JUVÉDERM® XC injectable gel is an FDA approved dermal filler manufactured by Allergan, Inc. Juvederm Voluma is a smooth-consistency gel that restores volume to the cheeks, creating a lift of the cheeks. It is made of hyaluronic acid (HA), a sugar that occurs naturally in the body. In terms of the skin, HA's role is to deliver nutrients and hydration, and act as a cushioning agent. Young, healthy skin contains a lot of HA, but factors that include aging and sun exposure reduce the amount, causing skin to lose structure and volume. Often referred to as Liquid Facelift, Voluma is an excellent filler enjoyed by women and men over the age of 21. A younger person may choose Voluma to create a high cheek bone look. As we age and lose volume, Voluma is used to restore the youthful appearance without changing your natural form.

Why do wrinkles form?

Wrinkles result from a combination of many factors, including: aging, collagen depletion, elasticity or damage caused by free radicals. Another reason for wrinkle formation is due to muscles contracting and causing skin to fold during facial expressions, such as, frowning and smiling. Wrinkles that we see only during facial expressions, are called dynamic wrinkles. These wrinkles can be prevented with use of Botox. Wrinkles that we see even when our face is at rest are called static wrinkles. With age, we also lose bone and fat tissue, as well as collagen and natural hyaluronic acids under our skin. These type of deep set wrinkles and volume loss may be improved with use of fillers.

What Are Facial Fillers?

Facial fillers are injectable products that rejuvenate facial skin by reducing or eliminating wrinkles, raising scar depressions, enhancing lips and replacing soft-tissue volume loss. At Nuevelle Vie, we prefer to use Hyaluronic Acid fillers. HA fillers have several unique advantages - they are not harmful, the variety of fillers available provide most natural looking results, and may be easily diluted if patient and doctor decide to get rid of the filler. This rarely ever happens, in fact, never happened in our practice, but still good to have the option.

How do fillers work?

Your skin naturally produces hyaluronic acid, a sugar-based compound responsible for delivering and maintaining moisture and nutrient levels in skin cells, and which creates the appearance of volume and smoothness in young, supple skin. Unfortunately, with the progression of time, your skin's ability to manufacture its own hyaluronic acid diminishes. HA is a smooth gel that is made of cross-linked hyaluronic acid particles. When injected into fine lines, wrinkles, furrows, or sunken areas of the face, the filler replenishes the hyaluronic acid that has been absorbed into your body over time, helping you achieve a more youthful appearance. Facial filler treatment entails a series of injections under the skin’s surface – at various subdermal-dermal levels, depending on the filler. Thicker fillers are used for lifting and are administered deeper, while thinner fillers are administered more superficially to smooth away finer lines. The amount needed depends on the depth and size of the wrinkle or loss of volume. Often a combination of several types of fillers produce the best results, as they are able to correct multiple problem areas, resulting in more natural results.

How do I know if I need Fillers?

There is no right age to start treatment, depending on your facial anatomy, and if you start seeing lines and sagging on your face, then you may consider this treatment to avoid those lines getting deeper and more prominent. The best way to know is to schedule a consultation with a doctor and go over the areas of the face that bother you, at which point the doctor can determine whether fillers are the solution to address your concerns, or may recommend other options, or a combination of treatments.

Who can get Fillers?

Adults, men and women, 21 – 65 years of age are candidates for the treatment, considering they don’t have any of the contraindications, which will be discussed with the doctor at the consultation.

How long is the injection treatment?

The average length of filler injections is about 10 to 20, depending on the individual and the amount of areas being treated. However, there is 10 to 15 minutes prep time, where photos will be taken for result comparison, and consent form will be signed. Also, most of the time, patients/doctors prefer to apply a topical anesthetic cream to the injection site, to ease the pain. Although not necessary, since fillers we use contain lidocaine which will begin numbing the area as soon as injections begin. Topical cream is mainly for comforting the patient, and takes 15-30 minutes to take effect.

Will Fillers make me look fake?

Filler injections is a technique-sensitive treatment. You should not lose the ability to show expression when you are treated by someone who is licensed and trained. The variety of fillers we have available today are designed to give you the most natural looking results. It is also important to talk to your doctor about the results you desire so that your expectations can be addressed.

When will I see results?

Most individuals will notice results immediately, although due to minor swelling upon injections, the actual result will be seen after 2 weeks (or when the swelling subdues). If you are not satisfied with the result after 2 weeks, you should schedule an appointment for an evaluation. At that point the doctor can help you decide whether more filler is needed, or recommend additional treatments.

Does it hurt?

Some patients report that being injected with fillers feels like a pinch or minor discomfort. If you are concerned about discomfort, your provider may apply a topical numbing cream before administering your treatment, however, this is not always required since all our HA fillers contain lidocaine, making it more comfortable to endure the treatment.

What are the common areas that can be treated with Fillers ?

Most common cosmetic treatment areas include: Cheeks, Jawline, Nasolabial folds, Marionette lines, and Lips.

Is there any downtime after my treatment?

Dermal filler injections require very minimal downtime, allowing patients to return to work and their normal activities directly following treatment.

What are the most common adverse effects associated after Filler injections?

After your treatment, you might experience swelling, redness, bruising, and tenderness in the area injected. Bruising may last a few days or more. A topical arnica cream may be suggested, along with cover-up make up. (Bruising depends on many factors, including your lifestyle and medications, as well as doctor’s technique. It is always recommended to avoid any blood thinners, including Aspirin, Vitamin K, and Alcohol. Doctor may recommend taking Arnica prior to injections. At times, there is a chance that a less visible vessel may be in the injected site, and may be hard to avoid.)

How long do Facial Fillers last?

In general, the results from HA injectable fillers are temporary; commonly lasting from few months to two years. This depends on the type fillers used. For optimal results, additional treatment sessions are encouraged. A facial filler or injectable fillers treatment entails a series of tiny injections under the skin’s surface – at the subdermal-dermal levels. The amount administered depends on the depth and size of the skin defect or wrinkle.

How much do fillers cost?

Price is determined by the area treated, type of filler(s) needed, and the amount of filler your doctor recommends. Total price will vary per individual case and will be given after a consultation.

What are the alternatives to fillers?

Depending on the area, there are other types of fillers available which are less natural and more risky to the patient. Therefore, we only recommend HA fillers, skin care products, skin tightening modalities and laser resurfacing. Doctor will help you choose which treatment or a combination of treatments would yield best results.