We are always trying to improve our results using the most cutting edge techniques. Recently we have incorporated 2 new approaches that have significantly improved patient satisfaction.
Juvéderm is made of a material called Hyaluronic Acid (HA). Hyaluronic acid is a naturally occurring carbohydrate that is present in human skin, soft tissue and joints. It is often referred to as the “ground substance” and provides lubrication to joints and helps to maintain skin hydration.
Because it is naturally occurring, it feels natural, looks natural and lasts a long time as compared to other fillers.
Juvéderm comes in 2 forms:
Juvéderm will cause a stretching of the skin when it is placed in the skin which stimulates certain cells (fibroblasts) to make new collagen. Therefore, while the material is in place the treated area is improving because the skin is producing more collagen in the area. Even after the material has worn off, patients will often note that the crease or wrinkle is better than it was before the original treatment.
Juvéderm is FDA approved for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds). Nasolabial folds are the creases that span from the nose to the corner of the mouth.
Juvéderm is also used frequently in off label manners to add volume to areas such as:
The treatment is performed in an examination room and takes about 15-30 minutes.
The area to be treated is numbed according to the patient’s level of tolerance and can include one or more of the following:
If the material is placed too close to the surface of the skin, light may be refracted and cause a bluish color, known as the Tyndall effect. Proper depth of placement, as well as not filling excessively, will avoid this occurrence. If this does happen, or if there is simply too much filler placed, the filler can be dissolved using an agent called hyaluronidase. This enzyme breaks down the material within 24-48 hours and can be used to correct this problem.