Juvederm XC is a dermal filler made of hyaluronic acid, which is injected under the skin to smooth away moderate to severe wrinkles around your mouth, eyes and nose for up to a year. Treatment areas around the mouth include smile lines, marionette lines (under your outer lips), lip corner creases, and vertical lip lines. Other areas that are safely treated include lines or depressions around the eyes, wasting of the temporal region, poor definition of the jawline, acne scars, wrinkles that do not disappear with stretch and deflated or wrinkled earlobes. Juvederm XC can also be used to improve asymmetry on your face that is the result of trauma, surgical intervention or congenital defect. Lastly, for a liquid Rhinoplasty, Juvederm XC is used to subtly augment and shape your nose, to help improve its harmony with your face.
Injectable Fillers: Dermal or subcutaneous fillers are substances that are injected just below the surface of the skin, or into the deeper planes of your face to help diminish facial lines, wrinkles and scars, and restore volume and fullness to the face. They can be used as an alternative to surgery or may be used to complement a surgical procedure to help you look your best.
Young healthy skin contains an abundance of collagen and hyaluronic acid, which help your skin maintain its youthful fullness by holding water. As you age, your skin may start to produce less of these substances, and will start to lose structure and volume, creating unwanted wrinkles and folds. Fillers add volume to your skin and to the soft tissues of your face for a more natural, youthful appearance.
This treatment is right for you if you are otherwise healthy, are a non-smoker, and feel that your cheeks have lost volume or fullness, or if you are unhappy about the deep grooves or bags below your eyes.
Juvederm XC can also be combined with surgery or other cosmetic skin procedures including Botulinum toxin therapy, skin care systems, laser treatments, chemical peels, automated microneedling and microdermabrasion to further optimize your outcome.
Schedule a consult with our Board Certified Plastic Surgeon, Dr. Aaron Capuano. He will perform a comprehensive assessment and make recommendations to best meet your needs.
Contact the office of the Northern Center for Plastic Surgery at (201)820-5280 to schedule an appointment.
You may schedule an appointment with Board Certified Plastic Surgeon Dr. Aaron Capuano, who will address your surgical needs.
Hello and thank you for your question. The volume you initially saw for the first week or two may have been related to swelling from the injection. For Juvederm to only last for one to two weeks would be an uncommon occurrence. If you are not seeing any change following the injection, changing to another type of filler or longer lasting filler may improve your results. I recommend following up with the physician who injected you to discuss your concerns. It is always useful to go to an office that takes before and after pictures of you for every procedure you receive. In doing so, advanced technology will alow you to see the actual difference in volume to where you were injected, this technology is called Vectra, it is used at our office on a daily basis and really allows people to understand the change in volume that they received. I hope this helps and if you have any continued concerns, you are always welcome to book an appointment to see Dr. Capuano.
Hello and thank you for the question. It appears from your photographs that you have enough filler in the lower lateral region of your mouth to have improved any volume deficit in that area. Despite this I can still see the lines you are referring to. These lines are often difficult to treat with filler alone because the dermis is thickened where the skin was folded on itself chronically. The best way to deal with this issue is with filler and multiple other modalities together. Additional modalities include fractional erbium laser, or full field laser planing directly to the area, micro needling or micro needling with radio frequency, and selective placement of PDO threads to lift the cheeks. Additionally injection of a small amount of Botox into the depressors can reduce the prominence of the labiomental folds, which can soften these lines. I hope this helps.
Hello and thank you for the question. The purulent material you first noticed is likely a small superficial infection or is at least a fluid with a high concentration of white cells. The gel you noticed is likely the juvederm filler. I recommend that you not continue to try to express the filler, although if you saw pus, it is likely already contaminated with bacteria. I would return to the doctor who performed the fill procedure when their office opens so they can further manage it. If in the meantime you see any signs that your infection is getting worse, I would call your physician's after hours service or go to the Emergency room for more immediate care. Hope this helps and good luck.