1. What is JUVÉDERM?
Juvederm is also a highly popular and successful filler injected in areas to add volume for cosmetic enhancements. It is basically a clear “gel” that is manufactured to match similar kinds of molecules found throughout the body (“hyaluronic acids”), so as to be easily tolerated and non-reactive. The chemistry of hyaluronic acids is essentially that of linked-together sugar molecules, though these molecules do not function like sugar. By way of injection with very tiny needles, Juvederm can be used to add volume and smooth wrinkles, thereby giving skin a more youthful appearance. While Juvederm shares many similarities to Restylane, the manufacturers of each product do highlight small differences in the physical characteristics of the two agents. As with Restylane, Juvederm has a small “family” of hyaluronic acid filler products that vary in small ways to provide greater flexibility in the areas one can treat (Juvederm XC, Juvederm Ultra XC, Juvederm Voluma, Juvederm Vollure, and Juvderm Volbella).
2. How does JUVÉDERM work?
As with other hyaluronic acid fillers, Juvederm works by adding volume to the target areas, thereby smoothing, plumping and lifting. Because of its chemistry as a hyaluronic acid, it mirrors molecules that are found throughout the body, and the body allows the filler to remain in place for months. Within the family of Juvederm products, one can create remarkable results by matching the characteristics of the filler with the target site. For example, Juvederm Voluma is used for deeper filling, such as in the cheeks areas, while Juvederm Volbella excels at plumping the lips.
3. What areas can be treated by JUVÉDERM?
Areas that can be treated with Juvederm include the cheeks, facial wrinkles and folds (such as the folds extending down from the nose toward the corners of the mouth), and wrinkles and folds around the mouth area and lips. Because of the tremendous flexibility with this portfolio of products, it is crucial that injectors assess patients skillfully to determine the best “blend” of products to use for each individual. Combining more than one product in different areas and/or at different depths often give the best results that fillers can achieve. We think of the treatment as blending both art and science, and we advocate that patients seek treatment only with practitioners who are expertly trained on anatomy, aesthetics, and injections.
4. How long do JUVÉDERM injections last?
Juvederm filler treatments last for months, but vary significantly from person to person as well as with the area that is injected. We often see, for example, that areas that tend to move a lot with facial animation may experience quicker loss of the Juvederm after the treatment. In the case of Juvederm Voluma, the manufacturer has demonstrated that it can last up to 2 years with an optimal treatment correction. The other Juvederm products last up to 12 months or longer, though it varies with the individual. It is difficult to recommend a treatment schedule that applies to all individuals simply because each person’s situation and needs are different. The range that we typically see in the office is from 1 to 3 sessions in a year, and patients often undergo treatment with Botox at the same as fillers.
5. How long does a typical JUVÉDERM treatment take?
Treatment with Juvederm is usually completed in a short office visit, ranging from 10 to 30 minutes. It is shipped in pre-filled syringes with local anesthetic mixed in with the product to numb the area as the filler goes in. This added comfort factor contributes to keeping the treatment session relatively short and easy. After treatment, there is usually a brief period of minor swelling, during which time the filler plumps slightly and water molecules attach to the filler. This swelling is generally gone after the first few days. There is little to do after the treatment, apart from avoiding any undue pressure over the treatment areas as the filler settles in.