and hold onto water gives lips a “bee stung” appearance that so many younger patients are looking for.

You can learn more about lip injections here.

What is Juvederm filler not a good choice for?

Juvederm is a really versatile filler, but because it has a tendency to attract and hold onto water, causing it to swell, it’s a bad idea for the under eyes. Under eye filler is a very popular procedure at our office, we just don’t use Juvederm for that.

We also don’t use Juvederm for patients who want smoother or more defined but not bigger lips. We have better options for that.

Finally, Juvederm doesn’t provide the firm lift that Voluma or Lyft can, and for that reason, we tend not to use it for lifting the cheeks. It can be used to softly fill the cheeks, and to add volume, but it simply can’t lift in the way some other fillers or threads can.

How much does Juvederm Cost?

Price is probably one of the most common questions we get when it comes to dermal fillers. Juvederm is our most affordable filler, at $650 per syringe.

How many syringes of Juvederm do I need?

For the vast majority of our patients, the answer is 1 syringe of Juvederm is all you need. A single syringe of Juvederm, carefully placed by skilled injectors, can make a big impact.

First, Juvederm swells, as we’ve mentioned before. That effect typically occurs in the first week or two, and after that the filler “settles” into its final result. So we often recommend a single syringe per treated area per visit, with at least 2 weeks before more filler is added, for that very reason. Not all fillers work this way, but you don’t want to fill to perfection with Juvederm only to have to swell and look weird later.

Now, the number of syringes you’ll need to achieve your goal results is individual to you, and we can’t give you a precise estimate until we see you in person for an evaluation. However, we can give you rough ideas based on what we typically use for a given treatment area.

Most patients wanting Juvederm lip filler will need a single syringe to create the results they’re after. Occasionally, lip filer patients will need 2 or 3 syringes, though. In that case, we always suggest 1 syringe per appointment, to ensure we’re not overdoing it (and also to reduce your chances of bruising).

Nasolabial folds (smile lines) generally take 1 syringe of Juvederm. When they’re more severe, we often lift the cheek from above using Voluma or Lyft.

Jawline contouring often takes 2 syringes of Juvederm or 1 of Juvederm plus a syringe or two of other fillers. This is because the jawline often needs a significant amount of filler to replace lost volume.

Cheeks almost always take 2+ syringes of filler, though we often use 1 syringe of Juvederm along with other fillers when restoring or lifting the cheeks.

Acne Scarring usually only takes 1 syringe of Juvederm because you’re filling in such small spaces behind scars. Most patients who have this treatment will have “leftover” filler which we can use in other areas (since excess filler cannot be saved for future use).

Frown creases generally require 1 or less than 1 syringe of Juvederm filler, and many of these patients find they’re able to treat other areas with the excess.

Frequently Asked Questions about Juvederm

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 skin1.

How long do the results last?

The FDA recently cleared JUVEDERM® for longevity of one year1. Some individuals may find the result begins to wane after about six months and additional treatment is 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 future2.

Factors that influence how long your Juvederm results will last:

  • Was enough Juvederm (or other filler) used to create the full desired result?
  • Was Botox used to slow down any repetitive motion that can speed up breakdown of Juvederm?
  • Was the Juvederm placed in a high-movement area, like around the mouth?
  • Was the Juvederm mixed with your own growth and healing factors to increase longevity?
  • Do you have a high metabolism? Certain individuals just metabolize filler much faster than others

Will I need more than 1 syringe of JUVEDERM?

Whether treating the lips, nasolabial folds, cheeks, or elsewhere, many patients will be happy with the results from just a single syringe of Juvederm. However, there are patients who will need more than 1 syringe of Juvederm to get the results their after. Lips are a great example of where this might happen, especially for those who are trying to dramatically reshape or increase the size of their lips.
In the case of using multiple syringes of Juvederm for lip augmentation, we typically recommend that patients “stage” their treatment – in other words, you will need to have injections done more than once to achieve a natural result when using more Juvederm in the lips.

Above, we discuss in more detail how many syringes we typically use in a given area, but you will be given a personalized estimate and price quote during your free consultation with one of our physician injectors.

How is JUVEDERM® different from BOTOX® COSMETIC?

JUVEDERM® 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 is used include the area between the eyebrows (the glabellar area), the crow’s feet region, and in the forehead. It is very common for JUVEDERM® and BOTOX 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 patients 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.
The image below shows a patient before, immediately after injection, with some swelling, and then 3 weeks later, when the swelling would have long-since resolved.
Click to see more of her photos

What are the possible side effects of JUVEDERM?

Swollen After Juvederm lip fillerMost side effects are mild in nature, and their duration is short lasting (five 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 JUVEDERM1.

What are the pretreatment recommendations?

One week before injections, we suggest avoiding St. John’s Wort, 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 JUVEDERM?

JUVEDERM injectable gel was the first FDA-approved hyaluronic acid dermal filler to be proven safe and effective for dark, tan, and olive skin tones. Studies with JUVEDERM showed no increased risk of hyperpigmentation or hypertrophic scarring in patients of color3.

Why should I choose the physicians of Reflections for dermal filler?

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, Restylane Silk, Restylane Lyft (previously Perlane), JUVEDERM, JUVEDERM Ultra Plus, Voluma, Sculptra, Radiesse, Belotero,and Bellafil (previously Artefil).

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.

Sources:

1. Juvederm FDA Clearance http://www.accessdata.fda.gov/cdrh_docs/pdf5/p050047a.pdf

2. Annelyse C Ballin, Alex Cazzaniga, and Fredric S Brandt; http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3739705/”>Long-term efficacy, safety and durability of Juvéderm® XC; Clin Cosmet Investig Dermatol. 2013; 6: 183–189.Published online 2013 Aug 5. doi:  10.2147/CCID.S33568 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3739705/

3. Grimes, P. E., Thomas, J. A. and Murphy, D. K. (2009), Safety and effectiveness of hyaluronic acid fillers in skin of color. Journal of Cosmetic Dermatology, 8: 162–168. doi: 10.1111/j.1473-2165.2009.00457.

*Results May Vary from patient to patient. Juvederm is one of many FDA-Approved dermal fillers. Each filler has its own strengths, weaknesses, risks, and best uses. Our expert injectors do not recommend Juvederm for all patients, or in all cases. We feel selecting the filler to best suit your needs and desires is best done by a physician who specializes in dermal filler injectors, after an in-person examination. Your consultation will include a discussion about realistic expectations and recommendations for treating your concerns.

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Dr. Mitchell Chasin founded Reflections Center for skin & body as a place where physicians specializing in cosmetic medicine could focus on helping empower patients to feel their most beautiful. Dr. Chasin believes strongly that the best cosmetic physicians are those who are dedicated to mastering their craft through continuing education and collaboration with the industry’s top doctors.