Juvederm is an FDA-approved, non-surgical dermal filler composed of hyaluronic acid—a naturally occurring substance in the skin. This product is approved to correct a variety of skin concerns, such as loss of volume and skin elasticity, moderate to severe wrinkles, and thinning lips. The body’s natural level of hyaluronic acid decreases with age and causes the skin to lose volume and structure—ultimately, this can lead to the formation of wrinkles and skin folds.
Adults over the age of 21 looking to temporary improve or enhance their natural features would benefit from Juvederm injections. It is also indicated for patients with age-related skin concerns, including volume loss in the cheeks, deep wrinkles and folds, and lines in the perioral area.
When administered correctly and at the right dosage, Juvederm is scientifically proven as a safe and effective agent in improving the appearance of wrinkles on the forehead, glabellar area, and nasolabial folds. Up to 82% of the subjects treated with Juvederm Ultra reported very good results.
Do not give this treatment to patients with a history of multiple severe allergic reactions, as well as patients who are allergic to lidocaine and bacterial proteins. Patients with a history of excessive scarring (keloid formation) and pigmentation disorders may acquire additional scars or pigmentation changes when given this treatment.
There are different types of Juvederm products formulated to address various skin concerns.
Large amounts of hyaluronan or hyaluronic acid are found between the cells (extracellular matrix) of the body, where it provides hydration and suppleness to the skin. Hyaluronic acid is a glycosaminoglycan and an important component of the extracellular matrix because of its unique ability to retain water.
Unfortunately, the levels of hyaluronic acid deteriorates with age and contributes to the formation of smile lines and wrinkles. When a treatment of Juvederm is injected intradermally, the depleted hyaluronic acid is replenished, resulting in increased hydration levels, restored cheek volume, enhanced lip volume, and a reduced prominence of facial lines and folds. The elastic gel consistency of Juvederm is more advantageous than its less pliant predecessors, as it settles more smoothly, providing a more natural-looking results.
Juvederm dermal filler can be administered during a short office visit. A suitable variety of techniques are used depending on the patient’s desired results and the area to be treated. To help minimize discomfort during treatment, an anesthetic can be used.
The gel is injected into the mid to deep dermis. Gently massage the area after injection to distribute the filler evenly and to prevent lumps from forming. Ensure that you do not overcorrect.
Hyaluronic acid injections can improve a patient’s appearance by adding volume and lifting the affected area. The compound is then naturally absorbed into the body within 6 to 9 months. The benefits of Juvederm can last from 6 months to more than a year, depending on the product and the treatment area. It may even last longer if follow-up treatment is done a few weeks after the first injection.
Advise the patient to avoid blood-thinning medications (Aspirin or Ibuprofen) for two weeks prior to injection. Initially, the injected area may feel a little firm, but it will go back to normal over time. The safety of Juvederm products has not been tested in patients under 21 years of age.
Juvederm is well tolerated and most side effects resolve themselves within a few weeks. Serious risks often involve unintentional injection of dermal filler into a blood vessel. This can cause blindness, stroke, and permanent scarring. Below are the possible side effects that patients may experience with different Juvederm products:
The effects of Juvederm are immediate, but the full results will be seen after a few weeks as redness and swelling go down. Apart from this, the patient may experience swelling, bruising, and pain in the affected area. Inform the patient that these may last for up to a week. Within the first 24 hours, the patient should avoid extensive sun exposure, alcoholic beverages, and engaging in strenuous exercises.
The cost of Juvederm ranges from $550 to $1200 per injection. It depends on the variety and formula to be used. A second injection may be advised for a fully satisfactory result.