Juvederm Pearls: Fine and Superficial Lines

  • John R. Burroughs
  • Richard L. Anderson


Juvederm is a newer nonanimal-based hyaluronic acid that has the advantage of lower viscosity allowing for easier injection. Juvederm is technically for filling minimal rhytids, particularly for perioral lines and for defining the vermillion border. It works very well to enhance the vermillion border as an adjunct to deeper lip augmentation with Restylane, Perlane, and Juvederm Ultra Plus. Superficial, fine lines may also be treated by first performingsubcision with an injection needle (e. g., 27-gauge), followed by an injection of hyaluronic acid through a 32-guage needle. The 32-gauge needle seems to thin the filler viscosity, enabling fine, superficial rhytid filling while avoiding lumps. Caution is needed with superficial filling to avoid skin color discoloration, and it is imperative to ensure that the needle is securely fastened to the luer-lock syringe to avoid accidental needle expulsion and potential ocular injury.1


Public Health Hyaluronic Acid Plastic Surgery Skin Color Lower Viscosity 
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  1. 1.
    Lin DJ, Sami MS, Burroughs JR, Soparkar CN, Patrinely JR. Ocular injury from local anesthetic injections: needle expulsion—the luer-lock allure. Arch Facial Plast Surg 2006;8:436.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • John R. Burroughs
    • 1
  • Richard L. Anderson
    • 2
  1. 1.Eye and Facial AppearancesColorado SpringsUSA
  2. 2.Center for Facial AppearancesSalt Lake CityUSA

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