McAllen OBGYN, OBGYN McAllen, OBGYN in McAllen
McAllen Laser Skin Care

Lines & Wrinkles

Write your story without wrinkles

Over time, your skin loses elasticity, which contributes to moderate to severe parentheses lines and wrinkles around the nose and mouth. While serums and creams work on the skin’s surface, JUVÉDERM ULTRA® XC and JUVÉDERM VOLLURE XC add volume to smooth these lines and folds, to help give you the subtle, long-lasting results you want.

The Juvéderm® collection offers two formulations for parentheses lines and wrinkles.

JUVÉDERM ULTRA® XC is an injectable gel that instantly smooths moderate to severe parentheses lines and wrinkles around your nose and mouth. Its effectiveness has been proven time and time again, delivering real results that last up to 1 year.

JUVÉDERM VOLLURE XC softens moderate to severe parentheses lines and wrinkles by adding volume to the lines and wrinkles around your nose and mouth to produce subtle and long-lasting results for up to 18 months.


Juvederm Ingredients

Juvederm’s primary active ingredient is hyaluronic acid, often referred to as nature’s moisturizer. Hyaluronic acid is a gel-like sugar found naturally in your body’s cells, especially in your eyes and joints. It makes up 40% of your dermis, the lower skin layer. With cushioning and lubricating qualities similar to gelatin, it draws and holds water molecules. It restores moisture to thinning tissues and aging collagen, making it the perfect candidate for banishing wrinkles and restoring a youthful, dewy appearance.


All are synthetically derived through chemical cross-linking, meaning no use of animal products, less chance of any adverse reaction and longer-lasting results

The basic difference between the forms is that the Ultra Plus is a more robust, or thicker, version of the Ultra. The Ultra contains 9% hyaluronic acid while the Ultra Plus has 11%. Each has its uses, depending on the application site, skin flaw depth and skin condition. Juvederm XC designations simply indicate that the dermal filler has an added 0.3% lidocaine, a local anesthetic to prevent any discomfort during the procedure.

Procedure — Juvederm Injections

The actual procedure for injecting the Juvederm filler is straightforward. You can expect your provider to:

  • Cleanse your face thoroughly to remove any makeup or other impurities that could adversely affect your results.
  • Mark the exact areas to be treated.
  • Possibly apply a topical or other anesthetics to alleviate discomfort, depending on the procedure.
  • Using a very fine needle, inject the clear gel into the wrinkle or sunken tissue.
  • Spend several seconds on each injection.

During each injection, your provider will slide the needle into the mid-to-deep levels of the skin, smoothly injecting the clear gel along the path. With Juvederm XC, the path in numbs the area, and subsequent injections along or near that pathway can also benefit from the lidocaine’s numbing effects.

Juvederm Questions and Answers



As time, sun, gravity, repeated facial expressions, age, weight loss, scarring or other conditions affect our skin, wrinkles, folds, sunken scars and fine lines result. Skin becomes dry and thin, its layers lose elasticity and connective collagen tissue begins to fail.

Minimally invasive, the Juvederm filler is a clear hyaluronic acid gel that, when injected, can plump fine wrinkles and moderate lines to smooth the skin. Hyaluronic acid is a moisturizing sugar that occurs naturally in the body but decreases with age.

Juvederm Ultra and Ultra Plus use a synthetically produced hyaluronic acid gel that is chemically cross-linked to provide an even, nongranular consistency. A carbohydrate sugar form, the hyaluronic acid draws moisture to not only fill in creases and sunken pitted areas but also hydrate surrounding tissues and help stimulate collagen, the main structural protein in connective tissue. Injection specialists like how the gel flows from the needle, responds to controlled applications and provides a predictably smooth appearance. Patients love how the finished result is immediate, with noticeable smoothing of the skin without a radical change in appearance.


You are a good candidate to achieve optimal Juvederm results if you have light or moderate facial lines, wrinkles or sunken scars that are making you feel dissatisfied with your appearance. We’ve used Ultra and Ultra Plus to treat wrinkles around the nose and mouth, cheeks, forehead and eye area. It is also effective for filling and smoothing areas pitted from acne or rashes. Ultra Plus is also a quick, effective way to augment or contour the lip area, especially if your lips are thinning, asymmetrical or out of balance with the rest of your facial features.


Treatments are quick and relatively pain-free thanks to the XC formulations of Juvederm with lidocaine and other topical and local anesthetics that are available. Lidocaine provides instant relief on contact. Following the procedure, you may experience some sensitivity until any injection site swelling disappears. Usually a cold compress with ice is sufficient.


Your injection specialist will spend several seconds on each injection. Most simple procedures take only 15 or 20 minutes. More complex ones — contouring lips or filling wrinkles around the eyes — may require more time, 35 or 40 minutes. Add some time to check in and check out, and at most, you have an hour invested in visibly rolling back years.


You will see results immediately. As soon as your provider finishes the procedure, you will recognize that the injection of Juvederm gel has smoothed your skin. You may notice some swelling, redness or irritation at the injection sites, but that is usually easily concealed with light makeup and dissipates completely within 3 or 4 days.


Juvederm injections last up to a year, depending on your skin condition, age, nutritional habits and skin care regimens. Poor diets, dehydration, alcohol use, smoking and rough handling all have debilitating effects on skin and a treatment’s life span.

One of the benefits of lasting a year, however, is that, unlike injection treatments using nonbiodegradable fillers, this gel lasts quite a while but leaves no foreign residue. Your provider can make adjustments so that your filler can continue to suit your skin, weight and appearance as time inevitably makes additional changes.


You should be able return to most normal activities immediately following your Juvederm treatment. However, you must avoid strenuous or high-impact activity, alcohol, sun exposure or heat — saunas or hot showers — for 24 hours. Any of these can increase bruising, discoloration or bleeding. Ask your specialist, too, about any supplements you take because some, such as ginseng and ginkgo, have been linked to increased bruising. Most swelling or redness fades within 3 to 4 days, with patients able to easily camouflage it with light makeup.


Juvederm’s success record is long, and it is known as being one of the safest dermal fillers available. However, you should speak honestly with your provider if you have:

  • Herpes zoster or herpes simplex outbreaks. You may need to take an antiviral medication prior to the procedure.
  • Severe allergies, multiple allergies or allergies with anaphylaxis. However, Juvederm allergies are extremely rare due to the biosynthetic manufacturing process.
  • Allergies to lidocaine or other medications.
  • Gram-positive bacterial protein allergies.
  • Immunosuppressive therapies that you are undergoing.

It may not be your best choice if your wrinkles are deep or profuse. It also is not recommended for women who are nursing or may be pregnant. An additional consideration is if you are planning on losing weight or in the process of doing do. Faces thin with weight loss, and skin can develop creases and wrinkles as fat cells empty, allowing skin to sag. If you’re considering dermal fillers, you may want to wait until you’ve reached your goal weight; reward yourself for all your hard work.


Most Juvederm side effects are minor. The most frequent complaint is swelling at the injection site and some light redness, bruising or itching that dissipates within 3 or 4 days to a week at most. Side effects like inflammation are more likely if treatments are combined with other procedures. Rarely but on occasion, infection may be an issue but can be easily treated if caught within a day or two.

With all fillers, lumps or bumps can be a concern. Juvederm’s gel is extremely smooth. It is a homogonous solution, meaning that all the microspheres are the same size. If unevenness is apparent, it’s usually due to swelling at the site of the injections and disappears.

Another concern with many fillers is migration, the filler actually drifting or moving into areas other than the one intended. Juvederm migration should not be an issue. Your specialist will stress to you the importance of following post-procedure instructions and not manipulating treated areas in order to avoid this problem.


The internet makes it easy to view before and after pictures of other people’s Juvederm treatments.  You can find these pictures on  and the Juvederm website . These photos should give you a good idea of how well the treatment works. Keep in mind that this is a popular cosmetic procedure because of its subtle results. When you get a Juvederm treatment, people are likely to notice that you look refreshed. They may not, however, be able to tell that you took advantage of today’s cosmetic technology.


Cost is highly dependent upon the amount of syringes needed to provide the best outcome. Every patient has a different desire on the amount of lip volume they want to achieve.  So prospective patients will have a better idea of the total Juvederm price once they schedule a consultation with a provider. Once a treatment is mapped out, it will be much easier to calculate the cost. Keep in mind that financial options do exist that provide more financially-feasible payment methods. Our practice also accepts all major credit cards.

Why Should I Choose New Life Health and Wellness for Juvederm?

New Life Health and Wellness is focused on giving patients the care and quality that they deserve.  Dr. Daniel Lee, medical director, ensures that patients will be pleased with their results.

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