I have been looking into how to reduce the look of wrinkles for quite some time and have done a lot of research.
What Is Juvederm?
Juvederm is a wrinkle/line filler that is used to fill lines and wrinkles primarily on the face. It is administered by injecting just under the surface of the affected area. It is also used to plump the lips.
The Jurvederm filler is made up of hyaluronic acid which is said to be found naturally in the skin and is eventually completely absorbed by the body. This means you need to keep repeating the procedure periodically to maintain the desired effect. The length of time between required visits depends on the person, but they suggest anywhere from every six to twelve months; sometimes even as long as two years.
I am female in my early 20's, and my skin is great except that I have some very noticeable lines/wrinkles running from the nose down to the corners of the mouth (nasolabial lines or laugh/smile lines) and are quite deep and noticeable even when I am not smiling. I decided to get a consultation with a doctor who specializes in fillers.
How Much Does Juvederm Cost?
Each Juvederm syringe costs $700 + tax; my total was $749 as I only required one syringe.
I was really nervous about going in for the consultation for a few reasons:
- I felt silly going in as I never thought I would ever even consider getting this kind of procedure.
- I do not like needles (who does?).
- I was worried about the possible side effects/length of side effects.
- I didn't want it to look unnatural.
My doctor was absolutely fantastic in addressing all of my concerns and did not make me feel silly in any way. He was very calming and very sure of the product and his work. He explained the process in detail from where the needles came from and assured me they were sterile to the possible side effects and how long they would be expected to last.
He put my mind at ease by letting me know that if there were any side effects or I did not like the finished product, he would be able to dissolve the Juvederm substance immediately and everything would go back to the way it was.
The procedure itself was really quite quick and, in fact, only took approximately ten minutes for the nasolabial lines (laugh lines).
- The doctor cleaned the area with anti-bacterial swabs to reduce the risk of infection.
- He injected the recommended product, Juvederm Ultra, by inserting the needle firstly at the bottom of the line near the corner of the mouth, pushing the gel underneath the skin into the wrinkles/line.
- Juvederm was injected into about four spots along the lines/wrinkle making its way up to where the line/wrinkle met the nose. This was then repeated on the other side of the face.
The needle did sting a little bit. However, Juvederm has a numbing effect so I could barely feel the needle when he went over the area again.
Doctor's Instructions for Recovery
To give the Juvederm Gel time to set correctly I was advised:
- not to Laugh/smile too hard.
- to make minimal facial movements.
- not to expose my face to heat (sun, sauna, tanning beds, etc.)
- To sleep on my back, not on my side.
The Immediate Result
When I looked into the mirror and could see an immediate result. The lines were less noticeable but not completely gone. The doctor said it would continue to reduce the look of the lines as the serum sets and it will continue to promote the collagen growth.
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I could see little red dots when the needles were inserted, my skin was red on and around the area, and there was slight swelling.
A Few Days After Juvederm
A few days after having the Juvederm fillers injected into my Naso Labial lines/wrinkles I noticed the following:
- Still swollen and the injection marks are still visible
- Tender to touch
- Skin feels hard under the surface
- One side of my face has taken really well to the filler but the other side seems to have had very little improvement.
One Week Later
Exactly one week after the procedure almost all of the swelling has gone, in fact, it's barely noticeable, however it still feels slightly hard under the surface.
I was not satisfied with the result on the left side of my face and the difference from one side to the other was really noticeable.
I went back to the clinic to express my concern, the doctor advised me to come back in one week (two weeks from the procedure) as the Filler can still be active over the next week which means it is still settling and working with my skin to help produce collagen. If there is still no improvement we will add more to the left side to even it up.
Two Weeks Later
I went back in to address my concern that one side did not seem to take to the filler as much as the other which I wanted to be corrected.
The doctor was fantastic and offered to touch it up by injecting more Juvederm into that side. This time he used Juvederm Voluma which is a thicker product than the Ultra as he felt like this was more appropriate for my nasolabial lines.
I was not charged for this touch-up procedure which was great!
Three weeks after Juvederm
I can still feel some hard areas/lumps under my skin on the side that was touched up, but that seems to be reducing more and more. The lines are still there but there is a significant improvement in depth of the lines making them much less noticeable.
2.5 months After Juvederm
At this point I am confused as it is like I never had the procedure in the first place. The lines look like they are more prominent than before I had the Juvederm filler injected.
Again I decided to go back and see the doctor to express my concern, he also was shocked at the results. He is unsure what to do at this point and will speak to the manager and get back to me about what we can do as he does not believe that injecting more filler will fix the problem.
He mentioned that a few things can affect the longevity of the filler:
- Smoking: I am not.
- Having a fast metabolism: I do
- Loss of weight: I lost a little weight but not enough to affect the result this much
The Manager called about one week later, and she was also unsure what to do as they already gave me a free touch up. She referred me to the senior manager.
Another week passed and the manager called again advising that the only thing they can do is offer me a discount for any future procedures.
Dos and Don'ts
take any blood thinners (Advil, aspirin, etc.).
research options and doctors.
get a consultation.
touch the area for at least six hours after.
expose area to heat (sauna, hot yoga, etc.).
make sure you let the doctor know if you are on any medication.
get the procedure if you are planning on losing weight.
quit smoking before you get the procedure—smoking reduces the length of time the results will last.
get Juvederm if you have a fast metabolism—reduces length of desired effect.
Would I recommend Juvederm?
At this point, I would not recommend Juvederm for nasolabial lines purely because it did not last very long. To maintain the desired result I would need to repeat the procedure every two months which would be extremely expensive.
Tips For Maintaining Younger Looking Skin
How to keep your skin looking young and wrinkle-free:
- Do not smoke
- Stay hydrated
- Sleep on your back - wrinkles develop on the side of your face you sleep on
- Avoid habits such as biting lips, inside of the cheek
- Healthy lifestyle: eat healthily and get regular exercise
- Exfoliate once per week: this removes dry dead skin and helps promote collagen growth
- Wear sunscreen daily regardless of the weather
- Do not tan: naturally or in a tanning bed
- Get sufficient sleep
This content is accurate and true to the best of the author’s knowledge and is not meant to substitute for formal and individualized advice from a qualified professional.
Kathy on January 02, 2019:
I just spent a lot on Juverderm on my nasal folds and see no results. Would not recommend
Richard de Mey from Scottsdale, Arizona on March 17, 2014:
this sounds a lot like botox.