One of the most popular collections of dermal fillers used for replacing volume and helping restore a youthful appearance to the skin is Juvéderm®. Denver’s AboutSkin Dermatology and Aesthetics offers several formulations of Juvéderm®, which can be used for replacing volume to improve the look of certain wrinkles and prominent folds. It can also be used for facial contouring to subtly lift the skin, fill in hollow areas or augment features like the cheeks and lips.
Choosing an experienced, Board-Certified Dermatologist for your Juvéderm® treatment is crucial for ensuring safety and achieving desirable outcomes. Our team of Board-Certified Dermatologists at AboutSkin is thoroughly experienced in applying Juvéderm® to address a wide range of cosmetic issues. By selecting a skilled, knowledgeable injector, you minimize risks and increase the likelihood of a satisfying, successful procedure.
Dr. Joel L. Cohen of AboutSkin Dermatology stands out as a top provider of dermal fillers, particularly due to his involvement in various clinical trials for fillers like Juvéderm®. His participation in these trials, including studies focused on smoothing nasolabial folds and marionette lines with Juvéderm® and enhancing cheek contours with Juvéderm Voluma, has afforded him deep insights into the intricacies of filler treatments. This experience not only enhances his ability to tailor treatments to individual patient needs but also keeps him at the forefront of the latest techniques and products in aesthetic medicine.
Patients choose Dr. Cohen time and again for their filler treatments because of his unique perspective, experience and advanced skills that ensure high precision and effectiveness. His proven track record, driven by research and patient outcomes, offers patients a trusted expert in the field of cosmetic dermatology.
Youthful skin is generally smooth and more “full” thanks to a molecule known as collagen. Once we reach our 20s, however, collagen levels begin going down little by little in our skin each year. Older skin is typically weaker, drier, and less elastic as a result of collagen loss, as well as because of chronological aging. These changes result in thinner fat pads below the skin, slowed production of natural oils, and less hyaluronic acid to maintain hydration. Additionally, our skin is also battered by external aggressors from the environment—like sun damage, UV radiation, pollution, and even gravity—and can also be damaged by lifestyle habits such as blue-light exposure from computers and phone screens, smoking, chronic stress, lack of sleep, and neglecting routine skin care.
Juvederm® is the brand name for a group of soft tissue fillers that add valuable volume directly beneath the surface of the skin, correcting many of the cosmetic problems that develop due to collagen loss. Once injected during a minimally invasive treatment session, the filler blends into the skin and gives it a more lifted and supple appearance.
The main ingredient in these soft and smooth injectable gels is a synthetic form of hyaluronic acid—a glue-like substance your skin creates on its own to promote moisturization by latching onto water. The hyaluronic acid in Juvederm® is what gives the fillers their volumizing effect. When introduced to thinning areas of the skin, the gel takes up space and acts as a substitute for any collagen, water, fat, or bone structure that is lacking.
Juvederm® minimizes moderate to severe wrinkles such as nasolabial folds— which are the indentations that stretch from either side of the base of the nose to the corners of the mouth and become more pronounced with age. It can also plump lips that have grown thin over time or that have always been thin.
Some Juvederm® formulations are meant to address static wrinkles, which occur due to intrinsic aging, damage from the sun and environment, and other factors not strictly related to facial muscle contractions. These fillers are primarily used for enhancing the center and lower part of the face around the cheeks, mouth, and jawline area.
Another type of Juvederm® adds fullness to hollowed or sunken areas that form when the skin “deflates” due to aging, acting as a replacement for bone to give the face a more sculpted appearance around the cheekbones or in the chin.
AboutSkin offers three formulations of Juvederm®: Ultra, Ultra Plus, and Voluma®. Each version has its own unique properties in terms of texture, consistency, and concentration of hyaluronic acid.
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Ultra gives small, thin lips a poutier appearance, restores a youthful appearance to aging lips, and makes the lips bigger if you simply want to give them an enhanced look. It also corrects moderate to severe wrinkles around the mouth.
Juvederm® Ultra Plus is a thicker, more viscous version of Ultra that is better for deeper, more severe wrinkles and depressions, as well as more pronounced and obvious enhancement.
Juvederm Voluma® is a filler designed for adding roundness to pinched-in cheeks that have hollowed due to aging. It can also be used to give the cheeks or chin a more chiselled, angular appearance, depending on the look the patient wants.
Ideal candidates for Juvederm® are adults who are physically healthy, maintain a positive outlook, and have realistic aesthetic goals. If you’re allergic to ingredients contained in the fillers, such as lidocaine, or have a history of severe allergies or excess scarring, these fillers might not be suitable for you. During your consultation, the AboutSkin Dermatology team will discuss any risk factors and anything else that may prevent you from being a good candidate, as well as suggest alternative treatments or options for getting the look you want.
Juvéderm may not be suitable for everyone. If you’re allergic to ingredients contained in the fillers, such as lidocaine, or have a history of severe allergies or excess scarring, these fillers might not be suitable for you. Additionally, people prone to excessive scarring or keloid formations should be cautious, as the injection sites could potentially exacerbate these conditions. Pregnant or breastfeeding women are typically advised to postpone treatments with Juvéderm to avoid any risks that have not been thoroughly studied in this group. Lastly, those with ongoing skin infections or inflammation near the intended treatment areas should allow these issues to resolve and heal before considering dermal fillers.
Before having Juvederm® fillers, patients will start off with a consultation with one of our Board-Certified Dermatologists so they can discuss their goals for the type of look they hope to achieve. The dermatologist will explain the benefits of the treatment, as well as other details.
Not much preparation is required beforehand, other than avoiding certain medications or supplements that could increase the risk of bleeding or bruising.
The injection process itself is simple and quick, typically lasting between 15 and 30 minutes. Specifics depend on which area or areas are being treated. A topical numbing agent or local anesthetic is recommended to be applied at home starting an hour before your appointment to try to reduce discomfort, although the injections are usually very well tolerated. Juvederm® fillers also contain a small amount of lidocaine to make the process more comfortable.
After your face has been examined, the Juvederm® filler is injected directly into the appropriate areas below the skin with a needle. The doctor will then lightly massage the skin to ensure that the filler is evenly distributed.
Preparing for Juvéderm injections involves a few straightforward steps to promote a smooth procedure and minimizes the risk of side effects. While Juvéderm treatments generally require minimal preparation, taking specific precautions can enhance your comfort and the effectiveness of the results.
Firstly, we advise that you avoid medications and supplements that can thin your blood for at least a week before your appointment. Common substances to avoid include aspirin, ibuprofen and other non-steroidal anti-inflammatory drugs (NSAIDs). Supplements such as vitamin E, fish oil and ginkgo biloba should also be avoided, as they can increase the likelihood of bruising and bleeding at the injection sites.
Additionally, it’s beneficial to refrain from consuming alcoholic beverages for 24 to 48 hours prior to your treatment. Alcohol can exacerbate swelling and may increase the chances of bruising. It’s also recommended to stay hydrated leading up to the procedure, as good hydration can facilitate quicker recovery and better results.
Results are visible right away, with results that last between six months to a year on average for Ultra® and Ultra® Plus and up to two years for Voluma™. Minor side effects such as bruising, swelling, and redness may occur, but patients won’t usually have to take time off to recover.
Along with the Juvederm® collection of fillers, there are other types of dermal fillers that some patients might prefer to use instead. Hyaluronic acid-based facial fillers such as Restylane® and Belotero® have the same active ingredient as Juvederm®, and they work in a similar way, but they are formulated to be gels that have different textures and strengths. Radiesse® is an option for patients who are looking for more “lifting” of cheeks or jawlines or hands, and sometimes can lead to a longer-lasting results. The biostimulatory filler volumizes the skin right away while also promoting gradual collagen production. The AboutSkin Dermatology team can help you decide which filler is right for you.
Although Juvederm® is an ideal choice for folds, it won’t work to smooth out other types of wrinkles that are primarily linked to repetitive muscle contractions made during facial expressions, such as crow’s feet and frown lines. For these lines, which are known as dynamic wrinkles, patients will need a muscle relaxant. BOTOX® reduces the contractions of facial muscles in certain spots to make the skin look smoother and more rejuvenated for several months. Other neuromodulators—like Dysport®, Xeomin®, and Jeuveau™—also work in the same way. Laser resurfacing (fractional CO2, fractional erbium or full-field erbium), is used to resurface and improve etched-in and imprinted lines in the skin.
Cosmetic dermatology options like fillers and neuromodulators won’t improve skin issues related to tone and texture, such as hyperpigmentation, enlarged pores, rough skin, and similar concerns. Skin resurfacing treatments such as laser resurfacing, fractional laser treatment, chemical peels, and microneedling can improve the overall appearance of the skin and some specific etched-in lines. All of these options can be combined to create a customized plan that generates uniquely beautiful results.
After receiving Juvéderm injections, most patients experience minimal disruption to their daily activities and won’t usually have to take time off to recover. While the procedure typically requires no significant downtime, there are some minor side effects and precautions to consider to promote optimal healing and results.
Potential side effects include bruising, swelling and redness at the injection sites. These are generally mild and resolve on their own within a few days to a week. To minimize swelling and bruising, it is advisable to avoid strenuous activities and exercise for at least 24 to 48 hours after the treatment. Elevating your heart rate and blood pressure through vigorous activities can exacerbate swelling and may lead to more pronounced bruising.
It’s also wise to avoid excessive heat exposure such as saunas, hot yoga or sunbathing for a few days post-treatment. High temperatures can increase blood flow to the face, potentially intensifying swelling and discomfort.
Additionally, it is recommended to avoid manipulating or massaging the treated areas for at least 24 hours unless instructed otherwise by your practitioner. Touching or massaging can potentially misplace the filler, affecting the contouring results.
Results are visible right away, lasting an average of six months to a year for Ultra and Ultra Plus and up to two years for Voluma. The longevity of your results can vary slightly depending on several factors, including the specific the area treated and individual patient characteristics.
First, individual metabolic rates play a significant role; those with faster metabolisms may notice that their results diminish more quickly. The area of the face treated also affects the durability of results, as fillers in high-movement areas like the lips might break down sooner than those in more static areas such as the cheeks. Additionally, the volume of the product used can impact results, with larger quantities generally sustaining longer-lasting effects.
Lifestyle factors also contribute to how well the fillers maintain their appearance. For instance, prolonged sun exposure, smoking, poor overall health and an inadequate skincare regimen can accelerate the aging process and shorten the life of the filler. Furthermore, the technique and expertise of the practitioner are crucial; skilled application can enhance the naturalness and duration of the filler effects.
Patients looking to maintain their aesthetic improvements can consider repeat treatments as the effects begin to wane (typically around six months for Ultra and Ultra Plus and up to two years for Voluma). Regular consultations at AboutSkin can help determine the optimal timing for your follow-up treatments, allowing you to seamlessly maintain your results.
At AboutSkin Dermatology and Aesthetics in the Denver area, our team of experienced Board-Certified Dermatologists is committed to providing the highest quality personalized care.
Schedule your consultation today to learn more about this versatile family of fillers and how they can help achieve your aesthetic goals.
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