How does it work?
Dermal fillers such as Juvederm Ultra, and Juvederm Voluma are made of substances found naturally within the human body hyaluronic acid: natural components of skin). Dermal fillers are injected into the skin where they attract and hold water, giving a plumped appearance. Thus, depending on the volume injected, depth of injection, and technique applied, dermal fillers can be used to reverse volume loss in the apples of the cheeks which occurs due to aging, to reduce or eliminate lines and wrinkles, or to improve the appearance of scarring indentations. Dermal fillers are commonly used to replace volume in the apples of the cheeks, to mask under-eye bag/circles, and to soften or eliminate lines around the mouth, lips, and chin (such as so-called marionette lines, nasolabial folds, and smoker's lip lines).
Will there be any downtime?
You may resume normal activities immediately. Avoidance of vigorous exercise or laying flat is recommended for a few hours following treatment. Temporary redness, swelling, or bruising at the injection site may occur. Swelling is most prominent during the 24 hours following injection, and bruising, if it occurs, may take up to two weeks to resolve. Therefore, we do not recommend having dermal filler treatment in the week or two just prior to an important event (plan to visit us earlier in advance).
How long does dermal filler treatment last?
Results may vary depending upon an individual's metabolic rate and the type of dermal filler selected for injection. The effects of dermal filler will begin to fade as the body metabolizes the product, and facial features will gradually return to their former state (potentially better than before as some new collagen generation is possible as a result of injection). Generally speaking, Juvederm Voluma is injected deeper into the skin, is best for use in the apples of the cheeks as well as larger laugh-lines and frown-lines around the mouth (nasolabial folds and marionette lines), and lasts 20-24 months (Voluma). Generally speaking, Juvederm Ultra XC is injected more superficially, is best for laugh-lines, frown-lines, and to plump the lips. Juvederm Ultra XC generally lasts for 6-10 months. Juvederm Volbella is best used for lip lines and lasts 6-10 months. Most patients have best results with a mix of filler types to address various concerns. Maintenance treatments are necessary to keep the effect of dermal fillers for longer periods of time.
Does it hurt?
The only pain or discomfort is a pin-prick sensation from the needle injecting the dermal filler. We apply a topical anesthetic prior to treatment to minimize this discomfort, and the dermal filler themselves contain lidocaine anesthetic for enhanced comfort. There may also be mild tenderness of the injection sites lasting a day or two following treatment.
Will dermal filler make me look fake?
Dermal filler injection is a highly technique-sensitive treatment. You should not appear unnatural when you are treated by someone who is licensed, trained, and a medical expert in facial anatomy and dermal filler injection techniques. All dermal filler injections delivered at Dermatology Center of Owensboro are performed by a licensed medical physician, never a medical assistant, nurse, or aesthetician. It is important to talk to your doctor about the results you want from dermal filler treatment, and realistic expectations will be discussed.
How expensive is dermal filler?
Each patient differs in their degree of volume loss, depth of wrinkles, and desired results. Depending upon these factors, anywhere from 1-3 syringes of dermal filler product are needed for the desired results. Often, more than one type of filler is needed to address all of an individual patient's concerns. However, an estimated range for 2-3 syringes of two different filler types is $1,000-$1,500 (or up to $2,000 for three syringes). Be sure to like us on Facebook or call our office at (270) 663-1078 to be notified of any special pricing opportunities. Additionally, you may enroll in the Brilliant Distinctions program at for additional savings.
Click here for a before-and-after photo gallery of real patients treated with Juvederm Voluma, Juvederm Volbella, and Juvederm Ultra XC.