Juvederm Ultra Plus

As we age, collagen and elastin production decrease, which are essential proteins for skin structure. As they decline, visible signs of aging such as fine lines, wrinkles, volume loss, and skin laxity appear, making us look and feel older than we are. Fortunately, non-invasive dermal fillers like Juvederm Ultra Plus can help restore confidence and revitalize the skin. Juvederm Ultra Plus is the original Juvederm filler that received FDA approval in 2006 for treating facial wrinkles and folds. Dr. Michele Green was one of the first dermatologists in NYC to utilize Juvederm Ultra Plus for facial rejuvenation. Dr. Green is a leading expert in cosmetic dermatology and dermal filler injections in NYC, with over 25 years of experience helping patients achieve a natural, more youthful appearance.

Juvederm Ultra Plus is part of the Juvederm line of fillers made by Allergan, the company that also produces Botox. It was approved by the FDA to treat moderate to severe facial wrinkles, such as nasolabial folds, marionette lines, and oral commissures. This dermal filler is composed of a densely cross-linked hyaluronic acid gel, making it thicker and longer-lasting. Its structure allows it to support areas with significant volume loss and maintain its shape over time. The hyaluronic acid also attracts moisture, improving hydration and creating a smoother skin texture. Juvederm Ultra Plus is often selected for lip augmentation to restore age-related volume loss or to achieve fuller, more symmetrical lips. With her deeper understanding of facial anatomy and filler technology, Dr. Green uses Juvederm Ultra Plus to produce smooth, sculpted results that enhance overall appearance while preserving facial harmony.

Dr. Michele Green is a board-certified dermatologist and an Allergan platinum injector, consistently recognized for her exceptional artistry and meticulous attention to detail. She was among the first in New York City to introduce Juvederm Ultra Plus into her private dermatology practice, bringing both experience and precision to every procedure. Dr. Green has been named a top dermatologist in New York by Castle Connolly, Super Doctors, New York Magazine, and The New York Times. Located in the heart of Manhattan’s Upper East Side, her office offers a discreet and welcoming environment where patients receive world-class aesthetic care. During your consultation, Dr. Green will work with you to develop a personalized plan that aligns with your goals and highlights your best features.

What is Juvederm Ultra Plus?

Created by Allergan Aesthetics, Juvederm Ultra Plus is a hyaluronic acid dermal filler approved by the FDA in 2006 for treating moderate to severe facial wrinkles and folds, such as nasolabial folds. It can also be used to enhance the lips by adding volume to create a perfect pout. Juvederm Ultra Plus is one of the thicker gel treatments offered by Allergan, providing patients with fuller lips and dramatic results. The filler utilizes proprietary Vycross technology to cross-link hyaluronic acid molecules, adding the ideal volume to fill facial folds and plump the lips.

Juvederm – 2 weeks before and after

What is Juvederm Ultra Plus used for?

Juvederm Ultra Plus is primarily used to treat deep folds around the mouth, including nasolabial folds (also known as “smile lines”) and marionette lines. As we age, our skin loses collagen, leading to facial sagging and a loss of firmness. This can result in hollowness around the eye sockets and sagging jowls near the jawline. Juvederm products help fight these signs of aging by smoothing wrinkles and lifting the mid-face. Juvederm Ultra Plus fills deep wrinkles and folds, creating a more youthful appearance. The procedure is non-invasive and requires no downtime, unlike a surgical facelift, which involves a longer recovery period. Many patients choose Juvederm Ultra Plus for quick, simple treatments to improve facial wrinkles.

Where can Juvederm Ultra Plus XC be injected?

Juvederm Ultra Plus and Juvederm Ultra Plus XC can be used in various ways on different parts of the face. These two dermal fillers are almost identical, with Juvederm Ultra Plus XC containing lidocaine to numb the area during injections. The treatment can reduce wrinkles, improve smile lines in the perioral region, or enhance the appearance of the lips. Juvederm Ultra Plus injections can be administered to the lips, nasolabial folds (also known as smile lines), oral commissures, corners of the mouth, jowls, and marionette lines.

Who is a good candidate for Juvederm Ultra Plus?

Ideal candidates for Juvederm Ultra Plus are individuals over 21 who are in good overall health and want to treat moderate to severe facial wrinkles, boost lip volume, or correct facial asymmetry. Patients should not be pregnant, breastfeeding, or have a history of allergic reactions to lidocaine or hyaluronic acid fillers. Before administering any dermal filler, Dr. Green will carefully review your medical history to determine if you are a suitable candidate.

What can I expect during my Juvederm treatment?

The treatment process for Juvederm Ultra Plus is simple and painless. First, you’ll meet with Dr. Green for a consultation to discuss your aesthetic goals, medical history, and treatment plan. Medical photographs will be taken of the treated area to track your progress. Then, Dr. Green will work with you to develop a treatment plan tailored to your needs. After confirming that Juvederm Ultra Plus is suitable for you, Dr. Green will review your pre-procedure instructions. One week before your procedure, Dr. Green recommends avoiding blood thinners, NSAIDs, fish oil, and vitamin E to lower the risk of bruising. Patients prone to bruising can take Arnika Forte, an over-the-counter herbal supplement, to help reduce bruising.

On the day of your procedure, a topical numbing cream will be applied one hour before your cosmetic injections to minimize discomfort. When you arrive at Dr. Green’s private NYC dermatology office, the treatment area will be carefully cleaned and sterilized. Dr. Green will then use a fine needle to inject the filler into the targeted area. An ice pack will be applied immediately after the injection to help reduce bruising or swelling. There is no downtime needed, so you can return to your normal activities right after your treatment. You will start to see results immediately, although full results may take up to two weeks to fully develop.

What are the side effects of Juvederm Ultra Plus?

There is no downtime after the Juvederm Ultra Plus treatment, so patients can usually return to most of their normal activities immediately. To reduce the risk of side effects, Dr. Green advises her patients to avoid intense exercise and stay out of the sauna for the first 48 hours after the treatment. This filler is safe and effective for all skin types, though some mild side effects might occur.

The most common side effects of Juvederm Ultra Plus are bruising, swelling, and redness at or near the injection site. These symptoms are common with other facial injections and will fade within the first few days after treatment. A less common side effect is a bluish discoloration at the injection site, known as the Tyndall effect. This occurs when light reflects off hyaluronic acid-based fillers placed too superficially, causing a blue hue in the area.

However, more severe side effects can occur if an injector uses incorrect technique. Injecting a dermal filler into a blood vessel can cause occlusion, which requires immediate medical attention. Specifically, for the lips, overfilling can lead to filler migration. Migration may appear as lumps on the lips, resulting in an uneven appearance. Therefore, we recommend that Juvederm be injected by a board-certified dermatologist, such as Dr. Michele Green, who has extensive knowledge of facial anatomy. An experienced, trained injector is essential for both patient satisfaction and safety. The risk of allergic reactions is low and can be treated with an antihistamine or oral steroids. Additionally, Juvederm Ultra Plus should not be used on pregnant or breastfeeding patients. If you experience any severe side effects or have concerns, do not hesitate to contact Dr. Green.

What is the aftercare following Juvederm Ultra Plus?

It is crucial to follow aftercare instructions to reduce the side effects of Juvederm injections. Patients should avoid excessive sun and heat exposure, alcohol, and exercise for 48 hours after treatment. Additionally, makeup should not be applied to the treatment area during the first 12 hours. These activities can cause redness and swelling in the treated area. It is also advisable to avoid blood thinners for a week, as they can increase the risk of bruising at the injection site. Patients experiencing bruising may take Arnika Forte to help speed up recovery. Swelling and bruising are normal and can last up to two weeks after the injection.

How long does Juvederm Ultra Plus last?

Juvederm Ultra Plus is a smooth hyaluronic acid filler that enhances the lips for a perfect pout. Patients can expect results that last up to a year, providing long-lasting, voluminous lips. Since hyaluronic acid fillers break down over time, many patients choose yearly touch-up treatments to preserve their results. When you receive treatment with Dr. Green, she will create a personalized schedule tailored to your aesthetic needs and goals.

Can you use Juvederm Ultra Plus with other Juvederm fillers?

Absolutely! In addition to Juvederm Ultra Plus, there are six other Juvederm fillers, each with a different formulation and intended for a slightly different purpose. Patients often combine various Juvederm fillers for comprehensive facial rejuvenation. Dr. Green will assess your facial anatomy and skin concerns to create a personalized Juvederm treatment plan designed to help you look and feel your best.

• Juvederm Ultra XC, the original Juvederm filler, restores lost facial volume, smooths mild to moderate nasolabial folds, smile lines, and marionette lines. It also adds volume and symmetry to the lips while enhancing the appearance of “smoker’s lines.”
• Juvederm Voluma XC is primarily used to add volume and lift the cheeks. It is the only FDA-approved, non-surgical option available for restoring cheek and mid-face volume for a younger, more plump appearance.
• Juvederm Vollure XC treats moderate to severe facial wrinkles and folds. Juvederm Vollure is thinner in consistency than Juvederm Ultra Plus, allowing it to smooth out wrinkles without adding excessive volume.
• Juvederm Volbella XC is a smooth gel filler ideal for subtle lip enhancement, as it can perfectly augment the lips and improve the appearance of lines in the perioral area. Juvederm Volbella can also be used to treat undereye hollows.
• Juvederm Volux XC enhances the jawline and chin to provide the contoured look you want. Juvederm Volux is the only FDA-approved hyaluronic acid filler used to improve moderate to severe loss of jawline definition.
• Skinvive by Juvederm is an FDA-approved filler that improves hydration and smoothness in the cheeks. SkinVive contains hyaluronic acid microdroplets that help the skin retain its natural moisture and softness and can stimulate collagen production to enhance skin elasticity.

Other Frequently Asked Questions (FAQs):

Who makes Juvederm Ultra Plus?

Juvederm Ultra Plus is part of the Juvederm range of dermal fillers made by Allergan Aesthetics. The pharmaceutical company developed these fillers to reduce signs of aging on various facial areas without requiring invasive plastic surgery. Allergan specifically designed Juvederm Ultra Plus to be a thicker gel that adds volume to smooth out severe wrinkles and folds around the mouth, enhancing the look of the nasolabial folds and marionette lines. Allergan also produces Botox, the leading injectable for reducing dynamic fine lines and wrinkles, and many patients opt for treatment with both dermal fillers and Botox for full facial rejuvenation.

What is the difference between Juvederm and Juvederm Ultra Plus?

Juvederm is a family of hyaluronic acid-based dermal fillers designed to restore volume, smooth wrinkles, and improve facial features. Juvederm Ultra is one of the thicker formulas in the Juvederm line. It is used to treat moderate to severe wrinkles, especially in the nasolabial folds and around the mouth, and to enhance the lips’ appearance. Due to its denser consistency, it provides longer-lasting and more volumizing results compared to other Juvederm fillers, such as Juvederm Ultra XC.

Can you use Juvederm Ultra Plus XC for cheeks?

Juvederm Ultra Plus XC is an excellent hyaluronic acid dermal filler primarily used to treat fine lines and deep creases in the nasolabial folds and marionette lines. However, it can also be used off-label to enhance the appearance of the lips and cheeks. Within the Juvederm product line, there are several hyaluronic acid fillers, each with its own formulation. One of the most common Juvederm fillers for restoring facial volume in the midface and enhancing cheekbone contours is Juvederm Voluma. Its thicker consistency makes it ideal for use in the cheek area for most patients. Dr. Green will select the appropriate Juvederm filler for your facial rejuvenation treatment plan based on your specific skin concerns and overall aesthetic goals during your consultation.

Can Juvederm Ultra Plus be used on the lips?

Yes, Juvederm Ultra Plus can definitely be used for lip augmentation. It is one of the most popular choices for patients seeking fuller, more defined lips. This filler contains a highly cross-linked form of hyaluronic acid, which makes it more stable and allows it to break down more slowly over time. As a result, patients can enjoy longer-lasting results and achieve a more luscious, plump pout.

How long does Juvederm Ultra Plus last in the lips?

For both deep wrinkles and lip enhancement, Juvederm Ultra Plus typically lasts around 9-12 months. However, how long the results last depends on the amount of filler used and the individual’s metabolism. Hyaluronic acid naturally breaks down over time, so Juvederm injections are all temporary. Because of this, many patients choose to get maintenance treatments every 9 to 12 months to preserve their stunning look. While temporary, compared to permanent implants that require invasive procedures and longer recovery times, the long-lasting effects of Juvederm Ultra Plus have made it a popular choice for lip enhancement.

How long does Juvederm Ultra Plus last in the nasolabial folds?

Juvederm Ultra Plus typically lasts nine to twelve months when injected into the nasolabial folds. Results may vary depending on one’s natural metabolism or the depth of their wrinkles. Juvederm is made of hyaluronic acid, a natural substance in our bodies that acts as a cushion in the skin and a lubricant in the joints and other tissues. Over time, hyaluronic acid from fillers gradually breaks down and is absorbed into the body, just as naturally occurring hyaluronic acid in the skin is. Therefore, Dr. Green usually recommends a touch-up at least once every year to maintain younger, smoother skin.

How much is Juvederm Ultra Plus XC?

The cost of Juvederm Ultra Plus injections varies based on several factors, including the amount of product needed and the treatment areas. Prices for a syringe of Juvederm Ultra Plus also differ depending on your location and the experience of the injector. A board-certified dermatologist or plastic surgeon generally charges more than a nurse injector at a medical spa or clinic. However, because the procedure requires precision and expertise, it is highly advisable to receive treatment from an experienced dermatologist like Dr. Michele Green in NYC. During your consultation, Dr. Green will discuss your goals and develop a personalized treatment plan tailored to your needs, goals, and budget. This plan will determine the amount of filler used. Typically, patients use 1-2 syringes of Juvederm Ultra Plus. Remember, Juvederm Ultra Plus is a non-permanent injectable, so it doesn’t last forever. However, it is quite durable, with results often lasting between nine months and a year. You and Dr. Green will then plan the schedule and frequency of your treatments to best suit your body and aesthetic objectives.

Will Juvederm bumps go away?

One potential side effect of Juvederm injections is swelling or bumps at the treatment site. This is normal and should resolve on its own in the weeks following the dermal filler injections. It is best to avoid applying pressure or massaging the treatment area and allow the Juvederm to settle naturally. If residual swelling or bumps remain for more than two weeks, you should follow up with your injector. If the bumps persist, they can be dissolved with Hyaluronidase, an enzyme that breaks down hyaluronic acid. The best way to prevent persistent bumps after Juvederm injections is to consult a board-certified dermatologist and expert injector such as Dr. Green.

Can you dissolve Juvederm Ultra Plus?

Yes, Juvederm Ultra Plus can be dissolved with hyaluronidase injections. Hyaluronidase is an enzyme that breaks down the primary component of Juvederm fillers: hyaluronic acid. It can be used on any area of the face to make small adjustments in the amount of filler or to eliminate it entirely. If you are considering dissolving Juvederm Ultra Plus or any other dermal filler, consult with Dr. Green to discuss your options. If you want to dissolve dermal fillers placed elsewhere and need to know which product was used, Dr. Green will ask you to review your previous treatment records to identify the specific dermal filler.

What is the difference between Juvederm Ultra and Ultra Plus?

Juvederm Ultra and Juvederm Ultra Plus are the original Juvederm dermal fillers, both receiving FDA approval in 2006. These hyaluronic acid fillers are excellent options for restoring facial volume and reducing fine lines, wrinkles, and folds. The main difference is in the gel consistency: Juvederm Ultra Plus is thicker and more stable than Juvederm Ultra. Its increased thickness provides more volume for facial wrinkles and thin lips, and the results tend to last slightly longer. Despite these differences, both fillers are highly effective for facial rejuvenation. The choice of which Juvederm filler to include in your treatment plan will depend on your individual needs and aesthetic goals, which you will discuss in detail with Dr. Green during your initial consultation.

Female patient treated with Juvederm Ultra Plus

Where can Juvederm Ultra XC be injected?

Both Juvederm Ultra XC and Juvederm Ultra Plus XC can treat fine lines, wrinkles, and add volume to the lips. Both fillers are injectable into the lips and the surrounding mouth area. The main difference is the thickness of the filler. Juvederm Ultra XC is thinner and typically used for subtle enhancements. Juvederm Ultra Plus XC is thicker, suitable for those seeking a more noticeable change. It’s best to consult with an experienced injector, like Dr. Green, who can recommend the most appropriate Juvederm filler for your cosmetic goals and facial structure.

Is Juvederm Ultra Plus good for the lips?

Juvederm Ultra Plus is an extremely popular injectable gel for lip enhancement, especially for those seeking a more pronounced volume. Its thicker formula helps it create a fuller, plumper look and is perfect for correcting asymmetry or restoring lost facial volume caused by aging. Additionally, Juvederm Ultra Plus works well to soften vertical lip lines, also known as smoker lines, which can form around the mouth’s edge. Since Juvederm Ultra Plus is FDA-approved, it is a safe choice for people wanting fuller, plumper lips.

How do I get started with Juvederm filler today?

As we age, collagen and elastin production declines, resulting in volume loss, skin sagging, and deeper wrinkles and folds. The Juvederm line of dermal fillers can restore facial volume, improve facial contours, and reduce the appearance of fine lines and deep creases. Juvederm Ultra Plus is the ideal hyaluronic acid filler for smoothing deep lines and folds and adding volume to the lips, helping to achieve a natural-looking, long-lasting youthful appearance.

Dr. Michele Green is an internationally recognized leader in cosmetic dermatology with over 25 years of experience providing top non-invasive treatments, including dermal filler injections, to patients worldwide. She was among the first dermatologists to incorporate Juvederm fillers into her patients’ rejuvenation plans and is an expert in dermal fillers, Botox, and other cosmetic procedures. Known for her holistic approach and ‘less is more’ philosophy, Dr. Green is consistently ranked as one of the best physicians in New York by Castle Connolly, Super Doctors, The New York Times, and New York Magazine. Please call our NYC office at 212-535-3088 or contact us online today to create a customized facial rejuvenation treatment plan with Dr. Green and learn more about whether Juvederm Ultra Plus is suitable for you.