Hi. Today, we’re going to demonstrate injection of the lips with Juvederm. We have different series of injections on the website with both Juvederm and Restylane. Our volunteer, the 24-year old young lady, who wants to get fuller lips, both the tops and the bottoms. We’re going to do the injection technique with the aid of a dental block, which I use 2% Lidocaine with 1 to 100,000 Epinephrine. The lidocaine allows for the lips to become numb and the epinephrine actually helps with the bleeding and less bruising. I’m going to demonstrate both techniques and we’ll get started.

But, just a little of Juvederm at first, Juvederm is made by the same makers of Botox, which is the company Allergan. It’s been in the U.S. for several years now. It comes in two different forms, Juvederm Ultra and Juvederm Ultra Plus. The Ultra Plus is a slightly thicker substance which lasts longer. It can be done in the lips but it does create more bruising because it’s larger needles needed. Most of the time, I reserve that for deep nasolabial folds, which are the folds in these this area, which Sarah does not have, or around the corner of the mouth, or the mid-face area, if we’re trying to fill those voids. She only needs her lips injected today, so we’re going to choose Juvederm Ultra which is a very fine, buttery substance. It’s just like Restylane, it’s a little more concentrated than Restylane, lasts just a little bit longer than Restylane, but the same, similar molecular binding structure which is hyaluronic acid. It’s a natural substance already found in the body. Everybody already has it within their skin. It’s the matrix that surrounds the collagen fibers.

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