Fast facts

Juvederm


What it is: A dermal filler (cosmetic injection) FDA approved for the correction of moderate to severe facial wrinkles and folds. Juvederm is a hyaluronic acid gel and is available in various formulations, including Juvederm Ultra and Juvederm Ultra Plus.

Juvederm injections are absorbed by the body over time but results may last up to one year.  Juvederm products are manufactured by Allergan, the same pharmaceutical company behind Botox Cosmetic.


What it addresses:

- Thin lips
- Hollow cheeks and under-eyes
- Facial wrinkles and folds
- Some nose irregularities
- Acne scars and skin depressions


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Question

Smoker's lines - Should I use Juvederm and Botox in combination?

I am considering juvederm to lessen "smoker-lines". Do I need Botox and Juvederm together?


Asked by: aqharose
Charlotte NC USA

Answers (6)

Sort by: Most recent | Most helpful
1
August 11, 2008

Combining Botox and Juvederm

D.J. Verret, MD
D.J. Verret, MD
Board Certified
Facial Plastic Surgeon
Answer by D.J. Verret, MD

Botox and Juvederm are an option for lines around the lips. The Botox can be used to help relax the lines and the Juvederm can be used to fill them in.

When using Botox around the lips, great care must be taken, as drooling and difficulty speaking can be side effects. In addition, even with proper infiltration, difficulty with speaking some letters can occur. People with occupations dependent on speaking or singing should probably avoid Botox injections around the lips.

For a more permanent solution to the wrinkles around the lips, consider either an ablative laser technology such as CO2 laser or dermabrasion to smooth out the wrinkles. There is more down time associated with these procedures than with Juvederm but the results are long lasting.

2
August 1, 2008

No Botox arround the mouth

Payman Simoni
Payman Simoni
Board Certified
Facial Plastic Surgeon
Answer by Payman Simoni

The best fillers for smoker lines are Restylane or Juvederm.

I do not recommend using Botox around the mouth. With Botox you could carry a risk of decreased lip movement. Any decrease in lip movement is very noticable.

3
August 1, 2008

Treating "smoker's lines"

Edmond A. Zingaro, MD
Edmond A. Zingaro, MD
Board Certified
Plastic Surgeon

"Smoker Lines" can often be difficult. When deep, I believe several modalities must be used in combination to get best results.

  • Fillers, such as Juvederm, add volume to the depth of the wrinkle to "fill the valley".
  • Small amounts of Botox can be used to relax the muscle just a little and further smooth.
  • Resurfacing techniques smooth from the outside, kind of like "sanding to smooth".
  • Mild resurfacing can be done with Microdermabrasion.
  • More aggressive resurfacing can be done with Active-FX Laser, which gives incredible results but does require several days of recovery time.
4
July 26, 2008

Smoker's Lines

Kris M. Reddy, MD
Kris M. Reddy, MD
Board Certified
Plastic Surgeon

Generally, a filler such as restylane and juvederm provides good quality but short term results.

Perioral laser may be a more lasting treatment of smoker's lines.

5
July 23, 2008

Lip line treatment options

Steven Wallach, MD
Steven Wallach, MD
Board Certified
Plastic Surgeon

If you are talking about lines on the upper lip, then my preference is to use facial fillers like Juvederm. I am not a big fan of Botox injections into these fine lines. Yes, it can work, but if too much is used you can get a lip droop that looks like you had a stroke, and this will not improve for 4-6 months.

6
July 23, 2008

Botox & Juvederm an excellent combo

Ronald Shelton, MD
Ronald Shelton, MD
Board Certified
Dermatologist

Yes. This is an excellent treatment to consider. Please realize though, that there is a small margin of error and flattening of the lip, and certain letters are difficult to pronounce so that singers and wind instrument musicians should not have Botox on the lip.

Web reference: http://www.thenyac.com

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