Juvederm for nasolabial folds

Juvederm products are manufactured by the American company Allergan and have long earned recognition around the world. Two product lines are officially presented in Russia: ULTRA and VYCROSS, as well as the biorevitalizant Hydrate.

Dermal fillers Juvederm 18, 24, HV, 24 HV, 30, 30 HV — DISCONTINUED FROM SALE

ULTRA line of drugs

Fillers labeled “Ultra” use stabilized hyaluronic acid. Thanks to this, it remains at the injection sites much longer, thereby prolonging the effect of the procedures. It also contains the painkiller lidocaine.

New generation gels VYCROSS

The new generation of Wycross products use hyaluronic acid, which contains 2 times more cross-links. This allows you to use a smaller volume of filler, extend its duration (up to 15-18 months) and reduce the likelihood of swelling after the procedure. Lidocaine is also added to the composition for painless contouring.

Advantages

1. A wide range of products that solve a lot of problems with appearance.
2. Long lasting effect.
3. Low risk of developing allergies.
4. Juvederm dermal fillers have been used successfully for many years and are certified in many countries around the world.

Contraindications

Dermal filler injections are prohibited if the following contraindications exist:

1. under 18 years of age without parental consent;
2. pregnancy and lactation;
3. autoimmune diseases - the final decision is made by the attending physician on an individual basis, depending on the nature of the disease and the treatment provided;
4. presence of allergies to components of injection gels;
5. tendency to develop hypertrophied scars;
6. infections;
7. inflammatory processes at the sites of filler injection;
8. increased body temperature;
9. taking non-steroidal anti-inflammatory drugs and aspirin;
10. undergoing a course of laser treatment, chemical peels or dermabrasion.

Possible side effects:

1. redness and bruising at the injection sites;
2. peeling;
3. swelling;
4. swelling;
5. bleaching
6. decreased skin sensitivity;
7. formation of nodules and compactions.

The rehabilitation period lasts 5-7 days; if side effects persist or intensify, you should contact the doctor who performed the injections.

Product cost

*Average cost. Prices are valid at the time of publication of the article.

Juvederm is a gel filler used in plastic cosmetology. This drug has been used for a long time, is certified and approved by research institutes. You need to rely on the recommendations of cosmetologists, but it is worth getting the maximum amount of information about the filler.

Read in this article

Filler composition

The basis of the drug is hyaluronic acid. For many, this substance causes allergies and is rejected by the body, but specifically in the Juvederm filler, an acid of non-animal origin is used. By and large, the same substance is produced by the human body, so its introduction from the outside is perceived positively by the body.

Hyaluronic acid is the most popular substance used by cosmetologists in their work. It extremely rarely causes side effects and has virtually no contraindications.

Types of means

The fillers presented in this material have several types. And such diversity is considered an advantage - the cosmetologist can choose the drug that is optimal for a particular client.

The types of Juvederm fillers that are used in cosmetology practice are classified by number:

1. 18 – used only if it is necessary to fill small/shallow wrinkles;
2. 24 – used when necessary to sharpen the contour of the lips and clear the face of shallow expression wrinkles;
3. 30 – able to enlarge lips and correct the line of the face.

These types of fillers are used if corrective procedures are necessary at a young age, when wrinkles are just beginning to form. Age 30 years and older implies the use of more active and, in a sense, aggressive drugs:

1. HV – has a viscous structure, has a long-lasting effect, is used to correct folds and linear wrinkles;
2. 24HV – perfectly corrects nasolabial folds and makes wrinkles less pronounced;
3. 30HV - procedures are performed with it to correct the oval of the face and get rid of deep nasolabial folds.

The Voluma type is considered separately, with the help of which it is possible to increase the volume of certain areas of the face.

Often, beauty salons and cosmetic clinics use the Juvederm Ultra line, the preparations of which contain lidocaine, making injections even into the most sensitive parts of the face absolutely painless.

About the drug Juvederm Volbella, watch this video:

Areas of use

In principle, the filler in question can be used to correct any part of the face. For example, with its help, the oval of the face and the contour of the lips are corrected, it eliminates nasolabial and frontal folds, shallow and medium wrinkles, and increases the volume of the lips, cheekbones and chin.

If you specify the areas of application of Juvederm fillers, you will get the following list:

1. "crow's feet";
2. facial contour;
3. “Wrinkles of anger” (wrinkles in the space between the eyebrows);
4. cicatricial changes in the skin;
5. “puppet folds” (drooping of the corners of the lips);
6. correction of the shape of the ears, nose, cheeks and cheekbones;
7. rejuvenation of the palms on the back side.

The drug in question is used not only in the presence of age-related changes, but also in their absence. In this case, we are talking about preventing the appearance of wrinkles, since filler injections perfectly moisturize the skin.

Preparation for the procedure

It begins with a visit to a cosmetologist who will examine the condition of the facial skin and draw conclusions about the advisability of injections with Juvederm fillers. If signs of dermatological diseases are detected, including acne, the client is referred to a dermatologist. You will first need to undergo treatment for the diagnosed disease and only after that will it be possible to carry out rejuvenating/corrective injections.

The doctor should know the following about the patient:

1. whether he has a history of allergies;
2. what cosmetic procedures were done before, what were their results;
3. whether there is a chronic pathological process in the body (even if it is in remission);
4. what exactly needs to be corrected on the face.

How are filler injections done?

The drug in question is injected subcutaneously with the finest needles. During the procedure, the patient usually does not experience pain. If the pain threshold is very low, or the person’s skin is too sensitive, then it is treated with a special anesthetic gel or spray.

The duration of the procedure is a maximum of 50 minutes. After it, doctors do not recommend going outside for 2 - 3 hours. It is worth knowing that swelling of those areas of the face where filler injections were made is allowed for another day. Hyperemia (redness) and mild itching are also possible - this is, in principle, a normal reaction to such interventions.

To learn about the procedure for correcting nasolabial folds using Juvederm filler, watch this video:

Care after Juvederm Ultra injections

In order for the result to be long-lasting, and side effects and complications to be excluded, you need to follow some rules for caring for your facial skin after administering the drug in question:

1. For 7 days you cannot visit the sauna, bathhouse, swimming pools and natural reservoirs. This is due to the fact that the skin after injections is too susceptible to external factors, which can provoke the development of inflammation and infection.
2. Only those lotions and milks that do not contain alcohol can be used to cleanse the skin of the face. Otherwise, excessive dryness of the skin will develop, which will result in active peeling.
3. You cannot use decorative cosmetics for 3 days after the procedure. But every day you need to wipe your skin with a piece of ice and it is advisable that it be made from a decoction of medicinal plants, for example, from sage leaves, calendula flowers or chamomile.

Contraindications

Injections with Juvederm fillers are an intervention in the functioning of the body, so there are clear contraindications to such procedures. You cannot rejuvenate or correct your appearance using the drug in question if you have the following problems:

1. any pathologies of internal organs in the acute stage;
2. herpetic infection;
3. problems in the blood clotting system;
4. pregnancy and breastfeeding;
5. dermatological pathologies in acute form;
6. insulin-dependent diabetes mellitus;
7. increased body temperature due to progression of influenza or ARVI;
8. autoimmune diseases.

Possible complications and side effects

Despite the fact that Juvederm fillers are positioned as an absolutely safe drug, there is always a risk of complications and side effects during the post-injection period. These include:

1. redness and hematomas at the injection sites;
2. inflammation of the skin and deep tissues at the injection sites;
3. formation of fibrous nodes;
4. necrosis of facial tissue around the filler injection site;
5. scarring on certain parts of the area where the filler was applied.

In most cases, the appearance returns to normal on its own within 5 to 7 days. If fibrous tumors appear under the skin or scars have formed, then you will need to undergo either long-term therapeutic treatment or seek help from plastic surgeons.

How long does it stay on the lips, in the nasolabial folds?

It is impossible to give a specific answer to this question, since too many factors influence the result of filler injection. It is generally accepted that repeated procedures will need to be done after 9 - 15 months, but in each case this period is determined individually.

How much can you buy Juvederm Ultra?

The drug is sold in disposable syringes with a volume of 80 ml, its cost is 18,000 rubles, this is the average price of the filler. Most often, with extensive administration of the drug, two syringes are required and, accordingly, their cost will be 36,000 rubles.

Such a high price is quite easy to justify: the structure of the gel is very light, it is distributed evenly under the skin, has virtually no side effects or complications, but the resulting effect will last for at least 12 months.

Other fillers with similar effects

In cosmetology practice, not only Juvederm fillers are used; there are also several analogues on the market. These include:

In principle, they have the same effect as the Juvederm filler in question. Only Radiesse differs; the result obtained from it lasts for more than 15 months.

The introduction of Juvederm fillers smooths out wrinkles, corrects facial contours, lifts the corners of the lips, and eliminates folds on the facial skin. To get the expected result, you need to carefully consider the choice of a specific type of drug. The best option would be to contact specialists with excellent reviews, recommendations and long-term work in the cosmetology services market.

Useful video

For information about the types of fillers and their differences, watch this video:

The line of popular fillers, the Alergan brand, is produced in France. They are distinguished by high quality and safety of use. Products for injection procedures are based on hyaluronic acid. The corporation's target area of ​​work is natural rejuvenation, correction of aesthetic imperfections using low-traumatic procedures. Juvederm lip augmentation is possible thanks to a wide range of drugs. As a result of its use, it is possible to avoid surgical intervention; the effect of contouring is comparable to surgery. The products have ISO and GMP quality certificates and meet high international standards.​

Features of lip fillers

A series of biodegradable gels based on highly purified synthetic hyaluronic acid. The Ultra line does not contain waste products of microorganisms. An anesthetic, 3% lidocaine, is also included. The drugs provide the most natural effect, thanks to a special 3D matrix technology.

The effect of the procedure lasts from 3 to 6 months. Fillers can be injected by a plastic surgeon or dermatocosmetologist after completing training in the technique of working with these fillers.

Composition of drugs

Juvederm biopolymers contain the same components. They differ in the concentration of ingredients, and therefore in the viscosity of the preparations.

The gel contains:

1. Hyaluronic acid — non-animal origin, high degree of purification reduces the likelihood of developing allergic reactions. Evenly distributed in tissues allows you to achieve the most natural result. Helps care for the delicate, thin skin of the lips and around the mouth, preventing dryness and the formation of wrinkles.
2. Mannitol - has antioxidant properties, helps prolong the effect of hyaluronic acid. Affects cellular immunity, neutralizes the effects of aggressive environmental factors.
3. Lidocaine - an anesthetic component, ensures painlessness.

Note! A phosphate buffer is also included in the formula, preventing biogel rejection.

Indications, effectiveness of use

The main purpose of Juvederm is to add volume, smooth, prevent the appearance of wrinkles, and restore hydrobalance. Depending on the anatomical and individual characteristics of the skin, various preparations from the ultra and smile series are used.

Application is possible from 18 years of age. Up to 30 years, low-density gels are used. At the age of 30 to 45 years, fillers of medium viscosity are used, which are effective for eliminating the nasolacrimal groove.

After 40–45 years, it is advisable to perform correction with Juvederm preparations of maximum density to correct the lower third of the face.

Indications:

1. nasolabial folds of varying degrees;
2. thin or asymmetrical lips;
3. purse-string wrinkles in the mouth area;
4. drooping corners of the lips.

Also, biorevitalizing gels are used for preventive purposes, providing general health and moisturizing of the skin.

Types of fillers

The basis of the line is hyaluronic acid; depending on its concentration, fillers differ in density and purpose.

1. Ultra 2 - prescribed to smooth and prevent superficial wrinkles. The deuce is injected into the surface layers of the skin, helping to correct the contour of the lips and add volume. Used between the ages of 25 and 30. The package contains 2 syringes of 0.55 ml, price - about 7800 rubles.

1. Ultra 3 - presented in a denser composition, allows you to correct wrinkles of medium severity. The injection is carried out into the deep and middle layers of the skin. Prescribed to eliminate nasolabial folds and raise the corners of the mouth. Release form: 2 syringes, 1 ml each, cost: 11,400 rubles.

1. Ultra 4 - used for pronounced, deep wrinkles, with excess skin flap. A fairly dense filler helps smooth out nasolabial folds and increase lip volume. Available in a package of 2 syringes, 1 ml in volume, can be purchased for 12,000 rubles.

1. Smile — the drug is intended specifically for lip augmentation and correction of their shape. It is also possible to correct asymmetry and slightly raise the corners. You can buy a package of 2x0.55 ml for 7900 rubles.

Instructions for administering the drug

The drugs are intended for intradermal administration and into the mucous membrane of the lips. It is important to take into account the doctor’s technical training and experience in performing injections.

Instructions for use:

1. Before starting, check the integrity of the packaging and expiration dates. The drug should not be re-sterilized.
2. Skin preparation is carried out according to the standard procedure - cleansing, disinfecting the integument, and, if necessary, applying anesthetic ointment.
3. The filler is introduced slowly, the areas of application depend on the chosen type and areas of correction.
4. The drug cannot be reused.
5. After use, syringes and needles are placed in a special container and then disposed of.
6. Stored at temperatures from 2º to 25º.

Introduction techniques:

1. point by point — a minimal amount of the drug is administered at regular intervals, allowing you to add volume and correct lip asymmetry;
2. net — linear injections intersect at an angle of 90º, many cells are formed, used to fill nasolabial folds, correct purse-string creases;
3. fan — linear injections are located along rays diverging to the side; they are used to smooth the nasolabial lips and lift the corners of the mouth.

How is the procedure performed in clinics?

An important aspect that determines the final result of the correction is the choice of clinic and doctor. A cosmetologist with a medical education can perform injections after completing training in the technique of working with Juvederm. Preparation is carried out in a standard way, the client’s skin condition is assessed, and the optimal filler is selected. The line of biogels is varied, allowing you to choose a filler not only for correcting lip volume, but also for eliminating wrinkles, including nasolabial folds.

The doctor finds out whether the patient has any contraindications for the procedure and whether allergic reactions have been observed previously. Where to inject is determined after a detailed analysis of the client’s data.

Important! Despite the safety and high quality of the product, in some cases individual intolerance to the components of the composition is possible.

Following the recommendations at the preparation stage will help avoid side effects:

1. on the appointed day you cannot smoke, drink strong coffee, tea;
2. do not visit the sauna, solarium, or exercise for about a week;
3. You should not take medications for a month.

Before the procedure, the doctor pastes a sticker indicating the name of the drug into the patient’s chart. The patient should also check the certificates and the expiration date of the filler. A holographic sticker with the batch number and expiration date is attached to the original packaging. It is important to pay attention to the color and consistency of the drug; it is a transparent gel without foreign impurities. The package is opened in front of the patient; subsequent injection of the drug is prohibited. The client gives informed consent to invasive procedures.

Procedure steps:

1. Using professional products, cosmetics and dust are removed. The affected areas are treated with chlorhexidine.
2. For patients with a low pain threshold, an anesthetic cream is used, despite the presence of lidocaine. Whether it will hurt also depends on your psychological mood. In this way, it is possible to minimize discomfort during implantation.
3. After half an hour, when the product has already taken effect, the residues are removed with an antiseptic.
4. According to the chosen technique, injections are carried out. To add volume and correct the shape of the lips, 1-2 ml is usually enough. Filling is very slow. This allows you to achieve uniform distribution in the tissues and also reduce pain.
5. The injection areas are treated with an antiseptic solution.
6. The doctor performs a gentle massage and applies anti-inflammatory ointment.

The procedure takes no more than 40 minutes, after which you can immediately evaluate the results.

Photos before and after

Healing period

The first few days there is swelling and swelling of the affected area. To make the symptoms go away faster, it is necessary to adhere to medical recommendations:

1. for several days you cannot touch, actively use facial expressions, or kiss;
2. cleanse the skin with professional cosmetics; to speed up healing, you can use anti-inflammatory ointments and apply cold compresses;
3. review your diet, exclude strong coffee, alcohol for a week, drink at least 2 drinks of water;
4. observe a gentle regimen; intense physical activity, sports, visiting the bathhouse, solarium are contraindicated;
5. protect your face from exposure to ultraviolet radiation;
6. avoid sudden changes in temperature conditions.

If filler was used for lip augmentation, the effect lasts from 3 to 8 months, depending on the density of the composition. When correcting the area of ​​the nasolabial triangle, smoothing purse-string wrinkles, the result can be admired from 9 to 12 months. How long it will last depends on lifestyle and anatomical features. You can extend it by taking collagen and hyaluron, in tablet form, maintaining a water balance.

Average cost of the procedure in Moscow clinics

Juvederm fillers are often used to enlarge and improve the shape of the lips. The line of fillers allows everyone to choose the optimal preparation to improve their appearance.

An experienced cosmetologist will help you choose the optimal product and determine the required volume of the drug. The price may also include a consultation; with a separate payment, the price varies from 1000 rubles. up to 3000 rub.

In some clinics you can find a correction marked as a promotion, but too low a price should raise doubts; it is important to check the authenticity of the filler.

Price for lip area correction in Moscow:

1. Juvederm Smile - from 12,000 rubles;
2. Juvederm ULTRA 2 - from 11,000 rub. up to 17,000 rubles;
3. Juvederm ULTRA 3 - from 16,000 rubles. up to 30,000 rubles;
4. Juvederm ULTRA 4 - from 19,000 rubles. up to 32,000 rub.;
5. Juvederm Volift - from 22,000 rubles. up to 35,000 rubles;
6. Juvederm Volbella - from 20,000 rubles. up to 32,000 rub.

How to minimize the effect

The advantage of hyaluronic fillers is complete biodegradability. If for some reason the patient is not satisfied with the effect, the effect of the drug can be neutralized as quickly as possible. To do this, a solution of hyaluronidase is injected and neutralizes the filler for 2 days.

Important point! The procedure is not carried out until complete recovery is completed; until this time the final result cannot be assessed. An allergic reaction may occur; the patient's condition will be monitored by a doctor for about 2 weeks.

You can also use massage, hardware procedures, or engage in intense sports. Your doctor will help you decide on a technique.

Precautionary measures

Injection procedures require strict implementation of the technique, preparation stage, and recovery. The effect depends on the qualifications, skill of the doctor, and the responsibility of the patient. Lip augmentation should not be performed if there are contraindications:

1. pregnancy, lactation;
2. systemic diseases;
3. malignant formations;
4. postoperative period;
5. intolerance to the components of the composition;
6. dermatological diseases in the field of correction;
7. viral infections;
8. epilepsy;
9. tendency to form keloid scars.

The use of the Juvederm line does not exclude development of side effects:

1. allergy;
2. hematomas;
3. change in pigmentation in the injection area;
4. redness, swelling;
5. tissue necrosis;
6. asymmetry;
7. lack of result.

A detailed medical history, as well as an allergy test at the preparation stage, will help you avoid the consequences. The cause of complications may be the use of a counterfeit, a violation of the implantation technique, or an insufficient volume of the administered drug.

Advantages and disadvantages

Before choosing a Juvederm filler, it is worth learning about the positive and negative properties of fillers. The doctor will help you make the final choice based on the patient’s individual anatomical data. Which drug is best to use depends on the desired effect.

Pros:

1. natural result of correction;
2. the effect can be assessed immediately upon completion of implantation;
3. lasts from several months to a year;
4. short rehabilitation period;
5. improves the overall condition of the skin, moisturizes and rejuvenates the skin.

Minuses:

1. painfulness of the procedure;
2. risks of an allergic reaction;
3. upon repeated administration, an addictive effect occurs;
4. Only a specialist has the right to carry out;
5. high price.

Comparison with other fillers

The Ultra series is distinguished by its plasticity and uniform distribution of the substance. Thanks to the special firmware of hyaluronic acid, it is possible to achieve the most natural appearance. The smail filler is designed to correct unexpressed wrinkles and add volume to the lips. The presence of lidocaine makes the procedure more comfortable. The result of lip correction lasts from 3 months to six months. When administered to other areas of the face - up to 12 months.

Volift - used to increase volume, helps remove nasolabial folds, add volume to lips, create cheekbones. The composition is standard for Juvederm preparations, only the concentration of the active substance differs. There is also a general therapeutic effect, the skin becomes smoother and more elastic. The effect lasts up to 15 months.

Voluma — application is aimed at replenishing the volume of soft tissues. Based on low molecular weight hyaluronic acid. It has a high density and retains moisture well. Indicated for correction of cheekbones, cheeks, chin and lips. The effect lasts from 12 to 18 months.

Rack - also created on the basis of hyaluronic acid, country of origin - France. The use of innovative technologies made it possible to achieve natural, long-lasting results. The composition includes antioxidants - mannitol, sorbitol, and lidocaine. The drugs are much cheaper than Juvederm fillers; the effect lasts for about a year, but according to consumer reviews, no more than 8 months.

Opinion of cosmetologists

Doctors share their experience of using Juvederm to improve the shape and add volume to the lips.

The review describes the appearance of balls in patients after using Juvederm Ultra 3.

The user provides a description of delayed side effects.

The participant writes about the insufficient volume of filler injected to correct the mouth area.

The user writes about the long-lasting results after Juvederm, in comparison with Balatero.

Patient reviews

French filler is popular not only among cosmetologists, but also among patients. On the Internet there are mostly rave reviews about the results of the correction.

The participant writes that he likes the look of his lips both before and after the procedure.

The user indicates a good effect, but the high cost of injections.

The review indicates different effects when administering the same volume, as well as the high cost of the procedure.

The user does not like the result of the correction and writes about the unnatural appearance.

Other reviews can be read on the forum.

Useful videos

Juvederm Ultra 3 lip augmentation.