Dermal Filler - Juvederm 2,3,4

What is Juvederm?

Juvederm is one of the newest, "next generation" substances in cosmetic surgery known as "dermal fillers" or "injectable fillers." Because patients want treatments that deliver immediate results with little, or no, downtime, Juvederm has become extremely popular with consumers. Made of a natural substance known as hyaluronic acid, Juvederm is - like Botox - is one of the fastest growing non-surgical aesthetic procedures.Juvederm's results are usually natural, seen immediately and look about the same as with surgery. However, the body absorbs the hyaluronic acid over time so the injections must be repeated periodically to maintain the refreshed look; Juvederm lasts about four to six months. For longer results, the manufacturer, Allergan, also offers Juvederm Ultra and Juvederm Ultra Plus which can last about a year and are available at Guernsey Laser and Aesthetics Clinic.

Dermal Fillers are often used to:

- Plump up folds that run from the bottom of the nose to the corners of the mouth;

- Fill in the prominent vertical wrinkles, (the "11s") between the eyebrows;

- Augment the hollows under the eyes;

- Reduce the "Marionette lines," the downturned creases at the corner of the mouth;

- Scar correction;

- Augment thin or aging lips;

- Facial tissue augmentation.

Hyaluronic acid is important because one of its chief functions in the human body is to maintain skin volume and hydration. Typically hyaluronic acid has been used to ease joint pain, treat wounds and in eye surgery. Hyaluronic acid helps to trap moisture as well adding volume and shape to the skin. Elastin allows the skin to stay firm, resisting wrinkles, depressions and folds on the skin surface. These substances help to protect our skin from becoming saggy and when they reduce the skin becomes thinner, lined with deep wrinkles in more advanced ages. The solution to this condition lies in feeding the fat-deprived section of the skin with materials that can play the role of the constituents and bring the skin back to form.

What are the Benefits of Dermal Fillers?

Most cosmetic or plastic surgery procedures used to correct the above facial concerns involve surgery which has its own set of risks and drawbacks. While complications rarely occur at the hands of experienced, board-certified cosmetic and plastic surgeons, drawbacks include going under anesthesia, dealing with pain and bandages and taking required time away from work and other activities for healing.

However an injectable dermal filler can accomplish the same facial rejuvenation allowing the patient to leave the doctor's office immediately with little or no down time, and fully resume his or her normal activities by the next day.

Where do I begin with Dermal Fillers?

It is important for the patient to attend a consultation with a board-certified plastic, cosmetic or dermatological surgeon. At Guernsey Laser and Aesthetics Clinic we employ only experienced plastic surgeons who perform the procedure for our patients.

During consultations, we can learn more about patients and vice versa. Moreover, the consultation visit gives the doctor a chance to evaluate the current state of the patient's skin and face while discussing options that will help the patient achieve the desired look. Patients should tell us about any allergies, serious medical conditions, medications, vitamins and minerals they may be taking. We will also be able to answer the questions and concerns of the patient fully and help to create a clear understanding of dermal fillers and the procedure.

What Are The Risks and Side Effects Of Dermal Fillers?

Depending on the procedure and the amount of filler injected, risks include bruising, swelling and infection, all of which are minimized by seeing a board certified practitioner.

In clinical testing, the most commonly reported side effects included temporary injection site reactions like redness, pain and tenderness, skin firmness and lumps and bumps under the skin known as granulomas.

Once treated patients should take care to ensure treated areas should not be exposed to excessive sun, or very cold weather until initial swelling and redness has been resolved. Laser treatments, chemical peel and other procedures on the skin should be delayed until post dermal filler treatment due to a possible risk of inflammation at the injection site.

Most dermal filler providers caution patients that bruising or bleeding at the injection site can be increased by taking aspirin, ibuprofen or any other substance that thins the blood. Dermal fillers are not indicated for people who have allergies to bacterial proteins or patients with severe allergies marked by a history of anaphylaxis or multiple severe allergies.

What Are the Results of Dermal Fillers and How Long Do They Last?

The effect of dermal fillers is to try and reverse the changes that are often associated with old age. Its main purpose is to return the dermis (skin) to its original condition, flexible, firm and youthful in nature. Often they can achieve a more natural appearance than a normal surgical face operation, such as a face lift which stretches the skin into an unnatural position.

However, because the body absorbs the hyaluronic acid (a key ingredient as mentioned earlier) over time the injections must be repeated periodically to maintain the refreshed look; dermal fillers can last for between four to six months and they come in different thicknesses, a factor that determines how deep the injection will go into the skin. The thicker the dermal filler, the deeper it can be injected.

Dermal Fillers can also be classified as permanent or non-permanent depending on their effect.

Pre and Post treatment