While there are a few different types of fillers in the US market, by far the most common used are the hyaluronic acids. Primarily, they are reversible and this makes a huge difference if you are not happy with your results or have an adverse reaction and we need to remove the product. 

Juvéderm® specifically currently has 6 different types of fillers in their collection. While they all look the same in the syringe, they have very different properties. Some are soft and less firm than others, like a foam ball versus a squishy ball to a rubber ball.  They also spread differently, like choosing what to put on your toast.  Some are like honey, others like peanut butter and others more like room temperature butter. These properties allow your injector to choose the best tool for the job.  

I choose Juvéderm® for my clients due to its exceptional quality and versatility, backed by Allergan's commitment to innovation and research. What sets Juvéderm® apart is its range of products, each specifically designed to address unique facial areas and concerns associated with aging. From restoring volume and hydration to smoothing fine lines and wrinkles, Juvéderm's ® diverse portfolio allows for tailored treatments that precisely meet individual needs.  Juvederm's precision engineering ensures natural-looking results that exceed client expectations. Here are their FDA approvals:

Voluma - Cheek, chin and temple augmentation to correct age-related volume loss

Volux - Treatment of moderate to severe loss of jawline definition

Vollure - Correction of moderate to severe facial wrinkles and folds

Volbella - Lip augmentation ; and correction of perioral lines and wrinkles

Ultra - Lip augmentation and correction of moderate to severe facial wrinkles and folds, such as nasolabial folds

Ultra Plus - Correction of moderate to severe facial wrinkles and folds, such as nasolabial folds

We use both small needles and cannulas to inject Juvéderm®. Needles are better for precision and cannulas allow for better placement with less needle pokes and bruising. Juvéderm® contains Lidocaine, so the area will become numb even after the first injection. We also make the procedure more comfortable by using ice prior to injection, a distracting skin vibrator, a little of your favorite music playing to keep your mind occupied. Most importantly, we do not rush our injections and are very delicate in handling your face, this makes the biggest difference.

Bruising, tenderness and swelling are by far the most commonly seen side effects. To minimize bruising, avoid alcohol 2 days before and stop any unnecessary blood thinners like Vit E, St John's wart, Omega 3, aspirin and anti-inflammatories.  Initial lumps and bumps can also be common right after treatment and typically resolve without an issue.  There is evidence of delayed nodules that can appear weeks to months after treatment and are often related to an individual's immune system. This is why we do not recommend any types of filler injections a month before or after illness, infections, steroid or antibiotic use, medical or dental procedures (even a simple cleaning) or immunizations. Nodules are not usually dangerous and are easily treated, some can resolve on their own in a day or two.

As with any medical treatment, there are potential serious side effects associated with dermal fillers, such as vascular occlusion and blindness. However, it's essential to note that these complications are extremely rare. To mitigate these risks, we follow strict protocols and guidelines to ensure your safety. Our practice is committed to staying up-to-date with the latest techniques and best practices, including annual adverse reaction training courses and participation in cadaver labs with renowned facial surgeons. This rigorous training enables us to recognize and respond to any potential issues promptly and effectively, providing an added layer of protection for our patients.associated with dermal fillers, such as vascular occlusion and blindness. However, it's essential to note that these complications are extremely rare. To mitigate these risks, we follow strict protocols and guidelines to ensure your safety. Our practice is committed to staying up-to-date with the latest techniques and best practices, including annual adverse reaction training courses and participation in cadaver labs with renowned facial surgeons. This rigorous training enables us to recognize and respond to any potential issues promptly and effectively, providing an added layer of protection for our patients.

At our practice, we take a personalized approach to dermal fillers, moving away from the traditional 'one size fits all' model. Instead of charging by the syringe, we focus on achieving the results you want. After a comprehensive full-face consultation, we'll create a customized plan tailored to your unique needs and goals. Prices vary depending on the treatment plan, but you can expect to pay $800 for lip filler or $3,999 for full facial balancing, which is often achieved in a single treatment for most patients. We're flexible and accommodating, allowing you to pace your treatments as you see fit. Think of us as your navigators, guiding you through the process and providing expert advice, while you remain in the driver's seat, controlling the pace and direction of your journey.

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Treat your face like a premature newborn baby and keep all the germs away! NO touching, NO makeup, NO ice, NO exercise for at least 24 hours. All those needle sticks need to heal without allowing bacteria to get in.  Change your pillowcases and make-up sponges/brushes tonight. Don't let  our animals lick your face or sleep near it tonight. Please reach out to use at (682) 416-0393 if you ever have any questions or concerns, even if it is over the weekend.

CLICK HERE for aftercare instructions

With hyaluronic acid fillers, you can expect to see results immediately after treatment, as the filler is essentially implanted beneath the tissue. However, it's common to experience some initial swelling and numbness due to the lidocaine, which can make you feel like your results are still developing. Don't worry – this is temporary! Most people find that their results look very natural, and others may not even notice you've had any work done. If you're loving your results right away, just wait – they'll only get better with time. As the filler settles and the swelling subsides, your results will continue to refine and improve over the next week, and will often reach their optimal appearance 2-3 months after treatment.

By this point, your results have likely reached their full potential. We love sharing before-and-after photos with our patients, as they often reveal subtly dramatic and dramatically subtle transformations that might not be immediately noticeable. Using our advanced 3D Vectra camera, we can showcase your results in stunning detail, with side-by-side comparisons and even transitioning views that highlight the nuances of your transformation. This technology also helps us fine-tune your results, allowing us to make any necessary adjustments – such as refining the shape of your lips – to ensure you're completely thrilled with your outcome.  This is our gift to you!  Be reassured, your photos will not be displayed in-office or on-line with your explicit consent.

A common question we get asked is about the longevity of Juvéderm® fillers. When we say it lasts up to 2 years, that's because that's the duration of the FDA trial, during which patients who received full correction were still satisfied with their results. We're not allowed to claim it lasts any longer, as it wasn't studied beyond that point. However, with advances in imaging technologies like ultrasound and MRI, we can actually track the filler's presence and placement under the skin for many years after injection. Additionally, facial plastic surgeons often report finding remnants of the product during facelifts performed years later, which gives us insight into its long-term durability.

Consistency is key to optimal results and a smoother appearance.