How long does Juvederm (Ultra or Ultra Plus) really last and what determines that?

HI Dr Irwin. I am so confused about the length of time Juvederm Ultra xc lasts. I have read your reports and see you mention it lasts around 6 months, yet some Users and even Doctors say it can last up to two years or even longer. There are such different answers that it becomes very confusing. It is mentioned that areas with more movement don't last so long. But say you have injection in tear trough and then you have facial massage everyday then this would be the same thing. So what is the shortest possible time it could last and the longest? And will it not last so long if you have only one syringe instead of say 4 for example? And lastly does is break down slowly, or Suddenyl towards end of duration. Thanks so much for your time.

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

Dr. Brandith Irwin, MD

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