Fillers & Injectables


Juvederm Ultra & Juvederm Ultra Plus

Juvederm Ultra and Juvederm Ultra Plus are fillers that we frequently use to smooth out facial lines, wrinkles, and acne scars. Fillers “fill" depressions and crevices on the skin surface, thus restoring it to it’s original, smooth state. A frequently asked question, is what is the difference between Juvederm and Restylane? The answer is that they are very similar, with similar effects. Dr. Loucas often likes the flow characteristics of Juvederm Ultra Plus over Perlane( the thicker hyaluronic acid fillers). Whereas, he favors the flow characteristics of Restylane of Juvederm Ultra (the thinner products).

Juvederm Ultra & Juvederm Ultra Plus are injected just beneath the skin’s surface, and produce an immediately visible difference in the appearance of your skin. Juvederm Ultra Plus is a thicker product used for deeper lines and depressions, whereas, Juvederm Ultra is used for finer lines. New studies have also shown that J uvederm Ultra & Juvederm Ultra Plus stimulate new collagen production by the skin, resulting in long lasting effects over time. Dr. Loucas has found that over several treatment sessions, patient will often require treatments less often and use smaller amounts of these products to maintain their results. He feels this is probably due to the individual’s own production of collagen.

The most commonly treated areas are:

  • Nasolabial folds (the area between the nose and mouth)
  • Lip enhancement and shaping
  • Lines around the mouth/eyes ( pucker lines and crow’s feet)
  • Marionette lines (lines between the lateral lip and chin)
  • Cheek and chin contouring and fine line correction
  • Acne scar correction
  • Infraorbital depression (lower eyelid depressions and creases)
  • Earlobe shaping and contouring

Periodic re-treatments are recommended to maintain the improvements achieved. Unlike the older fillers like collagen, Juvederm Ultra & Juvederm Ultra Plus require no skin tests and lasts much longer, on average 8-12 months. In addition, both products now contain a local anesthetic, making treatment sessions very comfortable. Dr. Loucas prides himself on making sure the patient is as comfortable as possible. He will often anesthetize the area before the treatment with a topical and/or injectable anesthetic. We often use ice before and after treatment, which helps to minimize the risk of bruising. If possible, people considering injectables should try and avoid aspirin, motrin, advil, and alcohol for one week before treatment to help minimize the risks of bruising. People often will return to their daily routines immediately after treatment.

Make an appointment for a free cosmetic consultation. Call Dr. Loucas, M.D., a board certified dermatologist at 212 988 4357 to see if Restylane, Perlane, or other cosmetic procedures are right for you.