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Juvederm and Restylane FAQ and Patient Instructions

Everything you needed to know about Juvederm and Restylane dermal fillers, right in one place—from pre-care to post-care and more.

Pre-Instructions for Juvederm

  • Patients must disclose if they have had any previous filler treatments.

  • To help avoid bruising, patients are recommended to discontinue use of blood thinning medication. Patients must consult their primary care physician prior to discontinuing use of any medication.

  • Prior to treatment, your healthcare provider will remove makeup from injections site.

Juvederm and Restylane Post Treatment Instructions

Swelling and Bruising
Immediately after the dermal filler procedure, the most common reported side effect is redness and swelling at the site of the treatment. This redness and swelling is temporary. Bruising is also a common side effect. Certain medications, OTC analgesics, and herbal remedies can thin the blood which may cause more bruising.

Patient are instructed to avoid these medications that thin bloods for 5 -67 days after the procedure.

Cold compresses applied after the treatment to the injection sites will help decrease bruising and swelling. The cold compress can be in the form of gel packs, frozen peas, or even sandwich bags filled with ice.

If your bruising is more significant then we recommend a follow up with your aesthetic health professional.

Manipulation of the Area After Procedure
Patients are often tempted to touch and manipulate the treated area. This can cause problems for several reasons. First, the area may still be numb and patients may not realize the strength of the manipulation. Second, excessive manipulation can cause more swelling and more bruising. Finally, excessive manipulation may cause the product to migrate to unintended areas.

The day after the procedure, patients can touch and massage the area gently. If the patient begins to notice early nodule formation of the accumulation of product, then they can gently massage the area. Patient should call in to the their health professional if any concerns.

Follow-Up
Immediate and routine follow up after the dermal filler treatment is not necessary. However, patients that are more anxious and concerned about the outcome are recommended to schedule a routine follow-up. The follow-up appointment should be scheduled at least 7 days out. This will allow enough time to some bruising and swelling to be minimized.

A follow-up and touch-up appointment should be scheduled at the 4-6 month mark. Patient will notice at at the time that the filler may start to decrease. Therefore, we recommend that additional filler be injected.

What is the best filler for wrinkles?

For “marionette lines,” Juvederm Ultra Plus or Restylane work well. These fillers give lasting results and support. These products can give a natural result by blending the filler throughout these areas.

Lip lines can be filled with a thinner filler like Juvederm and SILK. These fillers give not only a fill but a shape to the lips. it is important that fillers be used conservatively because overdone lips may lead to poor results. Some patients are afraid of having too much filler. However, most health professionals can deliver natural results.

Can I resume normal routines after Botox, Dysport, Restylane, and Juvederm?

Most patients can resume full activities following injections of Botox, Restylane, and Juvederm. Patients are instructed to avoid rubbing the injected area for a day (just to be extra cautious.) What is the best filler for eye wrinkles?

What is the best filler for lip augmentation?

The optimal fillers for lip are going to be fillers that minimise the possibility of bumps or nodules Hyaluronic acid-based fillers, such as Restylane and Juvederm, are ideal for lips because they are soft and provide a very natural result.

Is exercise risky after a filler injection?

It is unusual for a filler like Restylane and Juvederm to move from its location because of exercise. The more common side effect is the excessive or additional bruising and bleeding within 1-2 days.

Are there permanent lip fillers? If so, what are my options?

Artecol and other silicone injections are products available outside the U.S. and are not FDA approved. Some products available in the U.S. is ArteFill and are similar. This type of filler is used for filling deeper static facial creases.

They are not recommended for the lips. Permanent lips fillers tend to have more risk and therefore most health professionals will advise against them.

How long do different fillers last?

Fillers may last between 6 months to a year. Some of the variables that patients should considered are the following:

  1. Amount injected.

  2. Area injected. Some areas absorb the filler at a much faster rate.

  3. Frequency of injections.

How much filler is in one syringe?

The volumes of each filler is preset in a sterile syringe. They are as follows:

  • Juvederm: 0.8 cc

  • Radiesse: 1.3 cc

  • Restylane: 1.0 cc

If I don’t like my filler, can I get rid of it?

There are several options to remove fillers:

  1. Hyaluronic acid fillers (Juvederm,Restylane for example) can be dissolved with hyaluronidase

  2. Fillers that are more permanent like collagen fillers usually resolve with time but if they may need to be excised

  3. Permanent fillers will have to be excised

  4. Some fillers such as sculptra respond to steroid injections.

Of note, fillers near the lower eyelid can sometimes be removed without a scar through an approach through the inside of the eye.
Anytime a patient has an adverse outcome from a filler, I would first give it some time before performing surgery

What is the average cost for filler injections?

The average cost of dermal fillers can vary from patient to patient. Some variables that affect price are age, area injected, and the goal of the patient.

It is important to consider that most healthcare professionals will inject throughout several appointments. Your first appointment might use one syringe a second or third syringe can be applied throughout other appointments.

Patient should expect to spend anywhere between $500 – $2000 for a full and optimal treatment.

What is the recovery from a filler, botox and/or dysport treatment?

These treatments use needles and are piercing the skin, therefore, there will be a risk of bruising and swelling.

We recommend patients to not move around the medication in the area that was injected. Most patients will be able to return to their daily activities. We recommend to schedule filler treatments when there is enough time to rest just in case there is excessive bruising.

What kind of pain should I expect during my treatment?

There should little or no pain following injection of hyaluronic acid fillers like Restylane and Juvederm. Heavier fillers, like Lyft and Voluma can cause more swelling, so patients should not schedule critical events right after getting filler.

There should be no pain beside a pin prick when receiving Botox or Dysport. Most health professionals use a very tiny needle that minimizes the discomfort.

What are my options if I want to reverse the dermal filler treatment?

Reversing a filler like Juvederm and Restylane is typically straightforward. Most health professionals will use Hyaluronidase for the reversal. Using this substance may at times be unpredictable.

Therefore, reversing or dissolving the Juvederm or Restylane is best done in stages. When the substance is injected to the treated area, the filler may blend or dissolve within 24 hours.

Can I get a Juvederm or Restylane treatment if I am sick?

The answer to this depends on the health professional and also the severity of the sickness. We recommend to contact your provider to discuss the options.

What is Juvederm XC?

JUVÉDERM® XC is a non-surgical filler your doctor uses to instantly smooth out the lines along the sides of your nose and mouth. It can provide natural-looking results for up to a year with optimal treatment.

JUVÉDERM® XC is made from a modified form of hyaluronic acid (HA), manufactured using proprietary HYLACROSS™ technology.

How much does it cost?

The cost of Juvederm Ultra Plus XC is $489 per syringe. However, we frequently offer promotions that help patients save some money on their treatments.

I’m young, do I really need it?

One of the great things about a filler is that it is not necessarily meant for older patients. If you are young, then a filler can help add volume to the cheek area and also to the lip area. This addition will give more shape and symmetry to your face.

Does it just fill wrinkles?

No. Juvederm can be used to fill wrinkles its are so much more. Juvederm and many others fillers can be used to plump up lips, add volume to cheeks , and even fill in acne scars.

Can I use Juvederm on my lips?

Using Juvederm to add more volume to lips is very popular. However, it is important to keep a few things in mind. First, you do not want to over do your lips because you will end up “sausage lips” or “trout mouth.” It is extremely important that fillers add just subtle voluma that will give you a sexy look.

How long before I see the results?

Results for a Juvederm treatment are immediate. However, the final results will be seen about 1-2 weeks after the injection. We need to let the swelling go down and let the filler settle in to get a better view of the final results.

Is there bruising?

Bruising may or may not happen. We are after all, piercing the skin with the needle. We always recommend patients to stop taking any aspirin or ibuprofen because this may cause your body to bruise more easily.

Remember, we can take precautions, but we cannot guarantee that you will not bruise.

How does it feel after? Will I feel lumps?

Lumps may sometimes be felt immediately afterwards. Especially if you feel very closely. These will either be massaged by your medical provider if needed or will settle in after 2 weeks. We always recommend our patients to ask as many questions if they are unsure.

How long do the results last?

Juvederm is temporary and may last up to one year with optimal treatment. Therefore, touch-up injections, as well as repeat injections, are usually needed to maintain optimal results. Less material (about half the amount) is usually needed for repeat injections.

Ultimately, the length of the results can vary from patients to patients and can also depend on which area it was injected into. At Peach we have seen patients that see results up to a year but we have also seen patients that see results up to only 6 months.

The only way to know for sure if dermal fillers are right for you is to schedule a consultation with a healthcare professional.

Oscar BuenoJuvederm, Restylane