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

Is Prevelle as painful as Juvederm? What caused pain with Juvederm?

I had Juvederm injections well over six months ago. All is gone except a long "roll" down the side of my mouth. I felt that the Dr. was very "heavy handed" and tended to load up in a certain area trying to empty the syringe quickly because I was in so much pain. I'm very leery of having it again because of the pain. (I gave birth with just a Valium!) This pain was horrible!!! Now I'm thinking of getting Prevelle instead. Is this as painful? Or do you think it may have been how is was administered? I'm talking PAIN!!!! Thanks.


Asked by: IMBT
28164

Answers (2)

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1
September 28, 2008

Pain is generally reflective of the person behind the needle...

Gregory A. Buford, MD
Gregory A. Buford, MD
Board Certified
Plastic Surgeon

Although there is a certain degree of discomfort associated with all facial injectables, good injection technique can make this experience tolerable.   Even though there is no way to guarantee zero pain, your injector should be able to offer various ways in which to numb you before treatment (e.g.: ice, topical numbing, or nerve blocks).  Precise, deliberate injections should help minimize both discomfort as well as swelling and provide you with a result that is optimal and discomfort that is acceptable.

2
September 26, 2008

It's the Filler, not the Filler!

Michael A. Persky, MD
Michael A. Persky, MD
Board Certified
Facial Plastic Surgeon

Hi I,

Sorry that you had to suffer through that experience.  Anything that is injected rapidly is painful.  The thicker the product injected, usually the more discomfort involved (i.e. Juviderm Ultra-Plus is more painful than Juviderm Ultra).  There are ways to ease the discomfort of injections. Local nerve blocks are very effective. Topical anesthesia helps a little.  The area can be iced immediately prior to the injection.

Preville Silk is hyaluronic acid filler that has local anesthesia.  It is also a thinner product, and does not last as long as Restylane or Juviderm.  Patients do feel the initial needle stick until the anesthesia takes effect.  What some injectors do is lay down a small amount of Preville Silk, and once the area is anesthetized use a longer lasting filler in the same area.

I would find a physician experienced in facial filler injections who knows how to make patients as comfortable as possible.  You should not tolerate a "filler" who is in a hurry or whose injections are worse than giving birth to your babies.  Be well.

Dr. P

 

 

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