Juvederm: Q&A

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Will Juvederm Work on Shallow Wrinkles?

I have significant nasolabial lines not just to my mouth, but down past my lips. I went to a local plastic surgeon, paid my $500 only to see absolutely no difference (except to my wallet). I went back to him and he said that the Juvederm I received isn't really for the kind of lines I have, that it is intended for "folds" (this being after he's paid). I think it has everything to do with technique and how it is injected, but since I really didn't see any change, I'm wondering is he right?

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15 Doctor Answers | Asked by Rae1430

Doctor Answers (15)
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Fillers for significant nasolabial folds

If the nasolabial folds are deep, there are two ways to address this. 1. Nasolabial folds form primarily because there is volume loss in the facial structures above, in the soft tissue, fat and even bone. So improving the volume loss above will help reduce the nasolabial folds as well. Usually some filler is added to the nasolabial folds themselves at the same time. 2. For deep nasolabial folds, a more robust filler like Perlane, Radiesse or Juvederm Ultra Plus would work... more

Radiesse is Best for Deep Nasolabial Folds

For deep nasolabial folds, my treatment of choice is Radiesse. It is injected deeper beneath the skin and will generate more volume to create a much better lifting effect for sagging skin. I use Juvederm as a more superficial wrinkle filler because it is injected in the skin, rather than beneath it. It works best for plumping up thinning lips, filling wrinkle lines on the lips, and for treatment of mild to moderate wrinkle lines on the face. I frequently see patients who have had... more

Juvederm - shallow winkles

I'm sorry you had a bad experience. I'm surprised you didn't see any difference. Juvederm is great for the areas you mentioned - the nasolabial folds and marionette lines. If you had deeply etched lines in your face, this should soften them, but superficial lines are really hard to treat. If you place the product too close to the skin to try to get rid of them, you just end up in bumps. Dr. Cat Begovic M.D.

Fillers and Folds

Juvederm can work very well for nasolabial folds and Marionette lines (the lines from the corner of the mouth down toward the chin). Sometimes it takes more Juvederm than was originally placed to achieve the amount of desired fill. There are other fillers like Radiesse, Restylane, Perlane and fat which are all options. I personally prefer Juvederm and Perlane for deep folds. I don't generally use fillers for fine lines that are the result of dynamic action, like "Smoker's... more

Juvederm for shallow wrinkles

Juvederm injected at the right depth and plane can most certainly improve the lines you are describing. Restylane would be another reasonable option. There are various techniques to inject fillers at various depths. I'm a bit surprised that your physician would have treated you and then said that what they did wasn't really the type of treatment you needed...speak with him again and see what he's willing to do or seek a 2nd opinion. Dr. Benjamin Barankin, Toronto Dermatology Centre. more

Benjamin Barankin, MD

10 reviews

Toronto Dermatologic Surgeon

Juvederm for shallow wrinkles

Juvederm in the right volume and depth can certainly soften the lines you described. You might need additional product, a single vial may not have been enough, or perhaps the placement of the Juvederm was too deep so that no volume improvement was seen where you wanted it. You can certainly obtain a second opinion with another accomplished physician in your area to see if additional filler would help. The response your original doctor provided was not satisfactory... more

Juvederm for nasolabial lines

With any filler, if you have substantial nasolabial lines, injecting just the wrinkles may not be the answer, even if more than one syringe is used, You may need injections in the cheeks and on the malar bone under the muscle in order to get the best results. That may take 3 or 4 syringes. If you are less than 65 years old, you may benefit from Sculptra, which is not a filler but a collagen sunthesis stimulator. The results are not immediate; you have to wait 1 to 2 months... more

Juvederm and smile folds

Without examining you one can not comment on your case. You mention that you have significant lines but the surgeon said the Juvederm was for folds. Possibly your lines are narrow and thin creases that are superficial. Those type of lines can be difficult to fill with Juvederm or Restylane without leaving bumps. Sometimes, subcision helps lift these tight creases after which the filler works better. You may need to see a second opinion. see video

Juvederm improves shallow lines but needs to be injected carefully

Juvederm can be used to improve shallow lines but one has to be careful. If Juvederm is placed too superficially it creates what we call a Tyndall effect and the product can actually be seen in the skin with a bluish cast. It can also be bumpy if placed superficially. This looks terrible! The problem is some lines are very superficial. The other available products like Restylane and Perlane also have this same problem. The other product available now for superficial lines is Prevelle Silk,... more

Juvederm and nasolabial folds and shallow wrinkles

Dear Rae, I'm sorry to hear you didn't notice an improvement. Juvederm usually is effective in treating the nasolabial fold area, however, it can often take 2 or even 4 syringes of the material to see the effect. You can add to the amount you already had injected without harm.

Juvederm and nasolabial folds

I will often use two and sometimes three syringes on problematic nasolabial folds to soften the depressions. They will not fill fine lines.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Juvederm and shallow wrinkles

At the present time, Juvederm is available in the US in 2 formulations: Juvederm Ultra and Juvederm Ultra Plus. While Juvederm Ultra Plus is often used for larger and deeper areas as well as in deep folds. Juvederm Ultra is just fine for Nasolabial folds, but it is always important to see a physician that is the most experienced at performing any cosmetic procedure.

Juvederm for deep and fine lines

I would say the reason that you are not satisfied is that your nasolabial fold is deeper than what one vial of juvederm could correct. This should have been discussed with you before injecting. Different fillers have different properties and function. I try to discuss these options before I inject so that expectations are met.

Bhupesh Vasisht, MD

10 reviews

Voorhees Plastic Surgeon

Perlane, Juvederm, Fill NLF's, Face Fillers, Restylane

Perhaps not. Juvederm is one of the thinner fillers that's best for shallow lines and around the lips. For deeper Nasolabial folds, I prefer a thicker filler like Perlane, Sculptra or Radiesse. You may want to try one or more of those next time.

Juvederm

Juvederm works best on folds and wrinkles in the right location of the face (nasolabial folds, marionette lines and lips). Also, superficial lines will respond as well but it is technique dependent and if Juvederm is placed too superficial it will result in visible bumps. There are several areas on the face that are inappropriate for treatment and perhaps that is what your surgeon is referring to.