This is a competitor product to Qmed's Restylane range – 3D non animal stabilized hyaluronic acid gel for soft tissue augmentation in the face.

Juvederm Ultra, made in France and marketed through Allergan (the company that manufactures Botox) is giving the Restylane range a run for its money! For every product in the Restylane range, there is a Juvederm Ultra equivalent. Despite claims to the contrary, I am not convinced that either Juvederm Ultra or Restylane have any significant advantages over each other, and there indications overlap completely. Both are used for minor soft tissue plumping in the face, most often lip enhancement and filling of nasolabial and marionette lines. The gel contains an anaesthetic, so no supplemental nerve blocks are required. The process is very smooth from an injector's point of view, and once can expect the result to last between 9 months and a year, depending on depth and site of placement. I mostly use the Juvederm Ultra Smile (previous called Juvederm Ultra 3) in the lips and tear troughs. Where I am seeking significant volume enhancement, I tend to use Perlane (thicker form of Restylane) and this is usually in the nasolabial & marionette lines as well as the corners of the mouth. Like the other gels, complications may include pain and bruising at the site of injection.

Please note that I neither recommend, nor keep any injectable gels that contain any permanent components. Whilst it is appealing not to have to repeat facial injections, the reality is that most, if not all permanent gels, come along with a host of potentially permanent problems, not least of which is the development of soft tissue granulomas – chronic inflammatory nodules that may take a few years to develop and which are very difficult to treat once established.

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Member |  International Society of Aesthetic Plastic Surgery (ISAPS)
Fellow  |  College of Surgeons of South Africa (Plastic Surgery)
Member |  International Member of THE American Society of Plastic Surgeons
Fellow  |  Royal College of Surgeons
Member |  Association of Plastic & Reconstructive Surgeons of SA