
Juvederm® is a biodegradable, but long-lasting injectable filler composed mostly of hyaluronic acid, a material found in the skin, muscles, and tendons in the body. The natural form of hyaluronic acid is liquid, a substance that the body metabolizes quickly. In order to make Juvéderm, the liquid form of hyaluronic acid is cross-linked so that the individual chains of the acid bind together, transforming the substance into a gel.
As an injectable gel, hyaluronic acid adds structure and volume to the lips, facial wrinkles and folds. Similarly, Radiesse is a long-lasting injectable that is used for the treatment of facial wrinkles and folds. Its composition, however, is quite different. Radiesse is made of substance called calcium hydroxylapatite or CaHA, a gel that contains small calcium microspheres.
Juvederm is FDA approved for moderate to severe facial wrinkles and nasolabial folds. Off-label uses of Juvéderm include lip augmentation, facial contouring, and so on. Made with a smooth hyaluronic acid gel, Juvederm is a very popular product for non-surgical wrinkle correction.
Radiesse is a dermal filler made with calcium hydroxylapatite suspended in a water based gel. It is also FDA-approved for moderate to severe facial wrinkles and folds, but plastic sugeons frequently use Radiesse for a wider range of cosmetic treatments, including facial augmentation and contouring. Dr. Goldberg might recommend Radiesse for correction of marionette lines, nasolabial folds, skin depressions or for non-surgical nasal contouring and augmentation.
Restylane, which is FDA-approved to fill moderate to severe facial folds and wrinkles and nasolabial folds, utilizes hyaluronic acid. Additionally, it may be used off-label for lip augmentation, marionette lines, fine lines, hollow tear through and facial contouring.
First the skin surface is cleansed with antiseptic, and a topical anesthetic is administered for comfort. For Juvéderm injections, topical lidocaine and ice packs are often applied for pain 5 minutes before and after injection.
Your surgeon carefully selects the injection sites, administers Radiesse or Juvéderm, and then massages the area to guarantee a smooth effect. Both Juvéderm and Radiesse are injected into the skin’s subdermal plane using a linear threading, cross-hatching, or fanning technique.
The particles in Juvéderm act as a platform for collagen deposition, and are slowly metabolized, requiring repeat treatments. Likewise, Radiesse promotes the production of new collagen in the body. Because of this, it is often the case that less Radiesse and Juvéderm are needed over time.
Directly after Radiesse or Juvéderm injection, the area treated may feel overly full or swollen. In the case of swelling, it may help to apply ice to the swollen area(s). It is recommended that patients refrain from strenuous exercise, sun exposure, and alcohol intake for the first 24 hours.
The results tend to last for 6 -12 months, the time it takes for the body to metabolize the filler. Touch-up injections are, therefore, needed to maintain the look and feel accomplished.
Side effects to look for include the following: redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, edema, tenderness, and discoloration.
Please give us a call if you would like to set up an appointment with Dr. Goldberg. He is happy to take your questions concerning Radiesse and Juvéderm. You can find as at two convenient locations: Dobbs Ferry and Scarsdale in Westchester County, New York.