
Perlane® is a cosmetic dermal filler that replaces lost volume and restores youthful contours to the skin to smooth away moderate to sever facial wrinkles and folds, such as the lines form your nose to the corners of your mouth. In the human body, natural hyaluronic acid provides volume and fullness to the skin, but it diminishes with age. Perlane® is made from this same acid and has been modified slightly to last longer than the body's own version of the acid.
Perlane® should maintain its cosmetic effect for at least six months, in the majority of patients. How long the aesthetic correction lasts is very individual. Scheduling of follow-up appointments six months after a procedure is recommended.
Juvederm Ultra injectable gel is a colorless hyaluronic acid gel that is injected into facial tissues to smooth wrinkles and folds, especially around the nose and mouth. Hyaluronic acid is a naturally occurring sugar found in body that delivers nutrients, hydrates the skin by maintaining water, and acts as a cushioning agent.
Juvederm Ultra injectable gel temporarily adds volume to facial tissue and restores a smoother appearance to the face.
You should seen immediate improvement in the treated areas. Results vary but may last 6 months or more.
Most side effects are mild or moderate in nature and usually last less than 7 days. The most common side effects include temporary injection site reactions such as redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, and discoloration. As with all skin injection procedures, there is risk of infection.
Juvederm Ultra should not be used in patients who have severe allergies marked by a history of anaphylaxis, a history or presence of multiple severe allergies, or patients with a history of allergies to gram-positive bacterial proteins. The doctor will ask you about your medical history to determine if you are an appropriate candidate for treatment.
The doctor will go over a list of pre and post treatment procedures with you. If you are taking aspirin or ibuprofen you may experience increased bruising or bleeding at the injection site. Inform your physician if you are using any of these substances and if you are planning on having any chemical peels or laser treatments. Juvederm should be used with caution in patients on immunosuppressive therapy as there may be an increased risk of infection. The safety of Juvederm has not been established in breastfeeding females, during pregnancy, or in patients under the age of 18.
For the first 24 hours following treatment, you should avoid strenuous exercise, excessive sun or heat, and consumption of alcoholic beverages. This minimizes the risk of temporary redness, swelling, and/or itching at the treatment sites. These temporary side effects generally resolve themselves within one week. An ice pack can be applied to the site if you experience swelling. You may apply make-up as usual.
By signing below, I acknowledge that I have read the Juvederm information and consent form and that I have discussed the risks and benefits of Juvederm with my physician and his/her representative. I understand the information provided and I consent to Juvederm Ultra cosmetic treatment.
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Patient Signature
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I have discussed the risks and benefits of dermal filler Juvederm Ultra with the patient, have answered his/her questions, and find him/her an appropriate candidate for Juvederm Ultra cosmetic treatments.
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Physician/Physician Representative
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