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Juvederm XC Ultra, Ultra Plus, Vollure, and Volbella       Back to Prior Page


About Hyaluronic Acid Based Fillers

Hyaluronic acid is a natural complex sugar found in all living animals that retains water and adds volume to the skin’s surface. It binds with collagen to provide structure, elasticity, and volume to the skin and contribute to its overall appearance. As the skin ages, the cells lose the ability to produce hyaluronic acid. As a result, the skin begins to lose volume, often resulting in facial wrinkles and folds, along with thinning lips. Dermal fillers comprised of cross-linked hyaluronic acid are used to temporarily replace the lost hyaluronic acid and to restore skin volume with a smooth natural appearance.


Juvederm XC

Juvederm XC is a very popular filler due to lasting up to 1 year for Ultra and Ultra Plus and 18 months for Vollure which all contain lidocaine making it less painful to inject.  The hyaluronic acid in Juvederm XC is manufactured in a smooth gel versus a gel particle suspension in Restylane. This different formulation is what provides a smoother, longer lasting correction. Even better, Juvederm XC, in conjunction with Botox, makes both products last longer. Juvederm XC is available in three different formulations: Juvederm XC Ultra is a thin gel used for mild corrections. Juvederm XC Ultra Plus is a thicker, plumping formula which works well for the nasolabial folds, marionette lines, along with other areas. These products are also used to help restore volume to the lips.  Juvederm XC Vollure is similar to Ultra Plus but last 18 months. Juvederm XC Voluma is a revolutionary formulation specifically designed to lift and add volume to the midface and cheeks.

  Go to Juvederm XC Voluma information page. 



















It’s becoming clear that the aesthetic non-surgical field is evolving. Call now to book your cosmetic consultation with Dr. Cook and see if Juvederm XC is right for you. 



Frequently asked Questions:


What are the risks of Juvederm XC?

    The most common side effects of Juvederm XC are injection site reactions and bruising.


Who performs the injection?

    At Maui Medical Group, Dr. Cook, Board Certified Dermatologist, performs all injections. Although other 

    types of medical providers can provide this service, it is imperitive to choose an injector who has been specifically

    trained in the art of aesthetics and is comfortable with the structural anatomy of the face. This is not only for the

    patient's safety but to ensure the best results.


What can I expect during the treatment:

    Dr. Cook will assess your facial anatomy, volume loss, and any asymmetries and discuss the areas that would be

    best treated with the Juvederm XC. The areas to be treated will then be cleansed with alcohol. Dr. Cook will then

    proceed with the injections.  Following the injections patients are provided with an ice pack to prevent swelling

    and bruising. 


Does the treatment hurt?

    Mild discomfort is felt during the procedure. On average patients state on a scale of 0-10 with 0 being no pain and

    10 being extreme pain, a discomfort level of 2 with Juvederm XC. The product contains lidocaine which allows the

    areas being treated to be anesthetized. Dr. Cook also has other options to help with the discomfort including

    topical numbing medication or an ice pack during treatment if requested by the patient. 


How long will the treatment take:

    The majority of patients having only Juvederm XC injected will take 30 minutes.


What will I look like after the treatment?

    Immediately following the injection you may experience mild swelling and redness. This usually last 24 hours.    

    You may experience bruising which can last up to 1 week. Bruising is slightly more common with these products 

     due to the areas that are commonly treated along with the depth of the injections. 


What type of limitations are there after the treatment?

   There are few limitations following the treatment. These include: refraining from touching or manipulating the    

   areas treated and from strenuous excercise for 24 hours after treatment.


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