Tag Archives: juvederm

Juvederm

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juvederm

Do you have Juvederm?

That’s a somewhat non-specific question.  And sometimes patients use the word Juvederm to mean all sorts of fillers.  And the answer is yes, we have Juvederm in our Modesto office.   As of the writing of this Modesto Botox blog, we have all the different Juvederm which is available in USA.

First of all, how do you spell Juviderm?

Juvederm is the spelling.  No wait, it’s JUVÉDERM®

You need to have it all in caps and that fancy É and you need to trademark symbol.  That’s how it’s spelled correctly.  So I guess everyone for the most part spells it incorrectly.  So “Juviderm” is fine too.

Thus the confusion.

Juvederm is like Calvin Klein.  What?  So do you have Calvin Klein?  Well, it’s not exactly like that either.

Perhaps I should try to explain.

Juvederm is a family of fillers with varying properties.   They have different thickenesses, different size needles which come in the packaging, different duration, different indications, and of course injectors will have different preferences.

The empty boxes of the dermal fillers used today
The empty boxes of the dermal fillers.  Juvederm boxes up on top.  There are two syringes of Juvederm in each of the Juvederm boxes.

Juvederm in different countries…

Juvederm has different names, and outside of the USA there are many other variations of Juvederm.  Many of which I’ve not tried nor do I even know about (yet).

Juvederm in Modesto, CA, USA

I pretty much the entire collection of Juvederm products available in the United States in my Modesto Botox/Juvederm practice:  Surgical Artistry.  My wife (board certified plastic surgeon, Dr. Tammy Wu), and I feel that the entire range of products are necessary for obtaining the desired results.

The different Juvederms are like different sized paint brushes

With the different Juvederm products, we feel that we can achieve different outcomes and for different skin thicknesses.

Juvederm Products – biggest difference is thickness

They are made by Allergan.

  • Juvederm Voluma
  • Juvederm Ultra Plus XC
  • Juvederm Ultra Plus
  • Juvederm Ultra XC
  • Juvederm Ultra

The XC products have lidocaine added inside.  Some patients might be allergic to lidocaine or may approach a toxic dose of lidocaine with too many syringes selected; thus a non-lidocaine version of the product may become more desirable.

The products above are listed in general from thickest to thinnest.

Read my blog about the relative thicknesses of dermal fillers.

There’s a whole world of folks arguing about the terms thickness, viscosity, G-prime, compressibility, lifting capacity, etc.  I understand some of the subtle differences.  But “thickness” is a simple way to look at it.

And XC probably stands for Xylocaine, or perhaps it stands for extra comfort?  I’m not sure, but perhaps it’ll be for the patients to decide – especially if they say, “that didn’t hurt at all, doctor!”  Music to my ears.

Although Lidocaine may rhyme with Candy Cane.  It’s not Candy.

Feel free to read my blog about toxic doses of lidocaine and how to calculate an estimation of safe limits of lidocaine; and there is a discussion of central nervous system adverse effects: nervousness, tingling around mouth, tinnitus, tremor, dizziness, blurred vision, seizures, depression, loss of consciousness.

Allergan makes Juvederm and Botox

and a host of other products – mostly related to eye care.  And Allergan is going to be merging with Actavis.

Visit us for your Juvederm consultation: Surgical Artistry in Modesto, CA

www.InjectionArtistry.com 

Calvin Lee, MD

Calvin Lee, MD

 

 

Juvederm before and after picture for cheeks

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Juvederm and Belotero Before and After
Juvederm ultra plus xc and Belotero injected via Cannula Technique by Dr. Calvin Lee

This is not done with Juvederm Voluma.  As of November 2013, I do not have experience with Juvederm Voluma.  Juvederm Voluma, however, is on it’s way to the office in Modesto, CA and I will soon have experience with this new dermal filler.  [update: I’ve used my first syringe of Juvederm Voluma on 12/24/13.  It was a very satisfying and positive experience.   I look forward to having even more experience with Juvederm Voluma.  I was able to use my 27g 1.5 inch cannula for Juvederm Voluma injections].

To improve my cosmetic dermal filler craft, I’m analyzing my past week. 95% of this result was performed with CANNULAS as an instrument of liquid implant delivery and a whole bunch of other secrets. There’s more that I would like to do with fillers for her, but my instructions were only to work on under eyes (tear troughs) and cheeks.

Background info:

Patient had lost a good deal of weight and it is showing in her face.  Options include face lift.  However, she chose to use Juvederm, Belotero, and Botox.  In the before picture she had Botox and Juvederm expertly done at another plastic surgery practice in our town of Modesto, CA.  I added upon that work to get the 13 day “after” picture using only Belotero and Juvederm.

Info about Brilliant Distinctions in our Modesto Cosmetic Injections practice.

Picture used with permission.  Thank you very much for letting me share this experience.  This is an off Label, FDA usage of Juvederm ultra plus XC for cheek fillers.

Attributes of Highly Effective Botox Injectors

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Genesis of coming up with this list of attributes of highly effective MD Botox Injectors

For the past 2 months.  I went around the country to participate in lectures, courses and conferences regarding Botox, Juvederm, and other cosmetic injections.  I also made it a point to personally get to know some of these injectors.  Most of the injectors whom I met were from the United States, but some notable ones were from Russia and Hong Kong.  These doctors don’t just inject Botox – it was just for a catchy title.  A better word to use would be Comsetic Injections.  I wanted to bring back the world’s best Botox information and bring all that to my Botox practice in Modesto, CA.

I only talked with Medical Doctors who Inject

The injectors whom I talked with were Medical Doctors (ie. Dermatologists and Surgeons).  There are highly successful, effective, and well-known injectors who are physician assistants and nurses, but in my past 2 months I didn’t have time to meet them or seek them out.  Perhaps another time in the future.

Here’s the List:  Attributes/Habits of Effective/Successful Cosmetic Injectors who are MD’s

1. They enjoy being the injector – without delegating to a nurse or PA
2. They are constantly looking for newer, safer and better methods
3. They are eager to be on the cutting edge with new products – this allows them to speak publicly about the product and become an early adopter and early expert.
4. They selectively use cannulas for a portion of their injections – much of this is for safety and quicker recovery
5. They are very willing to share / talk / publish.  In fact I get the sense that they really like publishing.  Much of them got famous from publishing often.
6. They make injections a priority in their practice.  Some of the surgeons diminish the surgical part of their practice.  Some of the Dermatologists diminish the medical dermatology portion of their practice.
7. They often go back to knowing the anatomy, and exploring new anatomical concepts – which contribute to what they call paradigm shifts in the thinking regarding filler use or conceptualization of aging.
8. They are not be afraid to show off their grey hair – but will make some attempt to hide their wrinkles.  Just making a light-hearted comment here.
9. Most importantly they do not view fillers or Botox as a COMMODITY. In other words, it’s not a Botox per unit price or cost per syringe of Juvederm (the PRODUCTS), rather it’s the injector’s SKILL which is the true value. And this is how they provide the best VALUE – through the best skill and materials.  However, the rest of the world seems to be viewing Botox and Fillers and a commodity – like something you’d buy off of Amazon.com for example.

Conclusions:

I have much to bring back to my Modesto, CA practice.  I learned a lot of the techniques.  I’m not sure if I’ll ever publish much (besides writing some topics in this blog) and thus I’ll just be famous in my small local area.