Manchester Juvederm doctors

James Bartels, MD James Bartels, MD
Manchester Facial Plastic Surgeon
30 Canton Street Suite 2, Manchester
3 answers
Jeremy Waldman, MD Jeremy Waldman, MD
Manchester Plastic Surgeon
17 Riverside Street Suite 105 , Nashua
1 answer
Mark B. Constantian, MD Mark B. Constantian, MD
Nashua Plastic Surgeon
19 Tyler St #302-304, Nashua
Peter T. Pacik, MD Peter T. Pacik, MD
Manchester Plastic Surgeon
57 Bay Street, Manchester

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: Dental Work Before Filler

You should be fine to have dental fillings done a week before you get Juverm.  Just be sure to avoid products such as ibuprofin (Motrin) and naproxyn (Aleve), which might increase your chances of bruising.  Use acetaminophen (Tylenol) if you need a pain reliever.  Also, be sure to use cold compresses intermittently throughout the rest of the day you get your Juvederm.

I actually tell my patients to avoid dental work for several weeks after they have fillers anywhere around the mouth.  I worry that excessive retraction on the cheeks may affect the placement or longevity of the filler.  This may sound overly cautious to some, but why take the risk in your investment?

James Bartels, MD
Manchester Facial Plastic Surgeon
Should any certified staff member at a Med-Spa give Juvederm injections?

Do other traditional skin rejuvenation procedures work just as well? What Are the Advantages of Juvederm for Crow's Feet?

A: Choose your injector carefully!

There are lots of people doing injections of fillers (such as Juvederm) as well as Botox who probably shouldn't be. The reasons are simple - it comes down to the fact that it can be lucrative, and there is little regulation of what goes on in private medical offices and spas. Thus, you find medical doctors trained in Pediatrics, Gynecology, Emergency Medicine and others, as well as non-physicians, all jumping on board.  It is incumbent on the consumer to vet them out and "buyer beware". I feel that one is best served (and will get the best result) by having their injections done by a physician, or their closely supervised P.A.or nurse, in one of the following specialties : General Plastic Surgery, Facial Plastic Surgery/Otolaryngology, Dermatology, or Oculoplastic Surgery.

Generally speaking, Juvederm is not the best choice for crow's feet. Botox/Dysport/Xeomin work well here, as does radiofrequency skin tightening and some lasers.   

James Bartels, MD
Manchester Facial Plastic Surgeon
Juvederm and Rheumatoid Arthritis

can i get juvederm injections in verticle lip lines and nasal folds even though i have rheumatoid arthritis?rheumatoid arthritis is an auto immune disease.

A: No Problem Having Juvederm if have Rheumatoid Arthritis

There is no reason you cannot get Juvederm (or Restylane or Radiesse) injections to fill nasolabial folds if you have RA.  One caveat is that NSAID's can lead to increased temporary bruising after filler injections, so be sure to let your physician injector know if you are taking one of these medications for your RA.  Also, if your immune system is suppressed and you are prone to shingles or cold sores, get a prescription to premedicate with an antiviral, such as Valtrex.

James Bartels, MD
Manchester Facial Plastic Surgeon
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