Juvederm

Hva det er

Injectable gel that adds volume, shapes contours and can reduce wrinkles. NOT permanent.

Behandlingsprotokoll

**Treatment Areas & Protocol:** **LIPS:** - Typically 0.5-1ml first time - Duration: 6-12 months - Maintenance: Every 8-12 months - Swelling: 3-7 days (can be 10-14 days) **CHEEKBONES:** - Typically 1-2ml per side - Duration: 12-18 months - Maintenance: Every 12-18 months **JAWLINE:** - Typically 1-3ml total - NOT for severe sagging - Duration: 12-18 months - Maintenance: Every 12-18 months **CHIND:** - Typically 1-3ml - Duration: 12-18 months - Maintenance: Every 12-18 months **NASOLABIA WRINKLES:** - Reduction of depth (NOT complete removal) - Typically 0.5-1ml per side - Duration: 9-12 months - Maintenance: Every 9-12 months **TEAR TROUGH (under the eyes):** - MOST DEMANDING area - Requires very experienced injector - Risk of clumping - Typically 0.5-1ml total - Duration: 12-18 months **TEMPLES:** - Fuller face - Typically 1-2ml per side - Duration: 12-18 months **NOSE (non-surgical rhinoplasty):** - ONLY performed by our ENT doctor - Can smooth out lumps, lift tip of nose - NOT for everyone - High vascular risk - requires expertise - Duration: 9-15 months - Maintenance: Every 12-15 months **First year:** Often 2-3 treatments to build up effect

Prosedyre

1. Consultation and planning 2. Photography (before) 3. Cleaning and disinfection 4. Numbing cream (20-30 min) or local anesthesia 5. Marking of injection points 6. Injection with needle or cannula 7. Massage for even distribution 8. Assessment and adjustment 9. Ice to reduce swelling 10. Total time: 30-60 minutes

Varighet

30-60 minutes (including anesthesia)

Smertenivå

Moderate. Numbing cream or local anesthetic is used. Some discomfort during injection. Soreness afterward.

Nedetid

**IMPORTANT - Plan for downtime:** - Minimum: 3-5 days - Average: 5-7 days - Maximum: 10-14 days - NOT before important events (at least 2 weeks margin) **What to expect:** - Significant swelling (especially lips) - Bruising (40-60%, lasts 3-14 days) - Tenderness - Asymmetry (normal first few days)

Helingstid

**Day by day:** **Day 0:** Significant swelling (30-50% more than final result), bruising possible, redness, tenderness **Day 1-3:** MAXIMUM swelling (often day 2), asymmetry possible - DON'T PANIC! This is normal **Day 4-7:** Swelling significantly decreases, more natural appearance **Day 8-14:** Most swelling gone, final result visible **2-week check-up:** Assessment and possible adjustment **Individual variation in swelling:** - Minimal (20-30%): 1-3 days - Average (50-60%): 3-7 days - Significant (10-20%): 7-14 days

Bivirkninger

**Very common:** - Swelling (3-14 days) - Bruising (40-60%, lasts 3-14 days) - Tenderness - Asymmetry (first few days) **Common (20-40%):** - Clumping (massage away) - Tindall effect (blue color if too superficial) - Product migration **Rare:** - Infection - Granulomas (inflammatory reaction) - Necrosis (extremely rare, BUT serious - tissue death) **Allergic reactions:** Very rare

Etterpleie

**First 24-48 hours:** - Ice regularly (10 min per hour) - Sleep with your head elevated - Avoid heat (sauna, steam room, hot shower) - No massage (unless instructed by therapist) - No intense exercise - No alcohol (increases swelling and bruising) - No dental visits for 2 weeks (for lip fillers) **Week 1-2:** - Continue to avoid heat - Brush your teeth gently (for lip fillers) - No facials - SPF 50+ if exposed to the sun **After 2 weeks:** - Gradually resume normal activities - Contact if you have any concerns

Hvem passer dette for

**Best suited for:** - Facial volume loss - Desire for contouring - Reduction of wrinkles (not complete removal) - Realistic expectations - Willing to maintain - Accept swelling for 3-14 days

Hvem passer dette ikke for

**NOT suitable for:** - Significant sagging skin (needs surgery) - Active infection in the area - Pregnancy/breastfeeding - Autoimmune diseases (relative contraindication) - Unrealistic expectations of permanent results - Cannot accept swelling/downtime

Viktig informasjon

**CRITICAL REALISM:** - Gives volume, does NOT lift sagging skin - Requires maintenance (6-18 months depending on area) - First treatment often conservative - Significant swelling in the first few days is NORMAL - Final results are only seen after 2 weeks **Can be resolved immediately:** Hyaluronidase resolves fillers immediately if: - Unsatisfied with results - Complications - Incorrect placement

Kontraindikasjoner

**Absolute:** - Pregnancy and breastfeeding - Active infection in the treatment area - Allergy to hyaluronic acid or lidocaine - Bleeding disorders (relative) **Relative:** - Autoimmune diseases - Blood thinning medications (increased risk of bruising) - Previous poor reaction - Unrealistic expectations

Varseltegn

**Contact the clinic IMMEDIATELY for:** - Severe pain that increases (may indicate vascular occlusion) - White skin color (sign of blood supply problems) - Vision loss or changes (IMMEDIATE HELP!) - Black spots (necrosis) - Throbbing pain - Pale skin in or around the treatment area This is RARE, but SERIOUS and requires immediate treatment!

Individuelle variasjoner

**Duration varies with:** - Area (lips last shorter than cheekbones) - Product type (different density and viscosity) - Metabolism - Lifestyle (smoking, stress reduces duration) - Age (younger = faster degradation) **Swelling varies with:** - Area (lips swell the most) - Individual factors - Injection technique - Amount of product

Vedlikehold

**Maintenance Schedule:** - Lips: Every **6-12 months** - Nasolabial folds: Every **9-12 months** - Cheekbones/Jaws/Chin: Every **12-18 months** - Tear trough: Every **12-18 months** **First year:** Often 2-3 treatments to build up the desired effect **No maintenance:** Fillers gradually break down and the volume disappears completely