some distinct difference between Juvederm and other hyaluronic acid fillers:
Juvederm is also a
hyaluronic acid filler like Restylane,
however there is much less swelling with Juvederm because it tends to absorb
less water. This seems to be a distinct advantage in the lip area.
Juvederm comes packaged as
a 0.8 cc syringe vs. Restylane being packaged as a 1.0cc syringe.
though this product’s syringe is smaller in quantity of filler, Juvederm
Ultra has a much higher concentration of hyaluronic acid in the material
which gives it about the same amount of hyaluronic acid seen in Restylane.
Juvederm differs from
Hylaform and Restylane because instead of being a gel broken into smaller
particles, it is a homogenous gel.
Juvederm also comes in a
Ultra Plus formulation which is about 20% thicker than its sister
product Juvederm Ultra.
Juvederm Ultra Plus is a
great filler for the deep
nasolabial folds and tends to last a
little bit longer than Juvederm Ultra.
If lumps should occur with
Juvederm - they can be dissolved with hyaluronidase or "Wytase" like
The longevity of Juvederm
is around three to nine months. This filler tends to last longer in the
areas of the face with less movement. The lip area tends to see the shortest
amount of time due to the fact of the constant movement of the mouth.
JUVÉDERM® Ultra XC, and JUVÉDERM® Ultra Plus XC is
indicated for injection into the mid-to-deep dermis for correction of moderate
to severe facial wrinkles and folds (such as nasolabial folds or smile lines).
This was formulated to help with the injections to produce a more pain free
experience for patients. Nine out of ten patients reported less pain with
the new formulation with lidocaine - JUVÉDERM® Ultra XC and JUVÉDERM® Ultra Plus
XC than the regular Juvederm Ultra and Ultra Plus.
JUVÉDERM® Ultra XC and JUVÉDERM® Ultra Plus XC
should not be used in patients with a history of allergies to lidocaine
Juvederm VOLUMA is a brand new
formulation of Juvederm (hyaluronic acid filler). It was formulated
specifically to restore volume in the cheeks, cheekbones, and chin - which is
suited for larger scale facial area to restore youthfulness.
Juvéderm VOLUMA was developed
to be smoother than other hyaluronic acid fillers, making it easier to inject
during treatment and resulting in a smooth, natural look and feel.
Juvederm is considerably easier to
inject and softer than Restylane. The softness of Juvéderm allows less injection
pressure and molding pressure when providing injections making it an excellent
choice for augmentation of the
tear trough and the
is the ONLY hyaluronic acid filler FDA approved to last up to 1 year.
The manufacturing process provides a high concentration of cross-linked
hyaluronic acid for long-lasting results. It also works to create a smooth
consistency gel that flows easily into the skin and provides a smooth, natural
look and feel. All other hyaluronic acid dermal fillers currently on the market
are made of granular consistency gels.
Juvederm is also the first hyaluronic
acid dermal filler that has demonstrated its safety and effectiveness in persons
Bruising with facial / dermal fillers can commonly occur
during injections, but generally speaking the bruising should not last anymore
than five to seven days. Bruising is usually avoided or minimized by avoiding
aspirin, ibuprofen or other
medications that can thin the blood.
Ask your physician if using Arnica gel or Bromelian will
help resolve any residual bruising from the injections.
If the bruising is not resolved on it's own, some physicians will recommend a non-invasive laser
treatment (Intense Pulse Lasers - or Pulse Dye Lasers).
There is a distinct difference between normal bruising and the Tyndall Effect
(which is common with hyaluronic acid fillers in the tear trough area not being
injected under the muscle).
The "Tyndall Effect" occurs when a dermal filler, such as
Juvederm or Restylane
(or any hyaluronic acid filler), is injected too close to the surface of the
skin. The Tyndall Effect causes the skin to take on a bluish tint and is often
mistaken for bruising. Injecting under the muscle in the tear trough area of the
eye should avoid the possibility of this from happening.
If the Tyndall Effect occurs, your physician can correct this with injecting a
little hyaluronidase or "Wytase" to help dissolve the filler in this
Swelling typically lasts anywhere from seven to ten days
after injection with a hyaluronic acid filler like Juvederm. If the injections
were in the
tear trough, swelling tends to last longer in that area. Swelling
and pain that persists pasts two weeks is not normal - and should be brought to
your physician's attention immediately.
Unevenness may be due to differential swelling after the
injection of Juvederm. Most physicians will want their patients to wait at least
two weeks to make sure there really is an asymmetry problem. If there is still a
significant asymmetry problem after the swelling resides, then you have one of
two choices to make. Either to get more Juvederm in the area that is smaller in
size or to have "Wytase" (hyaluronidase) injected into the side that has
more filler to help dissolve some of the product.
Granulomas from Juvederm are very rare. Sometimes a "granuloma"
can be mistaken from too much residual Juvederm. It is advised by most
physicians to first treat as a build up of too much Juvederm with "Wytase" or
hyaluronidase to help dissolve the filler first before going for injections of
Kenalog. Injections of Kenalog have a tendency causing an atrophy effect in the
surrounding tissue, so it is very important to make sure it is indeed a
If it is indeed a granuloma - the following cortisone injectable solution is
Kenalog (triamcinolone acetonide solution with lidocaine - at 2.5 mg/mL
When Juvederm is injected too close to the surface, bumps
can occur. Juvederm also needs to be injected evenly - bumps or lumps can occur.
It is very important that you go to an injector with lots of experience to
minimize this from happening.