Juvederm Ultra 2 for Nasal Folds and Below Jowls?

Juvederm products are appropriate to use for all of your areas.  Fortunately, in Canada we also have Voluma which is the thickest form of Juvederm.  Your discomfort can be minimized with an anesthetic cream and ice.  You should have treatment with a board certified dermatologist or plastic surgeon who is experienced in using all of the Juvederm products available in Canada.

Thank you for your question. Canadian Juvederm presentations are the same than in EU (Europe), but different from Juvederm (Allergan) commercial products in USA.

It's not a good idea to alter the pre-charged syringe/needle of the product; it's related to the viscosity (cross-linking) of the hyaluronic acid gel molecules of the product inside. The main difference among Juvederm Ultra 2-3-4 is product is product viscosity. Higher crosslinked gels, result in a higher volume restoration and in a longer duration. I think -theoretically- that Juvederm Ultra 3 is a better option for nasolabial fold areas, and probably Juvederm Ultra 4 for the area just behind the jowls (sides of chin area). In the other hand, I think that the painful sensation that you have experienced, can disappear by using Juvederm Ultra 4 Lidocaine, or blocking previously the area to be treated with local anesthesia.