Facial fillers (Juvéderm)

What are facial fillers (Juvéderm)?

The facial fillers (Juvéderm) use at ExcelleMD are made from hyaluronic acid and lidocaine. Hyaluronic acid is a substance found naturally in the skin that holds water and helps keep it hydrated and plump. Lidocaine is an analgesic that makes the injection experience more comfortable. Facial fillers (Juvéderm) products are based on VYCROSS technology, it is designed to smooth out the skin. Results that look natural and long-lasting.

What Is Hyaluronic Acid?

Hyaluronic acid (HA) is a substance found naturally in our skin that holds water and helps keep it hydrated and plump. The molecule holds a thousand times its weight in water to not only retain all that moisture in our skin, but also prevent all that moisture from evaporating into the air. Just like collagen and elastin, the amount of naturally occurring hyaluronic acid in our bodies decreases as we get older.


Hyaluronic acid also has the effect of filling the spaces between the cells in order to maintain the smooth and radiant appearance of the skin.

Areas Treated by facial fillers (Juvéderm)

The facial fillers (Juvéderm) are used to enhance the appearance of the face. Whether it is to give volume or shape to your lips, cheeks and chin. It can also fill in and soften the wrinkles around the mouth, minimize the appearance of facial wrinkles or deep furrows between the eyebrows.

soins esthetiques injectables

What to expect?

1A consultation with one of our experienced health care professionals will allow you to discuss the areas you wish to treat and the desired effect/result.

2Doctor’s inject the filler (Juvéderm) into the superficial dermis with a thin needle. All the facial fillers (Juvéderm) used at ExcelleMD contain lidocaine an analgesic (numbing agent) thus making the treatment less painful. After the treatment, around 30 to 60 minutes later, the patient can resume daily activities and see results immediately.

3Side effects are minimal: you may experience some swelling or bruising that can last for two or three days. The doctor will recommend the appropriate care to follow after the treatment.


Following the treatment, it is suggested to avoid makeup on the treated areas, prolonged sun exposure and very cold or hot temperatures such as saunas and steam rooms.

It is important to discuss with the doctor if you have:

  • Serious allergies with a history of anaphylactic shock, allergies to hyaluronic acid, other fillers and any allergies to lidocaine or other local anesthetics.
  • A history of autoimmune disease, recurring tonsillitis, rheumatic fever, epilepsy or porphyria.
  • If you are taking any medications that may cause bleeding such as aspirin, nonsteroidal anti-inflammatory drugs or blood thinners. With any type of injection, there may be prolonged bleeding.
  • It is important to tell the doctor if you are taking any medication or medications that could contradict with the treatment.

Also advise the doctor if:

  • You have recently had other skin surface treatments or have already used fillers.
  • You have an infection or skin inflammation such as acne or cold sores.
  • You have a predisposition to excessive scarring.
  • You are pregnant or breastfeeding or if you are under the age of 18 to 21 (if it is a lip filler treatment).

Neuromodulator (Botox)

What is a wrinkle?

A wrinkle is a skin breakage caused when the dermic structures collapse due to the progressive disappearance of two proteins: collagen and elastin.

There are two types of facial wrinkles:

  • Expression wrinkles, also called dynamic wrinkles, are caused by the repetition of the contraction of certain muscles.
  • Age wrinkles, also called static wrinkles, are caused by the loosening of the face’s skin. The old age wrinkles are mainly affected and aggravated by hormonal aging, personal factors such as stress, tobacco, poor nutrition, lack of sleep and exposure to the sun.

The areas of the face most affected by wrinkles:

  • Forehead
  • Glabella (the area on the forehead between the eyebrows) also called the lion’s wrinkles
  • Periorbital (the area from the outer corner of the eye), also called crow’s feet
  • Sillon Judge Chin (the area from the corner of the mouth to the chin) also called bitterness
  • Nasolabial fold (the descending zone between the edge of the nose and the corners of the mouth)
  • Peri oral (the area around the mouth)

What is a neuromodulator (Botox)?

Botulinum toxin is a purified toxin type A and is secreted by a bacterium called Clostridium Botulinium. Botulinum toxin is a naturally occurring protein-like substance that relaxes motor nerves to reduce the movement of a muscle.

It can also be used to treat dyshidrosis or hypertranspiration by blocking the muscles surrounding the sweat glands.

How does it work?

1A neuromodulator (Botox) injection is a nonsurgical procedure performed by a doctor with great knowledge of facial anatomy. Botulinum toxin is injected under the surface of the skin in order to relax the targeted muscles in order to reduce the appearance of wrinkles and fine lines. The neuromodulator (Botox) is injected in small doses evaluated by the doctor according to the targeted area, the desired result and the patient’s metabolism.

2The neuromodulator (Botox) use at ExcelleMD is effective on expression wrinkles, also known as dynamic wrinkles, as it prevents the targeted muscles from contracting to minimize the appearance of wrinkles for a skin that looks fresher and smoother.

3After an intervention, the patient can resume these activities and the results will appear in the next 2 or 3 days and the maximum effect within 7 to 10 days. The results of the injections last between three to six months depending on the patient, the treated areas and the quantities used.

In terms of convalescence…

Since the neuromodulator (Botox) injection is a nonsurgical procedure, the patient can resume their daily activities the same day. The injected areas may show redness after the injection, but it will disappear in a few hours. Even if it is rare, there may be bruising. If this is the case, it is possible to cover them with makeup.

It is recommended not to rub or press the injected areas so as not to move the neuromodulator (Botox). Also, pregnant or breastfeeding women should postpone this type of treatment. Patients with certain neuromuscular disorders should avoid this type of injectable.


To avoid any risk of bruising or undesirable side effects, it is recommended to avoid aspirin, anti-inflammatories, alcohol and natural products in the days before the treatment.

Areas treated by Botox

Ares treated by neuromodulator (Botox):

  • Glabella
  • Forehead
  • Crow’s feet
  • Orange skin on the chin
  • Bunny lines
  • Peri-oral Lines (Smoker’s Lines)

More advanced treatments such as :

  • Hyperhidrosis (excessive sweating) in the forehead, hands, feet and armpits
  • Open the affected eye with a drooping eyelid
  • Correct a smile where the upper gum is overly exposed.


A team of experts that listens to you

Do not hesitate to contact us,

we will be glad to answer your questions.