How long does Juvederm (Ultra or Ultra Plus) really last and what determines that?
I’m glad you asked because there is a lot of confusing information about this. Generally the Juvederm Ultra (1 syringe) lasts about 4-6 months and the Ultra Plus (a little thicker) about 6-9 months. However, we are all individuals and I have seen patients occasionally where it only lasts 3 and others where it might last a year – but these individuals are the exception, not the rule.
To answer some of your other questions, yes……. if you have more put in it may last longer. But I think one of the goals in this industry should be facial volume stability. Do you really want 3-4 syringes when 1-2 might be aesthetically better?? Then you are all puffy and bloated for awhile, then about right and then looking hollow again. This is not a great scenario. You are better off coming in 2 or 3 times a year and getting less and having a stable face!! More on fillers.
And you are correct, for most people the sites do matter some for longevity. Lip injections often last a little less long, the tear trough area often a little longer, the earlobe longer, etc. Facial movement does seem to affect longevity some. Also, the hyaluronic acid gel (Juvederm/Restylane, etc) breaks down slowly, not all at once so the volume change is gradual. Hope this helps, Dr. I