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Guide To Dermal Fillers: Juvederm, Restylane, Voluma, Sculptra

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It depends on the dermal filler, however it’s mainly used on lines and wrinkles. Dermal fillers can even be used to plump and define lips and fill in hollow areas of the face. the subsequent is a few of the areas fillers work best:

  • The lines from the nose to the mouth (nasolabial fold)
  • The lines from the mouth to the chin (melomental fold)
  • The lines above the upper lip
  • For the frown lines (when combined with Botox)
  • To add volume and definition within the lips
  • To replace lost volume to cheekbones or cheeks
  • Used below the eyes
  • To fill out the backs of the hands and create veins look less pronounced

What are Restylane and Juvederm?

Juverderm and Restylane are gels created of non-animal hyaluronic acid (HA) and are created in a laboratory. Hyaluronic acid is a natural sugar that’s found within the skin. Restylane and Juvederm contains no human or animal DNA. They have the best safety profile over all fillers that are presently on the market. They’re Food and Drug Administration approved to be used within the lines from the nose to the mouth (nasolabial fold) and used “off label” in alternative areas.

What are Perlane and Juvederm Ultra Plus?

Perlane and Juvederm ultra plus are hyaluronic acid fillers like Restylane and Juvederm however they’re thicker and have a higher molecular weight. Perlane and Restylane are created by the same company. They’re used for injecting areas wherever a thicker filler is required, like a deeper nasolabial fold, or for adding volume into the cheeks.

Many alternative dermal fillers are being marketed to consumers. None have the same safety profiles or similar results of the above mentioned dermal fillers. There are still benefits of alternative fillers under different circumstances.

  • Radiesse is a calcium hydroxlapatite filler. A component of bone and cartilage in a smooth, injectible form. Does not last longer than hyaluronic acid.  More susceptible to complications mainly bumps.
  • Sculptra is poly-L-lactic acid. This is more like a volumizer and not line filler. It is used for facial hollowing with HIV lipodystrophy, hollowing that is genetic, and for adding volume for low body weight people. It is very useful for patients who are 60 or more when plastic surgery has become more risky for health reasons. It is more susceptible to bumps and is harder to inject. This is why it is important to see an experienced dermatologist or plastic surgeon.
  • Fat-It’s in your own body. This procedure can be unforeseeable. It can last months to years. It can be lumpy. You can have bruising and swelling for two weeks. It is hard to find a doctor who is expert at it.
  • Silicone, Artefill and Aquamid – These are permanent fillers. I am against the use for these. Complication can happen months to even years later, and can be permanent. The complications can be disfiguring and life ruining. If the doctor makes the smallest mistake you have to live with it forever.


How long will Restylane and Juvederm last?

Restylane and Juvederm will last four to six months depending on the area treated and the injection technique used. Typically the duration of the effects will last shorter or longer. Perlane and Juvederm Ultra Plus will last 6-9 months because they’re thicker.

How long do the fillers Restylane and Juvederm take to work?

The results are immediate, but for the filler to “settle into” its final form takes a couple of days. it usually looks better after a day or two. Numerous patients are stunned at how much better they look right after their treatment.

How much do Juvederm or Restylane cost?

Juvederm and Restylane are typically priced by the syringe. An example would be, filling out the lines from the nose to the mouth (nasolabial folds) will usually take one or two syringes. One syringe can cost from $450 to $600. Perlane and Juvederm Ultra Plus typically cost about $500 to $750 per syringe.

What do the filler treatments feel like?  Is Restylane and Juvederm painful?

Several doctor use a topical skin anesthetic to make you feel more comfortable while receiving injections. You will need to have the cream applied 30-40 minutes before your appointment. This cream not only make your comfortable, it also helps by decreasing the chances of you bruising by tightening blood vessels temporarily.

What will I look like right after my filler treatment with Restylane or Juvederm?

Many patients resume their normal activities after treatment. You should have very little bruising after treatment if you remembered no aspirin or anti-inflammatory drugs before treatment and provided your injector was gentle. Having some puffiness or swelling is normal for the first few days.

A small number of patients really swell after Restylane treatments. This happens a lot with lip injections. Many of these patients do not have this reaction once they switch to Juvederm. You can usually cover bruising on the lips with lipstick, but bruises around the eyes or mouth can be hard to cover up if they are dark. Most doctors can tell you if they think you likely to have a lot of bruising after treatment from experience.

Do I need to come for repeat or maintenance treatments with Restylane and Juvederm?

Yes.  All of the mentioned fillers require maintenance 1-4 times a year depending on which filler you choose, the area injected, and your own body chemistry. You will be given an estimate of this at your initial consult.

Who should NOT use a dermal filler?

Do not use any dermal fillers if you are pregnant, breast feeding or bruise easily.

 All of the below increase bruising. To avoid swelling and bruising, you should:

  1. No aspirin, or anti-inflammatory drugs for 1 week before treatment. Tylenol is okay.
  2. No Vitamin E (multivitamin) for 2-3 days before or after.
  3. No exercise for 24 hours after the procedure.

What are the possible medical side effects of a dermal filler like Juvederm or Restylane?

  • If in the past you have had cold sores around the mouth (herpes simplex) the treatment may cause an outbreak.
  • Do not have treatment if you are pregnant or nursing. These products have not been tested for safety in pregnancy or nursing.

What are the possible cosmetic side effects?

  • You may have swelling for 24-72 hours after injection, generally this happens with injections in the lips. The first time you try Restylane, or Juvederm avoid planning social events for the first 48 hours.
  • After the treatment some swelling, redness, pain, itching, discoloration and tenderness at the injection site can occur. These generally resolve within 2 to 10 days.
  • The results from your dermal filler can last 2 to 9 months. The longevity of these products vary in every individual and may obtain a different result.
  • Mild bruising or a small blush might appear at the injection site following treatment and may last for 2-10 days.
  • The use of anti-inflammatory drugs or aspirin might cause bleeding or increased bruising at the injection site