Fast facts

Juvederm


What it is: A dermal filler (cosmetic injection) FDA approved for the correction of moderate to severe facial wrinkles and folds. Juvederm is a hyaluronic acid gel and is available in various formulations, including Juvederm Ultra and Juvederm Ultra Plus.

Juvederm injections are absorbed by the body over time but results may last up to one year.  Juvederm products are manufactured by Allergan, the same pharmaceutical company behind Botox Cosmetic.


What it addresses:

- Thin lips
- Hollow cheeks and under-eyes
- Facial wrinkles and folds
- Some nose irregularities
- Acne scars and skin depressions


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Question

Juvederm injections - could my neurological disease affect the results?

Hi, I am scheduled to have Juviderm injections tomorrow. I am a little worried because I have a Neurological disease called Blepharospasm and Respiratory Dystonia.

Long story short, I have some uncontrollable facial movement and grimacing. Will this keep the Juviderm from helping me? Do you have to keep your face still for hours or days after injections... because I can't control the grimacing.

Please help me ASAP! Thanks! Paintingartistlady

Going Fishing with friends.jpg

Asked by: paintingartistlady
Louisiana

Answers (4)

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1
July 27, 2008

How Juvederm works

Payman Simoni
Payman Simoni
Board Certified
Facial Plastic Surgeon
Answer by Payman Simoni

Juvaderm acts very different than Botox. It is merely a filler. The hyaluronic acid in Juvederm simply supplements the body's age-depleted hyaluronic acid to plump-up the wrinkle. In contrast, Botox causes muscle relaxation.

2
July 25, 2008

Advise your doctor of your condition

As already noted, Juvederm filler should not affect neurological conditions. However, I would recommend the physician who will be performing the procedure be aware of your history. Certain areas near the periorbital rim should be approached with caution.

3
July 24, 2008

Juvederm is safe for just about everybody... even you!

None of the dermal fillers should cause any worsening of your neurological problem. It may be more difficult for your doctor to "hit a moving target", but once the Juvederm is in place, it should stay put. Juvederm is extremely flexible so I don't think the extra movement from grimacing will cause any problems. Even if there is a problem, such as a lump that forms after the treatment, Juvederm can be dissolved with Hyaluronidase.

You might want to ask the doctor that is treating you if you can take anything such as a tranquilizer to help slow down the contractions to make it easier for your doctor to inject the Juvederm.

4
July 24, 2008

Juvederm is very safe

Mary Lupo, MD
Mary Lupo, MD
Board Certified
Dermatologist
Answer by Mary Lupo, MD

Juvederm is a very safe product that gives a very natural, long lasting correction to facial folds and wrinkles.

The most common side effect is bruising, the risk of which would be increased on certain medications. For this reason, always review your complete medical history with your doctor and be sure your dermatologist is board certified by the American Board of Dermatology.

Since Juvederm has no effect on the nervous system or neuromuscular junction, it is safe to use if your treating physician has done the pre-treatment medical history review. It may be a bit challenging to inject a moving target, however, thus increasing the possibility of asymmetry of correction. This could be corrected at a subsequent visit; however. Juvederm does not require you to stay still after injection, nor does it require massage or manipulation by the patient.

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