There are numerous facial fillers on the market today and it is hard to objectively differentiate one from the other. Patients do identify with brand names and if it is presented as a hyaluronic acid filler in the tube that is about to be injected into their face, a puzzled and maybe concerned look will emerge. The similar look would be garnered if you were told a neuromodulator was to be injected rather than Botox® or Dysport®, or a biostimulator is to be injected and not Sculptra®.
- Volumetric fillers: hyaluronic gel fillers like Juvederm®, Restylane®, Voluma®
- Biostimulators: encourage your own bodies collagen growth, Sculptra® and Radiesse®
- Neuromodulators: effect muscle activity to reduce lines, Botox® and Dysport®
Juvederm® is a hyaluronic acid gel filler that is FDA approved for injection into the nasolabial folds and marrionette lines. Hyaluronic acid is a naturally occurring substance that is broken down by the body, making these types of fillers non-permanent, but the cross-linking of the molecules holds the gel together making the degradation of the product slow. There are two forms of Juvederm®, Ultra and Ultra Plus and they differ by the amount of cross linking, with Juvederm® Ultra Plus having more cross linking therefore more stability and longer lasting. The addition of lidocaine to gel adds the “XC” behind the Juvederm® Ultra Plus which makes the injection of this comfortable, without the need for additional local anesthesia.
Juvederm® is injected under the skin to fill in smile lines and permanent creases. It is massaged to a smooth consistency and will absorb water to swell slightly. There is a instantaneous correction which is prone to swelling and bruising for about a week, though the long term effect will last for over a year. Juvederm® is packaged in 1 cc syringes and one must think about a volume needed to achieve the desired correction. On average, one syringe will treat one area, so consider 2 syringes in your initial injection session and then maintain with half of that before a year is up.
Juvederm® has very few side effects with the most common being bruising at the injection site which is limited with the use of ice. Infection and allergic reactions are rare. The bad news is Juvederm® is not permanent and must be re-injected in about a year in a lower volume, but the good news is it is not permanent, so any displacement or overfilling will resolve and/or can be dissolved with hyaluronidase injections.
There are other fillers on the market and Dr. Trussler will discuss what injectable is optimal for each area and each patient. Juvederm® is safe and reliable making it an easy choice for the majority of your in-office facial rejuvenative needs in his plastic surgery practice in Austin Texas.