341 Main Street North, Suite #208 Brampton, Ontario L6X 3C7
200 Windflower Gate, Unit 700 Woodbridge, Ontario L4L 9L3
Facial fillers are products which are injected under the skin to replace volume(soft tissue augmentation) that aging has taken away, treat unwanted folds and wrinkles, lift sagging skin or create voluptuous lips – just to name a few of their uses. With aging, many areas of the face develop a flatness compared to the round, baby face look we had in our youth. Think of your face as a beach ball that gradually deflates with time.
There are literally hundreds of fillers on the market and they can be broadly divided into permanent and non-permanent. The advantage of non-permanent fillers is that if you are not satisfied with your results they can be dissolved very easily. Should something go wrong with a permanent filler you may be scarred for life. In the words of Dr. Arnold Klein, Dermatologist to the starts in Beverly Hills, “Permanent Fillers Equals Permanent Problems”.
Juvederm is a non-permanent facial filler made and marketed by Allergan Pharmaeuticals. The secret of Judederm is hyaluronic acid, a natural substances found in all species, that is already present in our bodies(cartilage, skin, eyes, soft tissues). It is a crystal clear gel, that attracts and binds water, which when injected into the skin, creates a fresher and more youthful look and is able to shape your features to produce a more distinctive personal appearance. It is the depletion of our own hyaluronic acid that results in thinning of the skin, loss of fullness of the lips, sunken eyes or cheeks, and wrinkles around the eyes and mouth. Juvederm is our filler of choice based years of experience with it, and seeing how delighted our patients have been with their results. It is currently the number 1 filler in North America.
Juvederm can be used to augment or enhance the lips and cheeks, as well as treating Marionette lines around the mouth(sad lines), nasolabial folds(smile lines), shadows and circles under the eyes(tear trough), hollowing in the temples, ear lobe contouring, jaw line smoothing, and nose straightening.
As Juvederm is basically 99% hyaluronic filler plus small amounts of preservative and lidocaine(anaesthetic), it almost impossible to have an allergic reaction. In the hands of an experienced injector, the complication rate is extremely low and side effect profile is comparable to Botox(minimal bruising or swelling). That being said, if not injected properly, there are potentially significant harmful and possibly permanent complications. As such, it is extremely important that you credentialize your injector. For more information on how to do this please see our article on this site, “How to credentialize your injector”.
Juvederm comes in prefilled 1.0 ml syringes. The minimum you can purchase is one syringe, as once the syringe is opened and used on you it is illegal to share or inject any remaining product into anyone else for sterility reasons. This differs from Botox which is both measured and sold by the unit. Any remaining unused product will be labelled and stored in our office for your future use or “touch-ups”. The cost of a syringe varies depending on the number of the syringe required & areas been injected. After multiple syringes will be rewarded with the discount.
One syringe will generally make a difference in most areas. Keep in mind, you can always add an additional syringe at a later date. The entire treatment does not necessarily have to be done at the same visit, especially if you desire multiple area treated (example: cheeks and lips). We will do our utmost to work within your budget and explain what will give you “the biggest bang for your buck” and help you utilize your funds in the most efficient manner to give you the best possible outcome.
If you are not happy with your results, Juvederm can easily be dissolved in minutes in the office by injecting a product known as hyaluronidase with a very tiny needle into the area.
As mentioned, Juvederm is a member of the non-permanent group of fillers. Several factors determine how long it lasts including: number of syringes injected, previous treatments, and the area injected. For example, in an area where there is very little muscle movement such as the cheeks, Juvederm Voluma may last up to 18 months. Shadows under the eyes also typically 12-18 months; whereas lips generally require treatments at 6-9 month intervals. With other areas such as smile lines or sad lines, you can expect 6-9 months with the first few treatments.
Although the swelling and/or bruising associated with fillers can be greater than one would typically expect with Botox, you can cover any affected area with makeup such that it is realistic to return to work immediately following the treatment. Bruising and/or swelling can be significantly minimized if you diligently adhere to our “No-No” list. This includes anti-inflammatories (i.e Advil, Aspirin, Aleve etc.) and alcohol. We also include naturopathic, homeopathic and every day foods that most people would not even be aware could cause complications. Karyn’s list is consistently updated to provide you with the most current and accurate information. The complete ‘No-No’ list of items will be provided prior to your treatment. Follow up instructions will be given following a filler treatment.
This depends on the number of areas and how many syringes are used. The range would be from 15-45 minutes. Even with multiple areas and several syringes, it would unusual to require more than 45 minutes. Occasionally following a treatment, we may ask you to remain for an additional 5-10 minutes in order for us to apply ice in the event we feel it would be beneficial in limiting bruising or swelling.