First-Time Guide to Juvederm

Juvederm is a collection of hyaluronic acid-based dermal fillers designed to smooth facial wrinkles, restore lost volume, and enhance natural contours. Each product in the Juvederm line is FDA-approved for specific facial areas, including the undereyes, cheeks, lips, jawline, and chin. Dr. Michele Green in NYC was one of the first physicians to incorporate Juvederm injectables in her private NYC dermatology practice. Hyaluronic acid, the main ingredient in Juvederm, is a naturally occurring substance in the body that attracts and retains moisture, giving the skin a hydrated and youthful appearance. By replenishing volume that has decreased over time, Juvederm can soften lines and folds while maintaining natural facial expression and movement. Many people choose Juvederm because it provides visible improvement without surgery or lengthy recovery, making it suitable for patients seeking a subtle lift, facial rejuvenation, and better balance.

Juvederm fillers use advanced cross-linking technology to create a smooth gel that blends seamlessly into the skin, delivering soft, natural-looking results that last. Each product in the Juvederm collection is designed for a specific purpose, from subtle lip enhancement to restoring cheek volume or creating a sharper jawline. The procedure is quick, comfortable, and carefully tailored to each patient’s facial structure, aesthetic preferences, and goals. Most individuals see instant improvement, and because downtime is minimal, Juvederm is often chosen by those who want to look refreshed for upcoming events or simply feel more confident in their daily appearance. A board-certified dermatologist like Dr. Michele Green customizes every Juvederm treatment plan so results appear elegant and natural, ensuring the face looks balanced and rejuvenated.

Dr. Michele Green is an internationally recognized, board-certified dermatologist with over 25 years of expertise in cosmetic dermatology and facial rejuvenation. Known for her ‘less-is-more’ philosophy, she emphasizes enhancing her patients’ natural beauty rather than radically altering their appearance. With a keen eye for detail and a deep understanding of facial anatomy, Dr. Green personalizes each Juvederm treatment to deliver results that appear effortless and natural, perfectly aligning with each patient’s aesthetic goals. Consistently recognized by Castle Connolly, New York Magazine, and Super Doctors as one of New York City’s top dermatologists, Dr. Green combines her medical skill with an artistic touch at her private practice on Manhattan’s Upper East Side, providing subtle, beautiful, and durable rejuvenation.

What is Juvederm?

Juvederm is a family of injectable dermal fillers made of hyaluronic acid, a substance naturally present in the body. Hyaluronic acid attracts and retains moisture, giving the skin a hydrated, youthful appearance. This extra hydration helps improve skin smoothness and texture. It also supports collagen and the skin’s internal structure, helping to maintain firmness and elasticity. The Juvederm collection includes six types of fillers, all FDA-approved for adding volume, smoothing wrinkles, and enhancing facial contours in areas such as the cheeks, lips, chin, and jawline, depending on the specific formulation. The gel is produced with advanced cross-linking Vycross technology, which helps it retain its shape and provides long-lasting, natural-looking results. Hyaluronic acid can be broken down by an enzyme called hyaluronidase if necessary. Juvederm is widely considered a safe and effective choice for non-surgical facial rejuvenation when administered by an experienced injector.

What makes Juvederm a good choice for lip fillers?

Juvederm is an excellent choice for lip enhancement because of its smooth, hyaluronic acid-based formula that naturally blends into the delicate lip tissue. Hyaluronic acid is a substance already found in the body, allowing Juvederm to produce soft, hydrated, and natural-looking results that move comfortably with facial expressions. Several Juvederm products are specifically designed and FDA-approved for lip augmentation and fine lines around the mouth, including Juvederm Volbella XC for subtle definition and Juvederm Ultra XC for added volume. The lidocaine in these fillers makes the treatment more comfortable and helps reduce discomfort during injection. Juvederm can also be safely adjusted or dissolved if necessary using an enzyme called hyaluronidase, offering extra reassurance for patients. When administered by a skilled dermatologist like Dr. Michele Green, Juvederm can be precisely used to shape and define the lips while maintaining natural balance and proportion. Dr. Green carefully evaluates each patient’s facial structure, lip shape, and aesthetic goals before treatment to ensure the final result appears soft and harmonious rather than overdone. Her approach emphasizes enhancing the lips’ natural curves and symmetry, resulting in a refreshed look that complements the rest of the face.

Why do people want Juvederm treatments?

People choose Juvederm because it provides a simple, non-surgical way to refresh and improve their natural look with little to no downtime. It appeals to those who want to appear more rested and youthful without major changes. Dr. Green takes a less-is-more approach with dermal fillers to ensure each result looks soft, balanced, and natural. As we age, the face gradually loses volume in areas like the cheeks, temples, and jawline, which can make the skin look tired or less defined. Juvederm helps restore lost volume, enhance facial contours, and subtly improve features such as the lips and chin, boosting overall symmetry. Treatments are quick, customized, and deliver results that are visible but natural, helping patients look refreshed and confident without altering their unique appearance. The confidence gained from smoother, more even skin and better-defined facial contours is often what attracts people to Juvederm, especially those seeking gradual, natural-looking rejuvenation rather than a dramatic change.

Are Juvederm dermal fillers safe?

Yes, Juvederm dermal fillers are considered safe for first-time patients when administered by a qualified, experienced injector. Each product in the Juvederm collection has been carefully tested and approved by the FDA for specific cosmetic uses, such as restoring cheek volume, enhancing the lips, or smoothing facial lines. The fillers are made with hyaluronic acid, a naturally occurring substance in the skin, which helps reduce the risk of allergic reactions or adverse effects. Most side effects, like mild redness, tenderness, or swelling, are temporary and resolve within a few days. Another benefit of Juvederm is that it can be dissolved if needed, providing added reassurance for new patients. Juvederm has been safely used for many years and remains one of the most trusted filler treatments among dermatologists and patients.

What should I do before getting Juvederm for the first time?

Preparing properly for your first Juvederm treatment can help ensure smooth results and reduce the risk of bruising or swelling. Start by avoiding alcohol, aspirin, non-steroidal anti-inflammatory drugs (NSAIDs), and supplements like fish oil and vitamin E in the days before your appointment, as these can increase bleeding and bruising at injection sites. It’s also recommended to avoid using strong skincare products containing retinols, exfoliants, or acids for 48 to 72 hours prior to treatment and to avoid waxing near the treatment area. When you arrive, Dr. Green will review your medical history and aesthetic goals to select the appropriate Juvederm formulation. Following these steps before your appointment enhances your skin’s response to the treatment, minimizes the chance of bruising, and helps you feel comfortable and confident during your first Juvederm session.

What are the common side effects of getting Juvederm fillers?

After a Juvederm treatment, it is normal to experience mild, temporary side effects such as swelling, redness, tenderness, or small bruises at the injection sites. Bruising can happen when the needle passes near a small blood vessel during treatment. These side effects are common with any injection and usually resolve within a few days to a week as the skin adjusts. Some people might also notice slight firmness or small bumps, which clear up as the filler settles. Bruising or swelling can be more noticeable in areas like the lips, where the skin is thinner, but these effects fade naturally. They can be lessened by avoiding alcohol, exercise, and heat immediately after treatment. Serious side effects, such as infection or vascular blockage, are very rare when an experienced injector gives Juvederm. Juvederm is made from hyaluronic acid, a substance naturally present in the skin, and is generally well-tolerated and considered one of the safest options for non-surgical facial rejuvenation.

What post-treatment steps should I follow after getting Juvederm?

After your Juvederm session, it is crucial to follow the aftercare instructions to promote proper healing and achieve optimal results. During the first 24 to 48 hours, avoid hot tubs, hot showers, strenuous exercise, and alcohol, as they can increase blood flow and swelling in the treated areas. Stay upright and avoid lying face down, especially if your lips or cheeks were treated. Applying a cool compress to the treatment site can help reduce swelling and bruising. Do not massage or put pressure on the treated area, and avoid using straws, as these measures help the filler settle properly without migrating. Gently clean the area, but avoid exfoliants or active skincare ingredients within 24 to 48 hours of the injection site. Use broad-spectrum sunscreen and avoid intense sun exposure until redness or swelling subsides. Finally, schedule a follow-up appointment so you and your provider can monitor the filler and ensure your results look natural and balanced.

Who is the best candidate for Juvederm filler treatment?

Ideal candidates for Juvederm are healthy adults looking to restore lost facial volume, smooth wrinkles, or subtly enhance their natural features without surgery or downtime. Juvederm is ideal for those early in the aging process who show signs such as fine lines, folds, or mild volume loss in areas like the cheeks, lips, or jawline. It also works well for individuals aiming to improve facial symmetry or definition while maintaining a natural appearance. Patients with realistic expectations and healthy skin usually achieve more balanced and longer-lasting results. Each treatment is customized to the person’s specific needs, ensuring the results complement their facial structure and aesthetic goals.

Is Juvederm safe for first-time filler patients?

Juvederm is considered a reliable option for first-time filler clients. Its formulas contain hyaluronic acid, a naturally occurring component of the skin. Mild swelling, redness, or bruising may happen immediately after treatment, but these side effects are temporary and typically improve quickly. Juvederm is FDA-approved for cosmetic use and has been effectively used for many years, giving most patients confidence in selecting it as their initial filler. The key to achieving a safe, natural-looking result is choosing an experienced, board-certified injector who uses proper techniques and selects the right Juvederm formula based on the patient’s facial anatomy and goals.

Who should avoid getting Juvederm fillers?

Pregnant or breastfeeding patients should postpone the procedure, as Juvederm has not been tested during these times. Anyone with a history of severe allergies, an allergy to lidocaine, or hypersensitivity to hyaluronic acid should also avoid Juvederm. It is not recommended for individuals with active skin infections, cold sores, or inflammation at the intended injection site until the area has fully healed. People with bleeding disorders, certain autoimmune conditions, or those taking blood-thinning medications should inform their injector, as these can increase the risk of bruising or other complications. A thorough consultation and review of medical history are essential to determine if Juvederm is appropriate and to ensure the treatment is done safely.

What are the different types of Juvederm dermal fillers?

There are various types of Juvederm dermal fillers, each designed for a specific purpose and texture. During your consultation, Dr. Green assesses your facial anatomy and aesthetic goals to select the most appropriate formula for your needs. The chosen filler depends on the area being treated, the amount of volume required, and whether a softer or more structured look is desired.

Juvéderm® Ultra: a soft hyaluronic acid filler used to smooth mild to moderate facial folds, such as smile lines and marionette lines, and to add volume to the lips. Results usually last about 9 to 12 months.

Juvéderm® Ultra Plus: a thicker gel than Juvederm Ultra, designed to treat deeper facial folds and more significant volume loss. It can also be used to create fuller lips for patients seeking a more dramatic lip enhancement. Results typically last around 9 to 12 months.

Juvéderm® Voluma: designed to lift and restore volume in the cheeks and midface, and also FDA-approved for chin augmentation. Its firmer consistency helps contour and enhance facial shape. Results can last 12 months or longer.

Juvéderm® Vollure: formulated to smooth moderate to severe facial folds such as nasolabial folds, while maintaining movement and natural facial expressions. Results may last up to 18 months.

Juvéderm® Volbella: a thinner, smoother formula used for subtle lip enhancement and softening fine lines around the mouth, and can also improve hollowing under the eyes. Results last up to 12 months.

Juvéderm® Volux: a high-density gel designed to define and sculpt the jawline and chin, offering strong structural support in the lower face. Results can last up to 12 months.

How does Juvederm differ from Botox?

Juvederm and Botox are both popular non-surgical cosmetic treatments, but they work in entirely different ways. Juvederm is a hyaluronic acid-based dermal filler that adds volume to the skin, fills in lines and folds, and can enhance facial features like the lips, cheeks, and chin. It physically replaces volume lost due to aging or genetics. Botox, however, is not a filler. It is a neuromodulator that temporarily relaxes the muscles responsible for expression lines such as frown lines, forehead lines, and crow’s feet. Botox reduces wrinkles caused by repeated facial movements, while Juvederm smooths and shapes areas in need of more volume or definition. Many patients find that using both treatments together is beneficial, as they target different signs of aging.

What should I expect during my first Juvederm treatment?

Your initial Juvederm appointment begins with a personalized consultation, during which Dr. Green assesses your facial anatomy, reviews your medical history, and discusses your aesthetic goals. During the injection process, Dr. Green uses precise placement techniques to control the depth and distribution of the filler, ensuring the results look balanced and natural. In this session, Dr. Green helps you choose the filler that will deliver the most natural, flattering results for your specific concerns. If Juvederm fillers are the best option, the treatment area is cleaned, and a topical numbing cream is applied for comfort. The Juvederm fillers also contain lidocaine, a gentle numbing agent that minimizes discomfort during injection. Using a fine needle or cannula, Dr. Green carefully injects the filler into targeted areas to restore volume, smooth wrinkles, and refine facial contours. The procedure duration varies depending on the number of areas treated. Results are visible immediately, though the filler may take up to two weeks to fully settle into the skin. Before you leave, Dr. Green provides personalized aftercare instructions to reduce swelling and promote healing, helping you enjoy smooth, natural-looking results that last.

How much swelling happens after Juvederm?

Some swelling after Juvederm is normal, especially for first-time patients. The treated area may appear slightly fuller immediately following the procedure, as both the filler and the body’s natural response cause temporary puffiness. Swelling typically peaks within the first one to two days and then gradually subsides on its own. Areas like the lips may swell more noticeably due to their delicate tissue, while regions such as the cheeks or jawline tend to experience milder swelling. Applying a cool compress and avoiding strenuous exercise, alcohol, or excessive heat for the first 24 to 48 hours can help reduce swelling and promote faster healing. Most patients find that any residual puffiness diminishes within a week, revealing soft, natural-looking results once the filler has fully settled.

When can I return to my normal routine?

Most people can resume their normal routine shortly after getting Juvederm, as the procedure involves very little downtime. It’s common to experience mild swelling or tenderness in the treated areas on the same day, but this typically doesn’t interfere with talking, eating, or working. It’s best to avoid strenuous exercise, heat exposure, and alcohol for the first 24 hours, as these can increase swelling or bruising. Makeup should be avoided for the first 24 hours to keep the injection site clean during healing. After the first day, most patients feel comfortable returning to their usual social plans and routines as the filler continues to settle.

When will I see results from my first Juvederm session?

Patients see results from Juvederm immediately, as the filler restores volume and enhances facial contours for a refreshed, youthful appearance. Although the improvement is visible right away, the filler continues to settle over the next few days as the skin adjusts and swelling gradually decreases. During this period, the product naturally integrates into the surrounding tissue, resulting in softer, more balanced outcomes. By about two weeks, the results appear smooth, even, and fully settled. At this point, patients can schedule a follow-up with Dr. Green to ensure the outcome aligns with their goals and to determine if any minor adjustments are needed for the best possible results.

How long does Juvederm take to settle?

Juvederm provides immediate volume and smoothness, but it takes time for the filler to settle and fully integrate with the surrounding tissue. In the first few days, mild swelling or firmness is common, which can make the treated area appear slightly fuller than it will in the final result. As the swelling decreases and the hyaluronic acid gel naturally blends into the skin, the results become softer and more refined. Most patients notice that Juvederm settles within one to two weeks, depending on the treatment area and the specific product used. During this period, it is important to follow aftercare instructions, such as avoiding excessive pressure or massage on the area, to ensure the fillers are evenly distributed and achieve the best possible outcome.

How long does Juvederm last the first time?

The duration of Juvederm results varies from person to person and depends on several factors, including the specific product used, the area treated, and an individual’s metabolism. Usually, first-time patients can expect their results to last from a few months to a year, after which the filler gradually breaks down. Formulas like Juvederm Volbella and Ultra are often used in delicate areas, such as the lips, and typically have a slightly shorter lifespan. In contrast, thicker products like Juvederm Voluma, used for the cheeks, tend to last longer. Lifestyle factors such as sun exposure, smoking, and skincare routines can also influence how long the results last. With consistent maintenance and touch-up treatments, many patients can enjoy smooth, natural-looking results that enhance their confidence.

What areas can Juvederm treat for first-time patients?

Juvederm can be applied to various facial areas to restore volume, improve contours, and smooth fine lines. Each Juvederm product is specially formulated for specific treatments tailored to the patient’s individual features and goals. The Juvederm collection includes multiple specialized fillers designed for different facial regions, each offering a distinct texture, lift, and duration for natural-looking results.

Lips: Juvederm Ultra, Juvederm Ultra Plus, and Juvederm Volbella are perfect for subtly adding volume, defining the lip border, and smoothing fine lines around the mouth. Volbella has a thinner consistency that blends smoothly into the lips for a natural look, while Ultra and Ultra Plus provide more plumping for patients wanting a more noticeable fullness and definition.

Cheeks: Juvederm Voluma helps lift and shape the cheeks, restore youthful facial contours, and add fullness to the midface. Its thicker gel consistency offers strong structural support and long-lasting volume, often lasting 12 months or more.

Nasolabial folds (Smile lines): Juvederm Ultra, Juvederm Ultra Plus, and Juvederm Vollure effectively reduce deeper folds that extend from the side of the nose to the corners of the mouth. Vollure’s advanced cross-linked formula adapts to facial movement, while Ultra and Ultra Plus offer a slightly thicker consistency ideal for smoothing more prominent lines and folds.

Under Eyes: Juvederm Volbella can effectively diminish hollowness and shadowing beneath the eyes when injected with precise techniques. Its lightweight, smooth consistency makes it especially suitable for the delicate area under the eyes, helping reduce puffiness and creating a natural, refreshed look.

Jawline and Chin: Juvederm Volux is formulated to shape and define the jawline and chin, creating a more balanced and structured lower face. Its firm, cohesive gel offers excellent lift and contour, making it a popular choice for patients seeking sharper definition or improved facial symmetry.

Tips for First-Time Patients

There are a few simple steps that can help first-time patients have a smoother Juvederm experience. In the days before treatment, it is recommended to avoid alcohol, aspirin, ibuprofen, fish oil supplements, and other blood-thinning medications, as they can increase the risk of bruising. Some patients choose to take oral Arnica and apply topical Arnica gel before and after their appointment to support the body’s healing response. Arnica is an over-the-counter herbal option often used for bruising. After treatment, applying a cool compress can help calm swelling, but the area should not be rubbed or massaged. It is also best to avoid strenuous exercise, facials, saunas, and excessive heat for the first 24 to 48 hours. Makeup should be avoided for the first 24 hours, but afterwards, most patients feel comfortable covering any mild swelling or discoloration with makeup if desired.

Other Frequently Asked Questions (FAQs):

How painful are Juvederm injections for first-timers?

Most patients find Juvederm filler injections very tolerable, even if it’s their first cosmetic treatment. Since the fillers already contain lidocaine, a gentle anesthetic, discomfort during the procedure is minimal and short-lived. The sensation is often described as slight pressure or a brief pinch that quickly subsides as the product is injected. Areas with thinner skin, like the lips or around the nose, may feel a bit more sensitive, but overall, the experience is usually much easier than patients expect. Some may notice mild tenderness or swelling afterward, but this typically resolves within a day or two. Many first-time patients are pleasantly surprised by how quick and comfortable the whole process is, especially when performed by an experienced injector like Dr. Green, who uses precise technique to minimize pain and achieve smooth, natural results.

How much does Juvederm cost for a first treatment?

The cost of Juvederm for an initial treatment varies depending on several factors, including the specific formula used, the number of syringes required, and the injector’s expertise. Prices can also differ based on the treatment area and the amount of product needed. For instance, subtle lip enhancement may require fewer syringes than procedures such as restoring cheek volume or contouring the jawline. During your consultation, Dr. Green will evaluate your facial anatomy, discuss your goals, and recommend the most appropriate Juvederm product for you. Once Dr. Green determines the best fillers for your skin concerns, the office can provide a more accurate price estimate for your Juvederm treatment.

Can I go back to work after Juvederm?

Most patients can return to work and their usual daily activities immediately after a Juvederm appointment, as there is little to no downtime involved. The treatment itself is quick, and any mild redness or puffiness that appears right after typically subsides within a few hours. Some patients notice slight tenderness in the treated areas, but it doesn’t interfere with speaking, smiling, or normal facial expressions. A Juvederm procedure does not require bandages or recovery time, so patients often schedule their visit during the workweek without needing to take time off. Makeup should be avoided for 24 hours after the injection, but can be applied in the days afterward if desired.

What’s the difference between Juvederm and Restylane for beginners?

​​Juvederm and Restylane are two FDA-approved lines of hyaluronic acid-based fillers that rejuvenate the face by restoring volume, smoothing wrinkles, and enhancing natural contours. Both include multiple products with unique gel consistencies designed for specific treatment areas. Juvederm uses Hylacross and Vycross technologies to create a smooth gel that blends seamlessly into the skin, offering options from softer formulations like Volbella and Ultra to denser, more supportive ones such as Voluma and Volux. Restylane uses NASHA and XpresHAn technologies, allowing the gel to vary in firmness and flexibility and providing subtle movement or a strong lift where needed. The main difference between the two is how the fillers behave after injection. Juvederm tends to integrate more evenly with surrounding tissue, while Restylane often maintains its shape more precisely, making it ideal for sculpting and defining features. Both are safe, effective, and long-lasting when administered by an experienced injector like Dr. Green, who carefully chooses the most appropriate filler or combination based on each patient’s anatomy and goals.

Can I combine Juvederm with Botox as a first timer?

Yes, Juvederm can safely be combined with Botox, even for first-time patients, when administered by an experienced injector. The treatments work differently but complement each other to create a more balanced and youthful appearance. Juvederm adds volume and smooths static wrinkles caused by volume loss, while Botox relaxes the muscles responsible for dynamic lines like frown lines and crow’s feet. When used together, they can enhance overall facial harmony and offer more comprehensive rejuvenation without surgery or downtime. The results of this combination soften fine lines while subtly lifting and contouring the face. This pairing is popular among patients seeking noticeable yet natural improvements, helping to maintain facial balance and achieve smoother, more radiant skin over time.

How can I get started with Juvederm fillers today?

Juvederm fillers are an effective non-surgical option for restoring facial volume, enhancing contours, and softening lines with little to no downtime. The Juvederm family offers multiple FDA-approved hyaluronic acid fillers for specific areas of the face, allowing for precise, natural-looking rejuvenation tailored to each patient’s unique facial structure. These fillers can improve symmetry, replace age-related volume loss, and subtly refine features in a way that complements your natural anatomy rather than changing your appearance. Whether the goal is subtle lip enhancement, lifting the cheeks, smoothing deep folds, or refining jawline definition, Juvederm can be customized to produce results that look soft and harmonious while maintaining natural facial movement. A board-certified dermatologist like Dr. Michele Gren will evaluate your facial anatomy, listen to your cosmetic goals, and determine which Juvederm formulas are best suited for you.

Dr. Michele Green is a highly respected, board-certified dermatologist with over 25 years of experience in non-invasive cosmetic dermatology. She is known for her conservative, less-is-more approach and her talent for creating soft, elegant, natural results with injectable treatments. Often listed among New York City’s top dermatologists by Castle Connolly, New York Magazine, and Super Doctors, Dr. Green combines medical expertise with a refined aesthetic sensibility. When you schedule a consultation at her private practice in Manhattan’s Upper East Side, she will guide you through a personalized treatment plan using Juvederm fillers to help you look refreshed, balanced, and confident. To start your journey with Juvederm, please call Dr. Green’s NYC office at 212-535-3088 or contact us online to book your consultation.