As one of the hyaluronic acid fillers, Juvederm is very similar to other fillers in the category such as Restylane, Perlane and Belotero. Except for subtle differences in between these fillers, information on each filler is often applicable to all hyaluronic acid fillers. As a naturally occurring substance in the human body, hyaluronic acid serves several functions – it lubricates joint surfaces and ensures that the tissues are well-hydrated. Since it is compatible with almost any tissue in the body, undesirable effects caused by this filler are extremely rare.
The lips and the lower eyelids are the best parts of the face to improve with hyaluronic acid fillers. * Most dermal filler providers, including myself, use Juvederm as the primary option in improving thin, drooping lips into fuller, youthful mouths. * In addition, it also works well in treating other parts of the face suffering from volume loss, but results may not last as long as Artefill and Radiesse.
Hyaluronic acid fillers have a unique characteristic that could prove to be helpful: Its effects can be negated by the enzyme hyaluronidase. Injecting this enzyme will quickly dissolve Juvederm and other hyaluronic acid fillers, which in turn will completely disappear within days. While it’s a rare occurrence for patients wanting to remove fillers, the idea of hyaluronidase is comforting for patients who are nervous first-timers or extremely conservative about dermal fillers.
As one of the short-acting fillers, Juvederm can last for up to 4-6 months in almost all areas of the face, and up to a year if used in the lower eyelids.* However, this may not be the best option if you need to fill in areas with large amounts of volume. For most San Francisco patients, they may need more volume as facial wasting in HIV is quite common. Take sunken cheeks for example. It may take many syringes to fill in hollow cheeks. Sculptra may offer better value in this case.
Fine facial lines typically do not respond well to Juvederm either. Instead, superficial fillers like Belotero are effective for filling in file lines because it’s the only safe filler that can be injected into the face’s shallowest layers.* Perlane, Restylane, and Juvederm can result to the Tyndall effect (the face takes on a bluish hue) when injected superficially.
Juvederm fillers can either be Juvederm Ultra or Juvederm Ultra Plus. Both are nearly the same but Ultra is thinner and flows better than Ultra Plus. For this reason, Ultra is effective for thinner areas like the lower eyelids and the white roll (fine white lines around the lips).* On the other hand, Ultra Plus can last a bit longer and works really well for smile lines and the area around the lips.*
* Individual results may vary, and not guaranteed.