Juvederm Ultra/Juvederm Ultra Plus are dermal fillers manufactured by Allergan. They are colorless, hyaluronic acid injectable gels use to smooth facial wrinkles and folds, especially in the nasolabial area. Juvederm were the first gel consistency formulas, and are the only dermal fillers with hyaluronic acid that can last up to one year. Juvederm products were approved by the Food and Drug Administration in 2001, and Juvederm’s newest XC products have added lidocaine, to make injections less painful.
Differences Between Juvederm Ultra/Ultra Plus, And Juvederm Ultra/Ultra Plus XC
The Juvederm family of facial dermal fillers are bacterium-derived, and non-animal hyaluronic acid (HA). An advanced process of manufacturing hyaluronic acid using HYLACROSS technology, provides a smoother, more easily injectable gel than other dermal fillers, which are granular. The hyaluronic acid in Juvederm is produced by crosslinked Streptococcus Equi bacterium through biosynthesis. The highly-concentrated hyaluronic acid is longer lasting, and because it is stabilized, removing the bacterium which produces the HA, it is safe for commercial use.
Juvederm Ultra injectable gel is used for finer wrinkles and folds, and Juvederm Ultra Plus is used for moderate, and deeper folds. Juvederm Ultra Plus is 20% thicker than Ultra, providing longer lasting results in some cases. How long the Juvederm products last is determined by individual metabolism rates, which part of the face is injected, and how severe the wrinkles are. The cost varies, but an average treatment is from $550-$650, and the products may last up to a year. Because these are not permanent injections, follow-up treatments will be necessary.
The Juvederm Procedure And Side Effects
Finding an experienced doctor is the first step to achieving desired results. Injection technique is critical when dealing with dermal fillers. Placement of injection, depth, and accuracy are very important to your results. Your doctor should know your medical history, any medications you have taken, or are currently taking, and your desired outcome. It will then be determined if or which Juvederm products should be used. Injection sites will be marked or scored, and local anesthetic may be applied before injections.
Some side effects which may be experienced are redness, tenderness, swelling, lumps or bumps, bruising, itching, and discoloration near the injection site. These side effects usually last no more than one week. With any injection, there is always a risk of infection. The Juvederm products do not require a skin pre-test for allergic reactions, but there is a possibility due to your genetic makeup. This is why it is important to discuss your medical history in order to decide whether hyaluronic injections are suitable for you.
Cautions For Use
There are some instances when Juvederm will not be recommended by your doctor. Some of these conditions include if you:
- Take blood thinning medications
- Have a history of anaphylaxis or severe allergic reactions
- Have a history of allergies to Gram-positive bacterial proteins (found in bacterium used to produce the product)
- Have recently had other facial procedures such as laser, chemical peeling, or other dermal injections
- Currently on immunosuppressive therapy
- Are pregnant, or breastfeeding
- Have a history of excessive scarring (hypertrophic scarring, keloid formations, or pigmentation disorders)
- Currently have facial skin lesions (injections may proceed after skin condition clears)
Overall, Juvederm products do what they are supposed to do, if the injector is experienced and knowledgeable about the various products and results they will deliver. From patient reviews, Juvederm results were not as favorable for the use on lips. Patients experienced uneven results, or bumps when used on the lip area. The reviews indicated more how inexperienced or unprofessional the administrator was, then the use of the product.
Many reviews were favorable, with few side effects, and the patients liked how long Juvederm Ultra Plus lasted. Most unfavorable reports were either because of the inexperienced administrator, and where the injections were made on the face. If the desired results were not achieved, your doctor should be asked to inject hyaluronidase, which is an enzyme to immediately dissolve the Juvederm injection.
Juvederm products are tested for their ease of injection, degree of which they fill facial tissue, how long they last, facial appearance after injected, and side effects experienced by patients. While Juvederm may not work for everyone, hyaluronic acid dermal injections seem to be preferred over collagen injections, due to longer duration, increased volume, and more favorable patient reviews.