Is It Possible for Juvederm to Be Permanent for Some People?

Can some patients hold on to Juverderm 30 injections forever?

Doctor Answers 8

Not by design, but you're right a little bit

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Juvederm is not meant to be permanent (because then you wouldn't have to buy more!). When placed in areas of less movement lasts longer than it does in areas of movement (lips). Although the hyaluronic acid does get broken down by your body, there is some collagen deposited in the skin as a response and may notice some longer term improvement over time.

Sacramento Plastic Surgeon

Fillers are not permanent

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No, it is not possible for Juvederm or other Hyalauronic Acids to permanently stay in the system because these products are eventually broken down and reabsorbed by the body.  The rate at which it is broken down is different for each person so some people may notice that Juvederm lasts 5 months, while others feel like it lasts 7 months.  Movement of the muscle and tissue also affects the rate at which fillers last.  Areas that move often, such as the lips, will not retain Juvederm as long as areas with less movement, such as the nasolabial folds.  Having said this, I have noticed that some patient who get facial fillers (including Juvederm) seem to build up some connective tissue in the area of the injection, which might decrease the need for injections in the future.  While this can happen, patient should not count on that outcome and should assume that their fillers are absorbable.   I hope this helps!

Juvederm longevity

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Juvederm is a hyaluronic acid filler that is absorbable over time. The ultra plus is reported to last 9 months to a year. I suppose in some cases of very superficial injection, it may last longer, but it is not permanent.

Ways to Enhance and Prolong Results of Juvaderm, Restylane, Perlane

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Products of hyaluronic acid are not permanent and do dissolve over time. However, here are some of the ways to enhance and/or prolong results of these injections:
  • "thicker" hyaluronic acid tend to stay longer: Products such as Perlane or Juvederm Ultra Plus, and Hydrelle are more cross-linked or have higher density tend to stay longer
  • locations of less movement such as the areas of cheek, temple, and nose last longer than areas around the lips.
  • multiple, staged, and incremental correction of injections
  • multiple layers of placement of products
  • tunneling or Subcision of the areas prior to injection; this is analogous to fat grafting
  • combining products with low density with high density, fat, or PRP with hyaluronic acid also seem to work better
  • combination fillers with botox

George Sun, MD
Los Angeles Facial Plastic Surgeon

Juvederm is NOT a permanent filler

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People often have varying IMPRESSIONS of the duration of Botox and many fillers. Hyaluronic Acid which naturally found in our body is the basis of both Juvederm and Restylane is constantly broken up by the body and replenished. As a result, neither Juvederm nor Restylane are permanent fillers.

Peter A. Aldea, MD
Memphis Plastic Surgeon

Juvederm, Restylane, Perlane are not permanent fillers

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All HA (hyaluronic acid) fillers are reabsorbed over time, though how long they last depends on where they are placed and certain variations within the products. For example, placement in the cheeks usually lasts longer than in the lips. However, all fillers do elicit some response in terms of collagen formation so there may be some residual effect due to that.

Juvederm and Restylane longevity

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Juvederm (and Restylane) may last longer in some individuals than others, but it will not be permanent for anyone. These products are eventually broken down, but in some areas they may persist for up to two years.

Marc Klein, MD
Atlanta Plastic Surgeon

Juvederm is not permanent

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There are some studies that show that there is a production by your own body of new collagen as a result of injection of the hyaluronic acid. Whether this is related to the trauma and inflammation after needle injection, or the product being injected is not fully clear. The Juvederm itself is not permanent.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.