Washington, D.C. (202) 785-4187


What is it?

Recently approved by the FDA, JUVÉDERM® injectable gel, available in Washington, D.C. at West End Plastic Surgery, is a "next-generation" dermal filler. The smooth consistency gel helps to instantly restore your skin's volume and smooth away facial wrinkles and folds, like your "smile lines" or "parentheses" (nasolabial folds-the creases that run from the bottom of your nose to the corners of your mouth).

JUVÉDERM is made of hyaluronic acid-a naturally occurring substance in your skin that helps to add volume and hydration. JUVÉDERM injectable gel employs its unique manufacturing process to provide the highest concentration of cross-linked hyaluronic acid of any currently available hyaluronic acid dermal filler for long-lasting results. This advanced manufacturing process works to create a smooth consistency gel that flows easily into the skin and provides a smooth, natural look and feel. All other currently approved hyaluronic acid dermal fillers are made of granular consistency gels. And, JUVÉDERM is the first hyaluronic acid dermal filler that has demonstrated its safety and effectiveness in persons of color.

Before & After JUVÉDERM

Before photo
After photo



For more photos of our patients, please view our photo gallery.

Is it safe?

Hyaluronic acid is a naturally occurring substance found in all mammals that helps to hydrate and add volume to your skin. In addition to its use as an aesthetic treatment, hyaluronic acid has also been used for more than 20 years for injection into arthritic joints to aid movement as well as for eye surgeries and wound repair.

During your initial consultation, the staff and Dr. Ruff of West End Plastic Surgery will address any safety concerns you have regarding the use of JUVÉDERM.

Where can it be used?

JUVÉDERM injectable gel temporarily adds volume to facial tissue and restores a smoother appearance to the face.

By injecting JUVÉDERM into the mid to deep dermis (below the outer layer of skin), the appearance of moderate to severe facial wrinkles and folds, such as nasolabial folds (the creases running from the bottom of your nose to the corners of your mouth), can be dramatically improved.

Paul G. Ruff IV
M.D., F.A.C.S.

Personalized, compassionate patient care is the foundation of West End Plastic Surgery's philosophy. Our board-certified surgeon, Dr. Paul G. Ruff IV embraces innovative techniques to ensure our patients get the best treatments available.

Meet Dr. Ruff Request a consultation

How long does it last?

The unique formulation of JUVÉDERM provides results that last up to 6 months or longer.

Of course, results may vary and it is best to discuss your individual case with Dr. Ruff and his staff at West End Plastic Surgery during your initial consultation.

Your treatment

No anesthesia is required for your JUVÉDERM treatment, although your doctor may numb the area with a cold pack or anesthetic cream. The injection site will be determined by examining the appearance of the skin throughout your face and neck area. Your doctor will use an ultra- fine needle to inject JUVÉDERM into those areas of your face and neck that appear sunken or hollow. The entire procedure takes about 10 minutes and there is minimal discomfort during or after the procedure. Most patients compare the injection to the feeling of a pinprick.

Injections may cause some discomfort during and after the injection.

Correction is temporary; therefore, touch-up injections as well as repeat injections are usually needed to maintain optimal corrections.

Most side effects are mild or moderate in nature, and their duration is short lasting (7 days or less). The most common side effects include, but are not limited to, temporary injections site reactions such as: redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, and discoloration. As with all skin injection procedures, there is a risk of infection.

Before & After Photo Gallery

We're as thrilled with our patients' results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do.

Post treatment instructions

Within the first 24 hours, you should avoid strenuous exercise, extensive sun or heat exposure, and alcoholic beverages. Exposure to any of the above may cause temporary redness, swelling, and/or itching at the injection sites. If there is swelling, you may need to place an ice pack over the swollen area.

You should ask when makeup may be applied after your treatment.

Be sure to report any redness and/or visible swelling that last for more than a few days or any other symptoms that cause you concern.

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West End Plastic Surgery 2440 M Street Northwest #200
Washington, District of Columbia 20037 (202) 785-4187 Monday–Friday: 8 a.m.–4:30 p.m. Get Directions