Juvéderm™ dermal filler, 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.

Juvéderm 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.

Five Levels of Formulation

A special advantage of Juvéderm wrinkle filler is 5 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:

Juvéderm Ultra, a highly cross-linked formulation for more versatility in contouring and volumizing of facial wrinkles and folds.

Juvéderm Ultra Plus, a more highly cross-linked robust formulation for volumizing and correction of deeper folds and wrinkles.

Juvéderm Voluma, for volume in the cheek area that lasts up to 24 months.

Juvéderm Vollure, chase away marionette and laugh lines for up to 18 months.

Juvéderm Volbella, for lip lines and soft lip augmentation.

Juvéderm 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.

Juvéderm dermal filler offers a high level of control for individualized, tailored facial contouring and for achieving a smooth and natural look.



Juvéderm is an Excellent Treatment Option for:

  • Lip enhancement
  • Deep folds
  • Facial lines
  • Wrinkle correction
  • Volume augmentation of the lips
  • Shaping facial contours (such as cheeks and chin correcting)
  • Smile lines (correcting thin, superficial lines around the eyes, mouth, and forehead)

Longevity Study Results*

At 24 weeks, 96 percent of nasolabial folds treated with Juvederm had maintained clinically significant correction, and 81 percent maintained the correction for 1 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 that for initial treatment (0.7 ml versus 1.6 ml). Article from Jan 2008 American Society of Plastic Surgeons Journal

Botox & Juvéderm Loyalty Program From Allergan

As a Brilliant Distinctions 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.

Not a member yet? Join the Brilliant Distinctions Program now.
NEW! Brilliant Distinctions Mall lets you earn points by shopping at 1000’s of online retailers.

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

Juvéderm FAQS

What is Hyaluronic Acid?

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 compromised of crossed-linked hyaluronic acid are used by physicians to help temporarily replace lost hyaluronic acid and to restore skin volume and a smooth, natural appearance.

What is Cross-Linked Hyaluronic Acid?

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.


We love our patients at Total Dermatology! Read what our satisfied patients have to say about their experiences with Dr. Pilest and our team.

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*Individual Results May Vary

Hyaluronic Acid Background

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

Take the First Step – Request A Consultation

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