Juvederm Volbella: application and effectiveness

Juvederm HYDRATE

This is a biorevitalizant solution that is used to increase skin hydration and elasticity. This result is achieved after repeated injection of the drug into the area of ​​the surface layer of the dermis and dermo-epidermal zone. Due to the considerable molecular weight of hyaluronic acid in the preparation (2.5x10 Dalton), the substance can remain in the skin for a long time, which means that the effectiveness of the effect will be higher. This Juvederm contains 13.5 mg of hyaluronic acid gel, which is 1000 times more than what is found in the epidermis, and 200 times more than what is present in the dermis layer. The drug also contains mannitol 9 mg, which helps hyaluronic acid remain in tissues longer. Mannitol actively acts against free radicals, especially hydroxyl radicals - OH, inactivating them. The drug is available in a 1 ml syringe.

All preparations of the Juvederm group include a phosphate buffer pH 7.2 to a final weight of 1 g, and this, in combination with osmolarity data, guarantees comfort of use, safety and excellent compatibility with body tissues.

How is filler injected?

Filler with hyaluronic acid is injected deep into the skin using a special syringe with a thin needle. This helps to avoid the formation of edema and hematomas after injections. The entire procedure can take a total of 10-40 minutes.

The cosmetologist must first test for an allergic reaction to the components of Juvederm Volbella. If there is an allergic reaction or possible contraindications, administering the gel is strictly prohibited. It is always recommended to adhere to the correct technique and location of filler injection into the lips or skin area near the eye.

First you need to cleanse your face of cosmetics. The specialist treats the skin at the site of needle insertion with a disinfectant and injects the drug into the lips or skin around the eyes. At this time, a slight tingling or mild pain may be felt at the site of filler penetration. Then, for better distribution of the product, a light mass is performed, which will help distribute the gel evenly and prevent swelling.

At the end of the session, the skin is also re-treated, and the next procedure can be done no earlier than in a few months. Such precautions are necessary to ensure that the filler has time to distribute under the skin and redness and other side effects disappear.

In the first days after the injection, it is prohibited to visit the sauna, bathhouse, swimming pool, solarium or be in direct sunlight. Before going outside, be sure to apply cream to your skin that protects against ultraviolet rays. You cannot massage your face, use a scrub or exfoliate.

The course of injections is prescribed for each client individually and depends on the condition of the skin, the desired effect and other indicators. A cosmetology salon must have a license to operate, and cosmetologists must gain sufficient experience in this field.

Contraindications to the use of Juvederm:

It is prohibited to inject the Juvederm group drug under the skin of the eyelids. Juvederm should only be injected into the area of ​​dark circles under the eyes (nasolacrimal area) by a specialist who has been trained in the use of these drugs and has sufficient knowledge of facial anatomy.

The drug should not be injected into blood vessels, as this can lead to the development of thrombosis. It is not recommended to perform massive correction of the entire face with Juvederm preparations, using more than 6 ml at a time.

The use of Juvederm group drugs is not permissible for people with epilepsy that cannot be treated; It is prohibited to administer the drug to people prone to the formation of post-injection scars, as well as to patients with high sensitivity to the components of this filler.

If the patient has an allergic reaction to lidocaine or other painkillers containing it, then the administration of Juvederm is prohibited. The drug should not be used by patients with porphyria, and Juvederm should not be administered to pregnant women, nursing mothers and children.

Do not inject the substance into inflamed areas of the skin affected by acne or herpes. Do not use the drug on skin that has damage in the form of scratches or cracks. Do not use Juvederm in conjunction with medium-length chemical peels, laser therapy, or dermabrasion of the facial skin.

Precautions when administering Juvederm:

- it is necessary to carefully observe the correct administration of the drug, depending on each specific case and the chosen category of filler - intradermally or above the periosteum, etc.;

— it is necessary to remember that any injection can be complicated by an infectious process, regardless of the group of the drug administered;

— it is not recommended to administer the drug to people with permanent implants in the area of ​​the intended procedure, as well as in the absence of a history of data on the tolerability of the drug components;

- do not administer this substance if the patient has a history of autoimmune diseases in the past or present;

- the doctor, regardless of the specific case, must carefully monitor the patient after administering the drug due to the risk of developing inflammatory reactions and side effects; - do not administer the drug to those people who have had allergic reactions to injected medications in the past, with the development of anaphylactic shock. In each case, the doctor decides whether to perform this procedure on patients with a history of allergies, and if he does, he carefully monitors the patient after the end of Juvederm administration;

— patients who often suffer from sore throats and have streptococci in their bodies need to conduct a double diagnostic test with the drug before the procedure. If the client has a history of rheumatism or heart defects, then the procedure must be abandoned so as not to provoke the development of side effects;

- if the patient is taking anticoagulants, then he should be warned about the danger of bruising or bleeding after the administration of Juvederm. In addition, all patients are not recommended to take large amounts of vitamin C and acetylsalicylic acid a week before the scheduled procedure;

— it is not recommended to use Juvederm in parallel with drugs that inhibit and block metabolic processes in the liver (simethidine, beta blockers and others);

- Juvederm is administered with extreme caution to patients with cardiac muscle conduction disorders;

— the patient is not recommended to apply makeup within 12 hours after the procedure, or to stay in the sun, cold, or solarium for a long time. You cannot visit the bathhouse or sauna for 2 weeks after administration of the drug;

- if at the time of drug administration the injection needle is blocked, then there is no need to apply strong pressure on the syringe plunger. In this case, the procedure must be interrupted and the needle replaced with a new one;

— if the client is a person involved in sports, then it is necessary to warn him that the drug has an active principle that is likely to cause a positive test result during doping control;

— the surgeon must remember that the drug contains lidocaine hydrochloride, and take this data into account when administering Juvederm to people with allergies and individual intolerances;

— the composition of the drug guarantees its compatibility with magnetic fields that are used during magnetic resonance diagnostics;

Juvederm VOLUMA with Lidocaine (Juvederm Voluma with lidocaine)

PROVIDER:

A410 (https://www.a410.ru)

COUNTRY OF ORIGIN:

USA
COMPOSITION
Stabilized HA 20 mg/ml (0.3% lidocaine)

INDICATIONS

Volumetric facial correction

CONTRAINDICATIONS

1. Juvederm ® VOLUMA™ should not be injected into the eye area (directly around the eye or into the eyelid).
2. Juvederm ® VOLUMA™ cannot be used during pregnancy and lactation.
3. Juvederm ® VOLUMA™ is for intradermal use only. It should not be injected into blood vessels. This can lead to blockage of the vessel and cause an embolism.
4. Patients with a tendency to develop hypertrophic scars should not use Juvederm ® VOLUMA™.
5. Juvederm ® VOLUMA™ should not be used in patients with a history of streptococcal infection.
6. Never use Juvederm ® VOLUMA™ in combination with laser treatments, intense pulsed radiation, chemical peels or dermabrasion.
7. Persons under 18 years of age should not use Juvederm ® VOLUMA™.
8. Patients with acne and/or other inflammatory skin diseases should not use Juvederm ® VOLUMA™.
9. Patients with unattainable expectations of treatment results.
10. Patients with multiple allergic reactions.
11. Patients with acute or chronic skin diseases in or near the intended injection area.
12. Patients with bleeding disorders or receiving anticoagulation therapy.
13. Patients with hypersensitivity to hyaluronic acid.
14. If the post-injection inflammatory reaction persists for more than a week, the patient should definitely contact his doctor to receive appropriate treatment (for example, corticosteroid drugs or antibiotics). All other adverse reactions should be reported to your authorized Allergan product representative and/or Allergan.

MODE OF APPLICATION

• Juvederm ® VOLUMA™ may only be used by appropriately qualified physicians and trained in appropriate techniques for the correction of facial wrinkles, or other professionals under their direct supervision.
• Before administering the drug, the patient must be informed about the indications for the use of this equipment, as well as about contraindications and possible side effects.
• The area where the drug is administered must be thoroughly disinfected. Make sure the procedure is performed under sterile conditions.
• Juvederm ® VOLUMA™ and the needles supplied with it are intended for single use. Do not reuse them. Repeated use poses a risk of infection or the spread of blood-borne diseases.
• The drug should be at room temperature for 30 minutes before injection.
• The depth of the injection is determined by the doctor performing the procedure and depends on the severity of wrinkles/depression and the degree of intended correction.
• If the skin turns white (pale), the injection should be stopped immediately. The skin in the injection area should be massaged until its natural color returns.
• Before injection, you need to press the plunger of the syringe until a small drop appears at the end of the needle.

PRECAUTIONARY MEASURES

• Juvederm ® VOLUMA™ should not be injected into an area containing another filler as there is currently no clinical evidence of possible reactions in this case.
• Juvederm ® VOLUMA™ should not be injected into an area containing permanent filler or implant.
• Hyaluronic acid derivatives are known to be incompatible with quaternary ammonium salts such as benzalkonium chloride. Ensure that Juvederm ® VOLUMA™ does not come into contact with this substance or any instrument that has come into contact with it.
• Juvederm ® VOLUMA™ should not be used for breast augmentation or injected into bones, tendons, ligaments or muscles.
• The injection area should not be touched for 12 hours after administration of the drug, and it should also be protected from prolonged exposure to sunlight, ultraviolet radiation, and too low or high temperatures.
• Until the initial swelling and redness has passed, do not expose the injection area to very hot temperatures (for example, in a tanning bed or sunbathing) or to very cold temperatures.
• If you have previously had herpetic rashes on your face, there is a risk of repeated rashes at the site of needle pricks.
• Taking aspirin, non-steroidal anti-inflammatory drugs, vitamin E St. John's Wort or other similar medications before the procedure may increase the risk of hematoma or bleeding at the injection site.

DURATION OF ACTION
Up to 18 months

INTERACTION WITH OTHER DRUGS

Avoid administering GC drugs while taking antibiotics until the end of the latter's half-life. When used with other GC drugs, wait until the previous drugs are completely degraded.

RELEASE FORM

2 syringes of 1 ml

MANUFACTURER

Allergan®

STORAGE CONDITIONS

The expiration date is indicated on each individual package. Store at a temperature of 2°-25° C, avoid direct sunlight and freezing.

Registration Certificate Number: No. FSZ 2012/13571

How Juvederm interacts with other drugs:

Hyaluronic acid is absolutely incompatible with quaternary ammonium salts (for example, benzalkonium chloride). This must be remembered and Juvederm group preparations must not be allowed to come into contact with these substances, as well as with medical instruments treated with them. There are currently no known incompatibilities with other anesthetics.

Side effects:

Each patient should be informed about the risk of side effects from the procedure, which can occur both immediately after administration and after some time. Here are just a few of them: - development of swelling, itching, redness at the injection site after administration of the drug. These phenomena can persist for up to 7 days; - bleeding at the injection sites; — seals and nodules at puncture sites; — poorly expressed effect after the procedure, or insufficient introduction of the substance into the skin; — given that there have been cases of skin necrosis over the bridge of the nose, the development of abscesses at the sites of drug administration, and allergic reactions, the danger of developing these complications must be taken into account and the necessary precautions must be taken; - the patient must immediately notify the doctor of the occurrence of any side effects from the procedure (swelling that lasts more than 7 days, redness, itching, etc.), and the doctor must provide the client with the necessary treatment; — about all other negative manifestations after the administration of injections of the Juvederm group, it is necessary to inform the manufacturer of this drug.

Method of administration and dosage of the drug:

Preparations of the Juvederm group should only be administered by a doctor who has received special education and has been trained to work with these substances. Before the procedure, the patient must be informed about possible side effects and complications, as well as the incompatibility of Juvederm with certain substances. Before administering the drug, the skin at the injection site must be thoroughly disinfected and checked to ensure that the Juvederm packaging is intact, which guarantees the sterility of the substance. Juvederm is injected into the skin slowly, and the amount injected depends on the problems of the individual patient. After completing the injection of Juvederm, the injection site must be thoroughly massaged so that the drug is evenly distributed.

Side effects and contraindications

Before performing contouring using Juvederm Voluma, the cosmetologist must make sure that the patient has no contraindications to the procedure. It is mandatory to test for the absence of allergic reactions; they develop extremely rarely and may be the result of individual intolerance to the components of the drug. Other contraindications to the use of Juvederm Voluma include:

• The patient has recently undergone chemical or laser peeling, dermabrasion;
• Autoimmune diseases;
• ARVI and other colds in the acute stage;
• Taking anticoagulants, which thin the blood and reduce its clotting;
• Inflammation and rashes on the skin at the injection site;
• Allergy to lidocaine;
• Tendency to form keloid scars;
• Taking drugs that block metabolic processes in the liver.

It is prohibited to inject filler to correct areas where permanent implants are installed. The procedure is contraindicated during pregnancy and lactation. Filler injections are not recommended for people under 18 years of age.

Side effects after non-surgical contouring are extremely rare. Swelling, redness, or bruising may occur at the injection site. Sometimes a burning sensation is felt or itching occurs. Such symptoms will disappear on their own in 3-7 days.

In the first 3 hours after the procedure, a decrease in the activity of facial muscles may be observed. But this feeling lasts very little, and after the specified time, everything immediately returns to normal.

Juvederm Voluma or Hydrate contour plastic surgery in Moscow is performed by professional cosmetologists at the Absolut Med Aesthetic Medicine Clinic. You can make an appointment for a preliminary consultation and examination by calling. We guarantee a high level of service, the effectiveness of cosmetic procedures and competitive prices for services.

Juvederm: reviews

Reviews from the Juvederm line of drugs number in the thousands - for quite a long time of its use on the hyaluronic filler market, a large number of patients received its injections for the first time and repeatedly. Juvederm is one of the drugs widely used throughout the world, the production rights to which were recently purchased by the American company Allergan - the one that produces Botox, which speaks for itself. The updated line of the series makes any task more solvable. If you do not want to take risks and you need a reliable drug with an excellent reputation, Juvederm is your choice!

Possible negative consequences of the injection

Juvederm Volift is considered an effective remedy with a minimum of side effects, but it is practically impossible to avoid them completely. Thus, the introduction of the product may lead to the formation of local bruises, redness, swelling (they are less pronounced than in other correctors due to the presence of lidocaine in the product) and nodules. Among other things, in rare cases the following may occur:

• allergic reaction;
• increased (or, conversely, weakened) sensitivity of the epidermis in the injection area;
• skin hyperemia;
• minor pain and itching.

One of the consequences of injections is an allergic reaction.

Side effects may appear almost immediately or several hours after completion of the procedure. They usually resolve without any intervention within 5–7 days. If after the specified period the negative consequences still make themselves felt, be sure to seek advice from a specialist.

Two weeks after the filler is injected, the patient is re-examined. If the result does not satisfy the expectation, additional manipulations may be carried out until the desired effect is achieved. In most cases, reviews indicate that one procedure is quite enough.

Composition and benefits

Juvederm Ultra 2, also known as Juvederm Ultra XC, is one of the safest and most popular fillers among cosmetic surgeons, dermatologists and their patients. It is used to treat fine lines and wrinkles on the face, around the mouth and nose, as well as marionette lines, smile lines, nasolabial folds and vertical lip lines.

The filler contains hyaluronic acid, made using patented HYALACROSS technology, which deeply nourishes and moisturizes the skin. This is a natural component that is part of the human body. HA is naturally broken down in the body through metabolism and then replenished on its own. But as we age, our metabolism slows down and the process of its restoration takes much longer, which leads to loss of moisture and a decrease in volume. In addition, the drug contains the anesthetic lidocaine, which reduces pain and discomfort during drug administration.