Know Your Fillers: Juvederm Ultra vs. Ultra Plus

When comparing Juvederm Ultra vs. Ultra Plus, there are both similarities and differences.  For instance, both are used for the treatment of facial lines and wrinkles, but Juvederm Ultra Plus is a thicker more viscous substance than Juvederm Ultra. Therefore, Ultra Plus can provide more dramatic results in areas with deeper lines and hollows in the skin. Juvederm Ultra is more appropriate for superficial locations and finer lines and wrinkles.

“It’s actually pretty incredible,” says Dr. Miriam Hanson, board-certified dermatologist and cosmetic expert at Sanova Dermatology in Austin, Texas. “We can now completely customize our approach to facial rejuvenation, individualizing treatments by matching the best product or device for the patient’s concern.”

Generally speaking, the lighter, thinner Juvederm Ultra is usually better suited to treat wrinkles and hollows that appear around the eyes and lips, where the lines tend to be finer and more delicate.  The thicker, Juvederm Ultra Plus, is placed into the mid and deep dermis layers, allowing for greater volume deposition over a much larger area. This gives it the ability to lift folds and wrinkles that are more deeply embedded in the face, cheeks and in the nasal labial folds or smile lines.

Both Ultra Plus and Juvederm Ultra consist of  a smooth gel that is made of hyaluronic acid, but in different consistencies and strengths.  Hyaluronic acid is a naturally occurring sugar that is found throughout the body in human connective tissue. It is the substance that helps make the joints move smoothly and gives the skin its plumpness.  The primary differentiating factor between Juvederm Ultra and Ultra Plus is the cross linking that occurs during a chemical reaction to provide viscosity and stability, at 6 and 8% respectively.

“In many cases, it’s a mix,” explains Dr. Hanson. “By combining hyaluronic acid products, by using fillers of different calibers both thicker and thinner, we can achieve robust volume restoration while smoothing out filler placement for an even, much more natural look.”

Contact Us

If you would like more information about Juvederm Ultra and Ultra Plus, or have questions about other dermal fillers, please contact us to schedule your consultation today.

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  • Daniel A. Carrasco, MD

  • Kristy Charles, MD

  • Patricia Farris, MD

  • Kimberly Finder, MD

  • Aron Gewirtzman, MD

  • Miriam L. Hanson, MD

  • Ted Lain, MD, MBA

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