Juvederm® is a gel-based dermal filler that is injected into the skin to soften lines, wrinkles, and folds on the face and neck. It is made of hyaluronic acid, which is already contained in the body. For this reason, no allergy tests are required.
Juvederm® is effective on moderate to severe wrinkles on the cheeks and the nasolabial folds that form from the nose to the corners of the mouth. It can also be used for temporary lip augmentation to make thin lips fuller and poutier.
The results are immediate, and Juvederm® injections usually last 6-9 months, although some patients have seen the results last as long as a year.
Dr. Singer’s objective is always to provide you with a natural look that is not detectable. You will look younger and more refreshed, but not overdone.
Depending upon your goals and concerns, Dr. Singer might suggest the use of more than one facial filler to target different issues and areas. See Restylane® and Juvederm® Voluma for more information on these fillers. For wrinkles resulting from muscle activity, Botox® or Dysport® are the best options. In some cases, dermal fillers are used in conjunction with facial plastic surgery procedures such as a facelift, eyelid lift, or brow lift.
Before & After Photos
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Who Needs Juvederm®?
Men and women who have moderate to severe nasolabial folds or wrinkles on the cheeks due to lost volume could potentially benefit from Juvederm®. Women with thin lips who wish to make their lips fuller in a way that looks natural might also wish to try Juvederm®.
Your Juvederm® Consultation
During your consultation with Dr. Singer, he will ask you to point out which lines and wrinkles on your face and neck you would like to correct. He will examine your skin and give you an assessment of what can be accomplished and which procedures can bring you an optimal outcome.
He will always recommend non-surgical techniques like Juvederm® or another injectable if they can provide you with the results you want. If not, he will give you straight talk about other non-surgical and surgical options so that you can make an informed decision about your procedure(s).
The Juvederm® Procedure
Juvederm® is very smooth and glides easily into the skin for a smooth look. The injections contain Lidocaine to reduce your discomfort, and Dr. Singer applies a topical numbing cream as well. Your session will only take 15-30 minutes, and you can go home immediately.
Recovery from Juvederm®Injections
No downtime is required after Juvederm® injections. You might experience some minor swelling, bruising, redness, and/or itching after your treatment, but these symptoms usually only last for a few days.
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Frequently Asked Questions
We lose some of the skin’s “building blocks” such as elastin, collagen, and fat as we age which causes the skin to become lax and sag causing fine lines and wrinkles. Different fillers with different characteristics are carefully injected into various layers of the skin in different areas to reverse those changes.
If a member of my family was going to have a dermal filler, it would be injected by a Board-Certified Plastic Surgeon, ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS). Dr. Singer does all of the injections of fillers and Dysport® or Botox® in his office. He does not delegate that to anyone with lesser training.
After careful evaluation by Dr. Singer and development of an individual plan, a topical anesthetic cream is applied and cold packs. This maximizes comfort. The injections are performed meticulously. The entire treatment generally takes around 30-45 minutes.
Certainly. At Singer Surgical Centre, we recommend a combination approach to help patients improve their individual aesthetic concerns. It is perfectly safe to mix and match dermal fillers in conjunction with Dysport® or Botox®. The combined procedures are often referred to as a “liquid facelift”.
It is a non-surgical facial rejuvenation technique that uses a combination of Dysport® or Botox® and dermal fillers to improve the wrinkles and rejuvenate the lost volume in the face. While it can improve the appearance, it does not produce the same result as a facelift.
Dermal fillers and Dysport® or Botox® are all injectable treatments that are used to reduce the appearance of wrinkles. They work in different ways. Fillers use a gel ingredient to physically fill in wrinkles and elevate them from below the skin’s surface which improves the appearance. Dysport® or Botox® uses a purified form of botulinum toxin to temporarily reduce the muscles that cause dynamic wrinkles. When used appropriately, Dysport® or Botox® and dermal fillers can create significantly improved outcomes and are often used in combination to produce better cosmetic results.
Hyaluronic acid fillers can be reversed by dissolving them with hyaluronidase.
It varies depending on the filler and location of the injection, but typically most fillers last 6-9 months. Some of the fillers like Voluma can last up to two years. Patients do respond individually to fillers as their body breaks down the fillers which occurs faster in some people than in others.
Potential side effects include tenderness, swelling, pinkness, rare lumpiness or contour irregularities, temporary numbness, mild bruising, discomfort, infection or very rare allergic reaction and visual disturbance. Today’s dermal fillers have significantly improved since the first generation of collagen injections. Injection techniques have been modified and coupled with use of micro cannulas (blunt needles) and improved product safety. Significant side effects are extremely uncommon. These risks are higher when the treatment is performed in a non-sterile environment such as beauty clinics, salons, or in-home environments by inexperienced or underqualified individuals.
Allergies to hyaluronics have been described, but are very rare.
Dermal injection fillers can cause discomfort. Using a combination of numbing cream and ice makes it much more comfortable. Most of the dermal fillers that are injected at the Singer Surgical Centre include a local anesthetic.
Most patients do not have any downtime following filler injections and they return to normal activities and work right after treatment. In the patients who do experience some swelling, redness or bruising, it generally only lasts a couple of days and can usually be covered with makeup.
Women who are pregnant or patients with a compromised immune system should not have a dermal injection or if you are allergic to any ingredient in the filler, have a skin infection or inflammation near the area of potential injection.
Related Non-Surgical Procedures
Why Choose Dr. Singer?
Dr. Singer has the respect of his peers and patients across San Diego and the surrounding Southern California area. He has helped thousands of San Diego residents with an eye for balance and beauty and the skills of an artist. Dr. Singer has been engaged in private practice in the La Jolla area of San Diego since 1976 and is now an internationally recognized plastic surgeon. You are in the best of hands with Board Certified Plastic Surgeon (American Board of Plastic Surgery) Dr. Singer.
Please learn more about Dr. Singer’s affiliations, memberships, awards, honors, and accomplishments. The full list and Dr. Singer’s curriculum vitae are available upon request.