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Juvederm Dermal / Lip Filler

 

 

                                          

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There are 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.

 

  • Even 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 Restylane.

 

  • 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.
     

 

 

                                                       Juvederm Packaging

                              Juvederm Ultra and Juvederm Ultra Plus Packaging

 

 

 

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 Ultra & Ultra Plus XC with lidocaine

 

 

Juvederm is an excellent treatment option for:

  • Lip enhancement

  • Deep folds

  • Facial lines

  • Wrinkle correction 

  • Shaping facial contours (such as cheeks and chin correcting)

  • Smile lines (correcting thin, superficial lines around the eyes, mouth and forehead)

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                                                      Juvederm injected under the eyes

                                       Juvederm injected into the under-eye hollows or "tear troughs"

                                                                    

     

     

                                                          Juvederm injected into the lips

                                       Juvederm injected for lip augmentation

     

     

     

     

    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 Voluma -hyaluronic acid filler

                                                   Photo image courtesy of JuverdermUltra.co.uk

     

    ADVANTAGES of Juvederm VOLUMA

    • Lower incidence of adverse reactions

    • No nodules or granulomas

    • No product migration

     

                                              Juvederm VOLUMA molecule vs. Restylane SUB-Q molecule

                                                   Photo image courtesy of JuverdermUltra.co.uk

     

     

     

     

    ADVANTAGES OF JUVEDERM:

    • 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 nasolabial fold.

    • Juvederm 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 of color.

     

    DISADVANTAGES OF JUVEDERM: 

     

    DISADVANTAGES:

     

    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 area.


     

     

     

    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 granuloma first.

    If it is indeed a granuloma - the following cortisone injectable solution is Kenalog (triamcinolone acetonide solution with lidocaine - at 2.5 mg/mL concentration)


     

     

     

    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.

     

     

     

     

     

     

     

     

     

     

     

     

     

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