Juvederm Ultra & Ultra Plus

https://www.reflectionscenter.com/new-jersey-medical-spa/dermal-fillers/juvederm-ultra-plus/nYes, Juvederm can be dissolved using hyaluronidase or hylenex. Our practice, unfortunately, sees many patients each week that need filler injected by other providers dissolved and revised. With Juvederm, the most common complaint is lumps and bumps, especially in the lips. We do recommend you wait at least 2 weeks after your initial injection to make any decision about dissolving, since swelling can mimic bumpy filler for at least the first few weeks. Our physician injectors will evaluate you for revision and dissolving of filler during your free consultation. Please contact us to schedule a consultation if you are considering dissolving your Juvederm.

fillers/juvederm-ultra-plus/nWe do not usually inject less than 1 syringe of Juvederm.

Yes, but only after 1 hour has passed since injection, and you'll need to be more careful than usual about cleanliness as you apply your makeup. Thoroughly wash your hands and brush/makeup applicator prior to applying makeup, and avoid covering the injection insertion points for 24 hours.

Any filler in the wrong hands may cause complications including damage to the skin and/or blindness. That is why it is so important to use an experienced and skilled injector.

Yes, but it should not if it is injected properly and you take the proper post-injection precautions. Proper injection technique deposits filler into the right planes of the tissues and in the right droplet sizes, making it less likely to migrate. As for post-care, you'll want to avoid pressing and manipulating the treatment area for 36 hours, to allow filler to naturally settle into it's "new home." This doesn't mean you can't touch the area, but you wouldn't want to lay on your face to have a massage, for instance, or wear a tightly-fitting motorcycle helmet - for those 36 hours directly after injection.

Yes, Juvederm dissolves over time, as do all hyaluronic acid fillers. Generally, we say it lasts about 6-12 months. The rate of breakdown (or duration of result) is greatly affected in Juvederm specifically by the amount of movement in the area where it is placed. For instance, mouths move quite a lot, and Juvederm breaks down much faster here than it will in the nose, where the tissues move far less. The dissolving nature of Juvederm is what allows us to dissolve it with an enzyme if there is a complication or undesired result, and many patients very much like having this option available to them.

Juvederm is hydrophillic, meaning it loves water. It will draw water molecules to itself, and hold them in place in the skin. In this way, Juvederm sometimes appears to swell slightly, especially directly after it is placed. There is, obviously, a limit to the number of water molecules Juvederm's molecules can hold on to, so the effect is fairly mild and limited in nature. This is different than some other hyaluronic acid fillers, such as Restylane, which does not attract water. We cover this in more detail in our blog Restylane vs. Juvederm.

The natural-ness of your Juvederm result is completely dependant upon the skill and expertise of your injector. Think of Juvederm like paint and the injector like the painter. The result can be a masterpiece, or a mess - it totally depends upon the injector.

No, Juvederm itself stays the same. However, what you tend to feel immediately upon injection is firmness due to swelling and inflammation (think of how a newly-bruised area will feel like a firm bump). While we will do our best not to bruise you, you should expect swelling and firmness that will resolve within a few days, and will likely not be visible to others, but you will be able to feel it when you touch the area. As that swelling is dissipating, Juvederm will also be attracting water to itself, and these 2 effects happening simultaneously may feel as if Juvederm is softening.

You will see an immediate change from Juvederm, but your final results should be settled in by the 2 week mark, if not before. In the first few days, you will see and feel some swelling, and that usually is worst on the day after injection, and then usually mostly gone by day 3-5.

How long your Juvederm will last depends upon 3 factors:nnInjection techniquenLocation being injected (lips vs. cheeks vs. jawline)nYour metabolismnn Juvederm being placed in the right depth and plane within the tissue, and in the right size of droplets will affect how long the product lasts - and really how well it stands up to movement and metabolic processes.nThe location being injected determines the amount of movement that the product will have to endure. Juvederm is less durable under intense movement than some of the newer gel fillers, such as Refyne or Vollure.nFinally, certain individuals will notice they metabolize, or break down, hyaluronic acid fillers (which are long-chain sugar molecules) much faster than others. Many times, runners will complain they just seem to metabolize filler like no one else. There's no studies yet to show why this may be - whether it's the effect from intense cardio or whether those who enjoy running more commonly have a naturally higher metabolism - and it doesn't seem to happen for all runners. So it's just anecdotal for now. But you should be aware there does seem to be a subset of people for whom Juvederm and other fillers don't seem to last nearly as long. This subset is a true minority, but it is real.

Generally, 1-2 syringes of filler are needed for marionette lines. We often inject more than 1 type of filler for a given area, so that may be just 1 syringe of Juvederm, and 1 syringe of another filler, etc. We cover this in more detail on our blog

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Juvederm is not covered by insurance. Health insurance does not cover cosmetic treatments unless they are caused by a disease (not by natural aging). You should call your insurance carrier if you have questions about their coverage, as it does vary by plan. Our office does not accept health insurance for payment, but you may be able to submit treatments to them for reimbursement.

Although you “can” drink alcohol after Juvederm, it is best to wait 6 hours especially after having your lips injected. Both alcohol and salt consumption increase water retention/swelling and or bruising.

You can certainly use a single syringe of Juvederm across multiple locations in one treatment for one patient - for example, splitting the syringe between the lips and smile lines. However, it is not advisable you split a syringe between patients or between sittings, as this increases the risk of infection and contamination. nSome offices will sell half syringes of Juvederm, as you can get Juvederm in a half-sized syringe from the manufacturer. We do not sell half-syringes at our practice, since each 1ml standard syringe is equivalent to 1/5 of a teaspoon in volume. 1/10 of a teaspoon is just too small to make a visible change, and we find patients are really happiest with 1-2 full syringes of Juvederm, even for small tweaks to their looks.

Yes, absolutely you can wash your face after Juvederm. You want to first wash your hands thoroughly, and then be gentle as you wash your face so as not to rub vigrously or manipulate the filler (for the first 36 hours after injection) and to not irritate or rub into the injection insertion points.

Juvederm adds volume due to it being composed of Hyaluronic Acid. Studies have shown that Juvederm injections do increase/stimulate some collagen production.

You will see immediate volumization with Juvederm which varies according to the area injected. For example, lips look plumper, nasal labial folds are softened and temple deficits are improved all giving you a more youthful look and feeling!

When Juvederm is injected by a qualified and experienced injector the potential for “filler lumps” is dramatically reduced. Most lumps are broken down by your body’s own mechanism and resolve on their own. If they do not smooth out in 2 weeks, your injector can dissolve them.

One of the best ways to help your Juvederm last longer, and to save you money in the long term, is to have your next treatment before this treatment fully wears off. We cover this in more detail in our blog "How to Make Your Filler & Botox Last Longer".

There is no reason medical Juvederm cannot be injected 1 syringe immediately after another. nHowever, like all injections, swelling is expected and naturally occurs with Juvederm injections. Generally, after we've placed 1-2 syringes (depending upon the individual), swelling will start to distort the area a little bit. At which point, we will stop injection and allow that swelling to subside over the course of 2 weeks. This is how we ensure our results are precise and natural-appearing. For this reason, patients wishing to achieve a bigger transformation for any single area may need to have their treatments staged over a couple of treatments. However, this is the exception, not the rule. Most patients are very happy with the results from 1-2 syringes in a single area.

Juvederm is not very painful in the way we perform the injections.nPatients should expect to feel a small pinch as we make the insertion points, but because the product is mixed with numbing lidocaine and most commonly injected with a blunt-tip cannula, the rest of the procedure feels like pressure, not pain. nThis procedure can be completely numbed for, as your dentist does before filling a cavity, for those who are particularly sensitive.

Bumps and lumps are not expected with Juvederm. Contact your injector and let them know if you are experiencing lumps or bumps.

While both Juvederm and Botox can help you look and feel refreshed and more youthful they treat different signs of aging. For example, Juvederm is used to in deep creases like the nasal labial folds to restore your natural contour, in your lips to restore youthful volume. Botox is used to slow down lines created by overactive muscles such as crow’s feet and frown lines. They both treat premature signs of aging

Patients age 18 or older are suitable candidates for Juvederm. You should start Juvederm at any age over 18 when you desire to make a change to your appearance.

Juvederm is a hyaluronic acid(HA) filler that plumps and fills the skin. It should only be injected by doctors, physician assistants (P.A.), or ARNPs in a medically safe environment, by New Jersey's legal standards. In the hands of a skilled and experience injector, it is very safe and can create very natural results to either tweak your appearance, or restore the changes made by aging.

Juvederm came out in 2006 - or received approval by the FDA, based on a clinical trial that determined its safety and efficacy.

Juvederm and Restylane both tend to last around the same amount of time when injected in a similar style, in the same location, and in the same patient. **Please link to FAQ about duration of result answered above here**

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.