Facial Fillers: Juvederm, Teosyal, Restylane

Facial fillers are used to plump up lips and cheeks, and  “fill in” or smooth problematic areas of the face, which appear wrinkled and tend to make a person look older than his or her actual years.  To achieve this, we use Hyaluronic acid – based injectable fillers, such as Juvederm, Teosyal, and Restylane are available to our patients.

This addition of volume in carefully selected areas creates a more youthful, revitalized appearance.

The Value of Finding an Experienced Injector

Injectables fillers are not make up. You can’t just wipe off a bad job.  That is why it matters who performs your treatment.

An experienced injector is a professional who has an excellent understanding of your facial anatomy, a keen eye for beauty, and a safety record you can trust.

Unlike designer knock-offs, there is no counterfeiting a skilled injector, and the cheap stuff is immediately obvious.  Nobody wants a ‘done’ face.

The key to natural-looking results is getting good work done by an experienced injector. The goal is a natural looking face without wrinkles – just enough to make people wonder.

If you look like you’ve been stung by a bee, you’ve gone too far.

The key to a safe result is an expert knowledge of the facial anatomy.  Lack of understanding can potentially lead to a disaster.  And nobody wants a serious medical complication

All injectables treatments at the Toronto Cosmetic Surgery Institute are performed by Dr. Jugenburg or one of his highly skilled injectable nurses. All patients meet with Dr. Jugenburg prior to their first treatment for an assessment.

How to Get Started

Prior to any injectable treatment, ALL patients at the Toronto Cosmetic Surgery Institute and the Skinjectable Cosmetic Clinic must be seen and assessed by Dr. Jugenburg.  Once cleared, you will meet with one of our highly trained injectable nurses who will recommend a personalized treatment plan and answer any questions you may have.

Although we welcome walk-ins, we recommend that you schedule an appointment ahead of time to make sure you do not have to wait long for your treatment.  To schedule an appointment, or to simply ask any questions, please contact us via the online contact form.

What Happens During a Consultation?

The process begins with an initial assessment with Dr. Jugenburg. You will have an opportunity to discuss your goals and expectations about the injection procedure with the doctor, and ask any relevant questions you may have.

During your initial consultation, Dr. Jugenburg will:

1. Review your medical history and any medications you are taking
2. Discuss the procedure and any related procedures
3. Provide recommendations based on your needs and goals

Once you have been assessed by Dr. Jugenburg, our injection nurses Glenda or Marina will take the time to go over everything with you, explain the procedure and the products we use, and answer any questions that you may have.

Is There a Fee for a Filler Consultation?

Our injectable consultations take place with our nurses (after the initial assessment with Dr. Jugenburg) and as such there is no consultation fee.

What Type of Fillers Do We Use?

We used Hyaluronic acid – based fillers, which is a natural substance found in the human skin. It has the ability to attract and bond to water molecules, which helps the skin maintain volume. It helps keep the skin firm, and plays an important role in the shape of your features and the lubrication of your joints. Dr. Jugenburg uses it to add volume to lips and cheeks, and to fill in deep wrinkles or to contour a face in a non-surgical manner. Hyaluronic acid has been used successfully to smooth out wrinkles for more than 10 years.

Often, products like Juvederm are used to work in tandem with Botox to smooth out facial wrinkles when Botox alone won’t produce the desired results. Hyaluronic acid works well in cosmetic surgery applications because it can absorb up to 1,000 times its own weight in water, adding substantial volume to the surface of sagging skin. This helps older faces appear more youthful, because hyaluronic acid also binds with collagen – the material that supports human facial skin.

What is Juvederm Used to Treat?

Juvederm injections provide anywhere from 9 months to one year of correction for moderate to severe facial wrinkles. It is used for:

• Smile lines  – the lines that run from the side of your nose down to the corners of your upper lip
• Cheeks  – this includes addressing wrinkles as well as restoring facial volume that was lost due to aging or weight loss
• Chin – used to re-contour the chin and adding definition and firmness
• Lips – used to replenish the volume lost due to aging, or to create full-looking lips
• “Marionette Lines” – used to treat the vertical lines and wrinkles below the corners of the mouth
• Crow’s Feet  – used to treat the wrinkles and lines found in the corner of the yes due to aging, sun exposure, smoking and facial expressions
• Frown Lines  – used to treat the lines between the eyebrows that are a result of repeated muscle contractions

Juvederm is designed to address the signs of aging, often referred to as the “3 D’s of aging. These include:

• Deterioration: resulting in fine lines, wrinkles and changes in skin texture
• Descent: resulting in droopy or sagging skin
• Deflation: resulting in loss of full features or volume

All of these treatment areas are non-surgical, but the results are not permanent. If you are looking for a permanent solution, Dr. Jugenburg can discuss different options, including a brow lift, blepharoplasty and other procedures during your consultation.

Lower eyelid bag correction using a filler

Lip augmentation using fillers

Non-surgical rhinoplasty using a filler – a 10 minute procedure with no down time

non-surgical Correction of jowls using fillers

What You Can Expect With Juvederm Injections

Juvederm injections add volume to plump up your facial fillers and fill in any wrinkles or depressed areas.  Our fillers come with freezing, so once injected, the area goes numb for about an hour.  The treatment is done without the need for any freezing or sedation.  Our very fine needles, and expert injection technique mean that your experience will be simple and painless.  In case of lip injections, we offer a numbing cream as well, for patients that request it.

The injection treatment itself takes only minutes.  Following the treatment, you will experience some swelling.  However, this is very minimal.  You might see and feel the swelling, but others won’t be any wiser.  You will be able to leave our facility without any signs that you had anything done.  That is the hallmark of a great injection.  Making others compliment you on your good genes!

Before You Start

No formal preparation is needed for Juvederm injections, but it is often recommended that you avoid any medications that prolong bleeding, including aspirin and non-steroidal anti-inflammatory drugs (NSAIDs). You will also be required to quit smoking at least 2 weeks prior to the Juvederm injections in order to help ensure a quality outcome.

Treatment

Before injecting Juvederm, Dr. Jugenburg may use a topical or injectable anesthetic to numb the treatment area. Some of the new Juvederm products, like Juvederm XC (for “extra comfort”) contain lidocaine, which makes a separate anesthetic unnecessary. The procedure involves injecting Juvederm under your skin using a very fine needle. This is done to restore volume and smooth fine lines, wrinkles and folds. Once the injections are completed, the area is gently massaged. The whole process is fast and easy, generally lasting anywhere from 15-60 minutes, depending on the amount of area to be treated.

After Treatment

One of the top benefits of Juvederm injections is the minimal amount of downtime involved after your injections. For the first 24 hours, you should avoid any strenuous exercise or activity, excessive sun and exposure to heat. You should also avoid consuming alcoholic beverages during the first 24-hour period. This helps minimize any injection related reactions, including redness, pain, itching and swelling. Most patients experience no reactions or have only mild discomfort, which clears up in 7 days or less. Placing an ice pack on the injection site if you have swelling can help

Facial Blood Vessels

The face is a delicate anatomic structure.  Understanding the underlying vascular anatomy is essential for safety.  Unintended injection into a blood vessel can lead to serious complications such as pain, swelling, and in rare cases, blindness.  It is for this reason you only trust your face to a real expert.