With minimally invasive injectable treatments becoming more and more common in patients’ anti-aging regimens, different manufacturers have created entire product lines of dermal filler to address particular aspects of the face. One prominent family of products on the market is Allergan’s Juvederm® line. New Jersey dermatologist Dr. Robin Levin, founder of South Jersey Skin Care & Laser Center, explains how each Juvederm® filler is specialized to achieve the best possible results.
Dermal fillers are injected into key areas of the skin to add volume and fullness that smooths lines, wrinkles, and folds, and helps maintain facial contours that have started to lose their shape due to age-related volume loss. They are also used to augment facial features such as the lips and chin, and reduce the appearance of asymmetry and overly hollowed areas (such as the temples).
The loss of volume and elasticity that contributes to such effects in the face over time is due to the reduced production of collagen, elastin, and hyaluronic acid in the skin. These substances are the skin’s primary building blocks that provide it with moisture, fullness, suppleness, and support.
While these concerns are regular occurrences in the aging process, individual genetics, skin care habits, diet, lifestyle factors (such as smoking), and cumulative exposure to environmental factors such as UV rays (even those from tanning beds) and dirt can play a role in how quickly or slowly the effects of time can show up on the face or other areas.
The Juvederm® collection from Allergan is among the top brands of dermal filler on the market. The key ingredient used is a synthesized, gel-like version of hyaluronic acid that is chemically similar to that produced naturally in the body.
While Juvederm® products do not contain collagen or elastin themselves, there has been research that shows an increase in the natural collagen and elastin production in the dermis after receiving hyaluronic acid injections.
Allergan markets each filler for a specific area:
- Juvederm®, the flagship filler (available in Ultra and Ultra Plus variants for varying wrinkle severity), and the newer Juvederm Vollure™ can address moderate to severe parentheses lines or nasolabial folds. Juvederm® can last up to a year, and Vollure™ up to 18 months.
- Juvederm Volbella® and Juvederm® Ultra can both address the lips, but in different ways. Volbella® mainly corrects perioral rhytids or vertical lip lines while providing a subtle dose of volume to the lips themselves. Ultra is used primarily for lip augmentation, as it adds relatively more fullness to them. Both fillers can last up to a year.
- Voluma® is the densest or thickest filler in the line, making it particularly well-suited to the mid-face or cheek area to correct deflation and augment contours. It is also the line’s longest-lasting filler, with the effects visible for up to two years.
Each filler labelled with an “XC” denotes that it contains lidocaine, a pain-relieving agent. Your injector can also ice the areas prior to treatment to further minimize discomfort. Although lidocaine allergies are very rare, patients should let their injector know in advance about any factors of concern, so that alternatives can be explored if necessary.
Side effects tend to be mild to moderate, and fade on their own in the days after treatment. The most common ones include swelling, bruising, tenderness, or numbness in the treated areas. Icing the area can help with the swelling, and makeup can normally be used to cover up bruising (unless your provider indicates otherwise).
While these FDA-approved fillers are marketed for specific areas, each patient’s facial profile can vary significantly, so careful assessment during a consultation is necessary to establish an appropriate treatment protocol. This is also why patients must ensure that the medical provider they choose is appropriately licensed and experienced in using Juvederm® fillers.
Dermal fillers can provide significant improvements in facial appearance, but they cannot substitute daily at-home care for the skin, and work best in tandem with a tailored skin care regimen. Dr. Levin would be happy to advise anyone looking to learn more about which dermal fillers or skin care products may be suitable for them. To request a consultation with her, contact South Jersey Skin Care & Laser Center online or by phone at 856-810-9888.