Most patients find filler tolerable with topical numbing. All Juvéderm products contain lidocaine in the formulation, which provides progressive numbing as the injection proceeds. The lips are the most sensitive area — most patients describe it as a pinching or pressure sensation rather than sharp pain. Cheeks, jawline, and chin are generally well tolerated with minimal discomfort.

Swelling is normal and expected — it is not an indication of how your result will look. Lip filler typically produces the most visible post-injection swelling, peaking at 24–48 hours and resolving within 5–7 days. Bruising is possible at any injection site and typically fades within 5–7 days. Most patients can return to work and social activities the same day, though they should plan accordingly around events. Arnica supplements started the day before treatment can help minimize bruising.

Yes. Because Juvéderm is hyaluronic acid-based, it can be dissolved with an enzyme called hyaluronidase. Dissolution is fast — most of the filler is broken down within 24–48 hours — and the area can then be reassessed and, if desired, re-treated. This reversibility is one of the key advantages of HA fillers over biostimulators like Sculptra, which cannot be removed once injected.

Syringe count depends on the area and the degree of correction. Lips typically start at 1 syringe. Cheeks require 1–2 syringes per side. Jawline definition typically requires 2–4 syringes for a visible structural result. Under-eye treatment is conservative — usually less than 1 syringe. Facial balancing across multiple areas typically uses 3–5+ syringes. Your provider will recommend a starting volume at consultation and you can always add more at a follow-up rather than over-treating at the first session.

Both are FDA-approved HA fillers, but they use different cross-linking technologies that affect how the gel integrates with tissue. Juvéderm uses HYLACROSS and VYCROSS technology depending on the product, which produces a smooth gel consistency. Restylane uses NASHA technology, which produces a more particulate gel. In practice, both brands have specific products suited to specific areas, and provider experience and preference often dictate which is selected. At ELLEMES, your provider will recommend the right product for your anatomy and goals.

Avoid blood-thinning medications and supplements for 1 week before treatment if medically appropriate — these include aspirin, ibuprofen, fish oil, vitamin E, and alcohol. Do not get dental work done within 2 weeks before or after filler. Arrive with clean skin. Disclose all current medications including GLP-1 drugs, anticoagulants, and supplements at your consultation. Patients with a history of cold sores should take prophylactic antiviral medication before lip filler.

Yes — patients losing weight on GLP-1 medications may lose facial volume faster than expected, which can affect how long filler lasts and how much volume is needed. Significant weight loss redistributes facial fat, which can change the areas that need treatment. It's important to be at or near your goal weight before committing to a full facial balancing plan — otherwise the results you achieve may shift as your face continues to change. Your provider will discuss timing recommendations based on where you are in your weight loss program.