Juvederm Ultra Injection to NasoLabial Folds (laugh lines)
July 16th, 2010 | 
Author:
Board Certified Facial Plastic Surgeon, Dr. Naderi, discusses options for reducing smile lines / laugh lines (nasolabial folds) and marionette lines. Surgical options such as midface lift, fat injection and subcision are discussed as well as filler injections such as Juvederm, Restylane, Perlane, Radiesse, Artefill, Evolence. Juvederm Ultra injection technique is demonstrated in Herndon, Virginia.
Posted in Video เกี่ยวกับงานฉีดพลาสติก | 
Tags: Folds, injection, Juvederm, laugh, lines, NasoLabial, Ultra
@tllktc
Thank you. I have seen patients who had questionable fillers by other doctors from outside of the United States who ended up with serious infections and scarring. As long as a relatively safe filler is used by an experienced doctor then the risks are minimal – not zero but close to it. For example, the risk of allergic reaction to Restylane is anywhere from 1 in 3000 to 1 in 10000. The actual filler and the technique are important.
I am really impressed by your prompt reply and most of all your injection technique!
I also understand you have done thousands of injections to obtain your level of competency and experience.Have you come across any severe allergic skin reaction that leads to scarring? Is it frequent? Is it fast ? I mean does it come with rashes first or delayed?
It is still a major concern for patient who is thinking of undergoing fillers injection.
I know even lotion can leads to scarring if allergic set in
@tllktc
No allergy testing is necessary with the FDA approved products I use: Perlane, Juvederm, Restylane or Radiesse. Typically I do 1-2cc on the first injection and 1-2cc injections subsequently. Some patients only need 1cc and others need 4-6cc. Just depends on the patient. Most of the products have lidocaine in them and pain is very minimal.
How many cc for the 1st , 2nd and 3rd injections?
Do you give local?
Do you do skin allergic test?
@itfelldown
Good question. Actually the injections stimulate your own collagen production so theoretically the area should look slightly more filled in that if you had never gotten an injection. But, at the same time, theoretically you will have aged so the lines may be deeper regardless. But the injections wont make the lines deeper if you stop. The “stiff, cant smile” look is a matter of volume and injection technique and should not occur in good hands.
I’m curious, after the effects of the injections wear off do the lines then look deeper because they had been filled in? In other words, does the filler (once gone) end up making deeper lines? Also, do you get the stiff “can’t smile” look with this filler?
Thanks
@td241
Thank you. The reason laugh lines form is trifold: Loss of skin elasticity, continual “folding” of the area by movement or pressure (laughing or sleeping on your face), as well as descent of the cheek pads. Juvederm and Restylane can help. The injection technique is VERY important. Bad injection can make the lines worse. There are various techniques for different types of lines.
This is one of the better videos on Juvederm I’ve seen. I’m just starting to get some laugh lines and really don’t think that they suit me at all. Also, on my right side, there is one very, very deep wrinkle that I have hated. When i was in my teens, it would come and go. Now it’s there and won’t go away.
Would Juvederm also fill out a small, very deep wrinkle that runs with my laugh lines? Also, does Juvederm (if used consistently) prevent more severe laugh lines from forming? Thank you.
@TheMinnesotaMom
Typically it lasts 6 months or so. Most patients do this twice a year. Juvederm now comes in a mixture with Lidocaine (numbing solution) so its not that bad at all. Gentleness of injection technique is also important.
How long does Juvederm typically last? How much does it hurt to receive injections into the nasolabial folds?
@beatrizemo
For skincare we start our patients on medical grade cosmeceuticals like Obagi, SkinMedica, NeoCutis or Image products. Retin-A is often a part of it. Microdermabrasion and light chemical peels help with skin texture, tone, color and pores.
We also start people on Botox or Dysport in their 20’s-30’s to PREVENT getting lines and wrinkles.
I am 30 and my skin is pretty much like your model’s. I was debating whether to go with radiesse or juvederm. After seeing your video I will go with juvederm. It looks like you only used 1 syringe, does your model also have botox and lip augmentation? what does she do about large pores?
We all look at ourselves and pick out things we don’t like…and if you need it go for it…fined a well known,educated ..doctor and those who do,nothing wrong with it!!!!! I do it and the best thing ever….its worth every penny…i have friends who disagree and i am doing it for me…NO ONE ELSE..
@maccyao I agree
Maybe so but what I think is “crazier” is how people use the internet to criticize others. There is nothing wrong with self improvement – internally and externally. As long as patients choose relatively safe procedures and do not over do it, there is nothing wrong with trying to look your best. Medicine has advanced greatly in the last 50 years. We prolong life with medications and surgeries. No reason not to slow down the appearance of aging – as long as its done safely and conservatively!
with a face like hers why the hell did she feel the need to go through that??? People these days are crazy.. we r all goin to look old at some stage trying to avoid it is like shovelling snow when it’s still snowing!
Hi doctor, I am 28 yrs and I am an Asian, though people say my face look 10 yrs younger (seriously, I dont have wrinkles or laughlines), yet I really wanna do a prevention, can I receive this kind of treatment?? Thank you! (please check my face picture by clicking my youtube id)
She is on an aggressive skin care and anti-aging regimen and gets in-office chemical peels and microdermabrasion regularly to maintain her good skin.
Her skin already looks nice–it doesn’t look prematurely wrinkled at all!
Terribly sorry you had to endure the annoyance! Will try much harder next time and get a professional camera crew! lol
The camera audio is terribly annoying and unprofessional. Had to mute in order to view.
Thanks 😉
Cost range is $600-850 per syringe. Most people do 1-3 syringes. It should last 4-18 months but it depends on you and the filler. As long as you want the results then you have to keep doing it but its also OK if you do it only once for a special occasion or something.
Thanks for posting. How much does this cost? How long does it last for? Do you look worse if you no longer use it, as in is this supposed to be a lifetime commitment or is one time okay? I have heard a lot of good things about you from my model friends by the way!! Please answer all 3 questions.
Love the video.
I have severe sun damage that caused stretch marks on parts of my body such as biceps when I was still a teenager. Now my skin develops red lines where wrinkles are forming on a weekly basis. I’m very troubled by it and its very unnerving to feel my skin tear.