JUVEDERM ULTRA PLUS XC TREATMENT BY DR. ZUCKERMAN IN NEW YORK CITY


Juvederm is an injectable filler used predominantly on the face to restore low volume due to aging or to augment certain facial structures including the lips, nasolabial folds, and temples. It is made of Hyalorunic Acid (HA), which is a natural substance in the body’s tissues. This type of dermal filler is very popular, and Juvederm Ultra Plus XC is the high end in the line of products manufactured by Allergan. Hyaluronic Acid injectable fillers differ in the HA particle size, variation, and the cross-linking of the HA molecules which contributes viscosity, compressability, and longevity. Juvederm Ultra Plus XC is more highly cross-linked and is therefore a longer lasting injectable filler. The manufacturer of the injectable, Allergan, makes two versions Juvederm Ultra Plus and Juvederm Ultra Plus XC. The latter contains lidocaine, an anesthetic, to make injections less painful for the patient. In addition, Dr. Zuckerman applies a second topical anesthetic before treatment to sensitive areas like the lips to make treatment virtually painless for the patient. Dr. Zuckerman is an expert injector of Juvederm and is well known for his lip augmentation and nasolabial folds (the “parentheses” around the mouth) rejuvenation.

As a note, Allergan, the maker of Juvederm, has an entire family of Hyalorunic Acid fillers confusingly named Juvederm >product name&lt. These are typically referred to by their product name only. All are relatively similar but are specially formulated for different areas of the face and types of lines, folds or wrinkles:
Juvederm Voluma
Juvederm Volbella
Juvederm Vollure

A competitor to these products is the Restylane line of Hyaluronic Acid fillers.


Left oblique view of Lip Augmentation patient, female, day of. Injected 0.8cc of Juvederm Ultra Plus.

Before and after comparison of a patient of Dr. Zuckerman’s in New York City who underwent lip augmentation. Patient treated with 0.8cc Juvederm Ultra Plus XC, 0.5cc for the upper lip, 0.3cc for lower lip. Patient pictured on the day of treatment.


Treatments & Uses of Juvederm® Ultra Plus XC

As a board-certified plastic surgeon, Dr. Zuckerman has hundreds of hours of injectables experience and
is an expert injector of Juvederm® Ultra Plus XC. In his practice in New York City, the most commonly requested treatments using this injectable include:

Nasolabial (the “Parentheses” Around the Mouth) Folds Rejuvenation

Filling in the parentheses, or folds, around the mouth is a very common use of Juvederm
Learn more about Dr. Zuckerman’s Nasolabial (the “Parentheses” Around the Mouth) Folds Rejuvenation.

Lip Augmentation

Dr. Zuckerman is well-known for his lip augmentations and unique techniques.
Learn more about Dr. Zuckerman’s Lip Augmentation.

Non-Surgical Rhinoplasty

Dr. Zuckerman can inject Juvederm on either side of the dorsal hump of a prominent nose to give it more linear, aesthetically pleasing, appearance.
Learn more about Dr. Zuckerman’s Liquid Rhinoplasty.

Jawline Contouring

Dr. Zuckerman can disguise the early stages of jowl formation along the jawline with Juvederm filler injections.
Learn more about Dr. Zuckerman’s Jawline Contouring.

Non-Surgical Chin Augmentation

Dr. Zuckerman can enhance a weak chin with Juvederm injections.
Learn more about Dr. Zuckerman’s Chin Enhancement.




Juvederm Ultra Plus XC is a Hyaluronic Acid filler made by Allergan. Dr. Zuckerman uses this filler for a variety of treatments including lip augmentation, nasolabial fold treatment, and more in his practice in New York City.

Juvederm Ultra Plus XC injectable dermal filler product and packaging. Source: Allergan. Please see the manufacturer’s Indications and Important Safety Information for further information.


Treatment Longevity, Downtime & Preoperative Care with Juvederm® Ultra Plus XC

See below for an estimate of how long your treatment result may last, recovery time if any, cost range, and more.

Treatment Longevity

Treatment results are seen immediately and last 4 months to 1 year, depending upon injection site.

Downtime / Recovery

Juvederm filler treatments involve little to no downtime, and patients often return to work immediately after treatment. There can be bruising for 1-2 days post treatment, which then subsides, but most often with Dr. Zuckerman’s expert technique, he is able to minimize or eliminate such bruising.

Pretreatment Guidelines

A few precautions before undergoing Hyaluronic Acid filler injections are techniques to minimize bruising: no NSAIDs such aspirin or ibuprofen within a couple days before and a day after; don’t drink alcohol to excess a day before and a day after; refrain from lying flat or working out within 2 hours after injection. Makeup can be worn the day following treatment.

Approximate Cost 

$900 per vial (Most patients require one vial, but depending on treatment may require two.)



In this video, Dr. Zuckerman performs lip augmentation for one of his patients using Juvederm Ultra Plus XC and demonstrates one of his personal techniques for enhancing your “pout”.


Frequently Asked Questions About Juvederm® Ultra Plus XC


What is the difference between Juvederm Ultra and Juvederm Ultra Plus?
Juvederm Ultra is the sister product to Juvederm Ultra Plus, and Dr. Zuckerman prefers to use Juvederm Ultra Plus as it is thicker, longer lasting, and is able to address more severe wrinkles and folds.

What is the difference between Juvederm Ultra Plus and Juvederm Ultra Plus XC?
The two products have the exact same formula, except that Juvederm Ultra Plus XC also contains lidocaine, an anesthetic to make the injections more comfortable for the patient. Dr. Zuckerman prefers the XC modularity for that reason.

Are Juvederm injections painful?
Juvederm treatments are not painful due to Dr. Zuckerman’s efforts. He uses modalities of the Juvederm product line that include lidocaine, an anesthetic, to make the injections more comfortable and also applies a second topical anesthetic before treatment so that the patient feels little to no discomfort during injections.

Should I visit a doctor for Juvederm injectable treatments in New York City?
If you visit Zuckerman Plastic Surgery for your injectable treatment, you can be certain that Dr. Zuckerman will recommend and perform the best treatment option for you in a safe and comfortable manner. In general, the use of injectable fillers has become so widespread that unfortunately not only may your injector not be a board-certified physician, if you undergo injections in a non-medical setting, an injector may have little formal medical training. Dr. Zuckerman recommends you visit a board-certified plastic surgeon or dermatologist for these injections (if you aren’t able to visit Zuckerman Plastic Surgery!). In New York City, there many options for injectables treatments, and many medical offices also offer injections by a registered nurse or physician’s assistant (PA), often at a lower price. These injectors are required to be overseen by a physician, so if you are considering these practitioners due to price, Dr. Zuckerman recommends that you confirm with the office ahead of time that there is a physician on the premises and inquire to what degree the physician oversees the injector’s activities.

Are Hyaluronic Acid fillers safe?
Yes, these fillers are overwhelmingly safe. The most common “risk” is that patients is dissatisfaction with their injector’s result, so it is important to visit an experienced injector such as a board-certified plastic surgeon like Dr. Zuckerman. Any result with lumps, bumps, or unevenness is likely to make you the patient unhappy. There is very low risk that a patient may be allergic to the Hyaluronic Acid filler, in which case a board-certified physician’s office will be able to apply a treatment to reverse the filler. This possible allergy is the main reason a patient should visit a board-certified plastic surgeon or dermatologist for treatment.

How do I avoid looking overdone? Duck lips?
Looking overdone is largely due to overdosing by the injector or injections in suboptimal locations. Dr. Zuckerman specializes in beautiful, natural-looking results and is an expert injector. As long as you trust your injector’s skill and judgement, you will look great. Dr. Zuckerman posts various injectables before & after images in his gallery, and you can judge his results for yourself.


Dr. Zuckerman speaks with a cosmetic surgery patient.

OTHER LINKS


ABOUT DR. ZUCKERMANYOUR VISITTESTIMONIALS

Dr. Zuckerman has been selected as a SuperDoctor and profiled in The New York Times Magazine SuperDoctors issue three years in a row, recognizing him as one of the best plastic surgeons in New York.

Dr. Zuckerman has been selected as a SuperDoctor and profiled in The New York Times Magazine SuperDoctors issue three years in a row.


Dr. Zuckerman was quoted on the use of Kybella to eliminate submental, under the chin, fat. He also opined on how an angular jaw line is essential to societal classical perceptions of facial beauty.

Dr. Zuckerman was quoted on the use of Kybella to eliminate submental, under the chin, fat. He also opined on how an angular jaw line is essential to societal classical perceptions of facial beauty.


Dr. Zuckerman appeared on an episode of The Doctors TV show on CBS for a preoperative evaluation of a severe burn victim who requires a complex plastic surgery reconstruction.

Dr. Zuckerman appeared on an episode of The Doctors TV show on CBS for a preoperative evaluation of a severe burn victim who requires a complex plastic surgery reconstruction.


A mother and daughter pair of Dr. Zuckerman’s patients were interviewed by the New York Post about how much they enjoy their experience at Dr. Zuckerman’s office undergoing cosmetic Botox and Juvederm treatments.

A mother and daughter pair of Dr. Zuckerman’s patients were interviewed by the New York Post about how much they enjoy their experience at Dr. Zuckerman’s office, undergoing cosmetic Botox and Juvederm treatments.


Dr. Zuckerman was interviewed on the trend of “Trophy Husbands” where men undergo plastic surgery for Fox5 News.

Dr. Zuckerman opined on the trend of “Trophy Husbands” where men undergo plastic surgery for Fox5 News.


Dr. Zuckerman was interviewed on nipple piercings, their implications for breastfeeding, and why plastic surgery intervention may be required to remove them.

Dr. Zuckerman was interviewed on nipple piercings, their implications for breastfeeding, and why plastic surgery intervention may be required to remove them.


Dr. Zuckerman was selected as a SuperDoctor for New York state for plastic surgery. This selection is Dr. Zuckerman’s third year in a row and recognizes him as one of the best plastic surgeons in New York.

Dr. Zuckerman was selected as a SuperDoctor for New York state for plastic surgery. This selection is Dr. Zuckerman’s third year in a row and recognizes him as one of the best plastic surgeons in New York.


For ReadersDigest.com, Dr. Zuckerman discussed the fact that liposuction is not a shortcut to weight loss. It is a sculpturing tool best used to shape and contour targeted problem areas with excess, stubborn fat.

Dr. Zuckerman discussed the fact that liposuction is not a shortcut to weight loss. It is a sculpturing tool best used to shape and contour targeted problem areas with excess, stubborn fat.


Copyright 2017 Joshua D. Zuckerman, MD, FACS, P.C. All rights reserved.