Before and Afters
Doctors Edward Buckingham and Erin Smith offer Juvederm solutions for patients in Austin & Sunset Valley, TX. What makes you look older? As you age, damage from the sun, repeated muscle movements and the effects of gravity lead to the development of folds, lines and wrinkles. A loss of volume from the cheeks and lips is also often part of the aging process.
Many people want to look younger by reducing the appearance of wrinkles and restoring fullness to their lips and cheeks. Fortunately, there is the Juvederm collection of dermal fillers, including Juvederm, Juvederm Volbella, Juvederm Voluma XC and Juvederm Vollure XC. The main ingredient in the Juvederm family of fillers is hyaluronic acid, a smooth gel naturally produced by the body.
The hyaluronic acid fillers are FDA approved to treat the various signs of aging, from wrinkles to volume loss. Dr. Buckingham offers these fillers at his facial plastic surgery practice in Austin, Texas.
Juvederm is a family of hyaluronic acid products produced by Allergan, the maker of Botox. The products in the family include Juvederm Ultra, Juvederm Ultra Plus, Juvederm Vobella, Juvederm Vollure, Juvederm Voluma. All of these products are hyaluronic acid fillers, which are the most common fillers used for facial volume restoration and wrinkle improvement.
Hyaluronic acid is a naturally occurring substance in our skin and joints already, but the natural product only persists for about 24 hours before it is broken down and replaced by natural production. Hyaluronic acid fillers are produced by a process of bacterial fermentation and then the molecules are linked together to produce different thickness and stiffness properties for the fillers to be used in different locations.
Ultra and Ultra Plus were the first two Juvederm products with Ultra being thinner and Ultra Plus a little thicker. The Ultra was used for fine lines and Plus for folds and volume. With the addition of all of the Juvederm products beginning with “V” the product line has tuned in the uses. All of the “V” products are produced using the proprietary Vycross technology. Those products range from thin to thick, Volbella, Vollure and the Voluma. Therefore Volbella is for fine lines and lip augmentation, Vollure if for nasolabial folds and other “folds”, and Voluma is primarily for treating deeper areas of volume loss.
Juvederm contains hyaluronic acid, a clear, biodegradable, non-animal gel that is based on a substance your body naturally produces. Hyaluronic acid is what makes baby’s and toddler’s skin look so full and plump. As you get older, your body produces less and less of it.
During a treatment with Juvederm, the plastic surgeon uses a very fine needle or likely a blunt needle referred to as a cannula to inject small amounts of hyaluronic acid into the skin. The substance grabs onto water, allowing it to add enough volume to smooth out wrinkles in the area. It also helps to boost your body’s natural production of collagen, which helps to extend the duration of results.
You’ll be able to see the results from Juvederm immediately after the injection. Results usually last from 6 to 9 months, and often for up to 12 months. Since hyaluronic acid is naturally produced by the body and contains no animal-based ingredients, it is gentle and safe for all skin types. No allergy test is needed before use.
Juvederm is often used to add volume to the face, fill in lines and wrinkles or augment the lips. It provides longer-lasting and more natural-looking results than collagen, which is why Dr. Buckingham prefers using it to treat signs of aging and conditions that were once treated with collagen injections.
Each treatment session usually takes about 15 minutes. Depending on the facial location downtime varies from none to 4-5 days of bruising which can usually be covered with makeup. Side effects are generally mild and may include tenderness and redness at the site of the injection, bruising or swelling. Typically, side effects fade within a week or less.
As you age, you might notice that your lips become thinner and develop fine lines. In some instances, thin lips are a result of your genes. Your lifestyle and habits, such as smoking, can also affect the appearance and size of your lips.
Lip filler injections, such as Juvederm Volbella, can help add volume to the lips, balance uneven lips or minimize the appearance of lip lines. Volbella provides natural-looking results and is intended for people over the age of 21 who don’t have any allergies to its ingredients or any chronic health conditions.
The gel found in Volbella is patented and contains a form of synthetic hyaluronic acid and Lidocaine, which helps to make the treatment more comfortable. Volbella is FDA approved as a lip filler. The gel it contains uses a special process known as cross-linking or Vycross technology. Cross-linking allows Volbella to provide longer-lasting results compared to other lip fillers.
Treatment with Volbella is quick and usually takes between 15 and 30 minutes. There’s no recovery or downtime needed, but you might notice some swelling or bruising in the lips afterward. Usually, side effects fade after a few days and final results are visible within a week. Results can last for up to 1 year.
Why Consider Volbella
A study of 139 people found that two thirds (66 percent) saw a reduction in lip lines and improved lip volume after being injected with Volbella. The benefits of Volbella include the following:
- Fuller, plumper lips
- Reduction in smoker’s lines
- Improved shape of the Cupid’s bow (mid-upper lip)
- Improved lip borders
- Lifted and smoothed marionette lines
- Lifted oral commissures (corners of the lips)
- Less swelling due to lower rates of water absorption
- Helps to keep skin soft and hydrated.
Juvederm Voluma XC
While many injectable fillers focus on minimizing lines and creases, Juvederm Voluma XC is the first FDA-approved hyaluronic acid filler designed to restore lost facial volume. Voluma instantly restores volume loss in the cheek area. Buckingham Center also prefers Voluma as a lower eyelid filler and jawline filler. The Center is currently in the process of publishing research on Voluma used as a lower eyelid filler in hundreds of patients. Results can last for up to two years.
The hyaluronic acid used in Juvederm Voluma is cross-linked, which allows it to provide natural-looking volume and hydrate and moisturize the cheeks. Patients who received Voluma generally reported looking five years younger six months after the treatment.
Injections of Voluma usually take about 15 minutes. There’s usually no downtime needed after treatment, however occasional mild swelling and bruising are possible. Patients are able to return to your usual activities right away. Side effects might include swelling, redness, bruising or tenderness, but these are usually mild to moderate and fade within a week or two.
Juvederm Vollure XC
As you get older, lines and wrinkles can become deeper or more etched onto the face. Juvederm Vollure XC is an innovative filler designed specifically for severe wrinkles and deeper folds. It contains a unique formulation of hyaluronic acid created with Vycross technology, which is only available from Juvederm.
Along with smoothing out and filling in deep-set lines and wrinkles, Vollure can also enhance volume in the jawline and cheeks, creating a more youthful appearance. Vollure is FDA approved and can provide results that last for up to 18 months.
Juvederm Vollure XC:
- Smoothes deep nasolabial folds (the lines between the mouth and nose)
- Reduces moderate to severe facial lines
- Enhances the jawline
- Adds volume to the cheeks
Treatment with Juvederm Vollure typically takes less than 30 minutes. The injectable is pre-mixed with lidocaine, which helps to improve your comfort. Results are visible immediately after the treatment and will continue to improve over the course of a few days as any redness or swelling fades away. Along with providing immediate results, Vollure stimulates the production of collagen and elastin in the body, which can help extend the results.
No matter which dermal filler you choose, it is always a good idea to work with a board certified, experienced facial plastic surgeon. An experience surgeon will be able to produce natural-looking results.
One of the keys to successful results with Juvederm is developing and maintaining a positive rapport and relationship with a surgeon and the staff at a surgical center. A private patient consultation can help you determine whether you are a good candidate for Juvederm and, if so, which one of the family of dermal fillers is the best option for you. During the consultation, Dr. Buckingham will analyze your face and listen to your concerns before recommending the most appropriate treatment.
Frequently Asked Questions about Juvederm Injections
What is Juvederm?
Juvederm is a collection of dermal fillers that are FDA approved. The fillers contain hyaluronic acid and are used to treat wrinkles and add volume to the lips and cheeks. Although each filler in the Juvederm family contains hyaluronic acid, they are designed to do different things.
- Juvederm: Treats wrinkles and adds volume to the lips
- Juvederm Volbella: Adds volume to the lips and smoothes lip lines
- Juvederm Voluma XC: Adds volume to the cheeks
- Juvederm Vollure XC: Smoothes severe lines and deep nasolabial folds, adds volume the cheeks and enhances jawline
Who is a good candidate for Juvederm injections?
Good candidates for any of the fillers in the Juvederm collection are in good overall health. Juvederm patients have experienced volume loss in the cheeks or lips or have age-related lines and wrinkles on their face. Additionally, a good candidate for Juvederm will have reasonable expectations for the treatment’s results.
For Juvederm Vollure, Voluma or Volbella, candidates need to be over the age of 21.
What happens during treatment with Juvederm?
During treatment, the surgeon injects small amounts of Juvederm into the skin using either a very fine needle or a blunt tipped cannula. A Juvederm procedure usually takes anywhere from 30 to 45 minutes, depending on the type of filler being used and the size of the treatment area. The injections are given in an office setting and you’ll be able to return home immediately after treatment.
Does Juvederm hurt?
Pain and discomfort is minimal. Many people describe feeling a pinch or some pressure during the injection. To improve your comfort, your surgeon may provide a local anesthetic. Juvederm is combined with lidocaine to improve patient comfort.
How long does Juvederm last?
Filler longevity depends upon the filler used and the location. There are permanent fillers such as autologous fat, silicone and Artefill, but only fat is recommended in my opinion. The latter two have too much risk for chronic inflammatory reactions. Most commonly this question is asked about hyaluronic acid fillers such as Juvederm, Restylane and Beletoro.
Juvederm has multiple products of varying thickness including the original Juvederm Ultra, Juvederm Ultra Plus and now the newer Vycross technology fillers Volbella, Vollure, and Voluma. Restylane also has the original Restylane, Restylane Silk, Restylane Dyfine and Restylane Lyft. In the order listed these fillers range from thinner and more pliable to thicker and stiffer. The thicker and stiffer fillers tend to have more longevity, but they are only good for deep tissue locations. The thinner fillers have less durability, but they are better for fine lines and wrinkles and folds around the mouth.
The other factor affecting longevity is location. Simply, the more superficial and mobile the location of the filler is, the less durable it will be. So the lips and perioral area tend to last the shortest and the cheeks and upper face tend to last longer.
How is the actual Juvederm procedure performed?
Dr. Buckingham uses a very fine needle to inject the Juvederm gel into the skin in tiny amounts.
How long does the actual Juvederm procedure last?
Juvederm treatment is a quick, simple treatment that typically takes no longer than thirty minutes to complete.
Is anesthesia used during the Juvederm procedure?
Prior to a Juvederm procedure a local injection or nerve block may be used for patient comfort. Topical anesthesia or local anesthesia mixed with the filler may be used. Different combinations will be used based upon the location for injection to achieve patient comfort.
What can I expect after treatment?
No downtime is needed after any Juvederm treatment. You’ll be able to resume work or other activities right away, however there may be some bruising and swelling present for a few days.
Are there side effects?
Some side effects can occur, such as redness, bruising or swelling. Itching or irritation can also occur after Volbella. Many patients notice that side effects are gone completely within a week.
How long will results last?
All of the products in the Juvederm collection provide long-lasting results.
- Juvederm: 9 months up to 12 months
- Juvederm Volbella: 6-9 months
- Juvederm Voluma XC: Up to 2 years
- Juvederm Vollure XC: Up to 18 months
Can I combine Juvederm with other treatments?
Yes, you can combine Juvederm with other non-surgical cosmetic treatments, including laser treatments and Botox.
What can I expect during a consultation for Juvederm treatment?
During your consultation for Juvederm treatment, Dr. Buckingham will perform a complete facial analysis. This will allow him to determine if Juvederm is the best treatment to achieve your desired results or if another procedure may be better suited for you. He will address any questions or concerns that you may have about the Juvederm procedure or plastic surgery in general.
Where is the Juvederm procedure performed?
Juvederm treatments are typically performed in the office setting.
When will I be able to return to work after undergoing a Juvederm treatment?
Work and other normal activities can usually be resumed right after the Juvederm treatment. Some swelling can occur for several days after Juvederm is used for lip enhancement and some patients may want to take a day or so off from work.
Dr. Buckingham feels that successful facial plastic surgery results from the development and maintenance of good rapport between the patient, the surgeon, and his staff during the consultation and future appointments. The consultation will include a complete facial analysis to determine the best procedure to bring about the desired results and all questions relating to the patients specific concerns will be addressed.
Prospective patients are encouraged to call the office to schedule an appointment at their earliest convenience.
Schedule Your Juvederm Consultation in Austin Today
To learn more or to schedule a consultation, call 512.401.2500 or fill out our easy online Contact Us form to request a consultation with Dr. Buckingham or Dr. Smith. If you are from outside of the Austin area, you can speak with a patient coordinator to get driving directions or assistance with area accommodations.