What is Juvederm Ultra and what does it treat?

I got injections of juvederm 2 in some wrickles around my eyes. Because I got bruises I had to massage Arnica and I see that up to now 8-9 days later I continue to see bumps that if I carefully apply pressure with a q-tip in order to make dissapear it never seems to settle down! I still can continue to move it wherever I want, why is this?

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Juvederm is a brand of filler made of a compound called hyaluronic acid. This compound is made normally in our bodies - it’s in our skin, it’s in our joints, and we make about 200cc of it naturally every day. Hyaluronic acid is the most frequently used filler today for lines and wrinkles. There are two strengths of Juvederm in the United States: Juvederm Ultra Juvederm Ultra Plus Outside the United States, Juvederm Ultra is referred to as Juvederm 24 HV, and Juvederm Ultra Plus is Juvederm 30 HV. Juvederm Ultra is used for medium depth lines. Juvederm Ultra Plus is used for deeper lines. Juvederm can be used to fill lines between the eyes, from the corners of the nose to the corners of the mouth, and from the corners of the mouth down. These lines are also called "Smile Lines" or "Marionette lines". It is also commonly used to increase lip definition and fullness lost over time, and to decrease so called "smoker’s lines". Juvederm Ultra Plus can be used to fill deeper lines, and can be used to build up cheekbone volume and jaw volume lost over time. Juvederm has been the subject of recent research, some of which shows that Juvederm can last up to 12 months time in some patients. Keep in mind several points regarding Juvederm: The closer Juvederm is used near the mouth, the less time it lasts. Juvederm Ultra used for lip fullness may last as little as 4 months. Often, a revision is necessary after the first treatment. I always advise follow up in 10 days for my patients. If a touch-up is needed to complete the process, I perform it at that time. Expect bruising and expect swelling after treatment with Juvederm. Usually swelling is greatest during the first 2-3 days after treatment. If skin fillers don’t give the expected amount of filling, the most common reason is that the wrinkle needs more filler. Sometimes 2-3cc or more may be needed for satisfactory results in one area. Remember - It’s Your Face! Seek out an experienced medical doctor who treats patients personally with Juvederm for best results!

Juvederm Ultra is one of two varieties of Juvederm available in the United States. The other variety of Juvederm is called Juvederm Ultra Plus. Juvederm Ultra is slightly thinner than Juvederm Ultra Plus.  Both fillers can be used for correcting contour defects in the face.  Both can also be used off label for enhancing and shaping lips. Typically, I will use Juvederm Ultra when I am enhancing or shaping lips.  I tend to use the Juvederm Ultra Plus when I'm correcting more severe defects, such as deep nasal labial folds.  Frequently I will use both products in a layered fashion.  I will first inject the Juvederm Ultra Plus very deeply to correct most of the defect and then use the Juvederm Ultra on top to smooth out whatever defect is left over.  This combination gives an extremely satisfying result.