Juvéderm Voluma XC

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volumaThe loss of midface volume is one of the hallmarks of facial aging.
This occurs in varying degrees of severity, and can lead to significant changes in the facial appearance. One of the most noticeable changes is the loss of cheekbone definition. Historically, this was addressed with surgery to tighten the overlying skin and lift the deeper soft tissues. More recently, volumizing fillers have been used to provide a similar ‘lift’ without surgery. The goal is to restore volume in the midface to create a natural, youthful face.

Juvederm Voluma is the first filler formulated with lidocaine that is FDA approved to restore age-related volume changes in the cheeks. Unlike other fillers commonly used to treat the midface, Voluma is a hyaluronic acid (HA) filler. HA fillers are made from long chains of sugars that occur naturally in the skin. Juvederm Voluma is unique in that the HA is cross-linked through a process called Vycross that helps provide an excellent lifting capacity. This special cross-linking also helps to avoid degradation, making Voluma last almost twice as long as other fillers. Studies have shown that it can last up to 2 years. And since it is an HA filler, it can be molded and shaped into the desired contour after injection.

Who is a candidate for Juvederm Voluma XC? 
Virtually anyone with volume loss in their midface is a candidate for treatment with Voluma, as well as individuals with poorly defined cheekbones. Patients in their 30s, 40s, and 50s may not be appropriate candidates for surgery, but may benefit instead from Voluma treatment. Patients in their 60s and beyond who have more significant skin laxity and volume loss tend to require more filler volume. And while these patients are often good candidates for surgery, they often choose volumizing filler treatments due to surgery concerns such as anesthesia and potential complications.

What can I expect with a Juvederm Voluma XC Treatment? 
We use a specially formulated topical numbing cream is applied for 15 to 20 minutes prior to treatment. Treatment takes approximately 15 to 30 minutes to perform. The treatments involve very small needles, and are virtually painless due to the numbing cream and Merry’s gentle injection technique. After Merry injects the Voluma, she then massages the area to ensure that it is properly distributed. Patients may return to normal activities immediately after treatment.

Where does JUVÉDERM® XC work?
Everyone’s skin ages differently and JUVÉDERM® XC may be used to rejuvenate multiple problem areas. From smile lines to vertical lip lines, you can smooth away unwanted wrinkles and restore natural contoursLearn more about the individual treatment areas listed below:

  • Smile Lines- Run vertically from the bottom of the nose to the corners of the mouth.  This is a popular treatment area that many women seek help with.
  • Marionette lines- Vertical facial wrinkles that form below the corners of the mouth.  These lines can give the appearence of sagging or a downturned expression.
  • Vertical Lines-Wrinkles above and around the lips can begin to appear over time due to ordinary lip muscle movement.  Enviromental factors such as exposure to sunlight, smoking, and stress can also contribute to how the area around the lips ages and the formation of vertical lip lines.
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What are hyaluronic acid injections?

If you want to reduce facial wrinkles and lines, hyaluronic acid may be a good choice as a dermal filler because of its compatibility with the human body. In fact, this substance is found in almost every single living thing. In humans, it acts as a network that transfers essential nutrients from the bloodstream to skin cells.

Hyaluronic acid is a natural substance found in your body. High concentrations are found in soft connective tissues and in the fluid surrounding your eyes. It’s also in some cartilage and joint fluids, as well as skin tissue. It is extracted and reformulated and now has become one of the most popular kinds of injectable fillers.

If the term sounds familiar, it’s because the same substance is often injected into the aching joints of people with arthritis to ease pain and provide extra cushioning. Brand names include:

  • Captique
  • Esthélis
  • Elevess
  • Hylaform
  • Juvéderm
  • Perlane
  • Prevelle
  • Puragen
  • Restylane

Hyaluronic acid is not derived from animal sources.

When this gel is injected, it acts like an inflated cushion to support facial structures and tissues that may have lost volume or elasticity due to normal aging. It also brings water to the surface of skin to keep it looking fresh and supple.

In the last few decades, various synthetic forms of hyaluronic acid have been developed and used to correct disorders in the fields of rheumatology, ophthalmology, and wound repair. More recently, synthetic forms of hyaluronic acid are being manufactured for use in face augmentation.

Hyaluronic acid injections cost

The average cost of hyaluronic acid injections is $568, according to 2013 statistics from the American Society of Plastic Surgeons.

The cost for hyaluronic acid treatments may vary based on the expertise and qualifications of the person performing the treatment, the type of procedure used, time and effort the procedure or treatment requires, as well as geographic location of the office. The average fee referenced above does not include anesthesia, operating room facilities or other related expenses.

Your cost will be based on your individual plan and procedure.
Call us at (352) 629-8154 to set up a FREE Consultation.

Most health insurance does not cover cosmetic surgery or its complications. Many plastic surgeons offer patient financing plans, so be sure to ask.

Additional hyaluronic acid injection fees may include:

  • Surgical facility costs
  • Anesthesia fees
  • Prescriptions for medication

Be sure to ask your surgeon about all costs involved in your procedure.

Your satisfaction involves more than a fee. When choosing a board-certified plastic surgeon for hyaluronic acid treatments, remember that the surgeon’s experience and your comfort with him or her are just as important as the final cost of the procedure.

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Candidates for hyaluronic acid injections

Hyaluronic acid treatments will help to improve your appearance temporarily, but it’s not a permanent solution and it won’t stop the aging process.

Some people opt to have hyaluronic acid injections – often called a liquid facelift – to delay the time when a surgical face lift is more appropriate. It’s a great way to see some impressive changes and improvements in your appearance until you’re ready for a permanent surgical option.

Before you consider having hyaluronic acid treatment, be aware that you might not achieve the results you want with just one treatment. Depending on how your body reacts to the injections, you might need additional injections. Most people need at least three visits before they are completely satisfied with the results.

It’s key to know that the injections last between three to five months, depending on your life style, body chemistry and the rate at which you are naturally aging. To maintain their youthful appearance, most people have new hyaluronic injections two to three times a year.

If you decide not to re-treat, your appearance will return to its original condition. Wrinkles and scars will return, and plumped lips will lose volume.

Caution: In the wrong or inexperienced hands, hyaluronic acid injections can be dangerous. In addition to seeking a doctor who is trained and qualified in facial plastic surgery, make sure the physician has specific experience with these types of injections.

Even though the injections may ultimately be delivered by another healthcare professional in the surgeon’s office, it will be with the surgeon’s close supervision.

Hyaluronic acid risks and recovery information

You can resume most activities immediately following injection with hyaluronic acid skin treatment. Just be careful not to rub the area.

Most people tolerate injectable hyaluronic acid therapy without irritation or complications. Right after your treatment, the area may be red, swollen and bruised. This tenderness should go away within a few days.

Almost everyone is a good candidate for hyaluronic therapy. It is almost always suggested as an alternative treatment to people who have a skin test for bovine collagen and develop an allergy. Some people, however, may experience:

  • An allergic reaction
  • Red and/or thickened nodules that arise in the injected sites. They can persist for several weeks or months.

Hyaluronic acid treatment results

Hyaluronic acid injections can be used to improve the skin’s contour and reduce depressions in the skin due to scars, injury or lines. You can see potentially dramatic improvements for:

  • Acne scars
  • Cheek depressions
  • Crow’s feet at the corner of your eyes
  • Deep smile lines that run from the side of the nose to corners of the mouth (also known as nasolabial furrows)
  • Frown lines between the eyebrows
  • Marionette lines at the corners of the mouth
  • Redefining lip border
  • Scars including burns, acne and those caused by wounds
  • Smoker’s lines; vertical lines on the mouth
  • Some facial scars
  • Worry lines that run across your forehead

Considerations before having hyaluronic acid skin treatments

Before you consider having hyaluronic acid treatment, be aware that you might not achieve the results you want with just one treatment. Depending on how your body reacts to the injections, you might need additional injections. Most people need at least three visits before they are completely satisfied with the results.

It’s key to know that the injections last between three to five months, depending on your life style, body chemistry and the rate at which you are naturally aging. To maintain their youthful appearance, most people have new hyaluronic injections two to three times a year.

If you decide not to re-treat, your appearance will return to its original condition. Wrinkles and scars will return, and plumped lips will lose volume.

What happens during hyaluronic acid injections?

During hyaluronic acid skin treatments, tiny amounts of hyaluronic acid are injected into your face through very fine needles. The treatments typically take less than 30 minutes, depending how many lines are treated. You can expect very little discomfort.

Step 1: Assess

First, your surgeon will listen to your desired results and then evaluate your facial appearance and skin tone, examining the areas of your face to be augmented with hyaluronic acid as a filler.

Step 2: Map a strategy

Next, the surgeon will mark strategic points on your face as guides to the appropriate injection sites for the filler as part of your wrinkle removal treatment.

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Step 3: Clean the area

Your injection sites will be cleansed with an antibacterial agent. Then a topical anesthetic will be used to numb the area, particularly if you are sensitive to injections. But in some cases, the hyaluronic acid includes an anesthetic in the mixture.

Step 4: Inject

The actual injections will take just a few minutes total, and just seconds per site.

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Step 5: Clean up and ice

The marks will be washed away and you will be offered an ice pack to reduce any minor and temporary discomfort. At this point you may apply makeup, but be careful not to apply pressure to the treated areas, as doing so may result in movement of the hyaluronic acid.

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A special note about scars and deep lines. These areas will often require multiple injections to achieve your desired results. If a deeper injection is required, you’ll be offered a local anesthetic to remain comfortable. Common sites for deeper tissue fillers are the nasolabial folds and marionette lines, or to enhance fullness in the cheeks.

Questions to ask my plastic surgeon

Use this checklist as a guide during your rhinoplasty consultation:

  • Are you certified by the American Board of Plastic Surgery?
  • Were you specifically trained in the field of plastic surgery?
  • Is the office-based surgical facility accredited by a nationally or state-recognized accrediting agency, or is it state-licensed or Medicare-certified?
  • Am I a good candidate for hyaluronic acid?
  • What will be expected of me to get the best results?
  • Who will perform the hyaluronic acid injections?
  • Have they been specifically trained in this procedure?
  • Where and how will you perform my procedure or treatment?
  • How long of a recovery period can I expect?
  • What are the risks and possible complications associated with my procedure?
  • How can I expect to look over time?
  • Do you have before-and-after photos I can look at for this procedure?
  • What results are reasonable for me?

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