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Juvederm® injectable filler is one of the post popular dermal fillers in the United States, with five types of Juvederm products available to plump lips, restore volume, smooth lines, and treat winkles and facial folds. Dr. Michele Green is a NYC Allergan Platinum Injector, utilizing Botox and the Juvederm family of fillers, to help restore, rejuvenate and enhance your face to achieve a more youthful and enhanced appearance. As one of the first doctors in New York to incorporate the use of Juvederm and Botox injections in her New York practice, Dr. Green was an early adopter of this filler and has treated thousands of happy NYC patients.

Juvederm injections are an extremely popular cosmetic procedure. More than 2.4 million cosmetic injections with hyaluronic acid-based fillers, including Juvederm, were performed in 2016 alone. Juvederm is a technologically advanced formulation of hyaluronic acid which can be used on all patients who have fine lines and deep wrinkles, regardless of skin type. Juvederm injectables are derived from hyaluronic acid, which is a naturally occurring sugar complex found in the skin. As we age, our bodies decrease producing hyaluronic acid and we cannot replace what is lost. By injecting a sophisticated hyaluronic acid filler, such as Juvederm, we can replace lost facial volume, enhance facial features, and restore a more youthful appearance. With over 25 years of experience in cosmetic dermatology in NYC, Dr. Green is an internationally renowned expert in dermal fillers, Botox, skin care, and facial rejuvenation.

What is Juvederm?

The Juvederm family of fillers was developed by Allergan, the maker of Botox Cosmetics. Juvederm is a smooth injectable gel that is injected into the mid to deep dermal layer of the skin. Each different Juvederm dermal filler has its own unique properties and is targeted to treat different areas of the body to provide various treatment options. Juvederm is an injectable filler which is composed of hyaluronic acid, and restores the body’s own natural hyaluronic acid that is currently being depleted. The injection of hyaluronic acid into deep facial wrinkles, creases, and folds adds volume and fullness, and enhances the moisture content of the skin. Juvederm was FDA approved in 2006 for the treatment of moderate to severe facial wrinkles and folds, such as the smile lines or nasolabial folds. Juvederm Ultra Plus XC was the “original” dermal filler developed to treat these deeper lines and wrinkles in the face. Since that time, five other products in the Juvederm family of injectables have been created. Each Juvederm injectable was designed to treat a different area of the face and different types of volume loss or facial wrinkles.

Juvederm Family of facial fillers

  • Juvederm Ultra: Juvederm Ultra XC restores lost facial volume to smooth mild to moderate nasolabial folds, smile lines, and marionette lines. It is also used for lip augmentation.
  • Juvederm Ultra Plus XC: Juvederm Ultra Plus XC treats moderate to severe nasolabial folds, smile lines, and marionette lines.  It is also used for lip enhancement. Juvederm Ultra Plus XC is compounded with lidocaine to minimize and discomfort form injection.
  • Juvederm Voluma XC: Juvederm Voluma is the ideal product to add volume to cheeks, chin, and restore lost facial volume. Voluma is designed for facial contouring, lifting the cheeks, improving facial sagging and the appearance of jowls and facial hollows.
  • Juvederm Vollure: Juvederm Vollure was created for the nasolabial folds with an 18 month longevity for this dermal filler.
  • Juvederm Volbella: Juvederm Volbella was created for a subtle enhancement of the lips, fine wrinkles, and under eye hollows (tear troughs), for under eye rejuvenation.
  • Juvederm Volite: Is the first injectable treatment that provides clinically proven dermal hydration, after just one treatment. It works on improving overall skin quality, as it improves elasticity, hydration, and fine lines.

Juvederm Volbella and Juvederm Voluma are both used to treat acne scars and restore lost volume and collagen from atrophic acne scars.

Which areas of the face can Juvederm treat?

  • Lip enhancement 
  • Vertical lip lines
  • Corners of the mouth
  • Marionette lines
  • Nasolabial area
  • Tear trough (under eyes)
  • Chin
  • Temples
  • Hands
  • Cheeks
  • Jawline
  • Neck
  • Acne scars
  • Surgical scars

Juvederm Lip Fillers

Lip augmentation has become one of the most popular cosmetic procedures in dermatology. The treatment of the lips is not just for lip enhancement, but to create symmetry in uneven lips, reshape and contour the lips. A large part of treating the lips is also treating the visible signs of aging around the lips, and the vertical lines above and below the lips. These perioral lines are referred to as “smoker’s lines”, but the lines are a result of age, smoking, and the damaging effects of the sun. Juvederm Volbella XC was specifically developed to treat these vertical lip lines. Juvederm Volbella adds subtle volume and smooths the appearance of these vertical lip lines for up to one year.

Full, luscious lips, are popular with celebrities like the Kardashians, models, and actresses alike. As we age, we tend to lose collagen in our faces, and the result is that even our lips tend to lose volume, grow thin, and lose their natural moisture and shine. Dr. Green’s NYC lip augmentation is one of the most popular and sought after procedures in her Upper East side boutique private office. The key to having the most beautiful lips is Dr. Green’s “less is more” approach to dermal fillers. During your consultation, Dr. Green will select the best dermal fillers and shape which reflect your style and facial features. Her conservative approach to facial injections produces both natural and stunning cosmetic results.

Lip augmentation has become one of the most popular cosmetic procedures in dermatology. The treatment of the lips includes not just lip enhancement, but creating symmetry in uneven lips, reshaping and contouring the lips. A large part of treating the lips is also treating the visible signs of aging around the lips, and the vertical lines above and below the lips. These perioral lines are referred to as “smoker’s lines”, but the lines are a result of age, smoking, and the damaging effects of the sun.

Cheek enhancement with Juvederm Voluma

Juvederm Voluma was FDA approved in 2013 for injections of the cheek area and malar area. Dr. Michele Green is one of the largest users of Juvederm Voluma in NYC and considers it the ideal filler to restore lost collagen in the cheek area. Volume loss in the midface is a chief concern of many of her NYC patients and Juvederm Voluma XC is the ideal way to replenish this lost volume and improve facial sagging. By lifting the cheeks and restoring a more youthful appearance, the sagging in the jowls and lower face are cosmetically improved. 

By restoring the lost volume through facial contouring, the appearance of the jowls are improved, the face is lifted, resulting in a nonsurgical facelift. Since most patients do not want to undergo invasive cosmetic surgery with a plastic surgeon, Juvederm Voluma offers an effective and elegant way to look younger without plastic surgery. Juvederm Voluma can be used to replace other areas of volume in the face, besides the cheeks, indulging the nasolabial folds, chin, jawline, and temples.

Jaw contouring with Juvederm Ultra plus 

Many patients are unhappy about the appearance of their jaw line. One of the first areas to show our age is the jaw line and jowl area. By injecting Juvederm Ultra Plus around the jawline, and restoring a more youthful appearance, sagging jowls can be corrected. Since the neck and jaw line is an important area of facial rejuvenation, many patients choose to combine injectable fillers with other skin tightening procedures to have a more defined jawline.

Dr. Michele Green often combines Botox into the neck cords and performs a “Nefertiti lift” to improve this area and treat the neck wrinkles. If there is submental fat in this area, Dr. Green will utilize Kybella injections or CoolSculpting to permanently remove this unwanted fat and remove the “double chin.” Skin laxity is treated with skin tightening lasers, such as Thermage and BBL, to tighten the skin and produce new collagen.

Chin enhancement with Juvederm Voluma

One important area of facial enhancement which has been previously neglected is the chin area. In the Spring of 2020, Juvederm Voluma was FDA approved not only to treat the cheek area, but the chin area. Treating the chin area provides much needed symmetry to the face. The amount of dermal filler depends on how much each individual needs, but most patients need at least one syringe. Juvederm Voluma creates a liquid chin lift when injected into the chin, and appears smooth and natural. 

A weak chin can be due to several factors, including genetics, age, and gravity. As we age, the combination of collagen loss and gravity, the lower face, including the chin, jawline, and jowls, appear to sag. Coupled with increased skin laxity, this area of the face benefits enormously from volume replacement. If there is submental fat under the chin, treating with Kybella injections, to dissolve unwanted fat, will remove the “double chin” and improve the overall appearance of the chin and jawline.

Juvederm Volbella Before & After Photo

Tear trough: treating under eye fillers with Juvederm 

Many patients are troubled by dark circles and facial hollows. This combination makes one look tired and older than their age. Fortunately, under eye hollows and dark circles are able to be corrected with dermal fillers injected directly into the under eye (tear trough) area. Patients who have a large degree of excess skin or herniated fat may not be good candidates for this treatment. The best patients for dermal fillers in the tear trough area have under eye hollows without an excessive amount of skin laxity. Juvederm Volbella is designed to treat this delicate under eye area, as well as Restylane dermal filler.

Treating nasolabial folds with Juvederm

Nasolabial folds, or smile lines are one of the first areas in the face to experience volume loss.  Juvederm Ultra Plus is made especially for these deep lines, creases, and the lines which extend down the mouth to the oral commissures, the marionette lines. Juvederm Vollure was developed as a response for the need for a long term dermal filler in the smile lines. Juvederm Vollure lasts approximately 18 months when treating these “parentheses lines” and is an extremely natural looking injection.

After one syringe of Juvederm

Age-related volume loss and the liquid face lift

Juvederm Ultra Plus can be combined with Juvederm Voluma and other dermal fillers to create a liquid face lift.  Many patients have pan-facial rejuvenation, to restore volume to multiple areas of the face during the same visit.  For example, the temples, chin, jowls, cheeks and nasolabial folds may all have lost volume. By using a combination approach, and layering more than one dermal filler, the different areas of volume loss can be restored to provide complete facial rejuvenation. Though the art of a liquid facelift, many of Dr. Green’s NYC patients can avoid having invasive plastic surgery.

What is the process of Juvederm injections?

A complete consultation is performed by Dr. Green in her New York City, Upper East Side office, in Manhattan. A thorough cosmetic and medical history is performed and the treatment plan is discussed. Photographs are taken for your medical records to compare later to your post-treatment photographs. During the consultation, the treatment areas will be discussed and evaluated and a treatment plan achieved to rejuvenate the areas of concern.

Lidocaine, which is a local anesthetic, is compounded in the Juvederm syringe itself, to make the experience quite comfortable. However, some patients are more sensitive to these injections are given a topical numbing cream, lidocaine cream, to apply to the treatment area before injection of Juvederm. After 30 minutes, the numbing cream is removed and the treatment area is cleaned with alcohol. Juvederm and Botox are often injected at the same time since Botox smooths the forehead wrinkles, in areas where Juvederm cannot be used.  After the areas of the face are injected with Juvederm, ice packs are applied immediately afterwards to minimize any swelling. Patients are encouraged to return two weeks later to evaluate the results and discuss any needed touch-ups of the treated areas.

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Is Juvederm safe?

Juvederm has been FDA approved in 2006 for treating deep facial wrinkles and facial folds and is an entirely safe and effective treatment. Adverse reactions to Juvederm are rare. There have been reports of unintentional injection into blood vessels, which is a rare but serious complication. Of course, it is best to only have a board certified dermatologist or plastic surgeon, who is an expert in cosmetic facial procedures, inject Juvederm or other dermal fillers into your face. An expert, like Dr. Michele Green, has been injecting dermal fillers for over 25 years, understands your anatomy, and can safely treat you with these injectables.

Does Juvederm work immediately?

The results of Juvederm injections are immediate. There may be some immediate swelling at the injection site. Depending on which type of Juvederm filler was used, there may be two days to two weeks of residual swelling. Some patients are more sensitive to this side effect and swell for longer periods of times. It is best to plan your cosmetic dermal filler injections at a time which allows possible swelling or bruising and a few days of possible downtime.

How to avoid bruising from injectables?

The best way to avoid bruising is to discontinue any blood thinners such as Coumadin, Aspirin, Motrin, Ibuprofen, Aleve, and any vitamins or herbal supplements which cause bruising for two weeks before your scheduled procedure. In addition, avoiding alcohol and cigarettes before your procedure also minimizes bruising and the resulting downtime. Dr. Green recommends taking Arnica Forte for several days before having cosmetic fillers, to avoid unnecessary bruising.

How long do dermal fillers such as Juvederm last?

A common question asked is how long do dermal fillers last. The answer depends on many variables. First, it depends on which type of injectable was used.  Secondly, it depends on how many syringes were used.  Lastly, it depends on which anatomic area was injected and how fast an individual absorbs the dermal filler. Everyone metabolizes Juvederm differently and the longevity of the product is based on an individual’s metabolism.

  • Generally, Juvederm Ultra Plus XC lasts 9 to 12 months.
  • Juvederm Vollure lasts up to 18 months in duration.
  • Juvederm Volbella lasts approximately one year.
  • Juvederm Voluma lasts 12 months or longer. 
  • Restylane lasts 6 to 9 months after injection.
  • Sculptra lasts up to two years after full correction.
  • Radiesse injections last from 12 to 24 months.

Is Juvederm the same as Botox?

Not all cosmetic issues can be treated with dermal fillers, such as Juvederm and Restylane. Many patients are confused by the difference between a dermal filler and a neurotoxin. There are wrinkles caused by muscles of facial expression, such as the forehead wrinkles, glabella wrinkles, and wrinkles around the eyes (Crow’s feet). These wrinkles, which are caused by movement, can not be treated with dermal fillers. Instead, Neurotoxins like Botox, Dysport, Revance, Jeuveau, or Xeomin are FDA approved and relax muscle activity and smooth out facial lines and wrinkles.

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Juvederm Voluma 2 syringes to cheek

Common side effects of Juvederm Injections

  • Bruising
  • Redness
  • Swelling
  • Discoloration
  • Tyndall effect
  • Irritation
  • Lumps or bumps
  • Pruritus
  • Tenderness 

There is, in general, little downtime with Juvederm injections. The majority of patients return to work or home immediately after injection. There may be some mild swelling or bruising after the dermal filler injections and we advise patients to apply ice packs to the treated area immediately after treatment. Patients are advised to stay away from direct sunlight, saunas, and stream rooms for 48 hours after the procedure. Some patients can have some temporary hyperpigmentation and skin discoloration from dermal fillers. If the injections are too superficial you can have a temporary Tyndall effect, where the skin has a bluish hue from the injections.

What is the cost of Juvederm Injections?

The cost of Juvederm injections in Manhattan depends on the number of syringes used and the type of Juvederm injected. Juvederm cost typically ranges between $800 and $1500 per syringe. Juvederm Voluma is more expensive than regular Juvederm and lasts longer. It is difficult to answer how much is Juvederm treatment because if also varies on the experience of the injector.  A board certified cosmetic dermatologist with years of experience will be more expensive than a Medspa with inexperienced nurse injectors.

How much is Juvederm for the lips?

The cost for Juvederm for lip enhancement depends on the number of syringes and the type of product injected. The cost can range from $600 to $2,000. The cost also varies based on the experience of the cosmetic injector. A board certified dermatologist in NYC will be more expensive than a nurse injector at a spa or clinic.

Does Juvederm hurt?

Everyone’s pain threshold is different. Juvederm is compounded with lidocaine as a numbing agent, and most patients are entirely comfortable during the procedure. Lip fillers tend to be more uncomfortable and Dr. Green recommends using numbing cream, containing lidocaine, for one hour before your cosmetic injections. 

How many syringes of Juvederm are needed for lip fillers?

Dr. Green typically has a conservative approach to injecting dermal fillers, especially with lip fillers. She only injects one syringe of Juvederm at a time in the lips and will wait two weeks to evaluate the full effect before deciding to inject more product. The key is to avoid over filling a treatment area.

Which Juvederm do I choose if I want lips like Kim Kardashian?

If you want fuller lips then the best injectable gel would be Juvederm Ultra Plus. To achieve this full result, generally requires two syringes of dermal filler.

Which Juvederm is best to treat the Cupid’s bow?

Juvederm Volbella is the perfect product to augment the Cupid’s bow and accentuate this area of the lips. Juvederm Volbella is a thin hyaluronic acid based product and can be used best for fine lines, especially around the perioral area.

Why choose Juvederm dermal fillers?

Juvederm fillers are created with five different types of dermal fillers. Since there are an array of fillers to choose from, Juvederm can treat all areas of the face, both for fine and deep lines, and restore volume to any needed area. With many different treatment options, the specific dermal filler can be selected based on your needs.

Medspas for Juvederm injections

Many medspas and clinics do cosmetic injections of Botox and Juvederm, and other cosmetic procedures such as lasers and CoolSculpting.  It is very important to research the experience and credentials of the person injecting your cosmetic fillers.  Clinics and spas generally do not have physicians performing these cosmetic procedures. While they are generally cheaper, the injector may be less experienced and not understand the anatomy of the area injected.  Also, there is a greater risk of counterfeit injectables at some clinics. For the best cosmetic results and safety, always do you research and make sure you are being treated by an expert.

Dr. Green reverses a great deal of dermal fillers from patients, especially patients who were injected improperly in the tear trough, and dissolves these fillers with Hyaluronidase.

Why choose Dr. Green in New York City for your Juvederm injections?

Dr. Michele Green is an artist and has over 25 years of experience with cosmetic injectables. Dr. Green was one of the first dermatologists in Manhattan’s Upper East Side to inject Botox and Juvederm for cosmetic indications and have treated thousands of cosmetic patients. Dr. Green’s “less is more” philosophy, creates a natural look for your cosmetic injections, leaving you refreshed with a younger looking appearance.

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Am I a candidate for Juvederm dermal fillers?

The best candidates for Juvederm filler treatments are in general good health mentally and physically, yet may have concerns over their complexion such as lines and wrinkles.

Juvederm is an ideal filling agent for those with moderate wrinkles in the cheeks and also for those people with moderately severe nasolabial folds (smile lines).

Juvederm can also be used to help define the lips and make them appear fuller. In addition to this, Juvederm can be used to help minimize the appearance of some forms of facial scarring.

Those who have allergies or existing skin conditions should discuss these issues with their dermatologist prior to treatment. In addition to this women who are pregnant or are currently breast-feeding are advised to avoid Juvederm treatment.

Can I combine Juvederm with other cosmetic procedures?

Certain treatments such as Botox work well in combination with Juvederm as these two treatments are complementary and work on different areas of the face. If you are considering undergoing other skin treatments at the same time such as Fraxel laser resurfacing treatment, then one can have Fraxel laser first, followed by dermal filler injections, to further compliment the laser rejuvenating treatment. Many patients combine Juvederm with Microneedling, chemical peels, V-Beam laser, IPL, BBL, and Thermage.

What should I expect during treatment?

Numbing medication will typically be used to help improve your comfort during the Juvederm procedure. There may be some mild discomfort that is associated with needles and being injected, and there may be a mild to moderate amount of stinging post-injection. After the Juvederm treatment a patient should expect to feel some minor soreness, tenderness, redness, or swelling that will last a few days.

How soon until I see the results of Juvederm injections?

With filler treatments such as Juvederm there can be some minor swelling and bruising, however results can be seen almost immediately. After two weeks, all of the swelling should be resolved and the full cosmetic results of the treatment will be revealed.

How to metabolize Juvederm faster?

If you are unhappy with the results of your Juvederm procedure, massaging the product immediately after injection may disperse it, but not remove it. Hyaluronidase, or Vitrase, which dissolves hyaluronic acid fillers, is the antidote to Juvederm injections. Sun damage or sun exposure can thin the skin and may cause the results of your Juvederm injections to diminish more quickly.

How does Juvederm Compare with Restylane?

Juvederm and Restylane are both dermal fillers composed of hyaluronic acid. Both can be injected in similar areas of the face. There are several types of Juvederm and Restylane fillers within the umbrella of injectables, which vary in thickness and longevity. Juvederm tends to last a few months longer than Restylane with similar safety profiles and side effects. Both types of dermal fillers area compounded with lidocaine to make these injections more comfortable. Some cosmetic dermatologists prefer one type of hyaluronic acid filler over another.  

Both Restylane and Juvederm offer immediate cosmetic results to the areas treated. There is some swelling and possible bruising associated with both fillers at the site of injection. The cost of each dermal filler varies of the type used, the amount of product used, and the experience and qualifications of the injector. Generally, the Juvederm line of products is a bit more costly than Restylane due to its increased longevity. Both Restylane and Juvederm take 15 to 30 minutes to be injected into the face and re-injection is needed when the dermal fillers wear off. Both Juvederm and Restylane have similar potential side effects.

Which is better, Juvederm or Restylane?

There is NO one best filler. Choosing the “best” filler all depends on a patient’s facial anatomy, the type of wrinkles which need treatment, and the “look” that someone wants. I often use a combination of products, including Juvederm and Restylane, in the same patient as well as Botox injections. Choosing a board certified dermatologist, like Dr. Michele Green, is paramount  to having the best cosmetic results. 

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Botox & Juvederm Voluma before and after

Can you combine Juvederm and Restylane?

Juvederm and Restylane are both hyaluronic acid fillers, and each has its own family of dermal fillers of different thicknesses. You can absolutely combine both fillers in different areas of the face for complementary results. In fact, Sculptra injections can also be used at the same time, to provide a deeper foundation, and increase the body’s production of collagen.

Do you have to be 21 to have Juvederm lip fillers?

Juvederm fillers are recommended for patients 21 year and older. There are younger patients who have Juvederm injections, particularly for lip enhancement. 

Is it safe to Exercise after Juvederm?

It is always best to refrain from exercise for 24 hours after the procedure since exercise can increase the probability of increased swelling or bruising.

Can I dissolve Juvederm if I don’t like the results?

You can absolutely dissolve a portion of the fillers in an area with an expert injecting technique and not affect the entire result. It is always a good idea to be conservative with your injections and do a little at a time to avoid this problem. Hyaluronidase or Vitrase both are able to dissolve hyaluronic acid fillers. For thicker products, with increased cross-links, such as Juvederm Voluma, it can take more than one treatment to dissolve this product.

Can smoking affect Juvederm injections?

Smoking thins the skin, reduces the amount of collagen in the skin, and can affect the longevity of hyaluronic acid injections. Smoking immediately after your injections also makes your skin more prone to infection and delays healing.

Best Juvederm injectables in Manhattan, New York

Dr. Green treats patients locally from Manhattan and the other boroughs of New York.  In addition, she has many international patients who fly in to consult with her and receive their cosmetic treatments in her private, boutique, NYC office.  If you need assistance with hotels and travel information for your visit, please feel free to reach out directly to our office.

Please don’t hesitate to contact us online today or call 212-535-3088 if you’re ready to learn more about smoothing away wrinkles with Juvederm. Dr. Michele S. Green is an internationally known cosmetic dermatologist based in NYC, with more than 25 years of experience in Botox, Juvederm injections, skin care, chemical peels, and laser skin treatments. Dr. Green is at the forefront of cosmetic dermatology and will provide you with the best cosmetic treatment results.

 

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