For a Full, Vibrant You
Wrinkles, lines, and thin cheeks or lips can be a thing of the past thanks to the Juvederm line of dermal fillers. At Total Dermatology we use minimally invasive treatments like Juvederm so you can look as young, vibrant, and healthy as you feel. We strive to deliver the best Juvederm Irvine has to offer.
Swipe To Next
The Juvederm line of dermal fillers, first approved by the FDA in 2006, has become the most popular of the hyaluronic gels with our patients. Its soft feel and natural appearance, as well as its ease of use for lip augmentation, makes it Dr. Pilest’s favorite as well.
Juvederm is formulated with lidocaine to minimize any injection discomfort. Patients voted a huge YES to the preference of lidocaine-enhanced fillers. Juvederm XC = Extra Comfort, and with Dr. Pilest’s use of round-tipped microcannulas, the procedure is even more comfortable.
A special advantage of Juvederm wrinkle filler is six levels of product formulation which improve deep folds and lines, moderate wrinkling, and the fine lines found around the lips and eyes.
The product formulations include:
Juvederm Ultra, a highly cross-linked formulation for more versatility in contouring and volumizing facial wrinkles and folds.
Juvederm Ultra Plus, a more highly cross-linked robust formulation for volumizing and correction of deeper folds and wrinkles.
Juvederm Voluma, for volume in the cheek area that lasts up to 24 months.
Juvederm Vollure, chase away marionette and laugh lines for up to 18 months.
Juvederm Volbella, for lip lines and soft lip augmentation.
Juvederm Volux, FDA-approved to restore moderate to severe volume loss in the jawline, improving definition of the chin and jaw and contouring the jowls and neck.
Juvederm dermal filler was developed using a proprietary, technologically advanced manufacturing process that results in a malleable smooth gel. This malleability allows easy flow into the skin, creating a smooth, natural look and feel. At Total Dermatology we strive to deliver the best Juvederm Orange County has to offer.
Juvederm dermal filler offers a high level of control for individualized, tailored facial contouring and for achieving a smooth and natural look.
Juvederm is most commonly used to smooth lines and restore volume in the face, but it’s not just for one area. Depending on the formula, it can help in several spots:
Each area gets a slightly different version of Juvederm to make sure it blends in naturally with your features.
Juvederm isn’t just about adding volume—it’s a flexible option for anyone looking to smooth lines, enhance shape, or refresh their overall appearance. Whether you're noticing deeper folds or just want a little boost in certain areas, Juvederm is an excellent treatment option for:
Dr. Pilest uses different types of Juvederm based on your specific goals—each one is designed to work with the unique structure of that area, so your results look natural and feel like you.
Juvederm is a good choice for people who want to smooth out lines, bring back volume, or add subtle shape, without surgery or a long recovery. You might be a good fit if:
During your consultation, Dr. Pilest will discuss everything with you—your goals, the areas you want to treat, and whether Juvederm makes sense for you.
The treatment is quick, simple, and done right here in our office. Most people are surprised by how easy it is.
We’ll start by cleaning the area and applying a numbing cream if needed. Juvederm has a little lidocaine (a mild anesthetic) built in, so the actual injections are usually pretty comfortable.
Dr. Pilest uses a very fine needle and a steady, experienced hand to place the filler exactly where it needs to go. The whole process usually takes about 15 to 30 minutes, depending on what we’re treating.
You’ll be able to head out and get back to your day right after—no need to take time off.
One of the best things about Juvederm? You see results right away. Most people leave their appointment already noticing smoother skin, fuller features, or better facial balance, depending on the area treated. There may be a bit of swelling or tenderness at first, but things usually settle within a week or two. Once everything calms down, you’ll have a clearer look at your final result.
How long those results last depends on where it’s used and the specific type of Juvederm:
At 24 weeks, 96 percent of nasolabial folds treated with Juvederm had maintained clinically significant correction, and 81 percent maintained the correction for one year or more. Results were similar for those subjects with follow-up through 48 weeks after repeated treatment. The median volume required for repeated treatment with Juvederm was significantly less than for initial treatment (0.7 ml versus 1.6 ml). Article from Jan 2008 American Society of Plastic Surgeons Journal
There’s not much to it. Most people go right back to their day after getting Juvederm.
You might have a little swelling, tenderness, or bruising at the injection sites, but it’s usually mild and goes away within a few days.
Here are a few quick tips to help everything heal nicely:
We’ll walk you through everything before you leave the office.
Juvederm treatments are customized based on what you want to treat, how much product you’ll need, and if you’re combining it with anything else. We’ll give you a detailed cost breakdown during your consultation, but in general, pricing depends on:
Your treatment includes your consultation, product, the injection itself, and any follow-up care you might need. Dr. Pilest will deliver a full breakdown of your treatment cost during your consultation to ensure there are no surprises.
As an Alle member, you can receive redeemable points for all Botox treatments (and Juvederm, too) and exchange them for Allergan products through Total Dermatology – Points are applicable to Botox, Juvederm and Latisse. See all the ways you can earn points.
At Total Dermatology, you’re in the hands of Dr. Nissan Pilest—an award-winning, board-certified dermatologist with over 30 years of experience.
Dr. Pilest isn’t just skilled—he’s known for his attention to detail and his ability to create results that look natural, not overdone. Our office is equipped with the latest tools and tech, and we take the time to understand your goals, your features, and what makes you feel like your best self.
We’ve been featured in multiple media outlets, and Dr. Pilest has earned Top Doctor honors for years. Patients trust us not just because of our results, but because of how we care for them every step of the way.
Hyaluronic acid is a natural complex sugar found throughout all living organisms that retain water — absorbing more than 1,000 times its weight — and adds volume to the skin’s surface. In addition, hyaluronic acid binds with collagen and elastin and transports essential nutrients to these fibers. The triple combination of collagen, elastin, and hyaluronic acid provides structure, elasticity, and volume to the skin and contributes to its overall appearance.
As the skin ages and is exposed to environmental pollutants and ultraviolet rays, the cells lose the ability to produce hyaluronic acid. As a result, the skin begins to lose volume, often resulting in the formation of facial wrinkles and folds. Dermal fillers are comprised of “cross-linked” hyaluronic acid are used by physicians to help temporarily replace lost hyaluronic acid and to restore skin volume and a smooth, natural appearance.
In its natural form, unbound hyaluronic acid forms a liquid made of highly-hydrated individual polymers (chains) that are metabolized in the body in just 12 hours. Cross-linking refers to a process in which the individual chains of hyaluronic acid are chemically bound (or “cross-linked”) together, transforming the liquid hyaluronic acid into a soft solid, or “gel.” The firmness of the gel depends on the degree of cross-linking of the individual hyaluronic acid chains. The body metabolizes cross-linked hyaluronic acid more slowly, resulting in a longer duration of effect when hyaluronic acid is used therapeutically.
Juvederm injections utilize a syringe and needle to deliver the hyaluronic acid into the skin. This can create some very minor pain, but a numbing agent is included in the injection to reduce discomfort. Following the treatment, you may have some residual pain at the injection sites, but this is almost always minor and resolves itself within an hour or two.
As with any medical procedure, the use of Juvederm does carry some risks. These are considered minor, though, and severe side effects are very rare. Before your treatment, you and Dr. Pilest will thoroughly discuss the potential complications to make sure you feel safe and comfortable throughout the entire process.
Adverse effects can include redness, dryness, and other skin reactions. Some patients experience itchiness, tenderness, discoloration, or bruising, and a feeling of “firmness” and lumps are possible. There is a danger of injecting the hyaluronic acid compound into the blood vessels which can lead to necrosis, and some severe allergic reactions have been reported. This is why you should only choose a highly experienced injector like Dr. Pilest.
You have many options when it comes to smoothing and refining the look of your skin. There are other dermal fillers like Juvederm, and other procedures can provide similar results.
You and your aesthetic professional will consider all options during your consultation and find the treatment method that best fits your goals and lifestyle.
Juvederm is considered an elective cosmetic treatment, so it isn’t covered by health insurance. This is standard for most dermal fillers and aesthetic procedures that are not deemed medically necessary.
However, we do offer payment options and participate in Allē, a loyalty program from the makers of Juvederm, which allows you to earn points and redeem discounts on future treatments. During your consultation, we’ll walk through your treatment plan and discuss the full cost, including available savings options.
Juvederm and Botox treat different issues, so while cost is a factor, the better question is often which treatment is best for your goals.
That said, Botox is typically priced per unit, while Juvederm is priced per syringe. Botox tends to be less expensive per treatment session, but Juvederm may last longer, depending on the area treated and the product used, so in some cases, Juvederm may offer more long-term value.
During your consultation, Dr. Pilest will help you compare options, estimate the number of units or syringes needed, and guide you toward the most cost-effective solution for your desired outcome.
Physicians have been developing ways to restore volume and structure to aging skin using a variety of approaches for over 100 years. Past fillers included paraffin wax (yes, really!), silicone, and collagen injections.
In the 1930s, researchers discovered a natural substance in the body that they named hyaluronic acid and they found that it plays a key role in numerous areas of the body including the maintenance of skin volume and hydration, eye volume and shape, and joint lubrication and cushioning. In the decades since, numerous therapeutic and aesthetic uses have been developed for this versatile natural substance. In 2003, the U.S. Food and Drug Administration (FDA) approved the first hyaluronic acid dermal filler for the correction of facial wrinkles and folds, such as nasolabial folds (the folds running from the sides of the bottom of the nose to the outer corners of the mouth).
Today, hyaluronic acid-based dermal fillers are the fastest growing non-invasive aesthetic procedure in the United States, according to the American Society for Aesthetic Plastic Surgery.1
1 American Society for Aesthetic Plastic Surgery. February 24, 2006
Schedule your consultation with board-certified dermatologist Dr. Nissan Pilest at Total Dermatology in Irvine, CA today by calling (949) 727-3800.
*Individual Results May Vary
When it comes to your skin and your health, it really is all about what’s best for you. Total Dermatology understands this, which is why we offer versatile treatments with experienced and highly trained aesthetic professionals led by Dr. Nissan Pilest. Your Total Dermatology transformation awaits.
