Email
Password
Forgot your password? Click Here
 

Administering JUVÉDERM® Injectable Gel

With its patented HYLACROSS® gel technology, JUVÉDERM® injectable gel is a smooth and malleable product, allowing for ease of administration and moldability so you can deliver an optimal look for your patients. Available in two different formulations, JUVÉDERM® also gives you the ability to tailor treatment to your patients' facial aesthetics needs.

Patient satisfaction: Helping to ensure a positive treatment experience

Prior to wrinkle treatment with JUVÉDERM® injectable gel, the patient's complete medical history should be reviewed, and the patient should be informed of the details of the treatment process, benefits, results, and potential side effects. In order to set expectations, the patient should also be advised that supplemental “touch up” treatments may be required to achieve and maintain optimal results. Some physicians recommend that the patient should also be advised to discontinue the use of any medications that may prolong bleeding, including aspirin and non-steroidal anti-inflammatories (NSAIDs), at least 1 week prior to treatment with JUVÉDERM® in order to reduce the risk of bruising or bleeding at the injection site.

During the consultation visit, the patient's soft tissue deficiencies should be characterized with regard to etiology, distensibility, stress at the site, and depth of lesion. The patient should be advised that, depending on his or her skin type, optimal results are achieved when the defect is readily distensible and correction can be visualized by manual manipulation (stretching) of the skin. It is often helpful to take pre-treatment photographs for comparison with post-treatment results.

Injection Instructions

Product Supply: The JUVÉDERM® Ultra and JUVÉDERM® Ultra Plus formulations are supplied in individual treatment syringes with 30- or 27-gauge needles for single patient use and ready for injection.

Anesthetic: While anesthesia is not required with JUVÉDERM® injectable gel, a topical or injectable anesthesia may be used to manage pain during and after injection.

Injection Technique: The angle and orientation of the bevel, the depth of injection, and the quantity administered may vary. A linear-threading technique, serial puncture injections, or a combination of the two have been used to achieve optimal results. To avoid visible lumps and/or discoloration, avoid injecting JUVÉDERM® too superficially.

To administer the gel, apply even pressure on the plunger rod while slowly pulling the needle backwards. The wrinkle should be lifted and eliminated by the end of the injection. To prevent material from leaking or being injected too superficially, be sure to stop the injection just before pulling the needle out of the skin.

Injection Volume: Whether treating with JUVÉDERM® Ultra or JUVÉDERM® Ultra Plus, the typical volume to achieve optimal correction is 1.6 mL per treatment site. Correct only to 100% of the volume desired. It is important to avoid overcorrection.

Tissue Massage: If immediate blanching occurs, stop the injection and massage the area until it returns to a normal color. The area should also be gently massaged once the injection is completed to help it conform to the contour of the surrounding tissues. If overcorrection occurs, massage the area between your fingers or against an underlying superficial bone to obtain optimal results.

Post Treatment: Patients may have mild to moderate injection site reactions that will typically resolve within a few days. If the patient experiences swelling immediately after the injection, briefly apply an ice pack to the treatment area. In addition, because degree of correction can be difficult to judge in patients with localized swelling, stop the injection if swelling occurs and invite the patient back for a touch-up session in 1 to 2 weeks.

Patient Instructions: The patient should be instructed to avoid strenuous exercise, excessive sun or heat exposure, and alcoholic beverages for 24 hours after treatment in order to minimize the risk of temporary redness, swelling, and/or itching at the injection sites. Advise the patient to call immediately with any problems possibly related to treatment. To report an adverse reaction, phone Allergan Product Support at 877-345-5372.

For complete physician and patient instructions, download the Directions for Use:

JUVÉDERM® Ultra DFU

JUVÉDERM® Ultra Plus DFU

get adobe reader Note: These documents are provided in Adobe® Reader® format (PDF). To view PDF documents, you must have the Adobe® Reader® software installed on your computer. If you do not have Adobe® Reader®, download it from the Adobe Web site.


JUVÉDERM® is part of the Allergan portfolio of products and this is the JUVÉDERM® website. For information on BOTOX® Cosmetic, visit www.botoxcosmetic.com.

JUVÉDERM® Safety Information

*JUVÉDERM® is indicated for injection into the mid to deep dermis for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds).

Important JUVÉDERM® Safety Information

JUVÉDERM® injectable gel (including JUVÉDERM® Ultra, JUVÉDERM® Ultra Plus, JUVÉDERM® Ultra XC, and JUVÉDERM® Ultra Plus XC) is indicated for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds). Side effects were usually mild to moderate, lasting 7 days or less, and included temporary injection-site reactions such as redness, pain, firmness, swelling, and bumps. JUVÉDERM® is not for people with severe allergies. For more information, please click on the About Safety link at www.juvederm.com or call the Allergan Product Support line at 1-877-345-5372. JUVÉDERM® injectable gel is available by prescription only.

BOTOX® Cosmetic Important Information

Indication

BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) in adults younger than 65 years of age for a short period of time (temporary).

IMPORTANT SAFETY INFORMATION, INCLUDING BOXED WARNING

BOTOX® Cosmetic may cause serious side effects that can be life threatening. Call your doctor or get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX® Cosmetic:

  • Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be severe and result in loss of life. You are at the highest risk if these problems are pre-existing before injection. Swallowing problems may last for several months.

  • Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice (dysphonia), trouble saying words clearly (dysarthria), loss of bladder control, trouble breathing, trouble swallowing.

There has not been a confirmed serious case of spread of toxin effect when BOTOX® Cosmetic has been used at the recommended dose to treat frown lines.

Do not take BOTOX® Cosmetic if you: are allergic to any of the ingredients in BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc® or Dysport™; have a skin infection at the planned injection site.

Tell your doctor about all your muscle or nerve conditions such as such as amyotrophic lateral sclerosis [ALS or Lou Gehrig's disease], myasthenia gravis or Lambert-Eaton syndrome as you may be at increased risk of serious side effects including severe dysphagia (difficulty swallowing) and respiratory compromise (difficulty breathing) from typical doses of BOTOX® Cosmetic.

Tell your doctor about all your medical conditions, including if you have: plans to have surgery; had surgery on your face; weakness of forehead muscles, such as trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (It is not known if BOTOX® Cosmetic can harm your unborn baby); are breast-feeding or plan to breastfeed (It is not known if BOTOX® Cosmetic passes into breast milk).

Tell your doctor about all the medicines you take, including prescription and nonprescription medicines, vitamins and herbal products.

BOTOX® Cosmetic may cause loss of strength or general muscle weakness, or vision problems. If this happens, do not drive a car, operate machinery, or do other dangerous activities.

Other side effects of BOTOX® Cosmetic include: dry mouth, discomfort or pain at the injection site, tiredness, headache, neck pain, and eye problems: double vision, blurred vision, decreased eyesight, drooping eyelids, swelling of your eyelids, and dry eyes.

For more information refer to the Medication Guide or talk with your doctor.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Please see BOTOX® Cosmetic Full Product Information including Medication Guide.