Juvederm is available and sold per syringe

Patrick S. Carney, MD answers: Is Juvederm only sold by two vials?

I went to see my plastic surgeon to have Juvederm added to my Rhinoplasty surgery in two weeks. I have already gotten Juvederm about a month and a half ago and its holding up well, so I just wanted a little bit to correct some very mild unevenness. He saw what I did and approved this but didn't specify the amount of Juvederm. However, the change is minimal and having had it done before I knew one vial was going to be enough.

When I went over to the financial lady she quoted me for two vials, when I asked her to double check she said they can only be purchased in 2's because thats how they're packaged. Has anyone every heard of this? Why would the packaging matter if each vial is sterile?

Normally I'd think they're just trying to rip me off but this the chair of PS at university hospitals - A very large and well known hospital in the area so I have a hard time believing it. The doctor is always busy so I didnt want to argue and just paid it but now I'm thinking I shouldnt have given up $550 so easily.


Patrick S. Carney, MD
10 months ago

Hi, Juvederm is packaged from Allergan with 2 syringes per box, but this doesn't have any reflection on how it's sold to the patient. Currently, Juvederm syringes are pre-filled with .8 cc in a sterile package. When you are considering Juvederm to treat a nose, or a very small imperfection in the skin, under the eye, the full amount of a syringe may or may not be needed or used. This decision would be made for the patient's benefit.

A provider would not be doing anybody favors by "over-correcting" an area. We sell the syringes individually. We do not sell a portion of any syringe and we are unable to charge for a lesser amount used for treatment. Often, a solution for any unused portion is considered someplace else. An example: you would like a small amount used for non-surgical rhinoplasty, but half of the product is unused for this treatment.

A provider might suggest to use the remaining product in the syringe to subtly soften lines around the mouth or add a bit of volume to the lip.

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