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Dermal Fillers (Juvederm)
JUVÉDERM® Ultra and JUVÉDERM® Ultra Plus
What is Juvéderm®?
Juvéderm® is a smooth consistency gel made of hyaluronic acid–a naturally occurring substance in your skin that helps to add volume and hydration. Dr. Geoghegan eases Juvéderm® injectable gel 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).
What to Expect During Treatment
Because Juvéderm® injectable gel is a simple, nonsurgical wrinkle treatment, there is minimal recovery or downtime. So you can make an appointment to stop by Dr. Geoghegan’s office 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.
Before you go: We recommend that you avoid any medications that can prolong bleeding, such as aspirin and non-steroidal anti-inflammatory (NSAIDs), for at least a week prior to treatment in order to reduce the risk of bruising and bleeding at the injection site. Dr. Geoghegan may also have specific recommendations for you.
When you arrive: If this is your first visit, Dr. Geoghegan will ask about your medical history, including any allergies you may have or medications you may take, and will tell you more about wrinkle treatment with Juvéderm®. Your treatment with this injectable gel does not require an allergy test.
Determining your treatment needs: Dr. Geoghegan will examine the soft tissue of your face to assess the depth of your wrinkles and folds and determine a treatment plan specific to your needs and desired look. Juvéderm® is available in two formulations–Juvéderm® Ultra for versatility in contouring and volumizing facial wrinkles and folds, and Juvéderm® Ultra Plus, a robust formulation for volumizing and correcting deeper folds and wrinkles. This allows Dr. Geoghegan to better tailor treatment to your unique needs. We will take pre-treatment photographs so you can see the difference after treatment!
Before the procedure: Although anesthesia is not required, Dr. Geoghegan prefers the use topical and/or injectable anesthesia to numb the treatment area first to keep this procedure as comfortable as possible for you.
The procedure: Dr. Geoghegan will ease the Juvéderm® injectable gel under your skin to augment or fill wrinkles and folds. Following the injection, Dr. Geoghegan may gently massage the treated areas. The procedure is quick and easy. The injection itself usually takes only about 15-20 minutes.
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. 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. Dr. Geoghegan will tell you when makeup may be applied after your treatment.
Seeing results: You should see an immediate improvement in the treatment areas. Most patients need one treatment to achieve optimal wrinkle smoothing. And one treatment could smooth your lines and wrinkles for up to 1 year! However, results may vary and correction is temporary. Supplemental “touch up” treatments may be required to achieve and maintain optimal results.
What is JUVÉDERM®?
Juvéderm® is the only hyaluronic acid (HA) filller with FDA approval to last up to one year.* Ask Dr. Geoghegan how you can get long-lasting results with Juvéderm®. Juvéderm® injectable gel is a “next-generation” smooth consistency gel dermal filler that helps 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). Juvéderm® comes in two formulations–Juvéderm® Ultra and Juvéderm® Ultra Plus.
*Juvéderm® is indicated for injection into the mid to deep dermis for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds).
What does JUVÉDERM® do?
Juvéderm® injectable gel temporarily adds volume to facial tissue and restores a smoother appearance to the face.
What is JUVÉDERM® indicated for?
Juvéderm® Ultra and Juvéderm® Ultra Plus injectable gels are indicated for injection into the mid to deep dermis (below the outer layer of skin) for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds (the creases running from the bottom of your nose to the corners of your mouth, aka smile lines or parentheses).
Why does JUVÉDERM® come in two formulations?
Juvéderm® injectable gel is available in two formulations to allow Dr. Geoghegan to tailor treatment to your unique needs. Juvéderm® Ultra provides versatility in contouring and volumizing facial wrinkles and folds. Juvéderm® Ultra Plus is a more robust formulation for volumizing and correcting deeper folds and wrinkles.
What makes JUVÉDERM® different from other dermal fillers?
JUVÉDERM® is the ONLY hyaluronic acid (HA) filler FDA approved to last up to 1 year.* Their unique manufacturing process provides a high concentration of cross-linked hyaluronic acid for long-lasting results. It also works to create a smooth consistency gel that flows easily into the skin and provides a smooth, natural look and feel. All other hyaluronic acid dermal fillers currently on the market are made of granular consistency gels. And, Juvéderm® is the first hyaluronic acid dermal filler that has demonstrated its safety and effectiveness in persons of color.
*Juvéderm® is indicated for injection into the mid to deep dermis for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds).
How is JUVÉDERM® injectable gel different from BOTOX® Cosmetic?
Juvéderm® injectable gel is a “next-generation” hyaluronic acid dermal filler that provides volume and is used to treat wrinkles and folds resulting from a loss of volume beneath the surface of the skin such as perioral lines and nasolabial folds (lines around your mouth and nose). Juvéderm® restores your skin’s volume for a smooth, natural look and feel. BOTOX® Cosmetic is not a filler. BOTOX® Cosmetic relaxes muscle activity and is used to treat moderate to severe lines caused by the dominant frown muscles between the eyebrows (the glabellar area). This allows the two vertical lines between the brows, often referred to as the “11,” to temporarily diminish for a smoother appearance.
What is hyaluronic acid?
Hyaluronic acid is a naturally occurring substance found in all mammals that helps to hydrate and add volume to your skin. 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.
What is cross-linked hyaluronic acid?
“Uncross-linked” hyaluronic acid in its natural form is in a liquid state. “Cross-linking” is the process through which hyaluronic acid is made into a gel product that can be injected into the skin for long-lasting results.
How is JUVÉDERM® injectable gel used in treatment?
Dr. Geoghegan eases Juvéderm® injectable gel into the skin using a fine needle to temporarily fill in and augment the treatment area and smooth moderate to severe facial wrinkles and folds such as “smile lines” or “parentheses” (nasolabial folds) and “marionette lines” (oral commissures). Juvéderm® temporarily adds volume to the skin and may give the appearance of a smoother surface.
What will treatment with JUVÉDERM® injectable gel accomplish?
Juvéderm® injectable gel will help to smooth moderate to severe facial wrinkles and folds. Most patients need one treatment to achieve optimal wrinkle smoothing. And one treatment could smooth your lines and wrinkles for up to 1 year. Ask Dr. Geoghegan what you should expect from your initial treatment and when she would recommend rescheduling another appointment.
Is treatment with JUVÉDERM® injectable gel painful?
Injections may cause some discomfort during and after the injection. The smooth consistency gel of Juvéderm® allows Dr. Geoghegan to administer it easily and smoothly. And, Juvéderm® is injected directly into the skin using a fine needle to reduce injection discomfort. Dr. Geoghegan prefers to numb (anesthetize) the treatment area to further minimize discomfort.
How long does treatment usually take?
The injection process takes only about 15 minutes. You will also need to allow time to consult with Dr. Geoghegan prior to treatment.
What kind of doctor can provide treatment with JUVÉDERM® injectable gel?
Any authorized healthcare professional can administer Juvéderm® injectable gel, but plastic surgeons, dermatologists, or physicians specializing in cosmetic procedures are generally more experienced and trained to provide this treatment.
Does the correction last forever?
No. Correction is temporary; therefore, touch-up injections as well as repeat injections are usually needed to maintain optimal corrections.
How long do results last?
JUVÉDERM® is the only hyaluronic acid (HA) filler FDA approved to last up to 1 year but your individual results will vary.
What are the possible side effects of JUVÉDERM® injectable gel?
Most side effects are mild or moderate in nature, and their duration is short lasting (7 days or less). The most common side effects include, but are not limited to, temporary injections site reactions such as redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, and discoloration. As with all skin injection procedures there is a risk of infection.
Can people with different skin tones/colors be treated with JUVÉDERM®?
Yes. In fact, Juvéderm® injectable gel is the first FDA-approved hyaluronic acid dermal filler that has proven its safety and effectiveness in persons of color. Studies with Juvéderm® showed no increased risk of hyperpigmentation or hypertrophic scarring in patients of color.
