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Juvederm vs. Other Fillers? Comparison

I'm not sure about which filler to use in my lips vs. under my eyes or in my nasolabial folds. When is Juvederm the best choice, or a better choice than Restylane, Evolence or other fillers?

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+3

More comfort: Juvederm Ultra with lidocaine

Many patients in our practice prefer Juvederm Ultra with lidocaine. Juvederm Ultra contains a local anesthetic mixed with the hyaluronic acid. The treatment and the following massage is much more comfortable. This is the product available from Allergan in Germany. 
Robert Kasten, MD
Mainz Dermatologic Surgeon
+2

Juvederm is the best choice for one filler for all three areas

If you are looking for one filler for all three areas such as the lips, nasolabial areas, and under eyes, then Juvederm is the one for you. It's at $550 per syringe and usually takes 2 syringes for the nasolabial areas and one for  the lips and one or 2 for under the eyes. 
David Hansen, MD
Beverly Hills Dermatologic Surgeon
+1

Fillers like Juvederm and Restylane mainly rely on the skill of the injector.

To a small degree, the choice of hyaluronic acid filler depends on the qualities of the filler itself, but I really believe that the majority of the outcome and benefit is to be determined by the eye, hand, and artistic  touch of the injector. Many physicians say that certain fillers belong in certain areas but not in others, but with the right approach, a good outcome can be achieved with different fillers in the same areas. The best bet is to start with a board-certified... more
Jessica J. Krant, MD, MPH
Manhattan Dermatologic Surgeon
+1

Juvederm, Restylane, Radiesse, and other Fillers

The most common fillers are in a class called hyaluronic acid (HA).  There are a number of brands of HA but I prefer Juvederm and Restylane for their quality and longevity.  These are the only products I will use in the lips and under the eyes.  I prefer Restylane in the lower eyelids as Juvederm can become puffy.  Radiesse is also an excellent product in some smile lines and for general facial filling like hollow cheeks or simulating cheek implants.  I no... more
Louis W. Apostolakis, MD
Austin Facial Plastic Surgeon
+1

When to use Juvederm

Juvederm is generally better than larger molecules such as perlane or radiesse when precision is required such as in the lips, under the eyes, or for smokers lines. We also prefer Juvederm to radiesse for nasolabial folds when the folds are not very deep.  Restylane and Juvederm are similar hyaluronic acid dermal fillers which can be used similarly, and the choice between the two is more of the personal preference of the injector.
Kris M. Reddy, MD
West Palm Beach Plastic Surgeon
+1

Juvederm is an excellent dermal filler in the lips

Juvederm is an excellent hyaluronic acid based injectable that can be used effectively for facial contouring. Juvederm is commonly used around the lips, the smile lines, the marionette lines, under deep wrinkles, under deep scars, and even under the area of the eye. In our practice, we commonly use Juvederm for lip augmentation and for the correction of superficial wrinkles and scars. This is because we find that Juvederm is smoother than other dermal fillers. Some double fillers... more
B. Pat Pazmino, MD
Miami Plastic Surgeon
+1

Juvederm - How to pick the right filler

Juvederm has many applications including filling the lips, nasolabial folds, and areas around the eyes. In some cases, we use Radiesse such as the nasolabial folds since the results last much longer. However, in the lips Juvederm Ultra or sometime Ultra Plus provides a smoother result. There is no one filler right for all places and all patients. Therefore, we stock a variety of fillers to create the right personalized solution for our patients. To learn more visit our site below.... more
Ankit Desai, MD
Jacksonville Plastic Surgeon
+1

Juviderm as Facial Filler

Juviderm is a soft, clear, gel that integrates beautifully into the skin. It is made of a normal skin component and looks and feels as natural as your own skin. The thinner form (Ultra) is perfect for under the eyes, where the thicker form (Ultra Plus) is great for the lips and deeper folds. Juviderm is slowly removed by your body, so it will have to be replaced within a year. Newer formulations contain a local anesthetic to make placement more comfortable. Restylane is very similar... more
Randy J. Buckspan, MD
Austin Plastic Surgeon
+1

Which filler depends on where you are injecting

Because all fillers are better in different places, we stock them all in our office. Juvederm is a very versatile filler and the Ultra can be used a little more superficially for smile lines (nasolabial folds) that are less deep, but can also be injected a little deeper to add volume in the larger areas of the smile lines as well. Under the eye and around the lips, it's very important to have a smaller molecule filler such as Juvederm Ultra or Restylane.
Joseph Serota, MD
Denver Plastic Surgeon
+1

Juvederm is excellent for lip augmentation

Juvederm in my experience is the preferred filler for the lips to augment them. It seems to last the longest there and gives the smoothest and most natural feel there. In the nasolabial folds, I find restylane or juvederm to be equally efficacious or effective. I hope this information helps.
Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
+1

Juvederm or other products

I will use the ultra plus form of Juvaderm inmost areas because it lasts the longest. I will use the ultra along the lower eyelid crease because it blends in easier.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Juvederm or Restylane - which to use where

Juvederm and Restylane are both excellent production and can be used in similar ways. The most important factor is what your doctor is more comfortable with. Personally, I am more comfortable with Restylane under the eyes, but find that either filler works well in the lips and nasolabial fold (smile lines). I often suggest giving each filler a try to determine which works best for you.
Marc Klein, MD
Atlanta Plastic Surgeon
+1

Juvederm lasts and lasts

I personally use Juve for my lips and tear troughs. Yes, it can accumulate a small amount more fluid than Restylane (I have used that on myself also) but one injection per year vs. 2-3 for Restylane makes it worth it to me. All hyaluronic acid fillers (Juve, Restylane, Perlane, etc) can be contoured with hyaluronidase (a quick injection) so if you are lumpy or over-corrected it is an easy fix. Fewer injections means less downtime overall. Enjoy!
Catherine Winslow, MD
Indianapolis Facial Plastic Surgeon
+1

Juvederm VS. Other Fillers

Although they are largely similar, Juvederm lasts longer than Restylane is draws more water, resulting in more filling. While this may be desirable in the lip, it is certainly NOT desired along the tear trough line of the lower lid where prolonged puffiness may result with Juvederm. Many of us feel Restylane is a better filler in that location.
Peter A. Aldea, MD
Memphis Plastic Surgeon
+1

Picking a filler

Most plastic surgeons choose their filling material based on their own personal experience, particular area being treated and a patient's desires. I'm personally a big fan of Juvederm and use it in many of the areas you've just described. Juvederm tends to be easy to work with and long-lasting in duration—frequently exceeding the 6 months to one year duration originally ascribed to it. However, other products can be used effectively by other practitioners and many times it's a matter... more
Deason Dunagan, MD
Huntsville Plastic Surgeon
+1

Juvaderm for thin skin areas

Juvaderm is a clear substance at is generally applied without lumpiness.  It is a perfect choice for thin skin areas in the periorbital areas below the eyes  and the thin mucosa and skin of the lips.
Lee Kleiman, MD
Annapolis Facial Plastic Surgeon
+1

Juvederm is my preferred product for the lips

Juvederm is soft, supple and long lasting in the lips. I use Restylane, Juvederm, Perlane and Radiesse in other areas around the face, depending on the patient's needs and anatomy.
Elizabeth Lee, MD
Bay Area Plastic Surgeon
+1

Juvederm

Juvederm is ideal for the nasolabial folds and the lips. It is soft and natural and gives great cosmetic results. It has an excellent safety profile, is well tolerated and is an excellent choice for facial fillers.
Steven Hacker, MD
West Palm Beach Dermatologic Surgeon
+1

Juvederm a great filler for lips, nasolabial folds, and infraorbital areas

You've struck upon what makes Juvederm a great filler. It's probably the most versatile filler on the face. Juvederm can work well in each of these areas. Lips - It's a bit softer than Restylane, which is important for lip volumization. I don't like to go much "thicker" than Juvederm for the lips. NLF - It is substantive enough, however, for significant correction in the nasolabial folds too. Restylane is a good choice here also, but Juvederm Ultra Plus works very... more
Chad L. Prather, MD
Baton Rouge Dermatologist
+1

Juvederm or other fillers under the eyes and in the nasolabial fold

I have preferred Juvederm over Restylane in the face, as almost every patient of mine that has had both prefers Juvederm. I have not had problems with bluish tint under the eyes, but Restylane may have the edge there. Regarding the nasolabial folds, they are certainly more forgiving than the lips or under the eyes, so the choice of product is not as important. I like to use Radiesse or Juvederm. I never used Evolence, and it is no longer available. Although I did use Artefill, patient... more
Douglas J. Mackenzie, MD
Santa Barbara Plastic Surgeon
+1

Juvederm may be more preferable for lips and tear troughs

Many physician injectors have found Juvederm to be slightly less inflammatory and less likely to cause swelling or bruising on lips and/or tear trough areas underneath eyelids. The key is to go with the filler that your board-certified dermatologist or plastic surgeon is comfortable with. You do not want the physician injector to go beyond his or her comfort zone either with choice of fillers or location of injections.
William Ting, MD
Bay Area Dermatologic Surgeon
+1

When Juvederm is a better choice

The properties of the hyaluronic fillers, Juvederm and Restylane and their denser formulations Juvederm Ultra Plus and Perlane, make them very popular. They are soft and malleable, easy to inject so placement is more precise, and if you don't like the look, they go away in a reasonable amount of time. I, and most of my colleagues, generally turn to Juvederm for lips simply because it is so soft. But that is for the lip "body" - you can easily use Perlane or Restylane above the lip... more
Rebecca Fitzgerald, MD
Los Angeles Dermatologist
+1

When to use Juvederm

Juvederm is the best product to soften the vertical lip lines, fill in the lips, and to improve the “sunken” look of the lower eyelids. Juvederm is a soft injectable gel to smooth out wrinkles and facial folds to reverse the signs of aging. Jevederm is made from hyaluronic acid, which is a natural complex sugar found in all living cells and is one of the major components of the skin’s connective tissue along with collagen and elastin. Adding structure and volume... more
William Aiello, MD
Orange County Plastic Surgeon
+1

Not all fillers are created equal

There are a lot of fillers on the market, but to simplify things, think in terms of thin and thick. The hyaluronic acid fillers are all very similar and are good for under the eyes and augmenting the lips. I also use these products for wrinkles within the skin. Radiesse, made of tiny calcium spheres, is thicker and should not be placed in these areas. This product is great for correcting contours or folds, as opposed to wrinkles within the skin. I like to augment the nasolabial folds with... more
Jeffrey Horowitz, MD
Baltimore Plastic Surgeon
+1

Practitioner Preference

Being that most cosmetic dermal hyaluronic acid fillers are comparable, most practioners will agree that they reach for whichever product they are the most familiar with. We've found that Restylane is a far better choice when performing tear trough injections whereas Juvederm provides a nice, smooth look to other areas. Oftentimes, we use whichever product offers the best promotional for our patient and their budget. We tend to use more Restylane because the variety of options such as 0.4cc,... more
Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
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