Lip contouring with Juvederm Ultra Smile filler

From this article you will learn:

• reviews of Juvederm® fillers,
• application features, before and after photos,
• biorevitalization Juvederm Hydrate and Volite.

Juvederm® is a line of dermal fillers based on stabilized hyaluronic acid used to correct the depth of wrinkles, nasolabial folds, atrophic scars, as well as to increase the volume of the lips, cheekbones and cheeks. The manufacturer is (USA), known to any cosmetologist for the drug Botox®, which is widely used to correct dynamic wrinkles in the forehead and corners of the eyes.

The Juvederm filler was developed in 2000, and already in 2006 the drug received approval from the FDA (Federal Bureau of Drug Control in the United States) as an effective and safe means for facial contouring. Juvederm® Ultra and Juvederm® Ultra Plus have received FDA approval, which have now been renamed Juvederm Ultra 3 and Juvederm Ultra 4. But in addition to these forms of release, the Juvederm line includes 5 more types of fillers.

Juvederm® Gel (1.0 ml syringes) –

In total, 7 types of fillers are produced under the Juvederm® brand, as well as 2 preparations for the biorevitalization procedure - “Juvederm Hydrate” and “Juvederm Volite” (Juvederm Volite). The options for fillers of this brand listed below will differ from each other in gel density, hyaluronic acid concentration, areas of application, as well as the duration of the effect. In this article, we will tell you the optimal indications for each of these products.

Juvederm® filler release forms –

• Juvederm Ultra 2,
• Juvederm Ultra 3,
• Juvederm Ultra 4
• Juvederm Ultra Smile,
• Juvederm Volume (Voluma),
• Juvederm Volift (Volift),
• Juvederm Volbella (Volbella).

Description of the drug

Juvederm Ultra Smile is one of the classic fillers that has gained high popularity among women.
It is manufactured by the American company Allergan. Its specialists carefully developed the composition of the product. As a result, all components are selected in such a way that it allows you to achieve the optimal effect and get a long-lasting positive result. Repeated correction may not be carried out for one year. The product is considered elite. It is designed to correct the lip area and combat visible signs of aging. In fact, the drug is a filler that plays the same role as intercellular fluid. The filler is injected into the deep and middle layers of the skin. As a result, it is possible to replenish the lost or insufficient volume.

Most often, the products are used to enlarge lips. However, if necessary, it is also injected into other areas of the face. The product helps smooth out wrinkles. However, it is possible to obtain not only an external effect. The drug promotes hydration, which prevents further skin aging.

Operating principle

Fillers, which include Juvederm preparations, are transparent biogels intended for intradermal injections. To understand how these products work, you need to understand the causes of skin aging and wrinkles.

A comparison of dermal tissue with an orthopedic mattress would be appropriate here. Its elasticity depends on the strength of the springs and the quality of the filler, which fills all the free space inside the mattress cover. While the mattress is new, all its parts hold their shape well, the cover is taut, and in the event of any dent, it immediately returns to its original position. But as soon as the spring stretches, the inner layer sag, and the appearance is completely different. Folds, depressions, and creases appear.

Similar processes occur in our skin. Important here are collagen and elastin fibers, which hold the tissue frame like springs. But the main role is played by hyaluronic acid, which is part of the intercellular substance that fills the space between the protein threads. HA is able to attract and hold a large number of water molecules near itself, transforming the liquid into a gel-like state. Thus, it moisturizes the skin and creates a viscous, elastic environment, holding the main components of connective tissue in the correct position.

Understanding the importance of HA for maintaining optimal skin condition, many manufacturers of anti-aging and modeling products have relied on using it as the main active ingredient in their products. This substance is also included in the composition of gel fillers that are used in contour plastic surgery.

Benefits of Juvederm Ultra Smile

Using the product is associated with the following advantages:

• it is possible to obtain a natural result;
• it is possible to achieve a positive effect in one session;
• the rehabilitation period after using the product is quite short;
• the likelihood of side effects is minimal;
• the composition includes an anesthetic, which reduces the level of pain;
• the positive result lasts quite a long time;
• Not only external rejuvenation is observed, but also a general improvement in the condition of the skin.

Ultra 2

It is considered the lightest and most flexible low-viscosity filler based on HA. It helps fight fine wrinkles, smoothes the skin, starts the process of tissue restoration, and models the lips. The drug is FDA certified.

Juvederm Ultra 2 is often used by clients who are undergoing plastic surgery for the first time.

The filler is suitable for people under 30 years of age. The effect of its use is as close to natural as possible.

Composition of Juvederm Ultra Smile

The drug is made on the basis of hyaluronic acid. It promotes volume formation and maximum hydration. The substance is present in the human body. Therefore, the risk of rejection or allergies is minimal.

For pain relief, the manufacturer included Lidocaine in the product. This is a local anesthetic that neutralizes discomfort.

Another component is phosphate buffer. It is thanks to him that it is possible to significantly prolong the results from using the product.

Pros and cons of Juvederm drugs

Experts note a number of positive qualities of Juvederm products, which make it possible to distinguish these fillers from a number of similar drugs:

1. Durability of the results obtained. The introduction of Juvederm fillers allows you to obtain results that last for a long period - from 6 months to 1 year. Even on the lips, which due to their high mobility are considered the most aggressive environment for fillers, the achieved effect lasts up to 8 months. Please note that this parameter depends on the type of tool selected.
2. Gel plasticity. Juvederm preparations have a homogeneous structure. This makes it easy to inject it under the skin. But the main thing is that, thanks to its softness, the gel spreads evenly inside, filling all the necessary space. In this way, it is possible to avoid asymmetry, heterogeneity, and the formation of tubercles.
3. Compatibility. Since the fillers of the entire Juvederm series are absolutely safe, it is possible to use several drugs at the same time. This way you can solve several problems in one procedure, for example, get rid of wrinkles around the eyes and increase the volume of your cheekbones.
4. Comfort of the procedure. The process of using Juvederm fillers is no different from similar procedures with other gels. However, in many cases, the patient needs to be numbed by applying an anesthetic cream to the skin. The soft structure and the presence of lidocaine in many preparations of the Juvederm series makes this unnecessary, and allows the entire procedure to be completed faster.
5. The ability to select the exact dosage of HA. It has been established that hyaluronic acid is produced by the body independently for a long time, and this process occurs with varying intensity over the years. If additional doses of GC do not correspond to age, then the own mechanism is suspended. A wide variety of preparations from the Juvederm line with different dosages of acid allows you to accurately select a product that will not disrupt the natural processes in the body.

Along with these positive qualities of Juvederm fillers, there are also some problematic issues that the patient should be aware of :

1. Applying the gel too superficially can give the skin a bluish tint.
2. The desired result may not always be achieved after the first procedure, and it will need to be repeated one or two more times with an interval of 7-14 days. This, of course, will affect the cost of the cosmetologist’s services, so this possibility should be foreseen in advance.

The result of the injections will be fully formed 3-5 days after the procedure. The Juvederm gel that is injected under the skin is not completely saturated with water. After entering the tissue, HA begins to intensively attract water molecules and thereby leads to an increase in volume at the injection sites. Ignorance of this feature may lead to the introduction of an excessive amount of filler, which will have a negative effect . You need to be especially careful when increasing lip volume.

Indications

The product is equally often used for the procedure both in young and in adulthood. Its use is permissible if the patient has already reached 18 years of age. At a younger age, correction is not carried out. It is carried out in the following cases:

• it is necessary to raise the drooping corners of the lips;
• the patient does not like the shape of the lips;
• the volume of the area is not large enough;
• there are wrinkles and folds in the mouth area.

Additionally, the drug is actively used to eliminate even deep wrinkles. It is used as part of the correction of soft tissues of the chin and cheek area. Proper use of the product allows you to make your lips more voluminous and expressive, as well as improve their contour without losing their naturalness. At the same time, small folds and wrinkles are eliminated, and the corners of the lips are lifted.

What fillers are included in the series, and what is each of them intended for?

Juvederm fillers are widely known due to the wide range of drugs produced under this brand. This aspect is an indisputable advantage, since it makes it possible to implement an individual approach to solving the problem of each patient. The products differ from each other in their density and amount of hyaluronic acid content. There are several main lines of Juvederm fillers.

First generation drugs are numbered; the higher the number, the higher the concentration of hyaluronic acid..

Juvederm 18 – intended for:

• removal of fine wrinkles on the forehead;
• reduction of facial wrinkles in the corners of the lips;
• filling the finest wrinkles.

Juvederm 24 – used for:

• correction of shallow expression wrinkles;
• smoothing wrinkles on the forehead;
• filling shallow glabellar and nasolabial folds;
• outlining the contour of the lips.

Juvederm 30 is the most concentrated preparation of this line, with which you can:

• get rid of well-defined deep folds;
• remove nasolabial folds;
• increase lip volume;
• change the shape of your lips;
• correct the oval of the face.

In order to improve existing drugs, the gel density was increased. In this way, it was possible to extend the duration of the injection. Fillers from this line are labeled HV .

Juvederm HV is a high-viscosity base gel that has a “long-lasting” effect. Serves for:

• correction of linear wrinkles;
• combating wrinkles on the skin.

Juvederm 24 HV (Juvederm 24 HV) – used for:

• correction of nasolabial folds;
• elimination of wrinkles of medium depth.

Juvederm 30 HV is the thickest filler in this group. It is applied for:

• correction of facial oval;
• increasing lip volume.

The new series of Juvederm preparations is developed based on the innovative patented 3Matrix technology. They contain intermolecularly bound hyaluronic acid and lidocaine. Fillers are marked Ultra . The numerical code indicates the degree of effectiveness - the higher the number, the higher the degree of complexity of the problems being solved.

Juvederm Ultra 2 is intended for introduction into the superficial layers of the dermis to:

• remove fine wrinkles on the forehead, around the mouth;
• eliminate crow's feet near the eyes.

Juvederm Ultra 3 is injected into the upper and middle layers of the dermis. Is used for:

• smoothing wrinkles on the forehead and cheekbones;
• lip contouring.

Juvederm Ultra 4 – used for injection into the middle and deep layers of the skin. Effective for:

• elimination of pronounced nasolabial folds;
• correction of facial oval;
• increasing lip volume.

Juvederm Ultra Smile – designed for lip correction:

• contour delineation;
• increase in volume;
• alignment of corners;
• treatment of vertical wrinkle lines;
• elimination of nearby wrinkles in the mouth area.

In addition to these groups, there are several “niche” drugs in the Juvederm family.

Juvederm Voluma is designed to add additional volume to the cheekbones, cheeks and chin. Serves to restore a clear facial contour.

Juvederm Hydrate is the latest development from the manufacturer, including HA and mannitol. This filler is designed to additionally moisturize the skin and is used for biorevitalization.

Juvederm Volbella is the latest product using advanced HA molecules. Designed for plastic surgery in the lip area.

Contraindications

However, the procedure is not always possible. It is recommended not to use the method in the following cases:

• pregnancy or lactation;
• in the presence of pathology of the cardiovascular system or autoimmune diseases;
• during exacerbation of chronic diseases or undergoing therapy with drugs that inhibit metabolism in the liver;
• when infections occur,
• in the presence of individual intolerance to the components of the product;
• cancer or use of anticoagulants.

Injections are not given to minors. If the procedure falls during menstruation, it is recommended to postpone the increase. Additionally, the cosmetologist advises performing the injection on another day if damage to the affected area is observed.

Necessary recommendations

Women decide to undergo anti-aging procedures with some apprehension, but always hope for a positive, or even better, stunning result.
In order for the real effect to justify all your aspirations and wishes, you need to remember some precautions. You should definitely take into account the list of contraindications and refuse the procedure during the following periods:

• pregnancy and lactation;
• exacerbation of chronic diseases;
• presence of inflammatory processes in the area of ​​filler injection;
• emergence of infectious diseases.

Besides:

1. An important contraindication is the patient having problems with blood clotting.
2. Several weeks before the procedure, you must stop taking blood thinning medications that can lead to increased bleeding or bruising.
3. You need to make sure that you are not allergic to the components of the drug, including lidocaine or mannitol.
4. After the procedure, the area where the filler was introduced should not be exposed to sunlight or high temperatures.
5. In the first days, you should try not to strain the muscles on your face. Any touching of the face or massage are also contraindicated.

Following these basic rules will help you get lasting results without any complications.

How does the procedure work?

Lip augmentation or correction of another area using Juvederm Ultra Smile is carried out according to the following scheme:

1. The patient contacts the clinic and reports his desire to use the service. Our specialists will advise him, tell him about all the features of the procedure, and then make an appointment for a convenient date.
2. The patient comes to the clinic at the appointed time. The doctor will examine him and then talk to him. In particular, the specialist will ask about the presence of contraindications and make sure that correction using Juvederm Ultra Smile is possible.
3. If no contraindications are identified, the cosmetologist will conduct preliminary preparation. To do this, the lip area will be cleaned and disinfected. This is necessary to minimize the risk of infection.
4. The specialist will prepare the drug and then inject it under the skin. To do this, use one of several techniques.
5. Impact areas will be re-treated. An antiseptic will be used, as well as a healing and sedative. Their use is aimed at accelerating healing.
6. The specialist will advise the client, inform him about how the healing procedure will take place, as well as what products need to be used to speed it up.

Opinion of cosmetologists

Juvederm Ultra Smile is one of the flagships of injection cosmetology. Many experts note its effectiveness and natural results. However, we should not forget about the individual characteristics of each.

Buyanov Sergey Yurievich (Expert Doctor):

A very good product, easy to work with, the results are always natural. Of course, it is not suitable for radical lip augmentation; you should take a denser product from this line. The goal of Juvederm Smile is natural moisturized lips.

Rehabilitation after the procedure

Once the injections are completed, the recovery procedure begins. It requires compliance with a number of rules. They are as follows:

• a temporary ban on physical activity has been imposed;
• Do not drink strong coffee, alcohol, or smoke;
• It is prohibited to visit the solarium and sunbathe;
• Do not touch the affected area for 2 days;
• The use of decorative cosmetics is prohibited for at least 12 hours.

To speed up healing, you can make compresses and use anti-inflammatory ointments. It is recommended to coordinate all procedures with a cosmetologist. This will minimize the risk of negative consequences.

Juvederm: price for 1.0 ml

For Juvederm injections, the price is calculated based on the amount of gel required. The prices below are based on 1.0 ml of gel –

• Juvederm® Ultra 2 – from RUB 12,000.
• Juvederm® Ultra 3 – from RUB 13,000.
• Juvederm® Ultra 4 – from RUB 13,500.
• Juvederm® Voluma – from RUB 14,500.
• Juvederm® Volbella – from RUB 14,500.
• Juvederm® Volift – from RUB 14,500.
• Juvederm® Hydrate – from RUB 9,000.
• Juvederm® Volite – from 13,000 rubles.

Possible side effects

If the procedure is performed by a competent cosmetologist, and the patient strictly follows all recommendations, the risk of side effects is minimal. Complications are still possible. First of all, swelling, bruising, and bruising are observed. Sometimes a significant allergic reaction is possible. It manifests itself in the form of a rash and itching. After the procedure, the patient may experience pain. They usually go away within 3 days. If the doctor is illiterate, the formation of an unnatural lip shape is possible. This occurs due to uneven distribution of the product.

If discomfort persists for quite a long time, or side effects appear, you should consult a specialist. He will tell you how to proceed next.

Safety and Precautions –

The use of Juvederm for cosmetic purposes is approved by the FDA (the most prestigious US medical organization for monitoring the quality of medications). This drug has a very high safety profile, but it should not be used in patients who are severely allergic to anything. Also, you should not inject the gel into the soft tissues of the face, which currently have an active inflammatory process. Juvederm should only be administered to a patient by a doctor, and in no case by nursing staff.

The most common side effects are: hematomas, redness, pain, hardness of the soft tissues of the face at the site of gel injection, swelling, bumps, itching of the skin. Most side effects do not last long and are not severe, disappearing within a maximum of 7 days. However, there are also complications such as granulomas that arise in soft tissues as a reaction of the body to a foreign body. This is a serious complication that requires injections of an enzyme that breaks down the filler, as well as the use of corticosteroid tablets. We hope that our article was useful to you!

Sources:

1.

, 2. Personal experience with fillers, 3. National Library of Medicine (USA), 4. https://www.juvederm.com/, 5. “Cosmetic dermatology” (L. Bauman), 6. “Injection methods in cosmetology” (B. Asher), 7. “Anatomy & volumizing injections” (Nabila Azib, Philippe Berros, Frederic Braccini, Olivier Claude).

Ultra 4

It has the highest density and elasticity coefficient in this line. The drug was created for volumetric modeling. The gel corrects the shape and size of the lips, nasolabial folds, cheekbones, sagging earlobes and skin, and replenishes the volume of facial tissues.

Juvederm Ultra 4 combines well with other drugs of the same line and is suitable for the complex correction of age-related skin changes. The gel is recommended for use after 40 years.

When should Juvederm not be used?

Although people turn to cosmetologists in order to become more attractive in appearance, no one has yet canceled the Hippocratic oath. This means that the doctor is obliged, first of all, not to cause harm to the patient’s health. That is why he has the right to refuse “beauty injections”, having found out that the client has the following problems:

• any neoplasms in the body;
• intolerance to HA, the main component of Juvederm fillers;
• aggressive reaction of the skin to a puncture - severe swelling and tissue growth in case of damage;
• diabetes;
• compactions and lumps where filler is supposed to be injected;
• the patient had an unpleasant experience with the same filler;
• pregnancy;
• lactation;
• any skin inflammation;
• autoimmune pathologies;
• high temperature at the time of the proposed injection;
• blood clotting problems.

This filler has a large number of contraindications

Correction of appearance using Juvederm injections

A cosmetic procedure, during which the gel is injected into the dermal layer of the skin using a syringe with a thin needle or cannula, lasts no more than 30 minutes. Minor redness, swelling and soreness of the skin may be observed for 2-3 days after the injection. Signs of injection intervention, according to reviews of Juvederm, disappear after a few days without the use of special therapy. In rare cases, nodules may appear at the injection site: you should notify your doctor about this side effect of Juvederm as soon as possible.

The duration of action of Juvederm for lips lasts 6 months - due to their high saturation with capillaries, for all other areas of the skin - about 9 months. On the earlobes, the results of correction last for 1.5-2 years. In general, the duration of the drug’s effect depends on the skin type, the technique used and the individual characteristics of the patient’s skin.

If after performing the procedure there are no complications in the form of swelling, the effect is noticeable immediately. Otherwise, it will take up to a week to see full results.

The retention period of the result depends both on the individual characteristics of the patient and on the type of drug administered.

Juvederm gradually dissolves, helping to reduce the effect it produces. If you are not satisfied with the result of the procedure, and you want to get rid of the resulting effect as soon as possible, resort to the hyaluronidase enzyme, which will artificially speed up the resorption of the drug.

Differences between Juvederm and other fillers

A very useful feature of this filler lies in its composition: hyaluronic acid does not contain a single harmful component that could cause even the slightest harm. In addition to it, Juvederm contains an anti-inflammatory substance - a phosphate buffer, which significantly reduces the risk of complications in the form of inflammation.

The drug injected into the lips will ensure their smooth outline. There is no clear outline or rough border from it.

Juvederm provides smooth lip contours

But it is dangerous to inject Juvederm under the eyes: this drug retains water, and therefore, being under the eyes, that is, near the nasolacrimal duct, can provoke many unpleasant complications.

Important ! According to experts, the most common case of these complications from Juvederm is swelling. Then you should choose a remedy for treating the periorbital zone.

Swelling sometimes occurs after using this filler.

How does Juvederm work?

The main component of Juvederm gel is hyaluronic acid, which is a natural polysaccharide in our body. Hyaluronic acid has the ability to bind and retain water at the injection site for a long time. Gel with hyaluronic acid is injected into the base of each wrinkle using a syringe, thus creating a depot of hyaluronic acid. On the one hand, such a depot acts as a lining material that smoothes out wrinkles, and on the other hand, the skin is intensively moisturized and improves its appearance.

Juvederm or Restylane

Many patients ask what is better to choose between Juvederm and Restylane. Doctors can answer something like this: both drugs are of artificial origin, are more effective, and have a lasting effect. They differ only in density. Juvederm preparations also differ according to it: density and effect are proportional to the concentration of HA.

Restylane and Juvederm are very similar