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Juvederm® in Orange County, California

For a Full, Vibrant You

Juvederm in Orange County, California

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.

What is Juvederm?

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.

Irvine Juvederm model with sun hat


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.




  • Lip enhancement
  • Deep folds
  • Facial lines
  • Wrinkle correction
  • Volume augmentation of the lips
  • Chin and jawline definition
  • Shaping facial contours (such as cheeks and chin correcting)
  • Smile lines (correcting thin, superficial lines around the eyes, mouth, and forehead)
Irvine juvederm model with blonde hair


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


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.



Juvederm Before and Afters

Juvederm Ultra Before & After Irvine, CA
Juvederm VOLUMA Before & After Irvine, CA
Juvederm Ultra Before & After Irvine, CA

*Individual results may vary.

View More Patient Results

JuvedermFrequently Asked Questions

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.

Your exact cost will depend on the type of injections you use and the quantity needed to perform your treatment. Dr. Pilest will deliver a full breakdown of your treatment cost during your consultation to ensure there are no surprises.

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.

  • Neuromodulators — Compounds like Botox target wrinkle-causing muscles under the skin. These muscles are immobilized, allowing wrinkles to fade and prevent the formation of new lines.
  • RF skin treatments — High-intensity radiofrequency (RF) energy smooths skin and stimulates collagen production.
  • Laser resurfacing — Laser resurfacing uses highly-focused light energy to destroy damaged skin and promote your body’s natural healing process. This non-invasive treatment can reduce wrinkles and uneven texture and remove scars and other blemishes.
  • You and your aesthetic professional will consider all options during your consultation and find the treatment method that best fits your goals and lifestyle.


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

Schedule your consultation with Total Dermatology today!

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.

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