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New wrinkle in facial fillers arrives

By Judy Fortin
CNN
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(CNN) -- A new anti-wrinkle product hits the market this month. Juvederm is the latest injectable facial filler to be offered to the public. CNN medical correspondent Judy Fortin spoke with dermatologist Dr. Harold Brody about the pros and cons of plumping up your face.

Fortin: What is Juvederm?

Brody: Juvederm is hyaluronic acid, which is one of the building blocks in the skin, the glue in between the collagen fibers of the skin. (Check out a new entry in the facial filler market. Video )

Fortin: Where can you inject it?

Brody: Juvederm can be injected in all the different places that we have injected collagen and more. It is used for the upper face and the lower face, both in gravitational lines, some lines from movement, and a lot of lines from the sun.

Fortin: How long does it last?

Brody: We've been pleased; certainly longer than collagen and probably longer than the other hyaluronic acid products out there. Probably at least five or six months and more in the line of six to nine months

Fortin: How much does it cost?

Brody: $500-$700 per tube. Someone who is getting a facial filling almost to the point of a face lift is going to use as much as three or four tubes and therefore might use several thousand dollars, but it will only probably need to be done once a year.

Fortin: The injections aren't covered by insurance, are they?

Brody: No, they are not.

Fortin: Are Juvederm and Restylane similar?

Brody: Restylane and Juvederm are basically the same thing. They just have different flow characteristics. Juvederm flows easily and is a little less painful entering the skin than Restylane. We don't know which product will last the longest in what particular part of the face.

Fortin: Do some people have adverse reactions?

Brody: With this product people are still going to react to it, maybe one in every 10,000 and those people can get a reaction that can be permanent. In most cases the patient would look very good when they left the office, but then about two or three days later they would get large red bumps at the site of where the hyaluronic acid was injected, say in the chin for example. Immediate reaction would be in three to six hours the patient blows up tremendously, like hives.

Fortin: Is there anything you can do to help those patients?

Brody: Fortunately we have a dissolver for hyaluronic acid called hyaluronidase. When administered properly by a physician that is experienced in the cosmetic use of these products, we can usually take can of these reactions.

Fortin: What about the long-term effects of these products?

Brody: We don't know what's going to happen with any drug in 20 years, and that would include high blood pressure drugs, statin drugs for cholesterol, as well as the cosmetic drugs. The FDA requires stringent testing of these products.

Fortin: Why do you think fillers are so popular?

Brody: I think the entrance of women into the workplace in the last 20 years has made a difference in how the workplace wants to look. Women want to look good and men want to keep up with the women.


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Juvederm is hyaluronic acid, one of the building blocks in the skin, the glue in between the collagen fibers of the skin.

HEALTH LIBRARY

In association with MayoClinic.com

HEALTH VIDEO LIBRARY

In association with Healthology.com
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