Juvéderm®, approved by the FDA in June 2006, is a non-surgical, injectable gel used to restore the skin’s volume and provide correction of wrinkles, especially of the nasolabial folds. From the creators of Botox Cosmetic, Juvéderm is considered a “next generation” injectable of smooth, long-lasting gel dermal fillers, and the latest advance in hyaluronic acid cosmetic filler technology. Over recent years, hyaluronic acid, a complex sugar already found naturally in the body, has become a favored compound for replenishing the areas of the face where the skin’s youthful fat volume and fullness has been lost, such as in the nasolabial folds (lines that run from the sides of your nose to the corners of your mouth), the wrinkles of the lower and upper face, the lipstick lines, and the lips.
In the body, hyaluronic acid fills the space between collagen and elastin fibers of the skin. It is present in all living cells; attracting and binding water, hydrating and giving the skin smoothness and volume. However, as the body ages, the ability of the body’s cells to manufacture its own hyaluronic acid is diminished, resulting in the loss of skin volume, producing folds and wrinkles.
Juvéderm is biosynthetic and of non-animal origin. Since it is not created from an animal source, there is little chance of allergic reaction. The formula is highly biocompatible, and no testing is required prior to administration. It has been proven to be safe and effective for skin of all types and colors.
The main difference between Juvéderm and other popular hyaluronic acid fillers is that Juvéderm has the highest concentration of hyaluronic acid, and it is produced with a special formulation process that makes it smoother than that of other popular gels. These gels utilize a suspension process, with particles that can be visibly seen. The particles in Juvéderm gel are so small that it is completely transparent.
The combination of the higher concentration of hyaluronic acid and the smoother formulation make Juvéderm long-lasting (up to six months or longer), easier to fill, and usually produces more natural, even filling effects, with patient discomfort minimized at the injection site. Additional injections and touch-ups may be necessary to achieve optimal correction. And as with other hyaluronic acid fillers, Juvéderm is gradually absorbed naturally into the body.
Because Juvéderm injectable gel is a simple, nonsurgical wrinkle treatment, there is minimal recovery or downtime. So you can make an appointment to stop by Dr. Atun's office for treatment on the way home from work, etc.—and get right back to your life. Usually, the process takes approximately 15 minutes, depending upon the number of injections required to correct the target areas.
For the first 24 hours following treatment, you should avoid strenuous exercise, excessive sun or heat exposure, and consumption of alcoholic beverages in order to help minimize the risks of temporary redness, swelling, and/or itching at the treatment sites. After the treatment, some temporary injection-related reactions may occur, including redness, pain, firmness, swelling, and bumps. Studies have shown that these are usually mild to moderate in nature and clear up on their own in 7 days or less. If you experience swelling at the injection site, you can apply an ice pack for a brief period.
Sure. Plastic surgery financing is now becoming common place in plastic surgery offices around the country. During your consultation, a member of the office team can explain your financing options with you and let you know how to get in touch with the providers to apply for a loan. Many banks provide financing for elective procedures as well.
Most plastic surgery procedures are performed on an outpatient basis. In some cases, usually when the surgery is very extensive or complications arise, an overnight stay might be required.
Each plastic surgery procedure carries a different level of discomfort, and requires different methods of anesthetizing. In most situations, the patient's preferences for safety and comfort, as well as personal pain threshold, can help determine what type of anesthesia will be used. Very minor, non-invasive surgeries might involve a topical anesthetic, while minor invasive surgeries may call for local anesthetic or local combined with sedation. In more involved surgery, general anesthesia is usually used.
That can depend on the surgeon. Most plastic surgeons are affiliated with local hospitals and can arrange operating room times as needed. Many carry out a similar procedure at surgical centers, while other surgeons have private surgery suites in their own office space. You'll find that many plastic surgeons fit into all or most of these categories, and offer options to each patient. They would then help you choose your surgery location based on comfort, safety, scheduling issues, and sometimes geography issues (which surgery location is closest to home, etc.).
Cosmetic plastic surgery is performed to enhance or change a healthy, normal, functioning part of the body. Nothing but the patient's desire for physical improvement necessitates cosmetic plastic surgery. Reconstructive surgery, however, is intended to correct a physical abnormality caused by a birth defect, disease or tumor, physical trauma, or infection. The goal of reconstructive surgery may be to restore function or to achieve physical normality.
When the plastic surgery procedure is being performed for cosmetic reasons, insurance will not be involved. When the surgery is necessary for reconstructive purposes, however, it may be partially or fully covered by insurance. Plastic surgery procedures that may be covered by insurance often include breast reconstructive (after a masectomy), rhinoplasty (for breathing problems), tummy tuck surgery (for gastric bypass patients) and eyelid surgery (to correct vision problems).
There isn't any overarching rule as to the right age for plastic surgery. In fact, the appropriateness of a certain procedure should be determined more on a case by case basis, looking at the individual's unique body type and aging process. Of course, there are age tendencies for certain procedures. Facelifts generally are not performed on patients under 30, as mini-lifts or laser procedures might be suggested instead, but this is not a rule. Otoplasty, on the other hand, is appropriate for adults or patients as young as 5 years old.
The best plastic surgery candidate is someone with realistic expectations and an understanding of the limitations set by medicine, technology, and each patient's own body. Good candidates have a strong self-image, and well-developed reason for pursuing a plastic surgery procedure. They are looking for improvement of a physical trait, knowing that while this positive change may enhance their self-image, it will not change people's perception of them. Dangerous motivations for plastic surgery would be purely doing it to gain popularity, or attempting to reverse recent life crises.
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