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Juvederm dermal filler is one of the post popular dermal fillers in the United States, with five types of 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 at her practice, Dr. Green was an early adopter of this filler and has treated thousands of happy NYC patients.

Juvederm is a technologically advanced formulation of hyaluronic acid which can be used on all patients who have 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 non-animal hyaluronic acid filler, such as Juvederm, we can replace lost facial volume, enhance our features, and restore a more youthful appearance.

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. 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 wrinkles, creases, and folds adds volume and fullness, and enhannces 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 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 or tear troughs, for under eye rejuvenation.

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

Which areas of the face can Juvederm treat?

Juvederm Voluma for nasolabial folds and cheek

Lip Enhancement

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 

Volume loss in the midface is a chief concern of many patients and Juvederm Voluma XC is the ideal way to replenish this lost collagen and improve facial sagging. By restoring the lost volume through facial contouring, the appearance of the jowls are improved and the face is lifted, resulting in a nonsurgical facelift. Many patients do not want to undergo invasive cosmetic surgery with a plastic surgeon and Juvederm offers an effective and elegant way to look younger without surgery.

Jaw Contouring

Many patients are unhappy about the appearance of their jaw line.  By injecting Juvederm around the jawline, and restoring a more youthful appearance, sagging jowls can be corrected. By injecting Juvederm Voluma in the cheeks at the same time, this will help to lift the lower face as well and have an improved appearance.  Many patients choose to combine injectable fillers with Kybella and Thermage for this area. Kybella dissolves the submental fat and reduces the “double chin” and Thermage tightens the jowls and skin in the face. Botox can be injected into the cords of the neck to reduce the neck lines and creases as well.

Tear Trough

Under eye hollows and dark circles are able to be corrected with dermal fillers injected into the tear trough area.  Patients who have a large degree of wrinkling or fat may not be good candidates for this treatment. The best patients for dermal fillers in the tear trough area have an undereye hollows without an excessive amount of skin laxity. Juvederm Volbella is designed for this delicate under eye area, as well as Restylane dermal filler.

Nasolabial folds

Nasolabial folds, or smile lines are one of the first areas in the face to experience volume loss.  Juvederm Ultra Plus is made specially for these deep lines, creases, and the lines which extend down the mouth to the oral commissures, the marionette lines. 

Volume Loss 

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 complete cosmetic and medical history is performed and the treatment plan is discussed. Photographs are taken for your medical records and the treatment areas are numbed with a topical anesthetic. Patients always ask us “does Juvederm hurt”.  Lidocaine, which is a local anesthetic, is compounded in the Juvederm syringe itself. However, some patients are more sensitive to these injections and that is why we apply a topical numbing, lidocaine cream, to your treatment area before your injections 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.  The areas of the face are injected with Juvederm, and ice packs are applied immediately afterwards to minimize swelling. 

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. 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 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, Alleve, 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.

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.

23 year old female, Botox & Juvederm

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, or Xeomin are FDA approved and relax muscle activity and smooth out facial lines and wrinkles.

Side Effects & Risks of Juvederm Injections

There is 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 your injections and we advise patients to apply ice packs to the treated area immediately after your injections. We advise patients to stay away from direct sunlight, saunas, and stream rooms for 48 hours after the procedure. Some patients can have some temporary hyperpigmentation 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.

Which is better Juvederm or Restylane?

Juvederm and Restyane 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 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 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.

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.

Why choose Juvederm 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.

Medspas and Juvederm

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 teated 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 thousand 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.

Juvederm Injections at our office 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 NYC office.  If you need assistance with hotels and travel information for your visit, please feel free to reach out 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, a board certified dermatologist based in NYC, practices the latest techniques at the forefront of skin care to give you the look that you deserve. 

Additional Juvederm FAQs

If you’re ready to reduce the appearance of deep wrinkles without surgery, or are looking for firmer looking lips you may be wondering if Juvederm is right for you. Dr. Michele S. Green, a Board Certified Dermatologist – answers the most commonly asked questions about Juvederm below. You can also book an appointment with Dr. Green, who has helped men and women from New York City and the surrounding areas to look and feel their best through a number of medical and cosmetic skincare procedures.

Am I a candidate?

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 treatments at the same time such as laser resurfacing treatment, then a patient could use Juvederm as a secondary procedure to further compliment the laser resurfacing treatment.

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 pain, tenderness, redness, swelling that will last a few days.

1 Syringe of Juvederm Voluma

How soon until I see the results?

With filler treatments such as Juvederm there can be some minor swelling and bruising, however results can be seen almost immediately. After a week, most of the swelling should be resolved and the full effects of the treatment will be revealed.

Is the lidocaine in Juvederm the same as the dentist uses?

The lidocaine in Restylane and Juvederm is free from epinephrine so you should be perfectly fine to have the injections. There is no epinephrine to give you this type of a reaction.

My Juvederm in my wrinkles is deflating, Can it be fixed?

Juvederm usually lasts around nine months and it sounds as if you have some filler that is deflating. I would definitely return to your treating physician for a touch-up of filler.

Which Juvederm should I chose for my lips to accentuate my cupid’s bow?

Juvederm Volbella is the perfect product for the Cupid’s bow and to accentuate this area of the lips. Volbella is a wonderful product for the lips and it lasts about a year in duration.

Will OTC medications like Sudafed and Zyrtec effect Juverderm cheek fillers?

Juvederm is a great filler for the cheeks and lips. There is no interaction with either of the medications that you mentioned.

To prevent bruising and swelling with Juvéderm lip fillers, should I avoid all omegas?

Juvederm is a great filler for the lips and to avoid bruising I always recommend discontinuing anything that can cause bruising including the ones that you mentioned. I give patients a list before injections to prevent as much bruising as possible, as every case is different.

I’ve had Juvederm in my nasolabial folds over two years ago and still have volume correction. Is this normal?

Great to hear that the Juvederm that you had injected has lasted this long. There is no worry that your skin is being stretch out from the filler. Juvederm produces new Hylaluronic acid and this is what lends it to longevity.

Can I have Microneedling and/or RF after fillers such as Juvederm or Botox and any other laser treatments?

You are absolutely able to have RF and microneedling after Botox and Juvederm injections. I generally tell patients to wait two weeks after having injections to have these other procedures performed. In general, when the injections have subsided you can have RF to tighten the skin and microneedling to improve fine lines and wrinkles.

Had Juvederm injections in frown lines. How long it takes to see results?

Juvederm is a great injection for frown lines. You should see the results instantly. If you have bruising or swelling it will resolve after two weeks.

Juvederm Volbella XC vs. Juvederm Ultra XC?

I was wondering which of the two fillers would be best and what the differences are between the two. I understand that Juvederm Volbella XC has some lidocaine in it – would this equate to less filler going into the lips or is the amount negligible? Volbella is a very fine injected for the lips and Juvederm is a much thicker injection for your lips and will have a significantly different result. A lot depends on your anatomy and what “look” you are aiming for.

Is it safe to have Juvederm injections many years after fat grafting to lips?

I had fat grafting to lips about 16 years ago. Are there any contraindications to getting Juvederm lip injections now? There are many patients of mine who I have injected Juvederm into their lips who have had fat grafting in the past. There is no contraindication at all to this procedure.

Which is better, Juvederm or Restylane? What looks better and lasts longer?

Patients always ask me which is better or the best filler. There is NO one best filler. It all depends on a patient’s facial anatomy and the type of wrinkle and the “look” that someone wants. I often use a combination of products in the same patient as well as Botox.

The important part is the experience of the board certified cosmetic dermatologist in facial injections.

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

I’ve been looking for a doctor to get lip injections done, but a lot of them say “over 21” in the description of if the procedure is right for you. I have just recently turned 21 in October and was seriously considering getting lip fillers within the next 6 months. For fillers, there are no age restrictions. However, if you are under the age of 18 you will need parental consent to have the procedure done.

Is it safe to Exercise after juvederm?

You can technically workout within a couple hours after your injections. I always say to wait 24 hours after the procedure to do engage in any type of workouts, just because working out can cause more swelling and bruising.

5 days after Juvederm for acne scars I still have lumps at every site. Is this normal?

Juvederm and Restylane work very well for acne scars but the swelling can last for a few weeks. However, sometimes a finer hyaluronic acid like Belotero or Restylane Silk may be needed if the scars are superficial. You may need eMatrix or Fraxel for acne scars if there is a lot of surface irregularity.

Would Juvederm Voluma injections around the cheekbone effect sinuses?

Juvederm Voluma is a great filler for the mid-face. It is one of my absolute favorite injections for the face. These injections do not have any affect on the sinus area.

Can I dissolve some of the Juvederm XC from my lips without dissolving all the product?

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.

Can smiling displace Juvederm?

Juvederm does not move once it is injected so I would not be concerned about smiling. Correct placement should have a good result and will not shift once injected.

What is the origin of filler juvederm?

Juvederm is a Hyaluronic Acid based filler. Hyaluronic acid is a compound that occurs in everyone’s skin. There is no skin testing needed for this product.

How long does Juvederm last in lower cheek area?

Juvederm lasts between 9 months and a year in this area but it also depends on how much product is needed and the amount of wrinkles in that area.

Can I have a chemical peel before I have juvederm?

Is it safe to do so? You can definitely have chemical peels and fillers at the same time or even a day apart. Many of my patients have both on the same day.

Can smoking after Juvederm change the shape of the lip?

Smoking can change the shape of your lip so it is always a good idea not to smoke after injections.

Contact Dr. Michele Green to find out more about Juvederm and to see if it is the right choice for you. Contact us for an appointment online or call us at 212-535-3088 today.

 

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