Leesburg Juvederm doctors

Juvederm or Restylane are facial fillers which can often be used in conjunction with Botox to treat forehead wrinkles. Having said this, Botox for most people works great by itself; and is used for the horizontal forehead wrinkles, the vertical lines between the brows and the crows feet lines around the eyes.

However, sometimes, the vertical lines between the eyes are very deep and entrenched. That is when you know one of the facial fillers may be necessary. While complications can occur, I have treated hundreds of patients in this manner without even a hint of ulcerations.

Good question, but the answer can be very technical. The value or longevity of a Hyaluronic Acid filler (HA) is determined by the amount of cross-linking of the gel molecules. The body is very effective at removing things that do not belong. The beauty of HA is that it is also produced in the body so that it can stay because it is not a completely foreign object. Collagen that used to be injected was from cow hide so that it was rapidly identified and then broken down by the body. It also required a test to determine if you had an allergy.

HA is not broken down by this pathway, it is broken down other ways. The more solidly (or crosslinked) a HA product is the longer it will last. The absolute amount of HA in a syringe does not translate into more product remaining in an injected area. ONLY the crosslinked amount of HA in the syringe will actually remain. The non-crosslinked product will be disolved in a few days. The non-crosslinked HA is smoother and allows for easier injection and some controllability in some hands but will NOT contribute to longevity.

Restylane is a higher concentration of cross-linked molecules of HA than Juvederm. So Restylane is stiffer, requires more skill to inject correctly, more skill to place correctly and will last longer. In some areas these are desirable consequences like the nasolabial folds. Juvederm is softer and easier to inject and feels different so it is better in the lips but it will go away faster.

Juvederm in lips? 4- 6 months?
Restylane in lips? 5-6 months?
in face? can last over a year - both products
Nasolabial folds? 6 months and up depending on injector.

I hope this helps.

Good question, but the answer can be very technical or as simple as the injectors preference. There are a lot of repetitive answers below but some technical information is missing.

The value or longevity of a Hyaluronic Acid filler (HA) is determined by the amount of cross-linking of the gel molecules. The body is very effective at removing things that do not belong. The beauty of HA is that it is also produced in the body so that it can stay because it is not a completely foreign object.

Collagen that used to be injected was from cow hide so that it was rapidly identified and then broken down by the body. It also required a test to determine if you had an allergy. HA is not broken down by this pathway, it is broken down other ways. The more solidly (or crosslinked) an HA product is the longer it will last. The absolute amount of HA in a syringe does not translate into more product remaining in an injected area. ONLY the crosslinked amount of HA in the syringe will actually remain.

The non-crosslinked product will be dissolved in a few days. The non-crosslinked HA is smoother and allows for easier injection and some controllability in some hands but will NOT contribute to longevity. Restylane is a higher concentration of cross-linked molecules of HA than Juvederm.

So Restylane is stiffer, requires more skill to inject correctly, more skill to place correctly and will last longer. In some areas these are desirable consequences like the nasolabial folds.

Juvederm is softer and easier to inject and feels different so it is better in the lips but it will go away faster. So I use both products every day in different areas and in some patients, I will use both products depending on the patient's desires and concerns.