We’re the leader in cosmetic dermatology in Frederick, Maryland, and we’re proud to have physicians who provide natural-looking results with Juvederm®. We’ll make you look and feel great!

These procedures are performed by Board Certified Facial Plastic Surgeon Dr. Wyatt C. To , Physician Assistant Jessie Mallalieu , and Cosmetic Laser Nurse  Susan Young . Dr. To specializes in facial rejuvenation, and Jessie & Susan have more than a decade of specialized experience in administering injectables, or “fillers”, including Juvederm ® .

During a consultation, we’ll evaluate your problem areas and recommend how Juvederm ® will address your individual concerns. This FDA-approved filler is developed from material that is compatible with your own body, so the results are natural-looking and beautiful.

*Medicine is not an exact science and individual results may vary.

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How do I know Juvederm® is right for me?

At the time of your treatment, Dr. To, Jessie Mallalieu PA-C or Nurse Susan Young will choose the filler that best matches your individual needs.

Juvéderm® is the most popular choice for lip augmentations, nasolabial folds, and moderate creases.  The Juvéderm® portfolio includes Voluma® , Vollure® and Volbella® .

Radiesse® is a long-lasting filler and is ideal for deeper lines. The newest filler, Voluma® , is used for restoring volume lost in the cheek area. It’s a hyaluronic acid just like  Juvéderm® , and studies show it can last up to two years.

Where is Juvederm® used?

Common areas of filler application include the nasolabial fold (the groove between the upper lip and mouth and the cheek), the deep folds around the corner of the mouth and chin, brow frown lines as well as acne scars and other deep scars. Juvederm® may also be used in the lips to give them a fuller appearance and to smooth the fine lines in the lip area (“smoker’s lines”).

How long does Juvederm® last?

Filllers, like Juvederm®, are gradually broken down and absorbed by the body over 6-12 months. How long filler lasts also depends on its location of placement. For example, filler placed in the lips typically lasts a shorter duration due to the dynamic nature of the lips. Reapplication of filler prior to complete dissipation of the product has been shown to enhance the lasting effect.

Who is a candidate for Juvederm®?

Many patients stand to benefit from the use of fillers. Individuals who have wrinkles, lines and aging skin are great candidates for Juvederm®.

What is involved in the application of Juvederm®?

Juvederm® injection is a relatively simple, non-surgical technique using an ultra-fine needle. Juvederm® used at The Cosmetic & Skin Surgery Center can be injected on the same day as the consultation. The area to be augmented is cleaned after which topical or local anesthetic may be applied. An ultra-fine needle is then used to inject the filler in a precise fashion. Ice packs or cool compresses may be used to reduce discomfort and swelling.

What are the side effects of Juvederm® injection?

Temporary swelling and redness at the injection site are the most common side effects after the treatment. Bruising is less frequent. These side effects can be minimized by closely following instructions and by using cooling treatment as directed. Important social events should not be planned for several days immediately after injection due to the possibility of bruising.

What are some alternative treatments?

Skin resurfacing with laser, dermabrasion, chemical peel or ultrasound treatments may help decrease the appearance of fine wrinkles and depressions. Deep wrinkles of the face may be improved by aging face procedures such as facelift or forehead lift. Depressed scars may be surgically excised.

*Medicine is not an exact science and individual results may vary.

Juvederm® Instructions

Pre-Treatment Instructions

  • Avoid aspirin, aspirin-containing medications, NSAIDs and alcoholic beverages for one week prior to treatment as these can increase the risk of bleeding and bruising.
  • Avoid direct sun exposure for a week prior to treatment.
  • Please let your physician know if you have previously suffered from facial cold sores, as there is a risk that the needle punctures could contribute to a recurrence. Medications may be necessary to minimize the risk of recurrence.

Post-Treatment Instructions

  • Avoid aspirin, aspirin-containing medications, NSAIDs and alcoholic beverages for 24 hours after treatment.
  • Avoid touching the treated area for the first 6 hours. After that, the area may be gently washed with soap and water.
  • Refrain from strenuous exercise for 24 hours.
  • An ice or cold pack may be used to decrease the swelling during the first 24 hours.
  • Acetaminophen (Tylenol) may be used for discomfort.
  • Avoid direct sun exposure to the treated areas until initial redness and swelling have resolved.