Juvéderm® is a non-evasive (non-surgical) yet highly effective way to address signs of aging. All Juvederm injectable dermal treatments are tailored and performed by Dr. Yeilding in the privacy of our Winter Park office, central to the Orlando area. Having done clinical research on Botox® alternatives for treatment of facial wrinkles, Dr. Yeilding is an expert in administering and Juvéderm for unsurpassed aesthetic results.*
See the difference Juvéderm techniques make in facial cosmetic surgery.*
As our faces age, one of the most common physiological changes is volume reduction in and around our face. We might wish volume reduction happened around our bellies as we age, but no such luck. Volume reduction is caused by the decrease in certain fat pads of the face with age and gravity makes the skin sag in that area accentuating the problem. If not bad enough by itself, volume reduction is combined with thinning of our skin and increased skin laxity or stretching. These factors cause deep wrinkles or folds of a wide variety. The good news is the combination of a highly reliable facial filler product and a super specialized physician injector can do wonders for patients seeking a volumizing, non-surgical, facial rejuvenation.
Juvéderm is the gold standard in facial filler for volumizing. Introduced in 2006, Juvéderm® was considered a true next generation hyaluronic acid (HA) product with a unique cross-linking (hardening process) totally displacing not only the older generation of collagen fillers but also the first technology HA product (Restylane®). Since then, nothing has come close in consistent long term performance for patients seeking facial filler. Juvéderm® has grown to be the #1 market share product in the US, in a market that has more over six HA competitors, and is also #1 in world, with many dozens of HA competitors worldwide. It is the highest performer because of its primary scientific attributes:
Simply said – while some filler products are older, some are newer and each claim some niche uniqueness, Juvéderm is unmatched in long term safety in its application and has not been topped by any product in achieving consistent long term efficacious performance. For products that are long lasting, consistency is key for achieving long term natural results. If every time you had a filler injection, your resulting appearance was different from the prior treatment, this would create a very negative situation. As Juvéderm diminishes (all HA products are harmlessly absorbed into the body over time) over the nominal 12 mo (Juvéderm for folds and wrinkles) to 24 months (Juvéderm Voluma for cheeks), the longest of all HA products, each re-treatment is more consistent due to the proven stability of the product. Of course being in the hands of a highly skilled physician injector- especially one that is super-specialized in oculoplastic and facial plastic surgery will now allow the fundamental product consistency to become consistent aesthetic beauty for the patient. Patients can achieve extremely reliable results for that long term youthful look by diminishing those lines and folds around the mouth, and by conservatively volumizing their lips and cheeks.*
Ruth Hill Yeilding MD, Medical Director of YMD Eye & Face, Winter Park, FL, in the heart of the greater metropolitan Orlando area, has perfected the use of this reliable product, Juvéderm dermal filler, for volume rejuvenation and aesthetic enhancement. Dr. Yeilding has super specialized training, first in Ophthalmology, to gain understanding of the ultra complex set of muscles, nerves and blood vessels around the eye and face, and then Oculoplastics and Facial Plastic Surgery to be able to effectively manipulate facial anatomy to achieve aesthetic beauty. During her fellowship with nationally known facial plastic surgeon, John P. Fezza MD, Sarasota FL, Dr. Yeilding learned the fundamentals of using this next generation facial filler technology on a wide variety of patient needs. Since then Dr Yeilding’s patients have received significant aesthetic benefit because of her conservative, yet highly effective treatment approach using Juvéderm, the gold standard in HA facial filler.
(Nasolabial Folds, Smile Lines and more)
As we age, and unfortunately we are talking 30’s and 40’s, NOT old age, our skin sags around our diminished facial fat pads especially in our mid-face. Certain areas that are especially prone to very deep and long lines is the area around our mouth. The lines that run UP, from the tips of our smile, up to the outside of our nose are called Nasolabial folds. Nasolabial folds can be very deep and typically deepen further as the years pass.
Smile lines are lines that run around outside corners of our smile, that seem to form a parentheses around our mouth. Oddly enough, when the shape of what’s known as the oral commissure (the corner joining of upper and lower lips) has a distinctive turned-down direction, also due to aging, we can appear as if we are frowning. Talk about sinister, age turning smile lines into frown lines- now THAT is something we are happy can be fixed for Dr. Yeilding. Frown Lines, as then lengthen down the chin are also known as Marionette Lines- named for they look like the lines seen when a marionettes jaw moves to show talking. These lines around the mouth are ALL associated with aging and are often quite deep-set. In the hands of Dr Yeilding, Juvéderm injected into these lines can significantly diminish them or make them disappear entirely along with surrounding wrinkles.*
Thinning of lips is another despicable, yet natural effect of aging, and again, starts much younger than we would have imagined. A female’s lips, after her eyes, are the most important and cherished feature for aesthetic beauty. Because of this, overdone lip injections, especially those done with the patient’s own fat, are some of the most problematic and visible signs of plastic surgery gone wrong. Dr Yeilding never uses fat injections in lips because of the variable nature of shape and volume over time. Unlike the highly stable and reliable Juvéderm HA filler for lips, fat can grow naturally with time and in unpredictable ways. Dr. Yeilding is also extremely conservative in her injections choosing slight volume enhancement while focused on aesthetic shaping first using a stable, natural filler product.
The picture above shows Dr. Yeilding’s before and after results for Juvéderm Lips in a 54 year old female.
The smoothness of the filler product is critical for the fine and precise effort needed for achieving natural and beautiful lips. Additionally Dr. Yeilding’s gentle and highly effective numbing technique, which is really a precise nerve block, reduces her patients apprehension over injection treatment to this sensitive area. Patients are surprised by the lack of pain during their injection and thrilled with the outcome.*
“That woman has such a pretty face- look at those beautiful high cheek bones. She is blessed with great genes” Maybe……or maybe not. Today, under the conservative care of Dr. Yeilding, patients can experience those same comments without having those perfect genes. Dr. Yeilding has perfected the use of Juvéderm facial filler, to volume enhance cheeks that might have lost volume with age, or might have never had that much in the first place.
The picture above shows Dr. Yeilding’s before and after results for Juvederm Cheeks in a patient that had a previous laser lid lift (laser blepharoplasty – eyelid surgery) also by Dr. Yeilding. *
Slight volume enhancement, with experienced shaping, that creates a higher cheekbone look can do wonders for your appearance. When new or returning patients are discussing their treatment options with a YMD Team member, for those certain patients that are good candidates, the staff often says for fun: “Its time for you to Get Cheeky with Dr. Yeilding”. This is because the staff know how good her results can be and how happy the patients are with their rejuvenated look.*
In a new and exciting recent development in October 2013 Juvederm Voluma received FDA approval in the United States for Cheek volumizing. Voluma is the one and only HA filler product FDA approved for this indication. Important for patients, Juvederm Voluma has the same fundamental hyaluronic acid (HA) biocompatibility and smoothness critical to regular Juvéderm success, but it has been bio-engineered for the unique cohesive needs for cheek volumizing and has achieved the unique feature of lasting a full 24 months.
The number of problems cited above is many, and they are all caused by aging, however this turns out to be highly patient specific. Since all patients are different, Dr. Yeilding has found many of these facial filler treatment to be totally unnecessary for most patients, yet almost every patient does seem to have at least ONE of the issues above. During your consultation with Dr. Yeilding she will access all of the anatomical elements- fat pads position and size, muscle tone, skin thinning, skin laxity (stretching) and more to carefully create a custom treatment plan that considers your age and aesthetic goals, that will benefit you the most. Sometimes when there is more than one issue, Dr. Yeilding will advise to first tackle that issue that can be helped the most with a single treatment. This way the patient can evaluate how the results feel to them over time. Most of Dr. Yeilding’s patients are thinking long term, and many receive multiple treatments over time, some more aggressively than others, but Dr. Yeilding will restrict the amount and scope of treatments to always yield conservative but effective aesthetic enhancement. Knowing when to say no, verses doing a little more, is one of Dr. Yeildings key attributes. The patient well being is always first with Dr. Yeilding.
By Ruth Hill Yeilding
* DISCLAIMER: With all Before and After images, stock photos, Patient Testimonials or Reviews shown on the site, no claims are made that results are typical. Results vary with each individual patient, and results are cannot be guaranteed. All Before and After images and Patient Testimonials are Dr. Yeilding patients; however, all photos, testimonials and stock photos are shown for informational purposes only. All Patient Testimonials are individual patient opinions and do not represent claims or guarantees of results by YMD Eye & Face.