Juvederm is an excellent treatment option for:

                                                  Juvederm injected under the eyes

                                                      Juvederm injected into the lips

• 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: 

• Bruising

• Tyndall Effect - injections in the "tear trough"

• Swelling

• Asymmetry

• Granulomas

• Lumps or bumps

• keloid formation or hypertrophic scarring

• Not permanent - needs to be re-injected every 6 - 12 months

• Chronic allergies to hyaluronic acid fillers can occur
  
  
   

DISADVANTAGES:

• Bruising

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).


 

• Tyndal Effect

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

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.


 

• Asymmetry

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

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)


 

• Lumps or Bumps

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.