Juvederm XC Ultra Plus

In other words, unlike other fillers like a Restylane and Radiesse, the Juvederm XC family cannot provide a lifting effect to the soft tissue it treats. It has a very low g’ value, with poor overall cohesivity and viscosity. As such, it cannot latch onto tissue and pull it up. However, it can act as an internal “water beacon”, and draw hydration into the deep dermis and subcutaneous planes, offering outstanding skin rejuvenation. For Juvederm XC Ultra Plus is incredibly useful in aesthetic plastic surgery of the face. We use it routinely in the following situations:

• Patients who want Kylie Jenner-looking lips. Look no further than Juvederm. Because of its incredible ability to absorb water, none of the other fillers can produce a pillowy looking lip like Juvederm XC. For patients that are looking to increase lip volume and produce a “wow the crowd” effect to their lips, Juvederm is again the undisputed champion. If you want Angelina Jolie lips, you want Juvederm.
• Deep inset marionette lines. For patients that have grooves in their lower face from their lips to their chin, Juvederm is an outstanding choice. Again, its ability to bring fluidity into a region allows for effacement and minimization of deep marionette lines.
• Nasolabial folds in patients without cheek descent. Some people have an empty appearing nasolabial fold even if their cheek is in perfect position. In this case, we will inject Juvederm into the nasolabial fold directly to provide a smooth, harmonious juncture between the cheek, nose, and lip area.

Long term skin quality investment. For patients who want the ABSOLUTE BEST in dermal filler therapy, and who are willing to spend for it, we will commonly put 0.05ml aliquots of Juvederm into the moderate subcutaneous plane to provide long-term, 24-7 moisturization to the skin. Basically, in this instance, we use Juvederm as an internally injected moisturizer. For example, in patients that can afford the best plastic surgery available, we will commonly do our cheek injections with Radiesse Plus or Voluma, fill the tear trough’s with Restylane-L, and provide any other interventions indicated. Once complete, I will take 2-3 tubes of Juvederm XC Ultra, and microinject it into the moderate subcutaneous plane in a volume small enough so that it is not seen or felt. This small aliquot, however, will serve as a continuous internal moisturizer for the skin.

This is also a fantastic adjunct for patients undergoing laser therapies to the face. In those patients, 1-2 weeks after laser, we will then provide full face Juvederm microinjections throughout the entire face. No question that this approach is expensive, but the long-term results are absolutely fabulous. We also commonly complex this approach with Rejuvapen microneedling. By combining internal moisturization with laser resurfacing or microneedling, we are able to produce a renewal effect to the skin on multiple levels without any significant increase in downtime. While there is no stopping Father Time, full facial microinjections of Juvederm to the face sure do slow down his effects on the facial skin.