Fillers
(Juvederm, Ultra Plus)

Juvéderm is an FDA approved dermal filler used to add volume in different areas of the face. This procedure can temporarily smooth out wrinkles and folds, plump lips, and contour cheeks. Here at Da Vinci Med Spa we offer Juvéderm Ultra Plus, Juvederm Volbella, Juvéderm Voluma XC, and Juvéderm Ultra XC. The collection of dermal fillers all contain the same gel made from hyaluronic acid (HA). Hyaluronic acid is a substance present in the body that helps skin absorb moisture and keep volume.

How is it used?

The gel is injection into areas of facial tissue where moderate to severe facial wrinkles and folds occur. It can also temporarily add volume to the skin and may give the appearance of a smooth surface.

Are there any reasons why I should not receive Juvederm?

Juvederm should not be used in patients who have:

• Severe allergies marked by history of anaphylaxis or history or presence of multiple allergies
• Patients with history of allergies to gram-positive bacterial proteins

What are possible side effects?

Most side effects are mild or 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-injections procedures, there is risk of infection.

Please be advised:

• Patients 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 physician before treatment if you are using these substances
• If laser treatment, chemical peeling, or any other procedure based on active dermal response is considered after treatment, there is possible risk of an inflammatory reaction
• Juvederm 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 Juvederm for use during pregnancy, in breastfeeding females, or in patients under 18 years has not been established.
• The safety of Juvederm in patients with a history of excessive scarring and pigmentation disorders has not been studied.

Do the injections hurt?

Injections may cause some discomfort during and after injection. Physicians may choose to numb the treatment area to minimize discomfort.

What should I expect following the procedure?

Within the first 24 hours, you should avoid strenuous exercise, intensive sun or heat exposure, and alcoholic beverages. Exposure of any of the above may cause temporary redness, swelling, bruising, and/or itching at the injection sites. If there is swelling, you may need to place an ice pack over the area. Ask your physician when makeup may be applied after your treatment.

Does the correction last forever?

No. Correction is temporary; therefore, touch-up as well as repeat injections are usually needed to maintain correction. Less material is usually needed for repeat injections. Treatment in some areas last more than others.

When Should I notify my physician?

When redness and/or swelling lasts more than a few days.

What other treatments are available to me?

Additional options for the correction of lines and wrinkles include Cosmetic, chemical peels, laser, micro needling and more. These options may be discussed with Dr. Hajarian.