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Juvederm Ultra vs. Ultra Plus

What is Juvederm Ultra used for? How is this different from other types of Juvederm, like Ultra Plus - do they treat different things?

Doctor Answers (27)

Juvederm Ultra vs Ultra Plus


The difference in Juvederm Ultra and Ultra plus is mostly consistency.  Juvederm ultra is thin and less viscous, thus appropriate for injection intradermally to address fine wrinkles and scars.  In my practice I rarely use Ultra and much prefer Ultra plus for many reasons.  For volume fill of the lips and reshaping the face, which is most of what I do with Juvederm, Ultra plus provides more dramatic results and lasts much longer.  These products get very expensive and I feel that out of all the HA products that I have used Juvederm Ultra Plus gives the most bang for the buck for my patients.  I hope this helps!

All the best,

Rian A. Maercks M.D.

Miami Plastic Surgeon
5.0 out of 5 stars 37 reviews

Differences between Juvederm Ultra and Ultra Plus


There are four forms of Juvederm:  Juvederm Ultra, Juvederm Ultra Plus, Juvederm Ultra XC and Juvederm Ultra Plus XC.  The XC formulations of both products have added lidocaine, an anesthetic to make the injection more comfortable.

The difference between Juvederm Ultra and Juvederm Ultra Plus is that Juvederm Ultra Plus is a more robust formulation, that is made for deeper and more severe facial wrinkles and folds that Juvederm Ultra.  Juvederm Ultra Plus is ideal for deeper naso-labial folds, whereas Juvederm Ultra, a finer molecule, does very well in enhancement of the lips or filling fine wrinkles.

Emily Altman, MD
Short Hills Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Ulta vs Ultra Plus


Although Juvederm is an excellent product, it suffers from an unfortunate name issue of Ultra and Ultra Plus.  Ultra is used for superficial locations where maximum silkiness is needed.  Ultra Plus is a thicker product with longer duration at the expense of less silkiness.  Their use should be based on the recommendation of an experienced injector.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 76 reviews

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Juvederm Ultra, Juvederm Ultraplus


Ultra Beauty,

Thanks for the question. Juvederm Ultra is a smooth consistency gel made of hyaluronic acid, a naturally occuring polysaccharide component of all connective tissue, that helps add volume and hydration. It is a uniform structure throughout all species. Adverse reactions are exceedingly rare. Cross-linking is the differentiating factor between Juvederm Ultra and Ultra Plus, at 6 % and 8 % respectively. Both products are FDA approved for management of nasolabial folds, although their off-label use include areas such as lips and periorbita, among others. In our hands, this is an exceptional product with negligible side-effects. The large propensity of patients tend to be quite satisfied with the results.

Hope this helps.

Glenn Vallecillos, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 20 reviews

Juvederm Ultra vs. Ultra Plus

Juvederm Ultra is what most patients typically refer to as Juvederm.  It is a great product for the nasolabial area, lips, and temples.  Juvederm Ultra Plus is a thicker version of Juvederm and is used for even deeper wrinkles primarily in the nasolabial area.  For the best cosmetic results please consult a board certified dermatologist with experience with these facial fillers.

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 33 reviews

Juvederm Ultra vs. Ultra Plus vs. Voluma

All of the Juvederm family of fillers are hyaluronic acids - a natural building block of the body that is very well tolerated. they are all used differently to achieve natural re-volumization of the face. A skilled and experienced injector chooses a filler as an artist chooses a brush. The Juvederm Ultra product is used superficially in thin tissues such as the lips. Juvederm Ultra Plus is a little thicker and stiffer and is used in the intermediate levels below the skin to achieve volume increase and smoothing. Juvederm Voluma is the thickest, most elastic product that is the most sculptural product we use. With it placed down at the level of the bone, we can achieve considerable lift and better shaping than with the thinner fillers. All of the Juvederm fillers have a very large safety margin and all are "erasable" should a complication occur or even if it is that you just don't like the result.

Kevin L. Smith, MD, FACS
Charlotte Plastic Surgeon
5.0 out of 5 stars 11 reviews

Juvederm Ultra and Ultra Plus Depends on Severity of Wrinkles and Creases

Juvederm Ultra is used to treat lines and folds that are mild to moderately deep, whereas Juvederm Ultra Plus is for deeper lines and folds. 

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 70 reviews

Juvederm Ultra versus Ultra plus

An  experienced injector will determine which specific formulation of Juvederm to use based on the application required. Juvederm ultra plus is used for deeper lines and has more cross-linking and lasts longer in the body

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 58 reviews

JUVÉDERM Ultra Plus is a bit thicker.

JUVÉDERM Ultra is the product that’s commonly referred to as just “JUVÉDERM.” It’s a very popular hyaluronic acid filler that I like to use for finer wrinkles caused by volume loss, such as smoker’s lines around the lips. JUVÉDERM Ultra Plus has a thicker consistency, although it’s essentially the same formulation. The extra body of the Ultra Plus makes it ideal for deeper lines like the nasolabial folds (parentheses lines).As with any filler, every doctor will have his or her personal preference or feelings about which one delivers the best results, so remember to prioritize the skill level of your surgeon rather than any specific product.

Joseph J. Castellano, MD
Tampa General Surgeon
4.5 out of 5 stars 7 reviews

Juvederm Ultra vs. Ultra Plus


The diference is that Ultra plus lasts about 2 months longer than the regular Juvederm. Ultra Plus, a robust formulation for volumizing and correcting deeper wrinkles and folds.

Jhonny Salomon, MD
Miami Plastic Surgeon
4.5 out of 5 stars 37 reviews

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.