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One of the newest, most popular trends worldwide in plastic and cosmetic surgery is facial injectables. The newest and most popular dermal fillers are now Juvederm and  Restylane, which are chemically very closely related. Both are made from hyaluronic acid, a substance found naturally in the body. Among other functions, hyaluronic acid functions to maintain skin volume; the substance can also absorb up to 1000 times its weight in water and has been safely used in medicine for six decades. Leading the pack for many years was the wrinkle remover Botox.

Surgeons and consumers quickly discovered the convenience of visiting a doctor during a lunch hour and leaving immediately afterwards while enjoying a refreshed, more youthful look. However, Botox is only indicated for removing wrinkles around the eyes, the forehead and the mouth.

The message was clear: Cosmetic, plastic and dermatological surgeons noted that patients wanted quicker procedures. So they started offering various facial injectable filler substances like collagen which could be infused just under the skin.

But there is a downside to facial injectables: the body absorbs almost all fillers within six months to a year.

Many surgeons report that Juvederm gel is easier to inject than Restylane, less costly and lasts somewhat longer.


*The 2010 national average cost of juvederm procedure is $558.

*Injectables have become so common that the number of individuals receiving them each year has increased more than 500 percent since the late 1990s.

Juvederm is a nonsurgical procedure with temporary results.









  1. What are some of the most common benefits of this surgery?
  2. How are Juvederm injections performed?
  3. How long do the injections take?
  4. Will I need to stay in a hospital?
  5. What can I expect afterwards?
  6. What is the recovery period like?
  7. What is the long-term outcome like for most people?
  8. Ideal candidate
  9. Alternatives
  10. Other potential complications include:


What are some of the most common benefits of Juvederm?

Juvederm plumps up deep lines in the face, fills out scars, and augments lips, providing results that are not much different than surgery. But, unlike surgery, patients do not have take time away from their busy lives, jobs, and schedules to allow for healing. Because no incision is involved, a patient can usually immediately leave the surgeon's office and return to her usual routines and activities.

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How are Juvederm injections performed?

When you and your surgeon have decided that Juvederm is an appropriate treatment for you, the doctor will place a topical numbing medication on the injection area and let it take effect. For very sensitive areas, some physicians may place a dental block into the area of the face receiving the Juvederm. Many are adept at delivering other fillers like Perlane into the very deep structures of the face and then placing Juvederm atop that substance. Sometimes, ice is also used to numb the treatment area. Almost all plastic, cosmetic and dermatological surgeons use the tiniest needle available, one about as thin as four or five human hairs. Once numb, you'll receive a series of small injections where required to provide more volume under the skin. Experienced doctors often say that Juvederm is somewhat smoother than Restylane and goes into and under the skin slightly easier.

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How long do the injections take?

You should be able to leave the doctor's office about 20 minutes after the numbing cream takes effect.

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Will I need to stay in a hospital?


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What can I expect afterwards?

The doctor may tenderly massage the injection area for a minute or two. A few patients may have some reddening spots or bruising at the injection sites. Some physicians recommend continuing the ice application for the rest of the day. You'll notice a smoothing of the treatment area almost immediately.

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What is the recovery period like?

The recovery period is very short, typically taking just an afternoon. The most common side effects include temporary injection site reactions like redness, pain and tenderness, swelling and lumps and bumps. Exposure of the treated area to strong sunlight or extremely cold weather should be held to a minimum until any redness or swelling has gone away. You should not have a laser treatment or a chemical peel or any other procedure that causes an active response in the skin. Try to avoid any active infections at the injection site, and do not have the treatment if you already have an infection.

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What is the long-term outcome like for most people?

Most patients enjoy the facial enhancements until the Juvederm is absorbed; the refreshed look lasts six months to a year, depending on the patient, the practitioner and the exact dose received. Many return to their physicians to maintain the enhanced look with additional injections.

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Ideal candidate:

The ideal candidates for Juvederm injections include people who desire facial enhancements din the following areas:

  • Forehead lines
  • The glabellar lines (the deep folds between the eyebrows)
  • Nasal furrows
  • Cheek wrinkles
  • The "marionette" lines at the corners of the mouth
  • Lips
  • Scar correction
  • Troughs under the eyes

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Older injectables like Cosmoderm and Cosmoplast, substances derived from animal tissues, can still be found at the offices of some physicians. Hylaform removes wrinkles and restores fullness to the skin while Sculptra stimulates the body's collage production to fill in sunken facials areas. (Ask your doctor about permanent facial fillers like Artecoll and Artefill if you dislike returning for maintenance injections.)

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Juvederm risks and complications:

Although rare, some patients may develop an immune system reaction in the from of bumps on the skin or breathing problems. Your doctor will tell you more about potential complications that might affect you.

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The information on this web site is only intended as an introduction to this procedure and should not be used to determine whether you will have the procedure performed nor as a guarantee of the result. The best method of determining your options is to consult qualified surgeons who are able to answer specific questions related to your situation.

*Disclaimer: Costs source: According to the American Society for Aesthetic Plastic Surgeons (ASAPS), nationally in 2010. Most surgeons offer convenient payments plans for this procedure. Cost does not include anesthesia, operating room facility, hospital stay, and other related expenses. Costs may vary depending the extensiveness of the procedure, location, and other factors. Costs are provided solely for research purposes. We are not a plastic surgery company and do not represent any plastic surgeons. For specific estimates, please contact a qualified plastic surgeon.

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