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Juvederm

Juvederm®, the newest hyaluronic acid filler approved by the FDA, is derived from a natural substance which is found throughout the human body. Juvéderm™ injectable gel offers the highest concentration of cross-linked hyaluronic acid of any currently available hyaluronic acid dermal filler, for results that last up to 12 months.

Juvederm is a clear, soft gel that smoothly fills skin wrinkles and enhances lips for a natural appearance. Since it is so similar to your own tissue, there is no need for a sensitivity test. Results are immediate with minimal recovery time.


Photo source LeaDerm

Juvederm is quite similar to Restylane but has some differences in the structure of the product regarding “cross-linking”. This may make it the longest-lasting hyaluronic acid filler on the US market today. Juvederm comes in two “formulas”, Juvederm Ultra and Juvederm Ultra Plus, both of which are indicated for correction of moderate to severe facial wrinkles and folds (such nasolabial folds. Dr. Cobos will choose the perfect formula (or combination of formulas) that best fit your skin’s correction needs.

Lip Enhancement requires special techniques and when done well creates or restores lip volume that looks and feels very natural. Creating beautiful lips requires attention to both the vermillion border and lip size.

Natural-looking lip augmentation requires that the lip border not be blunted by less than precise injection technique and that the lips are the correct size to match the face. Dr. Cobos’ experience of nearly two decades assures an attractive balance of properly proportioned lips and a definitive and youthful lip border.

What areas will Juvederm improve?

  • Lip borders, vertical lip lines and wrinkles
  • Superficial forehead lines and crow’s feet
  • Thinning lips (for increased volume – referred to as lip augmentation or lip enhancement)
  • Deep folds on the sides of the mouth
  • Marionette lines on sides of lip down to chin
  • Glabellar lines between the brows

What is Hyaluronic Acid?

Hyaluronic Acid is a natural substance found throughout all living organisms. by its nature hyaluronic acid retains water like a sponge — absorbing more than 1,000 times its weight. This helps to attract and maintain water within the extracellular space, hydrating your skin and increasing its volume and density. In addition, hyaluronic acid binds with collagen and elastin and transports essential nutrients to these fibers. The triple combination of collagen, elastin and hyaluronic acid provides structure, elasticity and volume to your skin and contributes to its overall appearance. This is what gives a baby such firm beautiful-appearing skin.

As the skin ages and is exposed to environmental pollutants and ultraviolet rays, the cells lose the ability to produce hyaluronic acid. As a result, the skin begins to lose volume, often resulting in the formation of facial wrinkles and folds. Dermal fillers composed of crossed-linked hyaluronic acid are used to help temporarily replace lost hyaluronic acid and to restore skin volume and a smooth,

When the skin is assaulted by repeated exposure to the sun, you experience sun damage in a variety of ways and one of those is brown spots and hyper-pigmentation resulting from an over-production of melanin. Once the cycle of pigment over-production has started, it is difficult to stop it and usually medical intervention is required.

What does “cross-linking” do?

In its natural form, hyaluronic acid metabolizes in the body in just 12 hours. Cross-linking refers to a process in which the individual chains of hyaluronic acid are chemically bound (or “cross-linked”) together, transforming the liquid hyaluronic acid into a soft solid, or “gel.” The firmness of the gel depends on the degree of cross-linking of the individual hyaluronic acid chains. The body metabolizes cross-linked hyaluronic acid more slowly, so cross-linked Hyaluronic Acid products such as Juvederm and Restylane last much longer in the body.

88% of patients

maintained at least 1 grade improvement at 6 months

Visit the JuvedermUSA website for more information, before and after photos and to join the Benefits Program by Allergan.

What about using Juvederm with Botox® and other wrinkle fillers?

Botox® is proving to be an ideal partner treatment with fillers. The effects of your filler will last longer in areas treated with Botox because muscle contractions are minimized in treated areas. Dr. Cobos finds that many patients can stretch out the time between treatments when the two products are combined.

Other fillers such as Radiesse may be used along with Juvederm for specific correction in areas that require a deeper filler material.

What if I need something more?

Juvederm, Restylane, Radiesse and Collagens will handle most wrinkles and folds. When facial deflation is a problem, then Dr. Cobos may recommend Sculptra.

Suggested Pre-Treatment Tips

Avoid anti-inflammatory agents such as ibuprofen, aspirin, some herbal medications, vitamin E and aspirin, and red wine several days prior to treatment. Please check with your primary physician before stopping any of your recommended medications.

After The Treatment

  • Limit alcohol for 24 hours after treatment
  • No increased blood pressure or body temperature (i.e. sauna, hot tub, exercise, cardio) for 4 hours post treatment in order to help prevent bruising
  • It is recommended that make up not be applied until 1 day after treatment to prevent infection
  • Avoid excessive facial expressions and strenuous exercise for 4 hours after your treatment. (This helps the product to “settle” without disturbing the location where it was injected.)
  • Do not rub or massage the area for 24 hours unless directed to do so.
  • Side effects can occur at the injection site and are usually mild to moderate lasting 7 days or less. Temporary injection site reactions and may include redness, pain, firmness, swelling and bumps following the procedure.
  • There is a risk of bruising which is only temporary and can be covered up with make-up after the first day.

Locate Us

Premiere Dermatology
475 S. State College Blvd.
Brea, CA 92821