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Juvéderm and Voluma (Dermal Fillers)

Juvederm® Facial Filler for Folds and Lines around the Mouth, and for Lips and Cheeks

Juvéderm® is a non-evasive (non-surgical) yet highly effective way to address visible signs of aging. All Juvederm injectable dermal treatments are tailored and performed by Dr. Yeilding in the privacy of our Winter Park office. Having completed clinical research on Botox® alternatives for the treatment of facial wrinkles, Dr. Yeilding is an expert in administering dermal fillers for unsurpassed aesthetic results.*

Watch our Juvéderm Testimonial Video


Hear what our Orlando patients say about Dr. Yeilding’s Juvéderm injections.*

View our Juvéderm Before and After Gallery*

Juvederm Before and After Gallery Thumbnail Image

See the difference Juvéderm techniques make in facial cosmetic surgery.*



Aging causes volume reduction and more

As our faces age, some of the most common anatomical changes are the thinning of our skin and increasing skin laxity (stretching).  We may wish the volume reduction happened around our bellies as we age!  But no such luck. Another common effect of aging is a decrease in the fat pads of the face.  Because of this, gravity tends to make the skin sag. Because the sagging, thinning skin is attached to very active muscles, repetitive muscle movement causes the skin to bunch up causing wrinkles. Some of the most common repetitive facial muscle contractions are smiling, frowning and squinting.  These factors combine to cause a wide variety of deep wrinkles or folds. The good news is the combination of a highly reliable facial filler product and a specialized physician provider can do wonders for patients seeking a volumizing, non-surgical, facial rejuvenation.


Juvederm®, The Gold Standard in Hylaurinic Acid (HA) Facial Filler

Juvéderm is the “gold standard” in facial filler for volumizing. Introduced in 2006, Juvéderm® was considered a true next generation hyaluronic acid (HA) product.   It has a unique cross-linking (hardening process) totally displacing the older generation of collagen fillers as well as 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 over six HA competitors in the US.  It is also #1 in world, with many dozens of HA competitors worldwide.  It is the highest performer because of its primary science-based attributes:

  1. Safety – the fundamental substance, hyaluronic acid (HA), is highly bio-compatible and extremely well tolerated, occurring naturally in the body.
  2. A proprietary cross-linking manufacturing process, which achieves an extremely uniform particle size for Juvéderm, gives unusually high smoothness and longevity. It is the first and ONLY hyaluronic acid that lasts 12 months.
  3. High Smoothness means ease of flow, and with lidocaine built-in, Juvéderm Plus HC is the go-to product for facial wrinkles and lines in Dr. Yeilding’s practice.    Smoothness plus lidocaine equates to the most comfortable product experience for the patient.  Dr. Yeilding’s gentle and precise injection technique takes comfort the next level.
  4. Highly Cohesive means its helps lift while holding its shape under stress.
  5. Repeatable performance in a broad range of patient populations and treatment areas.
  6. It is reversible.  Unlike non-HA fillers, hyaluronidase, an enzyme, is highly effective and safe for reversing the HA product Juvéderm.  Dr. Yeilding is referred many patients, who have had previous filler that turned out to be less than flattering, and need a reversal procedure.


While there are a variety of filler products available, each claiming some unique niche, Juvéderm is unmatched in long term safety in its application.  It has not been matched 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 noticeably different from the prior treatments, it would create an unwanted negative outcome.  While all HA products are harmlessly absorbed into the body over time, as Juvéderm diminishes over the nominal 12 months (Juvéderm for folds and wrinkles) to 24 months (Juvéderm Voluma for cheeks), it lasts the longest of all HA products. However, each re-treatment is more consistent due to the proven stability of the product. Of course, in the hands of a highly skilled physician, Juvéderm can now offer consistent aesthetic beauty for the patient. Patients can achieve extremely reliable results for that desirable long-term youthful look by diminishing lines and folds around the mouth, and by conservatively volumizing their lips and cheeks. *


Dr. Yeilding of YMD Facial Plastic Surgery in Orlando, FL specializes in facial filler and chooses Juvéderm for her patients

Ruth Hill Yeilding MD, the Medical Director of YMD Facial Plastic Surgery, has perfected the use of BOTOX® Cosmetic for wrinkle reduction. Dr. Yeilding has received 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 the nationally known facial plastic surgeon, John P Fezza MD, in Sarasota FL, Dr. Yeilding learned the fundamentals of using this next generation facial filler technology to treat 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.




Juvéderm for those deep lines around your mouth

(Nasolabial Folds, Smile Lines and more)

Unfortunately, the appearance of our face begins to age in our 30’s and 40’s. Our skin begins to sag around our diminishing facial fat pads, especially in our mid-face. A certain area 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 further deepen as the years pass.

Nasolabial Folds GraphicSmile lines are lines that run around the outside corners of our smile that seem to form parentheses around our mouth. Oddly enough, when the shape of the oral commissure (the corner joining the upper and lower lips) has a distinctive turned-down direction due to aging, we can appear as if we are frowning. Dr. Yeilding can help fix these age-related smile lines that have turned into frown lines.  Frown Lines that lengthen down the chin are also known as Marionette Lines (so named because they look like the lines seen when a marionettes’ jaw moves while 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 the surrounding wrinkles. *


Juvéderm for Lips

Thinning of lips is another regrettable, yet natural effect of aging.  Once again, the process starts much younger than we would have imagined. A woman’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 naturally grow in unpredictable ways over time.  Dr. Yeilding is also extremely conservative with her injections choosing slight volume enhancement while focusing on aesthetic shaping first using a stable, natural filler product.

Juvederm Lips Before and After Photograph

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 precise effect needed to achieve natural and beautiful lips. Additionally, Dr. Yeilding’s gentle and highly effective numbing technique is actually a precise nerve block.  This reduces her patient’s apprehension over injection treatments to this sensitive area. Patients are surprised by the lack of pain during their injection and thrilled with the results. *


Juvéderm VOLUMA for Cheeks

“That woman has such a pretty face! Just look at those beautiful high cheek bones.  She must be blessed with great genes” Maybe……or, maybe not. Today, under the conservative care of Dr. Yeilding, patients can experience those same comments without having the benefit of those perfect genes. Dr. Yeilding has perfected the use of Juvéderm facial filler to enhance cheeks that might have lost volume with age, or may have never had that much in the first place.

Juvederm Cheeks Before and After Photograph

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 enhancements, with experienced shaping, creates the look of higher cheekbones can do wonders for your appearance.  When new or returning patients are discussing their treatment options with a YMD Team member, the staff may light-heartedly say: “It’s time for you to Get Cheeky with Dr. Yeilding”.  The staff know how good her results can be and how happy the patients are with their rejuvenated look. *


Juvéderm Voluma® FDA Approved for Cheeks with 24 month longevity

In an exciting 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 application.  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.


Dr. Yeilding’s Customized Juvederm Treatment Plan for YOU

The problems cited above are numerous, but they are all caused by aging.  However, the specifics of the situation turn out to be unique to the patient.  Since all patients are different, Dr. Yeilding has found many facial filler treatments to be totally unnecessary for most patients, yet almost every patient does seem to have at least one of the issues above.  Based on her detailed assessment, Dr. Yeilding will carefully create a custom treatment plan that considers your age and aesthetic goals. When there is more than one issue to consider, Dr. Yeilding will advise you to begin with the issue that can achieve the most with a single treatment. Then the patient can evaluate how the results feel over time. Most of Dr. Yeilding’s patients tend to think long-term, and many receive multiple treatments over time. Although some patients may want to proceed more aggressively than others, Dr. Yeilding will restrict the scope of treatments to yield conservative but effective aesthetic enhancement. Knowing “when to say no”, verses “doing a little more” is one of Dr. Yeilding’s guiding principles. A patients’ well-being always comes first for Dr. 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 Facial Plastic Surgery.