Juvaderm Or Juviderm Use in Filling Nasolabial Folds
One of the major uses of Juvaderm is in the filling of nasolabial folds. Nasolabial folds are the deep folds that run between the sides of the nose to the corners of the mouth, and in older people are continued onward as mannequin lines. These natural folds which in the young are shallow linear depressions, with aging and gravity become deeper and more pronounced as the skin loses its volume and turgidity and supporting dermis and gravity drags the cheek pad downward toward the ground. The deepening of these folds makes a person look very much older. It is thus imperative that a person who wants to look young do something to her nasolabial folds as soon as possible.
Nasolabial folds can be treated with the injection of face fillers, one of which is Juvaderm, also commonly misspelt as Juviderm. Juvaderm or Juviderm is a cross-linked hyaluronic acid filler in an injectable gel form. Hyaluronic acid is a natural component of the dermis of the skin, and its injection into the skin will allow the skin to regain its volume and turgidity as well as allow absorption of water. The nasolabial fold thus becomes shallower and less obvious. The cross-linkage of the hyaluronic acid in Juvaderm allows the substance to last up to one year before being absorbed into the body. Thus the correction of the nasolabial fold achieved will remain for about 1 year.
The procedure is simple. At the initial consultation, the patient’s face is assessed to see the extent of the fold, and to assess how much Juvaderm is needed. General health is assessed to ensure the patient can tolerate the injection, and that there will be no complications due to the injection such as excessive bleeding in persons with bleeding disorders. The procedure is usually done under local anesthetic.
One hour before the procedure, liberal amounts of local anesthetic gel are applied to the nasolabial fold, and an occlusive plastic wrap is applied to the gel to aid local skin absorption of the anesthetic gel. Some doctors prefer to give a local anesthetic injection to the nerve supply of the cheek (the infraorbital nerve) through the mucosa of the mouth to ensure better anesthesia.
When sufficient anesthesia has been obtained, the patient is placed either in a sitting or semi-reclining position. The area is cleaned with spirit, and the syringe of Juvaderm gel is fitted with usually a 27G 1/2inch needle. The contents of the syringe are emptied in multiple unbroken lines extending all the way from the hollow next to the nostril to the corners of the mouth. After this the needle is withdrawn, and the injected gel massaged and pressed to ensure esthetically pleasing results. This injection is usually bloodless and the patient is seen again in 1 week for reassessment and top-up of Juvaderm, if necessary.
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