Smooth Results but Doesn't Last As Long As Advertised, more bruising and swelling - Scottsdale, AZ
The juvederm ultra plus is slightly better than...
The juvederm ultra plus is slightly better than the regular juvederm. It always gives smooth results but you swell a lot for a week then it goes down a LOT. Disappointing if it's your lips that go away so fast. I work out a lot so I process fillers rather quickly. Perlane lasts longer for me but the juve tends to have less lumps. Had it in my tear troughs before I had my blepharoplasties done and it gave me a bluish hue in that area. I get a really good deal on it so I kind of alternate between the 2 brands for my lips and nasal folds. Juve lasts like a month and half for me.
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Everyone is different so it's hard to say how it will last on you but just so you know I also have a restricted diet- no meat or dairy, very little alcohol. I am 30(not as young as you but still kind of young!!) work out usually 6-7 days a week and do anywhere from 45-120 cardio a day, train with weights at least 3-4 days a week for 30-60 min a day, and am on my feet continuously for 5-10 hours a day for my job. So I would describe myself as pretty fit too!
The other drawback you should know about is that you stay kinda puffy (in a good way) for a week or so but then it goes down considerably as it "settles in" which is very disappointing for me. The Perlane, which I use as well, does not have such a dramatic shrinkage after the swelling.
Make sure you use the Juve Ultra Plus, the other stuff is a waste, it isn't thick enough and lasts even shorter. The first time I used Juve it was the regular one bc I didn't know better and I used it in lips and nasolabial folds and ended up needing 3 syringes in one month! Very pricey. Also, note that Juve syringes contain about 30% less product per syringe than Perlane. Good luck!!

Had juvederm ultra plus 2 days ago in my lips....
Had juvederm ultra plus 2 days ago in my lips. Haven't had it in a while (been using perlane). The injections were much more painful than I remember. I do perlane without numbing cream and can handle it but the juvederm without numbing cream was nearly unbearable. I had tears running down my face most of the time and I never felt the numbing effects of the lidocaine in the filler. Swelling was much more than the perane. 2 hours later, signs of bruising were already appearing despite constant ice packs applied afterwards.
Now to today, 2 days after. My lip volume and shape looks great but I know it will go down a lot (seemingly more than perlane) as I have experienced w juvederm in the past. Lips still feel tender when pressed or massaged. I have some nasty bruising on both upper and lower, an angry vibrant red purple hue that is very hard to conceal with makeup. While I was layering on the concealer yesterday before I went to work, it occurred to me that I only bruise to this extent w juvederm. Hardly w perlane. Last time I had this juvederm bruising I had it for like 2 weeks:(
Will likely stick to perlane in the future. In the meantime, I need to find a heavy duty concealer..
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I feel you Scottsdale I too have been working a lot, but the community appreciates all your hard work and thus all your long shifts. ;)
It has been 2 weeks since I had my last juve and...
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I have used Juvederm for past few years now. I looked at 6 year old photos (I'm 42) I really look younger than when I was in my 30s. I just went in for a syringe after about 10 months. The RN was amazed that I still had so much Juvederm in my lips. I think it stimulates collagen production! It is a pricey habit...but I think as you continue to use, you use less. I did not retouch lips...just folds.

You are very lucky you can go that long!! The Perlane lasts much longer for me and I get thicker results so I prefer it mostly. Although, it's funny you mention that bc after my blepharoplasties, my doctor said he did remove a little filler (had it in my under eye area which wasn't that great-had a bluish color and wasn't as smooth looking) when he did my lowers and I thought it was mostly gone. I too feel I look younger than when I was in my late 20's (I am 31 now). Love fillers!!


Hi Naomi! Glad my review helped you! Yes, even with the lodocaine, it does hurt. For some reason, I find the Perlane-L tolerable without numbing cream, weird, huh? The juvederm ultra plus I tried once with no numbing and it was nearly unbearable, I had to have my dr stop a few times so I could collect myself and I had tears streaming down my face the whole time and even a few minutes after. No kidding!
So, I was in the same boat as you the first time I tried Juvederm, blew through 3 syringes in one month (put in a few different areas) and was thinking, "This is so freaking expensive!" I was annoyed too, no one told me aboit the ultra plus and I didn't do my research on Realself :) Apparently, everyone's body "processes" or breaks down the filler (and botox too from my experience!) differently and working out a lot can also affect it, which I do heavily. The ultra plus is better to me than the regular for sure (same price too), comparable to Perlane as it has thicker molecules or something. It will always hurt, just different degrees of pain lol, sorry to tell ya. You do get used to it though as you get it regularly and that helps but the lips have so many nerves and the skin is soo delicate and thin, it will always be a sensitive area. Most use Juve or restylane in lips bit I mostly like Perlane, for some reason, it seems to give me thicker and longer results. It's good to get Juve once in a while for it's smooth consistency though so I wouldn't rule it out completely. Also, make sure you have a good injector. I notice that if it's injected too deep, it hurts more, I feel almost a pinch of pain and I know that a bruise will be inevitable. When I do bruise, I can tell that the filler goes down more after swelling than if it hadn't been put in so deep to bruise me. It's almost like the blood in the bruise absorbs some of the filler ... May not exactly be what is happening in medical terms but the bruising for sure absorbs more filler than normal (for me at least). Let me know how it goes and if I can help with anything else!

Thanks:) I was lucky to be born with uniquely shaped lips and just needed a little plumping to enhance their natural shape, as you can see, it did make a big difference and I agree it is a positive one!
Hi Scottsdale,
Are you still puffy today 2 days after your injections? Knowing that working out is slightly counteracting how long your fillers last is good info for the community. As some members often wonder how to filter fillers out of their bodies faster. Not as great for you, but good info to have. Do you have pictures? Please keep us updated.
Thanks so much for the review!