Juvederm® and Fillers

| May 13, 2012 | 0 Comments

The Juvederm® slogan is, “Everyone will notice but no one will know.” Understanding the role of Juvederm and other fillers in reducing creases and wrinkles is beneficial to patients as they choose treatments to improve their appearance. My goal is to educate men and women as they navigate the many options available.

The visible signs of facial aging occur over time from sun exposure, lifestyle, and heredity. One of the earliest signs of facial aging is the loss of facial fullness and the development of fine lines wrinkles. Botox is often recommended before or just as the first signs appear. However, some
patients require cosmetic applications that involve an injectable filler. Softening facial lines and restoring volume and fullness can often be achieved without surgery with injectable fillers such as Juvederm®, Sculptra®, Radiesse®, and Restylane®. Additional fillers are also discussed below. Each may seem to sound similar or identical, which is why I recommend consulting with your physician to determine the best course of treatment for you. Any cosmetic application  should require an evaluation of your health, immune system, allergies, etc.

Facial Fillers can:

  • Plump thin lips
  • Enhance shallow contours
  • Soften facial creases and wrinkles
  • Improve the appearance of recessed scars

What fillers will not do:

Soft tissue augmentation does not stop the aging process. If you wish to change the elements of your face, surgery such as a facelift, brow lift or eye lift may be the answer. Non-surgical rejuvenation treatments such as injectable fillers cannot achieve the same results, but may prolong the time in which a facelift becomes appropriate.


Juvederm® is the smooth gel filler your doctor uses to instantly smooth away wrinkles around your mouth and nose. Just one treatment can yield natural-looking results that may last up to a year. It is infused with lidocaine to improve comfort during treatment.


Sculptra® is a one-time treatment regimen of up to 4 injection sessions that are scheduled about 3 weeks apart for correction of shallow to deep nasolabial fold contour deficiencies and other facial wrinkles.


Radiesse® Volumizing Filler is FDA-approved for subdermal implantation for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds.


Restylane® can be used to add volume and fullness to the skin to correct moderate to severe facial wrinkles and folds such as the lines from your notes to the corners of your mouth (nasolabial folds).


Collagen is a natural protein that supports the skin. Injectable collagen formulas derived from human dermis include Cosmoderm® or Cosmoplast®. Zyderm® and Zyplast® are forms of bovine collagen that, unlike human derived collagen, require prior allergy testing. The results may last 2 to 4 months.

Hyaluronic Acid

Hyaluronic Acid is a natural substance found in our bodies. It is well suited to plump thin lips and fill facial creases such as nasolabial folds. It may also be appropriate for some surface wrinkles and concave scars. The results may last 6 months or longer.


Hydroxylapatite is a mineral-like compound found naturally in human bones, suspended in a gel-like formulation. It is the heaviest of facial fillers and is recommended to fill deeper creases such as nasolabial folds, marionette lines and frown lines, as well as to enhance fullness of the cheeks and other facial contours.

Human Fat

Human fat, harvested from your own body, can be reinjected to enhance facial fullness, fill deep creases and to build up shallow contours. Fat injection requires a more extensive procedure than other injectable fillers because it uses liposuction techniques to extract the fat prior to injection. Treatment results last up to a year or more in some cases and are highly variable. Fat can be stored for your own future treatment. The duration of results from preserved fat is not as favorable as fat used at the same time it is harvested.

PMMA (polymethylmethacrylate)

PMMA fillers contain 20% tiny PMMA microspheres suspended in 80% purified collagen gel. An FDA-approved PMMA filler is recommended for the correction of facial wrinkles known as smile lines.

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