Las Vegas Juvederm doctors

F. Victor Rueckl, MD F. Victor Rueckl, MD
Las Vegas Dermatologist
8937 W Sahara Ave Suite B, Las Vegas
51 answers
Jeffrey Roth, MD Jeffrey Roth, MD
Las Vegas Plastic Surgeon
9280 W. Sunset Rd. Suite 236, Las Vegas
13 answers
Amir M. Karam, MD Amir M. Karam, MD
San Diego Facial Plastic Surgeon
4765 Carmel Mountain Road 201, San Diego
7 answers
W. Tracy Hankins, MD W. Tracy Hankins, MD
Las Vegas Plastic Surgeon
2150 South Rainbow, Las Vegas
5 answers
Lane Smith, MD Lane Smith, MD
Las Vegas Plastic Surgeon
8685 West Sahara Avenue Suite 180, Las Vegas
1 answer

Recent Answers

How Will a Dental Appointment Before Juvederm Injection Affect the Bruising?

I am getting my first juvederm injection in my nasolabial folds in a week. I am extremely worried about the bruising, actually more than the results themselves! I have a dentist appointment a couple of days before to get some fillings; will that affect the bruising process when I get my juvederm, giving the fact that I will be put under anesthetics when I get my fillings? And what can I do to make sure the bruising is kept to a minimum?

A: Fillers and dental work

There shouldn't be any issues unless you usually get swelling in your cheeks or lips from dental work. The only other thing I'd say is that after a lot of dental work, some people take medications to help with pain. I'd avoid any Advil or Ibuprofen and stick with Tylenol. The other two can increase blood flow which could cause a bit more bruising for you during your Juvederm appointment.

F. Victor Rueckl, MD
Las Vegas Dermatologist
Can You Tell by the Box/packaging if You Really Received Juvederm?

I had juvederm injection's last week but I have suspicions that they were fake, as my lips were bleeding really bad as she was pointing the shringe downward's and there was alot of blood, can you tell by the box it came in as it came in a white box with yellow on it with the word soft.

A: Juvederm packaging

Any reputable injector or physician will let you see the box. However, really, any issues with what you did and didn't receive can be totally avoided by seeing board-certified physicians. It's a medical board requirement, no matter where you live, that you order and use the FDA approved products from the manufacturers. In the U.S., Juvederm comes in a light purple box or a darker purple and gold metalliic box, depending on whether you are getting the XC or regular version of the product. Juvederm always comes two individually packaged syringes in a box, so that can be your first tip off. If a "box" is opened in front of you and the syringe package isn't sealed, or if there are less or more syringes than two in the box, that'd be your first tip off. But you can always ask to see the box! The box you are describing rings no bells for me and doesn't sound like Juvederm, to me. Also, if you Google the term (I hardly ever recommend this, but in this case I will) "Juvederm box" under Google Images, you can see the two examples of what true Juvederm packaging looks like in the U.S.

F. Victor Rueckl, MD
Las Vegas Dermatologist
What Are the Effects of Using Juvederm over a Long Time?

If I have my lips injected with juvederm ultra xc every few months (as the product gradually wears out but not completely)over a lifetime, is it possible that it could gradually last longer? Or does the body grow more familiar to the product and with every treatment the body absorbs it faster than the last time? I really want to fix my lips permanently, but from what I've read about the permanent options so far, I'm wary of all of the side effects and dangers. Is juvederm long-term safe?

A: Long-term Juvederm vs permanent lip implants or injections

With many HA fillers, re-injecting before you return to baseline is a good idea. For instance, the Restylane studies show that if you do this, it does actually get the product to last longer. They suggest that you get an injection, then another in 6 months, then another in 6 more months, and by way of "stacking" the product, you can actually get a better result and long-lasting filler than if you injected 3 syringes originally. The same would be true for Juvederm because it's also an HA filler. Juvederm and Restylane are extremely safe long-term.

I never recommend permanent fillers or implants. I have taken out so many problem ones over the years, I probably couldn't even begin to count. It seems like a good idea, until you realize that as your body ages naturally, your face, lips, etc. do change shape, even slightly, and putting something permanent in there does not allow the body to do this. While it would seem like a good idea, what actually happens is the body contorts around the permanent filler and people end up looking slightly deformed. It's much better to be able to adjust fillers and such as the body ages so you can fill different areas and spaces at different times.

F. Victor Rueckl, MD
Las Vegas Dermatologist
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