Where is Juvederm Used?
While the wrinkles on the upper face (e.g. forehead, crow’s feet) often respond well to BOTOX®Cosmetic, the wrinkles on the lower face are best treated with a “filler” like Juvéderm® . Over time, the hyaluronic acid in your skin may diminish with age, contributing to the formation of wrinkles and folds around your mouth. Juvéderm® acts to “fill” in these lines with a smooth gel made with hyaluronic acid which is a naturally occurring substance in your skin that helps add volume and hydration.
What is Juvederm?
Manufactured by Allergan, the makers of BOTOX© Cosmetic, Juvéderm® is a nonsurgical physician-administered treatment that requires no allergy skin test and minimal recovery or downtime.
Juvéderm® is a smooth consistency gel made of hyaluronic acid—a naturally occurring substance in your skin that helps to add volume and hydration. Your dermatologist injects Juvéderm® under the skin to instantly restore your skin's volume and smooth away facial wrinkles and folds, like your “smile lines” or “parentheses” (nasolabial folds—the creases that run from the bottom of your nose to the corners of your mouth).
In addition to its use as an aesthetic treatment, hyaluronic acid has also been used for more than 20 years for injection into arthritic joints to aid movement as well as for eye surgeries and wound repair.
How does Juvederm Work?
Juvéderm® is a nonsurgical, physician-administered treatment. Dr. Woodall or Dr. White injects Juvéderm® under the skin using a fine needle to fill the soft tissue of the dermis—the dense inner layer of skin beneath the epidermis—to add volume and diminish wrinkles and folds.
Juvéderm Ultra vs. Juvéderm Ultra Plus?
Juvéderm® comes in two formulations - Juvéderm Ultra and Juvéderm Ultra Plus. Juvéderm Ultra Plus is used to correct deeper folds and deformities since it is a more robust product. Dr. White or Woodall will evaluate the depth or your wrinkles and folds prior to treatment to determine which product would provide the best results.
Because Juvederm® is a simple, nonsurgical wrinkle treatment, there is minimal recovery or downtime. You can make an appointment to stop by Palmetto Skin and Laser Center for treatment on the way home from work or the gym, or even while the kids are at soccer practice—and get right back to your life. Here's what to expect when you visit us for treatment:
Before you go: Avoid any medications that can increase bleeding, such as aspirin and non-steroidal anti-inflammatories (NSAIDs) like Aleve or Advil (ibuprofen), for at least a week prior to treatment in order to reduce the risk of bruising and bleeding at the injection site.
Before the procedure: Dr. Woodall or Dr. White will have you remove any make up and wash the areas that you will have injected. Although anesthesia is not required, Dr. White or Woodall may use topical or local anesthesia to numb the treatment area first.
The procedure: Dr. Woodall or Dr. White will inject the Juvéderm® under your skin to augment, or fill, wrinkles and folds. Following the injection, Dr. White or Dr. Woodall may gently massage the treated areas.
The procedure is quick and easy. Your entire Juvéderm® appointment will take about a half hour from start to finish, depending on the number of areas being treated.
After the procedure: With Juvéderm® , there is minimal recovery or downtime. For the first 24 hours following treatment, you should avoid strenuous exercise, excessive sun or heat exposure, and consumption of alcoholic beverages in order to help minimize the risks of temporary redness, swelling, and/or itching at the treatment sites.
Is the procedure painful?
Injections may cause some discomfort during and after the injection. The smooth consistency of Juvéderm® allows Dr. White or Dr. Woodall to administer it easily and smoothly. And, Juvéderm® is injected directly into the skin using a fine needle to reduce injection discomfort. Your doctor may choose to numb (anesthetize) the treatment area to further minimize discomfort.
After the treatment, some temporary injection-related reactions may occur, including redness, pain, firmness, swelling, and bumps. Studies have shown that these are usually mild to moderate in nature and clear up on their own in 7 days or less. If you experience swelling at the injection site, you can apply an ice pack for a brief period. Your healthcare professional will tell you when makeup may be applied after your treatment.
You should see an immediate improvement in the treatment areas. Most patients need one treatment to achieve optimal wrinkle smoothing.
How long will the results last?
Juvéderm is the ONLY hyaluronic acid (HA) filler FDA approved to last up to 1 year. However, results may vary and correction is temporary. Supplemental treatments may be required to achieve and maintain optimal results.
Is Juvederm safe for persons of color?
Juvéderm® is the first FDA-approved hyaluronic acid dermal filler that is proven to be safe and effective for persons of color. Studies with Juvéderm® showed no increased risk of hyperpigmentation (darkening of the skin) or hypertrophic scarring in patients of color.
Who should I choose to administer my Juvéderm?
It is true that anyone with a medical license can administer Juvderm and it doesn’t have to be in a doctor’s office. But it is very important, for your safety and your positive cosmetic results, that you choose a physician who has studied the skin, its muscles, its nerves, and every tiny nuance about how it works for their entire career. Dr. Woodall and Dr. White are both board-certified dermatologists who are nationally recognized for their clinical and cosmetic skills. Please read more about our physicians here.
It is equally important that your Juvéderm® injections are administered in a safe, sterile environment to minimize any risks. The Palmetto Skin & Laser Center is certified by the AAAHC, which is a voluntary process through which a non-profit ambulatory health care organization is able to measure the quality of its services and performance against nationally recognized standards. The accreditation certificate is a symbol to others that an organization is committed to providing high-quality care and that it has demonstrated its commitment by measuring up to AAAHC’s standards. Learn more about our AAAHC Certification here.
Recent studies conducted by the American Society of Dermatologic Surgery (ASDS) have shown an increase in patient complications resulting from non-physicians practicing medicine and its impact on patient safety. You can read their position statement on the use of dermal fillers and injectibles here.
Historically, dermatologic surgeons have been the pioneers and leaders in the field of cosmetic and medically necessary skin surgery. In fact, the science of many of the cosmetic surgery procedures and skin cancer treatments performed today were either originated or enhanced by dermatologic surgeons. For example, these skin surgery experts invented laser surgery for birthmarks, liposuction using local anesthesia, hair transplantation, the use of many filler substances like Juvéderm® and Restylane, most chemical peeling treatments, BOTOX® Cosmetic therapy, laser hair removal, laser resurfacing for wrinkles, many leg vein treatments, microdermabrasion and more.