One of the reasons that skin becomes wrinkled as we age is because we lose subcutaneous tissue, which lies beneath the skin. This tissue contains collagen, fat, and hyaluronic acid, which is a naturally occurring “filler” in the skin. At Ophthalmic Plastic & Cosmetic Surgery, Inc, we offer Juvéderm to restore the volume of the skin. Learn more about Juvéderm injections below or call us at 314-567-3567 to schedule a consultation at our St. Louis, MO office.

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What is Juvéderm?

Juvéderm St. Louis MO | Juvederm Injections | Dermal Fillers

Juvéderm is a non-animal, stabilized hyaluronic acid formulation that is injected into the skin to improve static wrinkles. It is a very popular dermal filler and has been used for more than a decade in 65 countries. Juvéderm is similar to Restylane, which smoothes and corrects even severe facial wrinkles.

If you have troublesome face wrinkles or folds that make you look older, Juvéderm treatment by Dr. John B. Holds may be a great option for you. We offer unique Juvéderm products to achieve the most natural looking, long lasting results.

Types of Juvéderm

At our practice, we offer the full line of Juvéderm products. During your consultation, Dr. Holds or you aesthetician will determine the best filler depending on your cosmetic goals. The types of Juvéderm we offer include:

  • Juvéderm Voluma
  • Juvéderm Vollure
  • Juvéderm Volbella

Juvéderm Voluma

Juvederm Voluma St. Louis

One of the consequences of aging is the loss of fatty tissue volume in the midface. Cheeks that were once round and contoured flatten out and send excess skin to the lower part of the face. This appears as jowls. Juvéderm Voluma is the injectable solution that has been developed especially for this problem.

This dermal filler, made with the same Vycross technology as other Juvéderm products, is the densest of the family of fillers. The structure of Voluma allows for deep insertion into the cheeks and even into the tear troughs. After administering the appropriate amount of filler, we can gently manipulate it to beautifully accentuate the midface.

Juvéderm Vollure


Where Voluma has a dense consistency, Vollure is more conservative. Still made with a high concentration of hyaluronic acid, this filler is slightly more fluid, less rigid. The smooth gel consistency of Vollure makes it an excellent choice for the correction of nasolabial folds between the nose and mouth, marionette lines that run from the mouth to the chin, and in other areas of the lower face to reduce the signs of aging.

Juvéderm Volbella


Juvéderm Volbella is one of the very first soft tissue fillers formulated specifically for use in the lips. Of the various products in the Juvéderm family, Volbella has the softest, thinnest consistency. This is purposely done to make the results of lip enhancement natural both in appearance and physical sensation.

The popularity of Volbella has increased significantly since this product emerged. Patients who are new to dermal fillers appreciate the inclusion of lidocaine in the solution and the immediate yet subtle results that can be achieved. In addition to increasing the volume of the lips, Volbella is suitable for the correction of the tiny lines that form around the mouth.

What Areas Are Treated With Juvéderm?

Juvéderm is a very versatile injectable filler that can correct:

  • The lines that sometimes create folds from the nose to the mouth.
  • Lines at the corners of the mouth.
  • Lines from the corners of the mouth to the jaw.
  • “Lipstick lines” just above the upper lip.
  • The grooves that increasingly define the eyelid and eye socket with age.

What To Expect For The Juvéderm Treatment

Juvederm Injections St. Louis MO | Lip Filler

Your Juvéderm injections are done in our office or at our medical spa on an outpatient basis. It’s important to avoid blood thinners, including aspirin and non-steroidal medications such as arthritis drugs for 5-7 days before your injections. Before scheduling your procedure, talk with Dr. Holds about any medical conditions and concerns that you have.

Most patients are given a mild local anesthetic block, as well as a topical anesthetic because the areas around the mouth are sensitive. Depending on the number of injections you need to achieve the results you want, your procedure will last a few minutes up to a half hour. You can then go home the same day and continue with your normal activities.

What Dr. Hold’s Patients Say

“I saw Dr. Holds for a cosmetic consultation. He explained everything in detail and was very kind. I will definitely recommend him to family and friends.” – Anonymous

Click here to read more reviews.

Post Juvéderm Injections

Juvéderm injections will make your skin sensitive to the sun, so it’s important to stay indoors as much as possible for the first week. Avoid facials or treatments where your head is in a cradle or in a prolonged dependent position for one week. You should also avoid yoga, pilates, or any other type of strenuous exercise for 24-48 hours.

Juvéderm Injection Results

You may see some results from your injections immediately, but full effects appear within a week. An evaluation at our office will take place between 2-3 weeks after the injection. Some patients require more volume, so it’s always best to come in for a follow-up to see if another injection is needed. The new fullness will last for 4-12 months, wearing off gradually. After a second procedure, the results can last as long as a year and a half.

Combining Juvéderm With Other Treatments

Some people opt to get other treatments at the same time as their Juvéderm treatment, such as Botox injections in other areas of the face. Juvéderm treatment can also be a great addition to the improvement achieved with a brow lift, facial fat transfer, or blepharoplasty.

Side Effects of Juvéderm

Because Juvéderm is made of a substance that our bodies naturally produce, it is very safe with only very rare reactions. Most side effects should disappear within a few days.

  • Itching
  • Swelling
  • Bruising
  • Infection
  • Redness
  • Firmness
  • Discoloration
  • Lumps or bumps
  • Pain or tenderness

Schedule a Consultation

Call Ophthalmic Plastic and Cosmetic Surgery, Inc. in St. Louis today at 314-567-3567 for a consultation to find out if Juvéderm may be right for you. You can also visit Aesthetic Medispa of West County for more information.
For more information on our services, call our office to make an appointment.

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