Juvederm: Get to Know Juvederm, Juvederm Ultra and Juvederm Ultra Plus
Reviewed by Yael Halaas, MD
If you are considering injectables to combat some of the signs of facial aging, you have probably heard the names Juvederm, Juvederm Ultra, Juvederm Ultra Plus or Juvederm VolumaXC bandied about. The first three hyaluronic acid-based fillers are approved by the federal Food and Drug Administration for the treatment of moderate to severe facial wrinkles and folds, including those that extend from your nose to the corners of your mouth (nasolabial folds).
According to Juvederm manufacturer Allergan, Juvederm can eradicate smile lines (those parentheses around your nose and mouth), marionette lines (the vertical wrinkles at the corner of your mouth), and vertical lip lines. Juvederm Voluma, the newest member of the Juvederm family, is the first and only filler approved to temporarily correct age-related volume loss in the cheek area in adults over the age of 21.
How Does Juvederm Work?
Hyaluronic acid is found in the connective tissues of your body. Its supply dwindles with advancing age and exposure to the sun's harmful ultraviolet radiation, and this shortfall contributes to some of the signs of facial aging. Juvederm, and other hyaluronic acid fillers on the market like Restylane, Perlane and Prevelle Silk, can help replenish your body's depleting supply.
Your surgeon injects the Juvederm gel into the mid- to deep dermis of your face using a syringe. Some doctors will use topical or injectable anesthesia to numb the area before treatment with Juvederm. The procedure takes about 15 minutes, and there is no postoperative downtime with Juvederm.
This filler adds volume to the wrinkles and folds in the treatment area, ostensibly filling them in. The results are immediate, and some people only need one treatment.
Juvederm: What's in a Name?
Juvederm is the name of the family of products. Juvederm Ultra is the "regular" filler. Juvederm Ultra Plus is for deeper facial folds and its effects may last longer. Juvederm Voluma XC corrects age-related volume loss in the cheek area.
Preparing for Your Juvederm Treatment
Your surgeon may recommend that you steer clear of any medications that can increase bleeding such as aspirin and non-steroidal anti-inflammatories (NSAIDs) for at least a week before Juvederm treatment. Some homeopathic remedies also increase this risk. Avoiding these products may reduce the risk of bruising and bleeding at the injection site.
Some injectables require an allergy test before use. Juvederm does not. That said, be sure to discuss your medical history, including any allergies, with your doctor before your injection.
With so many injectables on the market, how can you choose? How is Juvederm different from Botox, Sculptra, Dysport or Selphyl injections?
Hyaluronic acid-based fillers are a category all their own. Their mode of action is different than Botox, which paralyzes the muscles causing your wrinkles. The first step is a consultation with a plastic surgeon or facial plastic surgeon. He or she will examine your face, discuss your aesthetic goals, and make a thoughtful recommendation as to which injectable or injectables would be best. There is no one-filler-fits-all blanket recommendation. Treatment is individualized based on your goals and your doctor's expert opinion.
Juvederm may have some advantages, depending on your goals. For one, the results can last for up to one year. It is also smoother than some other hyaluronic acid fillers on the market which have more of a grainy consistency. The smoother gel flows more easily into the skin. If you are lookinng to add volume to your midface or cheeks, Juverderm Voluma is the only game in town approved for this use.
Juvederm Side Effects
Side effects with Juvederm are rare, but may include:
- Injection site reactions such as redness, tenderness or pain. These tend to subside within a few days.
- Visible or palpable lumps and bumps if injected too close to skin
- Small bumps beneath the skin (nodules)
Although there is no real downtime following treatment, avoid strenuous exercise, excessive sun or heat exposure, and consumption of alcoholic beverages for at least a day or so after your Juvederm injection. This will help minimize any side effects. Applying an ice pack to the treated area can help reduce swelling, should it occur.
Choosing a Juvederm Provider
The process of choosing an injectable provider can be stressful and overwhelming. Many providers are out there competing for your business. All About Facial Rejuvenation strives to make this process easier by offering a directory of skilled, experienced surgeons who are highly regarded by patients and colleagues alike.
Juvederm costs about $800 to $1,300 per syringe on average, depending on the formula used and other factors. A second syringe may be needed during one treatment, and some practices may offer a reduced rate for the second syringe in these cases. Juvederm Voluma costs about $1400, on average.
If the Juvederm cost is prohibitive, ask your doctor about payment plans.
To view a comparison chart explaining the pros and cons of all available injectables, please click here.