How Long Does Juvederm Last?

When Juvederm (or Restylane) is injected into an area of active muscular contraction (for example, frown lines that have not been Botox or Dysport-treated), the filler can be mechanically moved away from the precise area of injection by the continued action of the muscle. That is why patients who have frown lines that are not paralyzed (Botox or Dysport) but are treated ONLY with a filler (Juvederm or Restylane) will sometimes complain that their "Juvederm didn't last as long as you said it would."

I have also had patients who (initially) followed my recommendation for Botox and Juvederm (for deep frown lines that do not completely resolve with Botox alone) do very nicely, and then return 6 months later for re-treatment and decide to not use the Botox, just Restylane, hoping to "save money." The Restylane is moved and massaged out of position by the action of the (non-paralyzed) frown muscles, and the patient then believes that "Restylane doesn't last as long as Juvederm."

The higher the muscular activity, the more quickly the filler "goes away!"

The FDA reports based on the results proven by the scientific studies which were performed.  Individual results vary.  Empirically, a surgeon can observe results which are different than the reported studies.  The results can last longer than what is reported by the studies.

Every patient is different. It really depends on the area injected, how much product injected, and how quickly your body metabolizes the product.  On average in our practice, Juvederm Ultra can last anywhere from 6-12 months. The lip area can last on average about 4-6 months. The tear trough and nasolabial folds on average can last around 9-12 months. 

That is a really good question that has a rather complicated answer.
There are a number of factors at work in determining how long an HA filler (such as Juvederm) will last.  Longevity is influenced by:  the amount of cross-linking in a particular product (ie Vollure has more cross-linking, and, therefore more stability than Juvederm Ultra or Ultra Plus).

Duration of effect also depends on the patient's metabolism (how quickly the is body breaking down the product), and where the product was placed ( eg. our lips are in constant motion and mechanically break down HA fillers more quickly than in an area with less movement - such as tear troughs).  Additionally, products have more longevity and stability with additional treatments to an area.  

The experience and skill of the injector is critically important for proper placement and for achieving your best aesthetic result.  The injectors in our plastic surgery office have extensive and ongoing education and training in the latest and safest techniques to successfully accomplish a beautiful, natural look.

Juvederm injection should be expected to last 6-12 months. How long it lasts in part depends on where it is injected.  If it is injected in an area that has significant movement, it tends to be metabolized more quickly.  For example Juvederm injected in the lips - which are constantly moving with smiling and talking, will last closer to 6 months.  In areas with less movement - for example juvederm injected in the nose (such as for a non surgical rhinopasty) or chin may last longer than 6 months closer to 9 or 12 months.  

Results can vary depending on the patient. Most hyaluronic acid based filler can last approximately 6-8 months. Some patients metabolize or break down the product more quickly than others. The lips tend to last the least amount of time. There are new and exciting fillers that are indicated to last up to one year. Restylane Refyne and Defyne are more elastic and flexible and suited for areas of the face with more movement. I recommend my patients to use a topical hyaluronic cream to improve the overall skin and it can help with longevity of the fillers.  Having a Doctor who specializes in injections and the anatomy of the face is crucial for the optimal results. Be sure to have an extended and educating  consultation with a board certified doctor who is also a certified injector via the different filler companies.