Dr. Rick Silverman is known throughout the Boston area as an experienced, board-certified plastic surgeon who caters to individuals in the fitness world. In our practice, we have no preference. We enjoy treating all patients with the services they need to help them feel their best. In addition to injectables like Botox, we are pleased to offer Juvéderm dermal filler products to treat moderate to severe facial creases and deflation.
What Is Juvéderm?
Juvéderm is the umbrella name that includes a comprehensive family of products. The FDA-approved fillers are made by Allergan, Inc., the same company that brought us Botox. Juvéderm fillers are made of hyaluronic acid (HA). Although called an acid, HA is a sugar compound that occurs organically in the body. This substance acts as a cushioning agent and hydrator for the skin. When we are young, our skin has an abundance of hyaluronic acid. However, sun exposure and aging deplete our stores, leading to volume loss and the formation of lines and wrinkles.
Would I be a good candidate for Juvéderm fillers?
If you’re over the age of 35 or 40, odds are you’ve noticed some volume loss in certain areas of your face. This depends in part on how much sun damage you have, but it’s mainly due to the fact that our bodies create less and less collagen every year after our 20th birthday. This is why our skin thins, begins to form lines and wrinkles and develops areas of volume loss. If those descriptors sound familiar, you could benefit from Juvéderm injections at Dr. Silverman’s.
The only exception would be people who want to address dynamic wrinkles such as crow’s feet and frown lines on the upper third of the face. Those wrinkles are formed by muscle contractions beneath the skin, and they are the realm of Botox or Dysport.
What are the benefits of having Juvéderm injections?
What’s the benefit of looking younger? None of us like the signs of aging on the mid to lower face — smile lines, parentheses lines, barcode lines, marionette lines, flattened cheeks, and more. When injected, the hyaluronic acid that is the basis of Juvéderm binds with nearby water molecules, instantly hydrating and plumping the area. This erases, or seriously diminishes, those annoying lines, and it can return the volume to cheeks that have lost volume with declining collagen production.
This makes you look younger. Who couldn’t use a little of that as we get older? And because hyaluronic acid occurs naturally in the human body, reactions to Juvéderm injections are quite rare.
Just think, you can come to see Dr. Silverman with deep nasolabial folds that you’ve been building for decades, and in about 20 minutes you can walk out, and they’re gone. How great is that?
How Does Juvéderm Work?
Juvéderm injections work by depositing nourishing, hydrating hyaluronic acid particles into the dermis. These particles attract water molecules into the tissue. Water is held in place by hyaluronic acid, enabling it to smooth and plump the skin. The deposited HA particles get metabolized gradually over the course of several months. As the particles dismantle, water molecules are released to disperse from the treated tissue. Retreatment can be scheduled as needed to sustain your desired appearance.
Juvéderm Treatment Areas
The Juvéderm family is comprehensive, with several products made to address specific concerns and parts of the body. Choosing from this collection of soft tissue fillers, we can treat the:
- Undereye area
- Creases around the nose and mouth
- Jawline and chin
We conduct injectable treatments in our comfortable Newton office. Most treatments take less than an hour, including a brief consultation in which we discuss concerns and desired outcome. After our introductory conversation and observation of the treatment area, our experienced injector administers dermal filler using a fine needle. Juvéderm products contain lidocaine, so treatment is virtually painless other than the mild sting of the initial injections. The deposited hyaluronic acid immediately begins to bind to water molecules beneath the skin. This allows us to observe the results of treatment as they occur in real time.
Are Juvéderm injections safe?
The entire Juvéderm line of dermal fillers has received FDA approval for treating all sorts of lines and wrinkles on the mid to lower face. To gain those approvals, Juvéderm had to be proven safe and effective. The first Juvéderm filler was approved in 2006. Over 15 years later, Juvéderm has been injected around the world millions of times.
The main side effects are the same as those with any dermal filler, some possible redness and slight swelling at the injection sites. This resolves within a couple hours. These injections are utterly safe. Plus, if you don’t like the look, Nurse Mancuso can inject an enzyme known as hyaluronidase. This instantly neutralizes the hyaluronic acid and reverses the effects of the filler.
How many Juvéderm treatment sessions will I need?
Juvéderm is meant to be injected in a single session. All it takes is about 20 minutes and you can get right back to work or whatever your normal routine involves. From there, enjoy your erased wrinkles for up to one year.
At that point, your body will absorb the now-inert Juvéderm, and the crease or line will begin to return.
How long after my Juvéderm session will I see my results?
Juvéderm provides instant volume. As soon as Dr. Silverman or our registered nurse injector, Emylee Wood, injects Juvéderm beneath a crease, line, or area of volume loss, the hyaluronic acid immediately binds with nearby water molecules, and this provides instant volume, pushing the skin back up and filling the wrinkle or crease. As soon as you leave our offices on Commonwealth Avenue, you’ll see your full results.
How Long Do The Results Of Juvéderm Last?
Results from Juvéderm treatment can last from 12 to 24 months depending on the product selected, where it is used, and the rate at which hyaluronic acid is metabolized by the body. Most patients report feeling satisfied with their results months after their initial treatment.
What Our Patients Have to Say
“I’ve been seeing Dr. Silverman for almost 20 years for various things (my longest doctor relationship!), but have been seeing him for fillers for the last several years. He is amazing with both his work and bedside manner, and is extremely honest – more than once, he has talked me out of doing things that he didn’t think I needed to do and didn’t think I would appreciate the outcome. And, he’s always right – he always makes me look and feel like a million bucks. I can’t say enough good things about him, and just hope he never retires so I can continue with him for the rest of my life!”
Juvéderm Post Op Instructions
Most normal activities can be resumed immediately after Juvéderm treatment. Makeup can be applied right away. Skin care may also resume the same day as treatment. Patients are advised to postpone strenuous activity and heavy lifting for at least 24 hours after injections. Doing so minimizes the chances of bruising and swelling.
Is there anything I should avoid after my Juvéderm injections?
We advise our patients to refrain from rubbing the injection sites for 24 hours. This allows the Juvéderm to settle in and return lost volume. Rubbing the sites can make the filler migrate away from where it is needed.
Juvéderm Vs. Botox
Juvéderm and Botox are common injectable products that are each used to diminish the signs of cosmetic aging. Each works in a unique way. With Juvéderm, we insert hyaluronic acid to add structure, contours, and plumpness by locking water molecules into tissue. With Botox, we inject a mild, purified neuromodulator into muscle tissue. Botox acts on neuroreceptors in the muscle to decrease contractions that pull on the skin, causing problems like frown lines or a drooping brow.
Juvéderm Vs. Restylane
Juvéderm and Restylane are very similar products. Each is based on hyaluronic acid. Each is used to reduce the appearance of lines and creases or to add volume to areas like the cheeks or lips. Both Juvéderm and Restylane have multiple product formulations that can address specific needs. Some say that Juvéderm is faster-acting than Restylane, but the difference is subtle enough to make either product line appropriate for most people.
Side Effects Of Juvéderm
Some people receive Juvéderm injections without side effects. Those that do occur are typically limited to minor, temporary redness and localized swelling around injection sites. These side effects fade so quickly that it’s possible to have treatment on your lunch hour. Though less common, bruising is a potential side effect that may occur. The risk of bruising may be decreased by avoiding alcohol and medications like aspirin the day before injectable treatment.