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JUVÉDERM
The ‘Next Generation’ in Hyaluronic Acid Dermal Fillers
Notice - Major Savings on fillers
Free Cosmetic Consult Certificate
The new JUVÉDERM® XC formulation is enhanced for patient comfort. You can now get the smoothness you expect, with the improved comfort you want ‡. JUVÉDERM® XC provides smooth and natural looking results and now a more comfortable experience. This new lidocaine-enhanced Juvederm will replace the original formulation. Ask about availability.

JUVÉDERM™ dermal filler, a ‘next
generation’ hyaluronic acid dermal filler approved by the FDA in
June 2006, contains the highest concentration of
cross-linked hyaluronic
acid of any dermal filler currently available. These
attributes provide optimal results with a single treatment of
JUVÉDERM™ in the majority of patients and deliver
sustained results for up to six months or longer.
New Study Results : At 24 weeks, 96 percent of nasolabial folds treated with Juvederm had maintained clinically significant correction, and 81 percent maintained the correction for 1 year or more. Results were similar for those subjects with follow-up through 48 weeks after repeated treatment. The median volume required for repeated treatment with Juvederm was significantly less than that for initial treatment (0.7 ml versus 1.6 ml). Article from Jan 2008 American Society of Plastic Surgeons Journal
In addition, JUVÉDERM™ dermal filler is
the only hyaluronic acid
dermal filler developed using a proprietary, technologically
advanced manufacturing process that results in a malleable
smooth gel that flows easily into the skin, creating a smooth,
natural look and feel. All other currently approved
hyaluronic acid dermal fillers utilize a gel particle suspension
formulation.  Hyaluronic Acid Animation
JUVÉDERM™ dermal filler can be
administered in a smooth-flowing injection, providing physicians
with a high level of control for individualized, tailored facial
contouring and for achieving a smooth and natural look.
 Source LeaDerm
Juvederm is an
excellent treatment option for:
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Lip enhancement
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Deep folds
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Facial lines
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Wrinkle correction
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Volume augmentation of the lips
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Shaping facial contours (such as cheeks and
chin correcting)
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Smile lines (correcting thin, superficial
lines around the eyes, mouth and forehead)
Visit the Juvederm Website for more photos, facial assessment tools and special Benefits Program
A special advantage of Juvederm
wrinkle filler is the Three Levels (two are now available) of product formulation which
provide solutions for deep folds and lines, moderate wrinkling
and the fine lines found around the lips and eyes.
The three product formulations include:
− JUVÉDERM™ dermal filler Ultra, a highly
cross-linked formulation for more versatility in contouring
and volumizing of facial wrinkles and folds;
− JUVÉDERM™ dermal filler Ultra Plus, a more highly
cross-linked robust formulation for volumizing and correction
of deeper folds and wrinkles; and
− JUVÉDERM™ dermal filler 30, a highly
cross-linked formulation for subtle correction of fine facial
wrinkles and folds (Not yet available in U.S.).
Juvederm has been used in Europe since 2000 and
in Canada since 2002.
Juvederm® products
are currently approved or registered in over 36 countries,
including all major European markets.
Safety Information
Hyaluronic Acid Background
Physicians have been
developing ways to restore volume and structure to aging skin
using a variety of approaches for over 100 years. Past fillers
included paraffin, silicone and collagen injections.
In the 1930s, researchers discovered a natural substance in the
body that they named hyaluronic acid, and they found that it
plays a key role in numerous areas of the body including the
maintenance of skin volume and hydration, eye volume and
shape and joint lubrication and cushioning.
In the decades since,
numerous therapeutic and aesthetic uses have been developed for
this versatile natural substance. In 2003, the U.S. Food and
Drug Administration (FDA) approved the first hyaluronic acid
dermal filler for the correction of facial wrinkles and folds,
such as nasolabial folds (the folds running from the sides of
the bottom of the nose to the outer corners of the mouth).
Today, hyaluronic
acid-based dermal fillers are the fastest growing non-invasive
aesthetic procedure in the United States, according to the
American Society for Aesthetic Plastic Surgery.1
What is
hyaluronic acid?
Hyaluronic acid is a natural complex sugar found
throughout all living organisms that retains water -- absorbing
more than 1,000 times its weight -- and adds volume to the
skin’s surface. In addition, hyaluronic acid binds with collagen
and elastin and transports essential nutrients to these fibers.
The triple combination of collagen, elastin and hyaluronic acid
provides structure, elasticity and volume to the skin and
contributes to its overall appearance.
As the skin ages and is exposed to environmental
pollutants and ultraviolet rays, the cells lose the ability to
produce hyaluronic acid. As a result, the skin begins to lose
volume, often resulting in the formation of facial wrinkles and
folds. Dermal fillers compromised of crossed-linked hyaluronic
acid are used by physicians to help temporarily replace lost
hyaluronic acid and to restore skin volume and a smooth, natural
appearance.
What is
cross-linked hyaluronic acid?
In its natural form, unbound hyaluronic acid
forms a liquid made of highly-hydrated individual polymers
(chains) that are metabolized in the body in just 12 hours.
Cross-linking refers to a process in which the individual chains
of hyaluronic acid are chemically bound (or “cross-linked”)
together, transforming the liquid hyaluronic acid into a soft
solid, or “gel.” The firmness of the gel depends on the degree
of cross-linking of the individual hyaluronic acid chains. The
body metabolizes cross-linked hyaluronic acid more slowly,
resulting in a longer duration of effect when hyaluronic acid is
used therapeutically.
1 American Society for Aesthetic Plastic
Surgery. February 24, 2006
Safety Information

Photo Source LeaDerm
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2010 © Total Dermatology is one of Southern California's top laser dermatology centers offering
laser treatments for
sundamage,
pigmentation,
acne and acne scars
and
Fraxel CO2 laser for 3 in 1 skin rejuvenation. A Nonsurgical Nose Job is possible with simple injections of Radiesse.
Dr. Pilest, a Board Certified dermatologist and one of Orange County's most
popular cosmetic dermatology specialists, offers patients in Orange County a wide variety of
wrinkle fillers such as
Restylane,
Juvederm,
Cosmoderm and Cosmoplast,
Radiesse (also known as Radiance), and
Sculptra. Dr. Pilest treats patients from the Newport Beach, Irvine, Laguna Beach, Laguna Hills,
Tustin, Mission Viejo and Orange County area as well as cities throughout California, the United States and abroad.
He is recognized as a master level injection specialist and is a national
teaching faculty member for Bioform Medical. Dr. Pilest is well known for his
expert treatments in managing
Rosacea,
acne, and
hyperpigmentation.
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