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Dermal fillers, such as Juvederm, can be injected in many places. The goal is to injected in the correct plane for the specific application. If you inject too superficial, then it is visible through the skin. If you inject too deep then you really do not notice a difference and it is metabolized by the body faster. This is why it is important to have it injected by someone with experience.
There is not a single depth for Juvederm - it depends on the treatment area and the results you hope to achieve. Injectors may place the filler more superficially to smooth away fine lines, but inject deeper to add volume to areas like the cheeks or jawline. Dermal fillers require a great deal of precision, skill, and artistry to perform correctly. Always work with an experienced, board-certified injector to ensure an optimal outcome.
It is in the deep part of the skin but not under the skin. It should not be in the superficial part of skin or can leave a blue colored line.The medical terminology for this area is 'Deep Dermis'Regards
It really depends where you are injecting it, what your goals are, and what product you are using such as Juvederm Ultra or Ultra Plus.In the tear trough area, many physicians prefer a deep injection to avoid visiblity. In other areas such as cheek enhancement injections are also at a deeper level.However, around the mouth, injection on a more superficial layer immediately beneath the skin is desireable.
The skin has 3 layers: the epidermis (which is the pigmented skin), the dermis and then the subq. Juvederm is typically injected in the dermis. So it is skin in the skin technically, just one layer of the skin. It can also be injected in the superficial subq, but its results are less dramatic and go away faster.
The depth the fillers are injected is dependent upon the location. Certain areas, such as for finer lines are injected more superficially. Areas such as the cheek, are injected deeper. Talk to your injector about your goals for treatment and be sure to have your questions clarified.
Depending on the goals of the treatment it can be injected SUPERFICIALLY in the upper dermis for line filling such as around the mouth or lip lines OR deep for treatment of folds or for volumizing of the cheek bones, in the casses we usually use Juvederm Ultraplus.
The filler is usually injected just below the skin but can also be injected deeper and a little less deep- layers. It depends where it is injected and what is required.
I try to keep it at the deep dermis or just below the dermis for the best effect. If injected to superficially, it may be easily visible and palpable.
Juvederm should never be injected above the mid-dermis. This would result in the Tyndall effect: bluish papules or lumps under the skin.It can be correctly injected into the mid-deep dermis, in the subcutaneous plane, or just above the bone, very deeply to augment the cheeks. A well- trained, core aesthetic physician with knowledge of anatomy, HA fillers, and a good artistic eye will know exactly where YOU need it.