Juvederm® Ultra XC
The softest of the HA fillers is in the form of a cross-linked cohesive gel. It's proprietary Hylacross™ technology is similar to bedsprings in a mattress, the more springs you have the more firm the mattress is and thusly, the more cross-linked the HA the more thick or firm it is. Juvederm® Ultra is a great choice for lip plumping due to it's innate softness, whereas, Juvederm® Ultra Plus is better for areas of deeper folds requiring more firm lifting of tissues due to it's higher level of cross-linking. Juvederm® Ultra will last between 6 and 9 months on average.
Juvederm® Ultra Plus XC
One of the more robust and versatile of the HA fillers, this cohesive gel is slightly more cross-linked than Juvederm® Ultra which is what makes it more viscous and slightly longer-lasting. Juvederm® Ultra Plus is a great choice for filling in the nasolabial folds and marionette lines of the lower face due to this greater level of cross-linking. This feature allows it to lift more efficiently in areas that are subject to breakdown by dynamic movements. Juvederm ® Ultra Plus will last between 9 and 12 months on average.
is Juvederm® for me?
Your injector will help you determine which filler is best for you, however, pregnant and lactating women should avoid it's use as it has not been studied on such populations. You should not have treatment if you have severe allergies marked by a history of anaphylaxis or a history or presence of multiple severe allergies. Juvederm® Ultra should not be used in patients with a history of allergies to Gram-positive bacterial proteins. Juvederm® Ultra or Ultra Plus XC should not be used in patients with a history of allergies to lidocaine.
What to Expect During Treatment?
Different gauged needles will be selected for different treatment areas based on the delicacy of the skin in that area. A topical anesthetic may be applied prior to injection, however, the treatment is quite tolerable on it's own due to the fact that it is infused with lidocaine powder. This has been shown to decrease patient's discomfort by 90% on it's own. Your skin will then be cleaned and prepped prior to injection. Ice may then be applied.
What to Expect After Treatment?
After your treatment you may experience mild tenderness and swelling that typically goes away within 24 hours. Bruising and needle marks may last a few days. Some areas are more prone to bruising than others. Certain medications and supplements may increase this risk such as aspirin, ibuprofen, fish oils, garlic, gingko. It is also advised to avoid alcohol, especially, red wine, for 1-2 days prior to your injections to decrease bruising risk. It is important to have a proper follow-up with your injector to determine if there is any need for refinements.