I am 31 years and I am beginning to see slight laugh lines appear. Is Juvederm a safe treatment to treat shallow lines? If yes, would an accidental higher amount injected on the area cause excessive abnormal plumping? What other alternative treatment would you recommend for shallow laugh lines?
Juvederm for Minor Laugh Lines?
Doctor Answers (4)
Juvederm and laugh lines
Juvederm is a great product to use on laugh lines to improve the contour. I use it all the time for this indication.
Juvederm for "laugh lines"
Laugh lines typically refer to periorbital or wrinkles around the eyes. These wrinkles occur because the elasticity of the skin decreases as we age. Skin memory begins to establish the wrinkles.
These wrinkles are best treated with paralytics such as Botox or Dysport. Fillers are rarely used.
Botox and Juvederm are commonly used for laugh lines
Juvederm is commonly used for laugh lines as well as Botox. It is important to know what you mean by laugh lines. Many refer to these as the lines around the eyes, or crows feet. Others mean when the say "laugh lines", the lines around their mouths or nasolabial folds. The nasolabial folds are the folds that run from the nose along the sides of the mouth; whereas the lines below the mouth on the sides are commonly refered to as the marionette lines or puppet lines.
The crows feet can be improved by botox and they can also improve the nasolabial folds to some extent. Fillers like Juvederm can also fill in the nasolabial folds, marionette lines and also help with the crows feet. In order to really understand how they work a visit to a facial plastic surgeon would be helpful.
Now, the difference between fillers and Botox is that fillers replace volume that is lost during aging. When you lose volume there is an excess amount of skin compared to the underlying tissues. More skin for a set amount of volume leads to more folding of the skin and hence more wrinkles. Fillers replace that volume and hence fill in the skin and thereby decrease the ability for the face to make wrinkles.
Botox, which is a neuromuscular agent can make the muscles less likely to contract. Hence, they are most beneficial for dynamic wrinkles, or the wrinkles that are caused by muscular activity.
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Juvederm for Minor Laugh Lines (Nasolabial Folds), Not for Crow's Feet
Juvederm is an excellent filler for the treatment of early "laugh lines" or nasolabial lines. Botox is better for the laugh lines around the eyes (crow's feet).
An experienced injecting physician should know the proper amount of Juvederm to avoid "abnormal" plumping. Should there be excessive filling, it can be treated with an injection, Vitrase or Widase, that helps dissolve hyaluronic acid fillers.
Good luck and be well.
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.