Houston's Juvederm Experts

Juvederm is a product that is part of the injectable hyaluronic acid dermal filler family. It can be used to provide up to 9 months to a year of correction for moderate to severe facial wrinkles and folds, especially nasolabial folds (lines from the nose to the corners of the mouth).

Juvederm is a product developed using the Hylacross technology; which allows to obtain a smoother consistency gel against other hyaluronic gel products, which have granular consistency. The Hylacross technology refers to the manufacturing process; unlike the use by Restylane and Perlane it does not break up the crosslinked hyaluronic acid into various sizes. It is a bacterial fermentation process that produces a final product with blended particle sizes.

Hyaluronic acid is a normal substance found in the body. It holds the water at the injection site and acts as a cushioning agent, which adds temporary volume and a smoother appearance to the skin. The family of Juvederm products was approved in June 2006 by the U.S. Food and Drug Administration.

What are the benefits of Juvederm?

With the Hylacross technology, Juvederm contains the highest concentration of HA on the market (24mg/mL), which means that the effects of Juvederm will last longer. It has a higher degree of cross-linking (90%), which has a direct impact on how long the product lasts in the skin. The more cross-linking a filler has, the longer the product will last in the skin.

The smoother consistency of Juvederm helps it flow easily for a smooth injection, allowing the plastic surgeon to be more precise with the injections, without needing to use a lot of pressure to push the gel out. Some Juvederm products like Juvederm XC, Juvederm Ultra XC, and Juvederm Ultra Plus XC, also contain anesthetic lidocaine to help further improve the comfort of the injections both during and after the treatment.

When is the use of Juvederm recommended?

In patients who want to soften deep folds and reduce wrinkles in the face for more time, (up to one year) it is a great option. This product temporarily adds volume to the skin around the nose and mouth; for this reason, its most popular use is removing nasolabial folds, or “smile lines”.

The patient should understand that hyaluronic acid treatments will help to improve his/her appearance temporarily, but it is not a permanent solution and it won’t stop the aging process.

The family of Juvederm products offers a lot of treatment options, so the patient should discuss with his/her plastic surgeon which one is recommended for his/her particular case.
Juvederm XC is a non-surgical filler, and it is typically used to instantly smooth out moderate to severe lines along the sides of the nose and mouth; providing natural-looking results that may last up to one year with optimal treatment. Meanwhile, Juvederm Voluma XC is the first injectable gel approved by the FDA to correct age-related volume loss in the cheek area (for people over 21). This product can add volume, creating contour and lift for up to two years with optimal treatment.

Regarding Juvederm ultra, the product is thin and less viscous, thus making it appropriate for being an intradermal injection to address fine wrinkles and scars. Some experts recommend Juvederm Ultra plus for volume filling of the lips and reshaping the face, since it provides more dramatic results and lasts much longer.

How does Juvederm work?

Juvederm offers appropriate cosmetic and plastic surgery results because Hyaluronic’s acid can absorb up to 1,000 times its own weight in water; this allows it to add new volume under the surface of sagging skin. Likewise, hyaluronic acid combines with collagen and the elastin, allowing movement of more basic nutrients into the skin, and faces that look old can take a more youthful aspect.

How much does Restylane cost?

The cost of Juvederm can vary according to several factors. These factors include the medical fees, the extension of the treatment, and the type of product among others. However, the average cost of Juvederm is relatively reasonable. Juvederm syringes come in different sizes to treat different areas of the face; smaller areas would require less product.

For example, to treat smile lines around the lips, the plastic surgeon may require one or two syringes of Juvederm, this costs approximately $450 to $600 per syringe ($1200 in total). But, the finer lines may be treated with smaller (and less expensive) syringes.

What is the preparation for a Juvederm injection?

In the first consultation with the plastic surgeon, the patient should express his/her desired results. The surgeon will evaluate his/her facial appearance and skin tone to discuss  all the areas of the face that can be treated with Juvederm.

It is advised to stop taking anti-inflammatory medications or aspirin one to three days prior to a Juvederm treatment. The patient should not wear any make-up the day of Juvederm treatment.

There is no pre-treatment allergy test required, except for patients with a history of severe allergies, the treatment may not be considered appropriate.

What is the procedure of Juvederm injection?

Juvederm® treatment is quite simple and is similar to other dermal fillers/wrinkle reducers. It is injected into the area of the wrinkles and creases with minimal discomfort. The typical treatment session is about thirty minutes long.

Juvederm® is packed in a sterile, ready-to-use syringe. Because of the smooth gel consistency of Juvederm®, it is more comfortable for the patient than other dermal fillers (thinner needles are used and less pressure is applied during injection). However in sensitive patients, the plastic surgeon will numb the area of the face to be treated with a topical anesthetic cream to minimize the chance of discomfort.

What are the Juvederm post-injection cares?

After Juvederm® treatment, the experts say that it is best not to unnecessarily touch or massage the treated area for a few days. However, normal make-up and skin care routines can still be performed (maybe depending on your case). It is also advised to avoid unnecessary exposure to heat, cold, and sun for up to two weeks following the injections. It is important that the patient wears sunscreen and avoids the use of any products that contain alcohol on the face.

Most patients need one treatment to achieve optimal results, just in some cases (rarely) the patients may need a follow-up treatment to fill in any lines or wrinkles that were missed during the first treatment.

Which are the side effects and complications of Juvederm injection?

Juvederm injectable gel should not be used in patients who have severe allergies marked by a history of anaphylaxis or multiple severe allergies. Likewise, it should not be used in patients with a history of allergies to Gram-positive bacterial proteins. In the specific case of Juvederm Ultra XC and Juvederm Ultra Plus XC, they should not be used in patients with a history of allergies to lidocaine.

The most common Juvederm side effects are mild in nature and short-lived, usually resolving in 7 days or less. The side effects can range from redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, discoloration, and to a risk of infection.

Are Restylane injections results permanent?

Its effects are immediate and long-lasting. Because of its cross-linked composition and viscous gel consistency, Juvederm® integrates into the body at a markedly slower rate than other dermal fillers. Thus, the average patients enjoy the results for six to nine months, though some patients have had results lasting for as long as a year.
Some patients may wish to combine Juvederm® filler with BOTOX® Cosmetic for an even more dramatic effect.

Dr. Amjadi MD, DDS, FACS

Certified by the American Board of Plastic Surgeons

915 Gessner Rd #870

Houston, TX 77024

713-465-6198

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    Procedures

    Procedures

    PARS Plastic Surgery is located in Houston, Tx, and offers a wide range of different procedures. Whatever your personal goals or priorities might be, we have what it takes to provide you with professional, quality care.

    From a complete “mommy makeover” to non-surgical procedures, we are committed to helping you achieve results that completely change the way you approach life.

    Face

    Face

    We offer a number of different facial procedures. Facelifts can radically improve the look of your visage by boosting youthfulness and eliminating wrinkles. Botox is a convenient option that is quick and easy - with no surgery required. Lip augmentation is another popular service for adults of all ages.

    In addition, PARS Plastic Surgery can handle complex procedures such as rhinoplasties and eyelid surgeries.

    Body

    Body

    Improving your body-image has never been easier with a range of advanced cosmetic procedures. We offer tummy tuck procedures that can transform your confidence and your appearance. Our tummy tuck surgery is safe, reliable, and completely transformative. Liposuction is another excellent option for those who are pursuing better health with a lower weight.

    A butt augmentation procedure can also boost confidence levels, and we also offer a body lift procedure to keep everything looking tight and attractive.

    Breast

    Breast

    Here at PARS Plastic Surgery, we understand that your breasts are an important priority for your self-esteem and your overall feeling of well-being. Our breast augmentation procedures are safe, easy, and extremely realistic. We can also provide a breast lift to give you a new lease on life.

    Additionally, we understand that a breast reduction surgery may be necessary to alleviate back pain and help you achieve your ideal body-image.

    Inverted nipples can easily be corrected at our clinic, and we also offer breast lift services so you can feel a new sense of confidence.

    Buttocks

    Buttocks

    We also specialize in a range of procedures centered around the buttocks. Our butt augmentation surgery can help you achieve excellent results. Whether you’re trying to turn heads or achieve a sense of self-assuredness for your own satisfaction, we can help you reach your personal body goals. Some of our most popular services include the Brazilian buttlift.

    Fat grafting is another popular service these days that we can provide you with. We’ll help you shape your body in ways that help you achieve joy when you look in the mirror. No job is too demanding for our professional clinic. A buttock lift is another excellent option that can help you feel more youthful and attractive. Extending down through the leg, we can also provide you with a thigh lift treatment that can give your legs a newfound sense of tightness and slimming.

    Men

    Men

    Here at PARS Plastic Surgery, we understand that modern men are interested in a range of cosmetic procedures. We can help you deal with issues related to Gynecomastia by eliminating the fatty breast tissue you might have. We are also one of the most knowledgeable clinics when it comes to hair implants. If you’re dealing with hair loss, we can provide you with implants that can transform your image and re-establish your self-confidence.

    We also offer a range of facial products that can keep you looking younger for longer. At PARS Plastic surgery, we always stay up to date with the latest anti-aging technologies, treatments, and products. We can offer expert advice on how you can maintain your youthful visage. Finally, we can offer our male clients a range of botox treatments to help maintain and augment their appearance.

    Is Dr. Rojan Amjadi, M.D. qualified?

    Dr. Amjadi is board-certified by the American Board of Plastic Surgeons. He graduated with honors from the University of Texas, where he obtained his medical degree. Dr. Amjadi then trained in plastic surgery at the Texas Medical Center at the University of Texas. In addition to these qualifications, Dr. Rojan is also a member of the American Society of Plastic Surgeons, The American College of Surgeons, and many other organizations that represent plastic surgeons across the nation. Dr. Amjadi has been practicing since 1999. He is trained in the most modern, sophisticated surgical techniques in use today.

    Is the clinic properly sterilized?

    We adhere to very strict safety, sterilization, and infection control protocols at the PARS clinic. Our dedicated and diligent staff members will protect you at all times.

    Can anyone get cosmetic surgery?

    In order to maintain high safety standards, we ask that you complete a thorough medical exam before we begin your procedures. With this approach, we can make sure that you will be as safe as possible. We speak with you about your expectations and goals before assessing your medical history and determining the safest, most effective plan.

    What’s the difference between reconstructive and cosmetic surgery?

    The purpose of cosmetic surgery is to reshape the body to improve self-esteem and create a more ideal self-image. On the other hand, the purpose of reconstructive surgery is to address disfigurement, defects, and other abnormalities. These issues may arise after accidents, surgeries to remove tumors, and things of that nature. Another big difference between these two types of surgery is the fact that cosmetic surgery is rarely covered by health insurance, while reconstructive surgery is usually covered.

    What can I expect when I recover from my cosmetic surgery?

    Your recovery experience depends on a number of factors. First of all, the type of procedure you choose may impact your recovery. Some procedures are less extensive and invasive than others, and you will likely experience an easier recovery period as a result. In addition, different patients recover in different ways. Some may require more or less pain medication than others. Your surgeon can prescribe the correct pain medications to help you overcome any discomfort. The good news is that virtually all facial cosmetic procedures involve easy recovery periods.

    How does Botox work?

    Botox injections are designed to reduce or remove visible signs of aging. The most common targets are hyper-functional lines - commonly known as “wrinkles.” These lines result from the contraction of underlying facial musculature, and Botox is effective because it temporarily weakens these muscles and prevents them from contracting. Botox does this without affecting the sensory feeling in these muscles. Botox may take up to 7 days to take full effect, although some patients notice considerable results in as little as 24 hours.

    How do I choose the right size for my breast implants?

    Choosing the right size for your new breast implants is an important decision. The choice is obviously based heavily on your own personal desires and tastes. On the other hand, you also need to take into account a number of additional factors. You might need to consider things like whether you have breastfed heavily in the past, and how this has affected your breasts. Remember, you can also receive cosmetic surgery to make breasts smaller. You can even receive surgery to change the general shape of the breasts without necessarily changing their size.

    How long do I need to take off work?

    You may need to take some time off work after undergoing your cosmetic procedure. Your surgeon will speak with you and let you know how long you need to fully recuperate. In general, most patients should rest for at least a week after receiving cosmetic surgery (less invasive procedures like Botox shouldn’t require any time off work).

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