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              Holistic Health Care 

                      Dr. Cassandra Generlette M.D.                                                                                   Family Medicine Doctor  in St. Maarten







What is Juvederm®?

Juvederm® is an injectable, hyaluronic acid (the main chemical component of collagen) based gel used as a dermal filler to correct and smooth facial wrinkles and lines.  Juvederm® is offered in several varieties, depending on the thickness of the gel.  Juvederm® ULTRA is the least concentrated form and is used for injections into and around the lips, as well as for more shallow wrinkles that do not require large amounts of volume.

Juvederm® ULTRA PLUS is the more concentrated version, and is used especially for the nasolabial folds (a.k.a. “parentheses lines”) that radiate from the nose to around the mouth.  Juvederm® ULTRA PLUS is also used for deeper lower facial lines below the mouth (a.k.a. “marionette lines”).

Juvederm® is the ONLY hyaluronic, FDA-approved acid filler to last up to one year. Individual results may vary.


What to Expect During Your Visit

During your visit the area of correction is examined. An advantage to the Juvederm® procedure is that it enhances one’s appearance with a minimal amount of pain. Prior to administration of Juvederm®, a lidocaine cream is applied 30 minutes prior to the involved area to improve comfort during the treatment. 

Using a fine needle, Juvederm® is injected beneath the skin to a specific depth, where it binds with water and the naturally occurring hyaluronic acid in your body. Thereby increasing the volume in the skin and filling out age-related wrinkles and folds.

After the injection, the treated area may feel fuller than normal. This will subside in 3-4 days as you adjust to the results. During the first 24 hours, you should avoid sun or heat exposure. You should also refrain from rigorous exercise,  alcohol consumption or compression to the area as this can result in displacement of the product. If you experience any swelling, an ice pack will be applied after your treatment for a short period of time.

How long will the results last?

Although the results vary, most patients can expect the correction to last 6 to 12 months. Your body will slowly break down the hyaluronic acid and clear it away. 

Fillers

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Collagen, the foundational support of skin becomes thinner over time as the natural collagen deteriorates in response to sun exposure, smoking, and other environmental factors. In addition, fibroblasts the cells that produce collagen become less active. This loss of the structural supports in conjunction with muscle contraction causes the formation of static lines also known as wrinkles.

Dermal fillers were developed specifically to treat static lines by literally filling in for depleted natural collagen.  Fillers are composed of hyaluronic acid (HA), which is the main chemical component of collagen. Injecting HA into the dermal layer underneath and around wrinkles results in a natural-appearing smoothing and softening of these harsh lines.

Since HA is so chemically similar to collagen,  an allergic reaction is extremely rare.  In fact, HA integrates itself with your collagen very smoothly.  Due to its hydrophilic “water-loving” properties, HA attracts tissue fluid to its location resulting in a plumping effect that enhances the smoothing of lines.

Fillers cost much less than surgery, are minimally invasive, and have minimal risks.  

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