Filling Agents for Wrinkle Improvement, Facial Volume Restoration, and Lip Augmentation

Many people develop facial wrinkles and volume loss over time. Specifically, the skin ages by losing its underlying support structure, a condition known as soft tissue atrophy. Soft tissue atrophy is one of the most prominent signs of the aging face. There are a number of options available for the treatment of atrophy and they are collectively referred to as soft tissue augmentation. The most common areas affected by soft tissue atrophy, and the resulting aged appearance, are the lips, chin, cheeks, under the eyes, corners of the mouth, nasolabial folds (area between the nose and the side of the mouth), and frown lines (area between the corners of the mouth and the chin). The ideal technique for soft tissue augmentation is a natural feeling, long lasting, and easy to perform procedure. The most common filling agent utilized today for soft tissue augmentation is hyaluronic acid.

What is Hyaluronic Acid?

Hyaluronic Acid is a natural substance that already exists in the human body and is used to provide volume and fullness to the skin. It is found in the skin, cartilage, joints, and eyes. In the skin tissue, hyaluronic acid fills the space between collagen and elastin fibers. The role of hyaluronic acid in skin is to deliver nutrients, hydrate the skin by holding in water, and to act as a cushioning agent. By attracting and retaining water like a sponge, hyaluronic acid increases the skin’s density and volume.


What are the different formulations of Juvederm?

Juvederm Ultra XC and Juvederm Ultra Plus XC are FDA-approved hyaluronic acid dermal fillers. These fillers are fully biocompatible with human hyaluronic acid. They are sterile, clear, non-animal, colorless gels produced through Hylacross technology which creates a smooth gel consistency. Juvederm treatments restore the volume and contour of the lips, facial folds, and wrinkles to achieve a smooth, natural, beautiful appearance. The results usually last for six to twelve months.

Juvederm Voluma XC is the first and only FDA-approved hyaluronic acid gel filler to instantly add volume to the cheek area. It gives a subtle lift, helping to restore contour and more youthful profile. The results after treatment with Juvederm Voluma XC can last up to 2 years.

Juvederm Vollure XC is the newest hyaluronic acid gel filler to improve more prominent facial folds and lines around the nose and mouth. Treatment with Vollure XC both lifts folds and creates flexible smoothness.  It provides an increased duration of correction. Results can last up to 18 months

Juvederm Volbella XC is the first hyaluronic acid-based filler to improve the appearance of the vertical lines around the lips and the contour of the lip border while adding subtle volume to the lips. The treatment smoothes the lines around the mouth and creates a more contoured, brighter appearance of the lips. The results can last up to one year with optimal correction.

All of the Juvederm XC fillers are formulated with lidocaine to improve patient comfort during treatment.


What is the procedure like?

Treatment with hyaluronic acid is safe, effective, and usually takes about 20 to 30 minutes. Topical creams and ice compresses will be used for anesthesia. There may be bruising and a bit of swelling after the procedure. These side effects usually resolve in a few days. For most patients, these side effects are minimal and they are able to resume normal daily activities the same day as the procedure.

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