Buckingham Center for Facial Plastic Surgery - Blog » Juvederm

I’m a busy working mother, and I’ve been using Botox to fix my forehead lines, but it’s difficult to make time for an appointment every few months

admin — Sun, 25 Apr 2010 16:27:43 +0000

Question:
I’m a busy working mother, and I’ve been using Botox to fix my forehead lines, but it’s difficult to make time for an appointment every few months. I heard that Juvederm can last up to a year, though. That is very appealing to a busy person such as myself, but I want to be cautious. Are there any negative aspects to Juvederm that Botox doesn’t have?

Answer:
Juvederm and Botox are completely different products and are used for different indications. Botox is a neuromodulator that relaxes the muscles that it is injected into. Juvederm is a hyaluronic acid filler. It is used to fill in and plump up lines and folds. It does last about a year, depending on the location of the injection. Juvederm can in certain instances be injected into forehead lines, but unfortunately, without relaxation of the forehead muscles, it will not be very effective. Also, it is a challenge to inject filler into forehead lines and make it look natural and there are risks associated with that location that other areas do not have. It is an advanced area and is an “off-label” indication for filler. You should probably commit to Botox or Dysport and be very cautious before considering filler for forehead lines.

Posted by Dr. Buckingham

I am a 26-year-old woman interested in an injectable filler

admin — Mon, 18 Jan 2010 13:23:55 +0000

Question:
I am a 26-year-old woman interested in an injectable filler for my lips. Which one (Juvederm, Perlane, Radiesse, Restylane, Sculptra) would be the best option for me?

Answer:
Radiesse and Sulptra are inappropriate for lip injection. Any of the others will work and it depends on physician preference. Usually either Juvederm or Restylane are chosen. Juvederm is a little softer than Restylane and so we prefer this product for lip injection. There are some however who like the more firm feel of Restylane and prefer this product.

Posted by Dr. Buckingham

Fillers for Composite Facial Rejuvenation

Dr. Edward D. Buckingham, M.D. — Tue, 20 Oct 2009 19:52:09 +0000

The facial aging process is complex and volume loss is a substantial component. Replacement of facial volume loss can be accomplished through the use of autologous fat transfer, which is using the patient’s own body fat cells and transplanting them into the face, or through the use of syringe based fillers. The most common types of fillers used are hyaluronic acid (Restylane, Perlane, Juvederm) and calcium hydroxylapetite. (Radiesse) Poly-L Lactic acid (Sculptra) is another filler which can be used for volume loss however it requires multiple treatments to appreciate the results and therefore we do not frequently use it. We prefer to use Radiesse for subcutaneous tissue augmentation as the results are immediate and the longevity approaches that of sculptra. Autologous fat transfer is another topic for another Blog. We will talk more about the use of syringe based fillers.

We usually use a combination approach for overall facial rejuvenation with fillers. We utilized Restylane for the teartrough deformity of the lower eyelid, Radiesse for deep cheek augmentation, and then a combination of Restylane, Perlane and Juvederm for perioral rejuvenation. The tear trough or orbital groove is a hollow at the junction of the lower eyelid and cheek. It is responsible for giving the lower eyelids their bag-like tired appearance. Restylane is very useful for filling in this groove. By filling up the hollow it changes the way light catches the eyelid cheek junction removing the appearance of the tired eye and adding light and therefore a refreshed appearance.

The loss of volume of the lower eyelid usually extends into the cheek region as well into what is referred to as a malar groove. It is an oblique line that separates from the orbital groove and extends down the cheek. When present the cheek has lost is youthful fullness and become a series of lumps and hollows again creating unsightly shadows. In this area we prefer to use Radiesse or Perlane to add the youthful fullness back to the cheek.

The other common area for facial rejuvination is the perioral area including the smile lines, marionett lines, and the pre-jowl sulcus which is the hollow along the jaw-line just in front of the jowl. By adding volume to this area the lines of age are again filled out to a more youthful configuration. The pre-jowl sulcus being filled hides the appearance of the jowl and leads to a cleaner looking jaw-line.

Fillers are great because of their ease of use and limited down-time. Dramatic results can be obtained through their use, especially if a total facial approach is utilized.

Lip fillers and scar

Dr. Edward D. Buckingham, M.D. — Sun, 02 Aug 2009 23:35:08 +0000

Pam,

Thanks for your question regarding lip fillers and your scar. Sorry for the delay, I was out of town.�
Filling in your lips should in no way adversely affect your scar. We may even be able to use filler to improve the appearance of the scar. Please feel free to make an appointment for a consultation and I will look forward to discussing this further. If you desire we could probably even perform the procedure the same day if you are comfortable following our discussion.

Ed Buckingham