JUVÉDERM® XC is commonly referred to as Juvéderm.

What are benefits of Juvéderm?

Juvéderm offers a safe and effective non-surgical option for smoothing facial wrinkles and folds. In fact, they are the fastest growing non-surgical aesthetic procedure in the United States according to the American Society of Aesthetic Plastic Surgery. Not all fillers are the same!

If you’re interested in being treated with this non-surgical option, you should know the advantages of choosing Juvederm:

“Next-generation” filler: Juvéderm is a “next-generation” non-animal dermal filler that is made from hyaluronic acid (HA)—a naturally occurring substance that plays a vital role in hydrating your skin and replenishing its natural volume. No allergy skin tests are needed prior to receiving treatment.

Advanced technology: Juvéderm has a unique manufacturing process to provide the highest concentration of cross-linked HA of any currently available HA dermal filler for long-lasting results. This advanced manufacturing process also creates a smooth consistency gel that flows consistently and easily into the skin and provides a smooth, natural look and feel. Juvederm is the only filler available with this smooth consistency gel formulation—other existing hyaluronic acid fillers are made of granular consistency gels.

Proven safety and effectiveness: Juvéderm is the first FDA-approved Hyaluronic Acid dermal filler that has demonstrated its safety and effectiveness in persons of color.

Quick and easy procedure: Juvéderm is a non-surgical treatment that requires no allergy skin test and minimal recovery or downtime.

Personalized treatment – one size does not fit all: Juvederm is available in two formulations— JUVÉDERM® Ultra for versatility in contouring and volumizing facial wrinkles and folds, and JUVÉDERM® Ultra Plus, a more robust formulation for volumizing and correcting deeper folds and wrinkles. This allows Dr. Mai and her clinical team to tailor treatment to meet your unique needs.

How does Juvéderm work?

Juvéderm is introduced under the skin using a fine needle to fill the soft tissue of the dermis—the dense inner layer of skin beneath the epidermis—to add volume and diminish wrinkles and folds. Juvéderm is used most effectively for those wrinkles and folds in the lower third of your face, like your “laugh lines,” “smile lines” or “parentheses” (nasolabial folds), or “marionette lines” (oral commissures). Botox is not often used here since you would lose your ability to make expressions!

Juvéderm is a “next-generation” filler. It is made from Hyaluronic Acid—a naturally occurring substance in your skin that helps to hydrate and add volume. Hyaluronic Acid may diminish with age, contributing to the formation of wrinkles and folds. Juvederm works to correct this by restoring HA in your skin, helping to smooth wrinkles and folds.

Juvéderm has a unique manufacturing process to provide the highest concentration of cross-linked hyaluronic acid of any currently available hyaluronic acid dermal filler for long-lasting results. This advanced manufacturing process also works to create a smooth consistency gel that flows easily into the skin during the injection process and provides a smooth, natural look and feel—so everyone will notice (but no one will know!) Juvéderm is the only filler available with this smooth consistency gel—other existing hyaluronic acid dermal fillers are made of granular consistency gels.

What can I expect during treatment?

Since Juvéderm is a simple, nonsurgical treatment, there is minimal recovery or downtime. So you can make an appointment to stop by Newport Aesthetics on the way home from work or the gym, or even while the kids are at soccer practice—and get right back to your usual routine.

Before you go:

At Newport Aesthetics, your safety is our number one concern so we do recommend that you avoid any medications that can prolong bleeding, such as aspirin and non-steroidal anti-inflammatories (NSAIDS), for at least seven (7) days / one (1) week prior to treatment in order to reduce the risk of bruising and bleeding at the injection site. Patients who take blood thinners such as Coumadin, Warfarin, Pradaxa, Eliquis or Plavix need to have medical clearance prior to treatment. At Newport Aesthetics, we are fortunate to have our board-certified physician on site so she will be able to establish your safety profile prior to treatment.

When you arrive:

If this is your first visit, your Dr. Mai and/or the clinical team will ask about your medical history, including any allergies you may have or medications you may take, and will tell you more about wrinkle treatment with Juvederm. No allergy test is required prior to treatment.

Determining your treatment needs:

Dr. Mai and her clinical team will examine the soft tissue of your face to assess the depth of wrinkles and folds to determine your treatment plan. Juvéderm is available in two formulations—JUVÉDERM® Ultra for versatility in contouring and volumizing facial wrinkles and folds, and JUVÉDERM® Ultra Plus, a robust formulation for volumizing and correcting deeper folds and wrinkles. This allows us to better tailor treatment to your unique needs. We will be taking pretreatment / before photographs so you can see the difference after treatment!

Before the procedure:

Although anesthesia is not required (there is already numbing medication – Lidocaine – mixed in with the prefilled Juvederm syringe), our clinicians may use topical or injectable anesthesia to numb the treatment area first if you desire.

The procedure:

Juvéderm is introduced to your skin augment or fill, wrinkles and folds. Following the injection, Dr. Mai and our clinicians may gently massage the treated areas to mold it for optimal results. The procedure is quick and easy – you’re usually done 15 minutes.

What can I expect after treatment?

With Juvéderm, there is minimal recovery or downtime after the procedure.

For the first 24 hours following treatment, you should avoid strenuous exercise, excessive sun or heat exposure, and consumption of alcoholic beverages in order to help minimize the risks of temporary redness, swelling, and/or itching at the treatment sites. After the treatment, some temporary injection-related reactions may occur, including redness, pain, firmness, swelling, and bumps. Studies have shown that these are usually mild to moderate in nature and clear up on their own in 7 days or less. If you experience swelling at the injection site, you can apply an ice pack for a brief period. Makeup can generally be applied after puncture marks are no longer visible and do not show signs or swelling, inflammation or blood. Remember to be gentle when touching the newly treated areas! Ask Dr. Mai and her clinical team if you have any concerns.

When will I see results?

You should see an immediate improvement in the treatment areas.

How many treatments do I need?

Most patients need one (1) treatment to achieve optimal wrinkle smoothing and lip plumping.

How long does Juvéderm last?

6-12 months. However, results may vary and this is not permanent!

Supplemental “follow up” or “enhancement” treatments may be required to achieve and maintain optimal results.

Protect your investment!

What are injectable fillers?

Fillers are gel-like substances that are injected beneath the skin to restore lost volume, smooth fine lines and deep creases, or enhance facial contours. Over the last few years, more than 1 million men and women annually have chosen this popular facial rejuvenation treatment, which can be a cost-effective way to look younger without surgery or downtime.

How can fillers enhance my appearance?

While fillers are casually known as “wrinkle fillers,” they can do much more than just smooth out wrinkles, although they are excellent at this too! Here are a few of the common issues dermal fillers can help address:

• Smooth out lines around nose and mouth. (a.k.a. marionette lines, smile lines, and parentheses
• Enhance & restore volume to sunken cheeks
• Diminish vertical lip lines
• Plump & enhance the lips
• Smooth out a chin crease

What are fillers at Newport Aesthetics made with?

There are a variety of FDA-approved filler products that we use to achieve an individual patient’s goals. Each is uniquely formulated to have a certain texture, density, and injection depth, which means that certain fillers work better for certain areas of concern. In general, fillers are categorized by the substance they are made from. A note for your safety: always make sure that you are receiving FDA-approved, brand name fillers, which are only available through a licensed physician – yes, doctor!!

Hyaluronic Acid (HA)

Hyaluronic acid is a naturally-occurring substance that is already found in your skin. It helps keep skin plump and hydrated. HA fillers are typically soft and gel-like. The results are temporary, lasting 6 to 12 months or longer before the body gradually and naturally absorbs the particles. Certain HA fillers are infused with lidocaine to help minimize discomfort during and after treatment. FDA approved HA fillers offered at Newport Aesthetics include: Juvederm XC, VOLUMA, VOLLURE and VOLBELLA. Others that are available elsewhere are: Belotero, Restylane, Restylane Silk, and Restylane Lyft (formerly Perlane).

Calcium Hydroxylapatite (CaHA)

Calcium hydroxylapatite is also a naturally occurring substance, found primarily in our bones. When used in a filler, the calcium particles are very tiny, almost microscopic, and suspended in a smooth gel. The consistency of a calcium hydroxylapatite filler is typically thicker than that of a hyaluronic acid filler, and the results will typically last longer as well, about 12 months for most patients. Calcium hydroxylapatite is also reported to help stimulate natural collagen production, and it is typically used for deeper lines and wrinkles. There is one FDA-approved calcium hydroxylapatite filler: Radiesse.

Poly-L-lactic Acid

Poly-L-lactic acid is a biocompatible (meaning it is safe to use in the body), biodegradable synthetic substance. It has been used for many years in a number of medical devices, such as dissolvable stitches. Poly-L-lactic acid fillers are considered “semi-permanent,” as the results typically last more than 2 years, and can help stimulate collagen production. As a thicker filler material, Poly-L-lactic acid is typically used to treat deeper facial wrinkles. The one FDA-approved Poly-L-lactic acid fillers is Sculptra Aesthetic.

Polymethylmethacrylate (PMMA)

Polymethylmethacrylate (PMMA) is a synthetic, biocompatible substance that has been used in medicine for much of the last century. When used in dermal fillers, PMMA takes the form of a “microsphere” or tiny ball, that remains beneath the skin indefinitely to provide continued support. PMMA fillers will also contain collagen, a naturally occurring substance in the skin that provides structure and firmness. There is one FDA-approved PMMA filler: Bellafill (formerly known as Artefill).

Why choose Newport Aesthetics for filler treatments?

When selecting an injector for injectable treatments, give your decision the same level of care and scrutiny that you would for a surgical procedure. Even though it is non-surgical, filler treatment is still a medical procedure that requires specific training, knowledge and skill to ensure safe treatment and natural-looking results. You’ll want to choose an injector with an extensive knowledge of facial anatomy, a well-developed aesthetic eye (look at how they groom themselves), and a surgeon’s skill and precision.

Whomever you choose, make sure your injector has a proven background in cosmetic medicine as well as training and substantial experience performing filler injections. Ask to see Before & After photos of each potential provider’s patients. If an R.N. or physician’s assistant will be performing your injections, that person should be working closely under the supervision of a qualified physician, preferably board-certified.

What to Expect During Treatment

Filler injections are non-surgical and typically completed during an office visit. Your initial treatment will begin with a consultation, during which you will meet with your injector to discuss your concerns and goals.

Pre-treatment Consultation

During your consultation, your injector will evaluate your area of concern and review your medical history. While the risks associated with dermal fillers are minimal, you need to fully disclose your medical history prior to treatment, as certain allergies, skin and neurological conditions, or medications can jeopardize your safety or results. For instance, you need to tell your injector if you have been taking NSAIDs (e.g., aspirin, ibuprofen, naproxen) or blood thinners, as these increase the likelihood of bruising.

Your Injectable Filler Treatment

Just before treatment, the area will be cleaned, and you may be given a topical anesthetic to numb the area prior to injection. Many filler products also contain lidocaine, a mild anesthetic, which is intended to help minimize discomfort during and after your treatment. Ask us! Your injector will then inject a precise amount of filler strategically beneath the skin.

Depending on the product and the areas treated, you should be able to notice results immediately after receiving filler injections. Some patients experience mild bruising and swelling, but these are temporary and should subside over the days following treatment. You will be able to go back to your normal activities right after treatment, but your cosmetic surgeon may ask you to take the day off from exercise or other strenuous activity.

How long do the results last?

How long the effects of dermal filler treatments will last varies widely, depending on the product used, the area of treatment, and the patient. Generally speaking, the denser the product is and the more deeply it is injected, the longer it will last, although this is not a hard and fast rule. To maintain your results, your injector can repeat treatment, adjusting the amount and techniques as necessary to ensure optimal results.

Hyaluronic Acid fillers tend to be the most temporary option, and therefore are often recommended for first-time filler patients. These will typically last from 6 to 24 months, depending on which product is used – the longer lasting products tend to cost more as well. For example, injections to the lips will wear out a little faster than those to the nasolabial folds. Certain HA fillers, such as VOLUMA and VOLLURE, are formulated to last longer.

Synthetic fillers tend to be longer lasting, as they are not absorbed by the body. They can be a great option for the right patient, but you’ll want to be ready to commit to results that will be there for several years—and take care to choose an experienced, qualified provider whose aesthetic style you like.

With the help of an experienced, qualified injector, injectable fillers can provide natural-looking enhancements to help you feel more confident in your appearance.

If you are ready to learn more about your options, the next step is to meet NEWPORT AESTHETICS!

Before Treatment

No anti-inflammatory drugs (Ibuprofen, Motrin, Advil, Midol, Aleve, etc.), aspirin, high doses of Vitamin E, or Gingko Biloba one (1) week prior to treatment. This will reduce the possible side effects of bruising and/or swelling in the treated area(s).

Consuming alcoholic beverages prior to treatment may increase the chances of bruising and/or swelling.

You cannot be pregnant or breastfeeding to receive treatment.

If you have a history of oral herpes, you must pre-treat with an anti-viral three (3) days before your scheduled visit. Our physician is on site and can prescribe this for you. Those who do not pre-treat can still be injected but will take higher doses of the medication with treatment.

After Treatment

Swelling, redness, and tenderness will occur after your treatment and usually resolves within 72 hours.

Cold compresses (a cloth dipped in cold water, wrung out, and applied to the injected area) may be used immediately after treatment to reduce swelling.

Avoid touching the treated area within 6 hours of treatment so you do not accidentally injure your skin. After that, the area can be gently washed with soap and water.

Until there is no redness or swelling, avoid exposure of the treated area to intense heat (sun lamp or sun bathing) or extreme cold weather.

If you have suffered previously from facial cold sores, there is a risk that the needle punctures could contribute to another occurrence.

Ask us about medications that may minimize a recurrence (pre-treatment).

Avoid taking aspirin and other non-steroidal anti-inflammatory medications (NSAIDS), St. John’s wort, and high doses of Vitamin E supplements for one (1) week after treatment. These agents may increase the risk of bruising and bleeding at the injection site.

Avoid aesthetic lasers, microdermabrasion, or IPL over areas with filler for a minimum of one (1) week after treatment.

Follow Up

Follow up treatments are recommended to be scheduled usually every 6-12 months.

Consistent repeated treatments will produce the best resolution of, thin lips, volume loss and wrinkles.

Protect your investment in yourself!