Juvéderm®

Juvéderm® Consultation

Juvéderm is a same-day treatment that can be used to give you a long-lasting and natural beauty lift: smoothing wrinkles and folds, or giving your mouth a fuller, more sensuous form, and replacing fullness which has been lost with age.

Consultations can usually be arranged within a week or two simply by calling us at 905-356-7744 or the form below. Treatment can often be done the same day as the consultation, or within a couple of weeks after the consultation.

Our staff can take the time to discuss your wishes and options, and answer your questions. No referral is required.

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1. What is Juvéderm?

The resilience and youthful contours of your skin — its ability to counter the effects of time, wind and weather — owes much to hyaluronic acid (HA). Juvéderm made from NASHA gel (Non-Animal Stabilized Hyaluronic Acid). Because the NASHA used in Juvéderm is produced by fermentation, there is no risk of transmitting diseases between species, or eliciting allergic reactions in patients who are sensitized to common foods, such as beef, chickens and eggs – and Juvéderm is acceptable to vegetarians. No skin testing is needed before Juvéderm treatments.

HA plays an important role giving volume to the skin, shape to the eyes and elasticity to the joints. HA is present naturally thoughout our bodies, binding water, hydrating and softening the skin. HA has a chemical structure similar in some ways to sugar, and is identical in all species and in all tissue types.

Voluma, Volift and Volbella are the three most advanced kinds of Juvéderm, custom designed for use in different areas. For example, Juvéderm Voluma is most commonly used to add volume to deep parts of the face, for example the upper cheeks and occasionally the nasolabial folds. Juvéderm Volift is designed for use in more superficial areas and for people with thinner skin; and Juvéderm Volbella is usually used for delicate areas like the lips and occasionally under the eyes.

Each of us has good natural lines that can be emphasized and improved. Juvéderm is a same-day treatment that can be used to give you a long-lasting and natural beauty lift: smoothing wrinkles and folds, or giving your mouth a fuller, more sensuous form, and replacing fullness which has been lost with age. The results are immediate and discrete, and there is little or no recovery time.

The consistency of the NASHA gel in Juvéderm is custom tailored to match the tissue structures in the skin being treated, and is stabilized to form a continuous 3-dimensional molecular network. Nutrients, oxygen and hormones pass freely though the gel, maintaining the health and vitality of your skin. Injections of Juvéderm can stimulate your body to produce more of its own natural collagen in the treated areas, and this can contribute to the improvement which you will experience. Since the body has its own system for absorbing hyaluronic acid, it slowly disappears over time without a trace.

Juvéderm is extremely safe. Hundreds of thousands of men and women in all age groups around the world have been successfully treated with the Juvéderm family of products since 2003. Studies show that the vast majority of them were so happy with their results they would be willing to have the treatment again – and would recommend Juvéderm to their friends.

Dr. Smith has treated thousands of patients over the years with a variety of fillers. Dr. Smith has had the opportunity to compare many hyaluronic acid products, and has found the Juvéderm family of fillers to have the highest level of patient satisfaction and safety, with the longest duration of cosmetic benefit.

Juvéderm Voluma, Volift and Volbella are the most advanced, versatile and long-lasting of the HA fillers. Dr. Smith has used Juvéderm in clinical trials, has lectured about it at medical meetings, and has treated over a thousand of his patients with Juvéderm.

Many individuals are looking for that slightly fuller shape for their chin, or perhaps a rounder more sensuous line along the cheeks or lips. Just a touch of additional volume can make an enormous difference to your appearance. In some cases it will be nice for you to have a “finishing touch” of additional Juvéderm after 4-6 weeks to get the compete effect you desire.

The benefits of Juvéderm treatment may be visible for 12-18 months, sometimes longer, depending on the location and amount of the treatment and the nature of your skin. For example, highly mobile areas like the lips tend to require at least a touch-up treatment after about 6 months. Areas where there is less movement may only require additional treatment after 12-18 months. Experience has shown that smaller amounts of Juvéderm is often needed for maintenance than for the initial correction.

2. What is the difference between Juvéderm and BOTOX?
BOTOX relaxes the muscles which cause many facial lines and unwanted facial expressions. Fillers like Juvéderm, Teosyal and Restylane fill creases, lips, cheekbones, and also repair defects like acne scars. Sometimes BOTOX is used in combination with Juvéderm when treating certain areas where permanent deep lines have resulted from over activity of the muscles, for example some frown lines on the lower forehead or wrinkles around the lips. In other cases BOTOX is used to relax unwanted or excessive expressions [for example frown lines] while Juvéderm is used to enhance or restore volume on other parts of the face. This combined use of BOTOX and Juvéderm is referred to as a SoftLift™.
3. What are the common uses for Juvéderm?
  • Correcting folds and wrinkles of the face
  • Acne scars
  • Nasolabial folds (between your nose, mouth and cheeks)
  • Horizontal (upper forehead) frown lines
  • Glabellar (lower forehead) frown lines
  • Chin augmentation
  • Depressed corners of the mouth, also known as “marionette lines”

Juvederm - Marionette Lines Treatment

Lip enhancement, including treatment of the edges of the lips and wrinkles around the lips to stop lipstick from leaking from your lips onto the surrounding skin

Juvéderm VOLUMA - Lip Enhancement

In summary, Juvéderm is:

  • Long lasting, but ultimately biodegradable and non-permanent.
  • Benefits can be cumulative – smaller volumes are sometimes needed for maintenance treatments
  • There are no animal ingredients
  • No skin test is needed
  • Treatment is quick, simple and comfortable; without the need for injections of local anesthetic

Other uses for Juvéderm include:

  • Filling subcutaneous skin defects
  • Filling the tear troughs, below the eyes
  • Augmentation of cheek bones, chin or bridge of the nose
  • Correcting some irregularities of the nose
  • Rejuvenating the back of the hands, reducing the appearance of bones and veins. Dr. Smith can also use the Candela ATV laser to fade or remove brown “sun spots” on the backs of your hands.

Candela ATV Laser - Fade or Remove Brown Spots

4. How much does Juvéderm cost?

In Canada, Juvéderm Voluma, Volift and Volbella are not expensive; however there is a cost involved. Many cosmetic treatments were once considered a luxury item only for those who had a high disposable income. Juvéderm is very affordable even for those with modest incomes, but some people need to budget for these treatments, just as they would for buying accessories like shoes and having their hair styled.

“Having successful cosmetic treatments for your face is not expensive, it is priceless.”

Juvéderm Voluma, Volift and Volbella cost $625 for the first syringe, with a $100 discount for additional syringes used on the same day. One syringe might be used for the lips, or for the nasolabial folds, for example.

5. What does Juvéderm treatment feel like?

Dr. Smith has pioneered the use of ice to prevent discomfort when doing Juvéderm treatments, and has taught this technique to other physicians at meetings across North America and overseas.

Unlike many other fillers, Juvéderm has lidocaine anesthetic added to it to further improve your comfort.

Patients are also pleased with the immediate improvement in their appearance, and delighted with the smooth look and feel of their skin.

Juvéderm Voluma - Softened Smile Lines

6. Can a face-lift or other surgery be performed after Juvéderm treatment?
Yes. A face-lift can be performed after Juvéderm treatment. The skin on the face is thick enough to prevent the implants from becoming visible after a face-lift. Juvéderm treatments can sometimes reduce or eliminate the need for a facelift or other surgery, or can delay the need for repeated surgery.
7. Can Juvéderm be used during pregnancy?
There is no technical or medical reason why Juvéderm should not be used during pregnancy. Dr. Smith has treated pregnant women with BOTOX and Juvéderm, helping them to look and feel their best during this important time in their lives.
8. Pre-treatment instructions
It is good to pamper yourself on treatment day! If you have a nice big breakfast or lunch, and an extra glass of water, you will be more comfortable.  As a practical matter, bruising is seldom a major problem after Juvéderm treatment. The chance of bruising can be reduced by minimizing your consumption of ASA, alcohol and Vitamin E for 3 days before Juvéderm® treatment.
9. Post-treatment instructions

Enjoy! There are no restrictions on your activity after Juvéderm treatment, and you will be completely kissable when you get home.

After Juvéderm treatment, there is seldom any discomfort or significant swelling. If the lips are treated the chance of swelling during the night after treatment can be reduced by sleeping with your head elevated on 3-4 pillows.

You should not expose the treated area to intense heat (e.g. hot packs) or extreme cold for a day or two.

10. Am I “vain”?

Many people at some time before Juvéderm treatment for wrinkles, lip augmentation or scarring have fears and doubts. A common concern is that they are being vain. My experience has been that just about all patients who have Juvéderm, laser hair removal, Botox, and other procedures to maintain their appearance and comfort are no more vain than anyone else. What does distinguish these individuals is a desire to get the most out of life, and to look as good as they feel.

Looking after our appearance is not a fault. After all, would you leave your house with broken gutters or peeling paint? Why do less for your body? I think you should feel proud of yourself for having the will and the ability to change something that you find unacceptable. I emphasize that you should only have Juvéderm Voluma and other treatments if it is for you. It is a big mistake to do these things if it is just for somebody else.

The same self-esteem that leads our patients to be successful in their chosen fields, well groomed and dressed, and often careful in their diet, exercise, and other aspects of health maintenance leads them to seek help for their wrinkles and frown lines. These individuals are normal healthy people, and the same degree of self-interest that prompts them to exercise, be selective in what they eat and drink, and protect themselves from sun damage leads them to explore the benefits of Juvéderm Voluma. Our patients simply want to look their best.

Consultations about Juvéderm can usually be arranged at your convenience simply by calling our special line at 905-356-7744. No referral is needed.

Treatment can be done the same day as the consultation, if you wish.

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