Juvederm: Q&A

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Does Anyone Have Any Information on Fat Transfer Vs Juvederm for Nasal Folds & Around the Mouth?

I am very nervous & anxious about fillers. Is it best for a plastic surgeon or dermatologist to perform the procedure. I hear positive results but also hear so many horror stories. Exactly how safe & effective is it?

21 Doctor Answers | Asked by Kathy43987
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Fat transfer or Juvederm for nasolabial folds and round the mouth?

One great aspect ofJuvederm is that it is reversable with an enzyme. Also it is not a surgical operation. I inject Juvederm Ultra Plus in the lips virtually every day. My patients are routinely thrilled with the injections. My tendency is to be conservative at first to assure the patient is happy. Then at a later date, we can add to it if necessary. Also I recommend using a DermaSculpt cannula to avoid bruising and bleeding rather than a needle. Bleeding and swelling makes... more
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Fat Grafting vs Juvederm for Nasal Labial Folds and around the mouth?

I have found fat grafting works best for volume in areas like cheeks, temples and sub-malar areas. It has not worked as well for areas with a lot of movement such as nasal labial folds or fine lines around the mouth. I have found dermal fillers work better in those lines. Who should perform the injections depends on training and expertise. Both Dermatologists and Plastic Surgeons, and some nurses with advanced aesthetic training should be able to perform injections safely... more
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Hyaluronic Acid-Based Volumizers and Fillers Have Advantages Over Fat Transfer

I have more than three decades of experience with the use of all kinds of fillers and volumizing fillers beginning with the use of the original Zyderm collagen product back in 1982. During that time, I have seen many fillers come and go--have their day in the sun and then fade from the scene. And it's been quite a number of years--about seventeen to be exact--since I stopped using fat for filling. On the surface, fat transfer would seem to have certain advantages. For one thing, the... more

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+1

Fat or fillers for facial folds

As others have stated, fat is a wonderful filler for larger volume such as cheeks, and, especially in younger individuals, can be very long lasting. In the nasolabial folds Juvederm, Restylane or Radiesse are excellent choices, usually lasting around nine months. If injected with a cannula, side effects are few and the safety is excellent.
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Fat transfer or fillers

Fat transfer and fillers such as Juvederm are both great for volume restoration. However, I find that for areas, such as the nasolabial folds and around the mouth are a little less reliable with fat transfer. Fat is great for general volume restoration, especially when larger volumes are needed in the cheek, midface and around the eyes area. Fat grafting provides a more long term result than fillers which usually last between 6 months to 1 year. Fillers, such as... more
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Both

THere are many well qualified specialist that can perform fat transfer and fillers: plastic surgeons, facial plastic surgeons, oculofacial plastic surgeons [oculoplastics], and dermatologist. I would recommend finding a specialist that is experienced in BOTH techniques, since they are more objective about what each procedure can offer. In general, fat grafting is a better long term solution for more natural results, with the downside being a higher upfront cost. In... more
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Injection

Both fillers and fat work well for perioral and facial rejuvenation. I would recommend you try the fillers which absorb first to see if you like the results
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Fat vs. Fillers for Folds

There is no right or wrong answer. Both of the products will work. However, I always recommend for my patients to start with something temporary, like Juvederm first. This way you can see if you're comfortable and like the look. I am big proponent of fat grafting and it works beautifully. It is a more involved procedure and lasts significantly longer than fillers.
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Juvederm versus Fat transfer

Juvederm is much simpler but may not last as long in some cases. However many of the fat transfer cases I see dont last very long either. Juvederm is much simpler and probably less expensive.
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Fat Grafts vs. Fillers for the Nasolabial Folds

Thank you for the question. Either treatment option can be a fantastic treatment for the nasolabial folds (sometime called the "parentheses"). The benefit of fillers is that they are temporary -- if you like it, you can repeat the treatment, and if you don't, it will go away over time. Fat grafting is more involved, generally more expensive, and can be permanent -- though, in a small percentage of patients, the grafts won't "take" and minimal results are seen. For my patients, I... more
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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