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.

Ultra plus juvederm has a thicker consistency, and I find is easier to control during injection, and fills more effectively. Different surgeons will have different preferences and results.

Both Juvederm Ultra and Ultra Plus are Hyaluronic acid products that last around a year.  The Juvederm Ultra is significantly thinner than the Ultra plus version and is used superficially for lips and tear trough area and within superficial fine lines.  We use Ultra Plus for the deeper NL lines and Marionette lines.  Overall, the newer Juvederm family of products has replaced our use of the Ultra and Ultra plus with Juvederm Vobella, Vollure and Voluma.  

This is a great question. Juvederm Ultra and Juvederm Ultra Plus are both hyaluronic acid fillers used to provide volume to areas of the face or lips. Juvederm Ultra is meant for more superficial lines or folds and doesn’t give as much volume as Juvederm Ultra Plus. Juvederm Ultra will provide that "natural" appearance as it will be much subtler to the eye.  Both products work well in the lips and depending on the volume wanted would dictate which product to use. Both fillers can last 6-12 months and deliver soft smooth results. Every patient has different goals, but with the proper provider we can provide the best recommendation for which treatment will be best to help you achieve your desired results. 

Thank you for your question on the differences between Juvederm Ultra and Juvederm Ultra Pus.
Both products are smooth gels that consist of hyaluronic acid  (a type of sugar molecule that is found naturally in our body's connective tissue) and lidocaine (an anesthetic that adds to the comfort of the injection).  These products, when injected, help to add volume and hydration to the areas treated.

The differences between Ultra and Ultra Plus are mainly in the degree of cross-linking of the molecules (this contributes to the stability of the hyaluronic acid).  Juvederm Ultra Plus has more cross-lining than Ultra - resulting in a slightly larger, thicker molecule that provides more volume and tends to hold its shape better,

Both products are  FDA approved for facial lines and wrinkles such as nasolabial folds and, Juvederm Ultra also has an approval for use in lips and peri-oral area.

It's important to seek out a board certified plastic surgeon's office to ensure that your injections are performed by a knowledgable, skilled injector who can give you the best, most natural results possible.

The Juvederm family consists of Ultra, Ultra Plus, and Voluma.  They are all smooth hyaluronic acid fillers, but vary in their density and lifting capabilities. Juvederm Ultra can be used on very superficial lines, scars, and works wonderfully in the lips. It gives a natural result without volumizing the area.  Juvederm Ultra Plus is somewhat denser, and is used in creases, such as in the chin, marionette lines, and nasolabial folds.  Both Ultra and Ultra Plus last up to 1 year. Voluma has the highest lifting capability, is used in the midface to correct volume loss, and lasts up to 2 years

Hope you found this answer helpful.  All the best!

JUVÉDERM® XC
injectable gel is a great option  for injections into the facial tissue for the correction of
moderate to severe facial wrinkles and folds, such as nasolabial folds.

JUVÉDERM® Ultra
XC is best for  softer  lip filling  and the lip lines because of its different density#JuvedermUltra   #JuvedermUltraPlus   #lipfillers

Ultra plus is a thicker version so it tends to be better in
filling out deeper lines and folds. Speak with your doctor to see which is
better for you.

All of the Juvederm family starts with hyaluronic acid, a naturally occurring glycoprotein which is found in many places in the human body. Most notably, it is in the fluid of joints and seems to act like a lubricant to keep your joints gliding smoothly. The hyaluronic acids are then cross linked in a chemical reaction. More cross linking makes bigger molecules and stiffer fillers.  Less cross linking makes smaller molecules and softer fillers.  Juvederm Ultra is the least cross linked and softest. Juvederm UltraPlus is medium.  JuverdermVoluma is the most cross linked and is the stiffest.  The bigger the molecule, the longer the filler lasts.  This is why Voluma hangs around the longest, 18-24 months. 

Juvederm Ultra is a lighter, thinner product. It is best suited for under eyes, lips, and finer more delicate lines. Juvederm Ultra Plus is a thicker product, with a greater ability to lift deeper folds and wrinkles, it is best suited for the lower face, nasolabial folds and cheeks, and it also tends to last longer than juvederma ultra.  

Juvederm ultra is thinner than ultra plus. I tend to use the thinner product more superficially, or in areas where the tissues are thin (e.g. Tear trough or lips).  I would consider the use of Juvederm Ultra Plus for areas like the nasolabial folds, marionette region.  For regions like the mid face (cheeks), Voluma or Perlane are good options.