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Cosmetic Treatments

Juvederm (Ultra, Ultra Plus & Voluma)

If you are considering Botox cosmetic or dermal fillers such as Juvederm, Voluma, or Sculptra, to correct wrinkles and restore lost facial volume, trust the experience and credentials of Dr. M. David Cole, MD and Keshea Stevenson, PA-C. Dr. Cole is a board-certified dermatologist with great expertise in cosmetic dermatology procedures, having trained hundreds of physicians and having achieved Black Diamond master injector status. Keshea Stevenson, PA-C is a board-certified dermatology physician assistant with vast experience in facial rejuvenation and cosmetic dermatology. Call our office to schedule a complementary cosmetic consultation. We look forward to seeing you.

Juvederm Family of Fillers

The Juvederm® family of fillers are made of hyaluronic acid (HA), a naturally occurring sugar found in the connective tissue, skin, and the joints. HA carries nutrients to the skin, helps the skin retain moisture and softness, and adds volume.  The Juvederm family of fillers also have a small amount of lidocaine added for comfort. Reactions to these fillers are rare and temporary.

Hyaluronic acid fillers such as Juvederm have a dual action. They absorb water to support structures under the skin to renew a youthful appearance.  Additionally, research has shown that HA fillers support the body’s ability to produce new collagen, which aids in reducing deep lines and creases from the inside out and for an extended time period.  New collagen forms even after the filler begins to breakdown, thus providing a more lasting rejuvenation than other types of fillers.

Dr. M. David Cole, MD, a board-certified dermatologist, is a skillful and experienced injector. He chooses his dermal fillers as an artist might select his brushes, to create the desired results. Maintenance treatments at about 12 months, can renew your results often with less product, because of the new collagen produced by the body.

Juvederm Ultra

Juvederm Ultra is an advanced dermal filler with a smooth consistency that is excellent to restore volume and hydration for skin elasticity and support. It is selected to treat fine lines and wrinkles around the mouth, under the eyes in the tear troughs, and for lip augmentation. It will smooth away smile lines and wrinkles, restore contours and volume, and last up to a year. It is versatile for contouring, volumizing, and for facial wrinkles.

Juvederm Ultra Plus

Juvederm Ultra Plus is thicker, holds its shape better, offers more volume than Juvederm Ultra, and is best to erase deeper folds and wrinkles. It is also used to treat moderate to severe nasolabial folds (folds from the corner of the nose to corner of the mouth), marionette lines (lines from the corners of the mouth to the jaw), and depressed areas of volume loss on the cheeks. It lasts up to a year.  Juvederm Ultra Plus can also be used for rejuvenating volume loss in top of the hands.

Juvederm Voluma

Juvederm Voluma is the thickest filler in the Juvederm family.  It is FDA approved for volumizing and augmenting the cheekbones along the zygomatic arch of the face.  Voluma can also be used in deep nasolabial folds and marionette lines around the mouth.

These three products offer versatility for contouring and volumizing. The difference between Ultra, Ultra Plus, and Voluma is the consistency and thickness, which allows Dr. M. David Cole MD the ability to tailor your rejuvenation to your specific needs.

Juvederm fillers are safe and effective for all skin types.  They are great for patients with deep wrinkles and folds, for lip augmentation, and to volumize and countour areas where fat has been lost due to aging or skin depression.  The areas treated will be smoother and fuller than before, with added volume, and definition. Results are immediate and will continue to improve as new collagen is formed.

There is no downtime with these fillers. These products are contraindicated for women who are pregnant and breast feeding. Patients who take blood thinners or drugs that act as blood thinners, including aspirin and supplements that thin the blood, should avoid dermal fillers until they are able to safely stop these medications for at least 1 week.  Temporary redness, tenderness, swelling, and bruising at the injection sites will resolve within a week, and concealer is effective in hiding these temporary effects.  Anti-bruising cream is also available to speed recovery.


*Individual results may vary.

Click here to see the Before & After Image Gallery