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.


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.

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.

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.


Restylane®, available in Washington, D.C. at West End Plastic Surgery, is a safe, and natural cosmetic dermal filler that enhances the youthfulness of your face by restoring volume and fullness to the skin to correct facial wrinkles, folds, and furrows. It is made of hyaluronic acid, a natural substance that already exists in the human body. The hyaluronic acid contained in Restylane is hydrophilic or “water loving,” meaning that once injected into the face, Restylane maintains its shape by binding to the body’s own moisture. It is this ability to bind with water that helps provide results lasting up to six months. And because Restylane is free from animal proteins, the risk of allergic reactions or the transmission of animal-based disease is limited.

Restylane has been used in more than 1.5 million treatments in over 60 countries. It is only available through a licensed practitioner and has helped hundreds of men and woman restore and rejuvenate their facial features.

Belotero Balance®

BELOTERO BALANCE® is a dermal filler specially designed to integrate into your skin and mold to your distinct facial contours. By adapting to the individuality of your skin, it softens lines and wrinkles around the nose and mouth for smooth and natural results that are uniquely you.

BELOTERO BALANCE® has unique properties that allow it to adapt within the skin for soft and even correction. The versatility of the product makes it strong enough to handle deep treatment areas such as nasolabial folds (smile lines around the mouth), yet soft enough to treat more delicate areas such as vertical lip lines (thin lines that appear above the lip line).

BELOTERO BALANCE® is made of a material called hyaluronic acid (HA), which naturally exists as a component of your skin. By binding to water, it fills in wrinkles and folds, allowing immediate and smooth correction.

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