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895 Park Avenue | New York, NY 10075 | 212.NAT.URAL
Are you troubled by:
If you want a smoother, younger-looking face—with virtually no downtime—consider Juvéderm. This next-generation hyaluronic acid facial filler was introduced in the U.S. by Allergan, Inc. in January 2007.
“Juvéderm is a smooth injectable gel made of hyaluronic acid—a naturally occurring substance in your skin that helps add volume and restore moisture. This facial filler comes in two versions:
“Juvéderm is also the first FDA-approved hyaluronic acid facial filler that's proven safe and effective for people of color.”
“I do all the injections myself. I don't feel comfortable having somebody else do it for me. I know it's very popular to have physician extenders such as nurse injectors. There are all kinds of ways for people to run a profitable practice, but at the end of the day, if I have a patient who's unhappy, it's my problem. I can't take the chance that an injection, or any other procedure done in my office can go awry.
“When patients come to my office, see them, evaluate them myself, take my own photographs and then I'm the one who injects them. I also follow up with them personally. I don't delegate these responsibilities. I think it's smart medicine, and I happen to like my patients too. I want to be the one to take care of them. Doing all of this myself has probably has helped me develop my technique better also, because I see the results personally. Usually, all my Juvéderm patients are happy.”
“Yes. I always give ‘field’ blocks or nerve blocks. There are various nerves in the face where I can inject a little anesthetic to make the patient much more comfortable during the treatment. I do that every time because it makes the treatment a much more enjoyable experience. It allows me to take my time and really concentrate on doing things right, not on relieving the discomfort by stopping as soon as possible. I also think that makes people more willing to come back and do it again.
“I usually give intraoral, or in-the-mouth, injections. First, I spray a little something to numb your gums, then I inject the nerve, which you shouldn't really feel. We wait about 10 minutes while the anesthetic takes effect, then I inject the Juvéderm. Doing it this way makes my patients much more comfortable.”
Schedule a consultation with Dr. Sterry
This information is merely an introduction to Juvéderm. To find out if this facial filler is right for you, contact Dr. Sterry. In your personal consultation, he will evaluate you, listen to your goals for achieving a more youthful face and advise you on how you can achieve the look you desire.
If Dr. Sterry considers Juvéderm right for you, you may choose to have your first treatment on the day of your consultation.
“That all depends on the area being treated. I think most of us use similar techniques for the lips and laugh lines, but there are some areas that doctors disagree on. In a plastic surgery journal, there was recently a debate over how deeply facial fillers should be injected. I don't always inject Juvéderm into the soft tissues—I like to keep it deep, right along the bone area. For instance, if I put Juvéderm in the tear trough, I'm basically putting it under the periosteum, which is the covering on the bone. It's got a nice, happy little home there and it seems to last for a long time.
“I want to leave the filler right along the bone, because if I don't, you'll get little bumps and it won't look good. When I put it near the bone, the filler is kind of camouflaged. There's a little fullness there, but you can't tell it was injected. It looks good and it's long-lasting.”
“Basically, juvederm results can be seen immediately. That is, patients might have a little extra swelling at the time of the injection, but not much, and it doesn't last long. You will essentially see the final result in a day or two.”
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“No, not more than I've already mentioned.”
“According to Allergan, Juvéderm's possible side-effects are usually mild to moderate. I have personally NOT seen any with Juvederm myself, but I know that they can occur.
“When side-effects occur, they typically last a week or less and include temporary injection site reactions like redness, pain, firmness, swelling and bumps. And as with all skin injection procedures, there is a risk of infection.”
“Juvéderm has just gotten the FDA's OK to say that a treatment can last for up to a year. But in my experience, how long a facial filler treatment lasts depends on where you inject it. A facial filler seems to last a long time in places that don't have a lot of motion.
“For the nasolabial folds, Juvéderm is great. And it seems to last a very long time in the tear trough area. Frankly, nothing really lasts a year on the lips-at least not in my experience.”
“Juvederm will add fullness to the lips and cheeks and it can act like an eraser for jowls and nasolabial folds. I don't think we've had a single patient get juvederm and not be satisfied.”
Hyaluronic acid is a natural complex sugar found in all living cells. Its purpose is to hold collagen and elastin together and provide a framework for your skin.
Hyaluronic acid adds moisture to your skin. It retains water like a sponge, absorbing more than 1,000 times its weight. Result: Your skin's volume and density increase, making your face look younger.
On June 26, 2007, Allergan, Inc. announced that the FDA had approved a label extension of its hyaluronic acid facial filler, Juvéderm, to provide smooth, natural-looking results lasting up to one year with a single treatment.
The FDA approval was based on new clinical studies showing that Juvéderm's effects may last for up to a year, which is longer than reported in clinical studies supporting FDA approval of other hyaluronic acid facial fillers.
Thomas P. Sterry, MD Plastic Surgery | 895 Park Avenue | New York, NY 10075 | 212.NAT.URAL (628-8725)
Copyright © 2007 Thomas P. Sterry, MD Plastic Surgery. All rights reserved.