Juvederm Dermal Fillers

How does JUVÉDERM® Work?

Young, healthy-looking skin contains an abundance of a naturally hydrating substance called hyaluronic acid (HA). But as you age, sunlight and other factors can reduce the amount of HA in your skin. The lack of HA causes your skin to lose structure and volume, creating unwanted facial wrinkles and folds – like those parentheses lines around your nose and mouth.  Using a dermal filler like JUVÉDERM® is a safe and effective way to replace the HA your skin has lost, bringing back its volume and smoothing away facial wrinkles and folds.

Experiencing Rejuvenation

JUVÉDERM® dermal filler is a nonsurgical, physician-administered treatment for folds and other facial wrinkles.  Using a fine needle, Dr. Hughes eases JUVÉDERM® under the skin to fill the soft tissue of the dermis. This adds volume and diminishes the appearance of wrinkles and folds instantly.

While there are a variety of hyaluronic acid fillers,  our team uses Allergan brand dermal fillers exclusively since they offer a variety of formulations to suit nearly every treatment area.  

How Long Does It Last?

Fillers require maintenance.  How long your filler will last is dependent on a number of factors including the area treated and the specific type of filler used.  Dr. Hughes can cover this at your esthetic consult appointment.

Safety Considerations

With any cosmetic treatment, safety is the first concern. As always, it’s important to consult with your doctor before deciding on a wrinkle treatment. Because JUVÉDERM® injectable gel is a non-surgical, in-office treatment, most patients experience minimal recovery and downtime.

JUVÉDERM® Side Effects

JUVÉDERM® injectable gel is generally well tolerated. Most side effects are mild to moderate in nature and their duration is short lasting (7 days or less). The most common side effects include, but are not limited to, temporary injection site reactions such as redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, and discoloration. As with all skin injection procedures, there is a risk of infection.

Hyaluronic acid fillers are generally biocompatible, which means allergy skin testing is not required prior to treatment.


If you’re considering treatment with JUVÉDERM® injectable gel, your healthcare professional should ask about your medical history to determine if you are an appropriate candidate for treatment. JUVÉDERM® injectable gel for facial wrinkles and folds should not be used in patients who have:

  • Severe allergies marked by a history of anaphylaxis or history or presence of multiple severe allergies
  • A history of allergies to gram-positive bacterial proteins
  • JUVÉDERM® should not be used in patients with a history of allergies to lidocaine.

Other Considerations

In addition, you and Dr. Hughes should discuss the following important treatment considerations in order to help avoid unsatisfactory results and complications when using JUVÉDERM® injectable gel:

  • Patients who are using substances that can prolong bleeding, such as aspirin or ibuprofen, as with any injection, may experience increased bruising or bleeding at the injection site. You should inform your healthcare professional before treatment if you are using these types of substances.
  • If laser treatment, chemical peeling, or any other procedure based on active dermal response is considered after treatment with JUVÉDERM® injectable gel, there is a possible risk of an inflammatory reaction at the treatment site.
  • JUVÉDERM® injectable gel should be used with caution in patients on immunosuppressive therapy, or therapy used to decrease the body’s immune response, as there may be an increased risk of infection.
  • The safety of JUVÉDERM® injectable gel for use during pregnancy, in breastfeeding females, or in patients under 18 years has not been established.
  • The safety of JUVÉDERM® injectable gel hyaluronic acid dermal filler in patients with a history of excessive scarring (eg, hypertrophic scarring and keloid formations) and pigmentation disorders has not been studied.

JUVÉDERM® injectable gel for the treatment of areas other than facial lines and facial folds (such as lips) have not been established in controlled clinical studies.

Persons of Color

JUVÉDERM® is the first FDA approved hyaluronic acid dermal filler with demonstrated safety and effectiveness in persons of color.


Pre-treatment Considerations

Prior to scheduling your dermal filler treatment, know that you should plan carefully around your social events.  One should expect bruising and/or swelling for up to two weeks following treatment with fillers.  There will be a two-week post-operative check (at no additional charge) to evaluate your results.  Dr. Hughes advises that you shouldn’t love or hate your results until after this two-week mark as there will be lumps, bumps, bruising and swelling.  Because of this, it is not advised to have fillers injected any sooner than a month prior to important social events.

Avoiding ibuprofen, aspirin, and alcohol prior to your injectables appointment will aid in lessening the amount of swelling and bruising you’ll experience.  Also, if you’ll start taking Arnica tablets (which can be purchased from some drug stores, most health food stores or Amazon.com) at least 3 days prior to your appointment, continuing for 3 days following your appointment, you’ll notice considerably less post-operative inflammation.

Post-treatment Considerations

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