Bolitho MD

9834 Genesee Ave Ste 311 La Jolla San Diego, California
Phone: (858) 458-5100



JUVÉDERM®, by Allergan, is a cosmetic injectable gel which adds volume to help fill out fine lines and wrinkles on the face. Made of hyaluronic acid, otherwise known as HA, this colorless dermal filler helps lessen the appearance of nasolabial folds, also referred to as “parenthesis around the mouth.”

Its newest addition, JUVÉDERM® Voluma™ XC for the mid-face, is an injectable gel for the treatment of deep subcutaneous and/or supraperiosteal for cheek augmentation. It helps restore and correct the decrease of volume due to aging.

JUVÉDERM® Consultation

In your initial consultation, Dr. Bolitho will determine if you are a JUVÉDERM® candidate. He will also review your overall medical history.

This office visit is a vital one because it’s your opportunity to be candid with Dr. Bolitho in where you can share your aesthetic goals and wishes for this cosmetic gel injection.JUVÉDERM

Dr. Bolitho will assess the lines from the bottom of your outer nostrils, then around the corners of your mouth, in terms of size and location. If the cosmetic injection is for the mid-portion of the face, he will evaluate this, as well.

Photos will be taken for your medical file. They will automatically be downloaded to a state-of-the-art software program, TouchMD. The photographs will reflect the areas of potential cosmetic injection treatment and are then uploaded to a touch screen in your examining room. Dr. Bolitho will utilize this software to get more in depth information regarding your aesthetic wishes. Dr. Bolitho will explain the process with this touch screen and discuss the latest techniques he uses to achieve the most desired aesthetic outcome.


The administering of JUVÉDERM® is simple and fast. It takes under 15 minutes to perform. While no anesthesia is needed, Dr. Bolitho typically applies a lidocaine numbing cream on the areas of injection to make the experience well-tolerable.

During your consultation, Dr. Bolitho will determine which JUVÉDERM® is more suitable for your aesthetic outcome. The choices are the following:

Voluma: the newest JUVÉDERM® product to enter the roster, this is the first and only FDA filler to correct and restore age-related volume loss in the mid facial region. Results last up to two years.

XC: correcting moderate to severe facial wrinkles, such as nasolabial folds – results last six months or more

Ultra: filling nasolabial folds for shallow lines – results last six months or more

Ultra Plus: correcting nasolabial folds for deeper creases – results last six months or more

Using a very small gauge needle, the dermal filler is placed into the mid-deep layers of your skin. These injections may vary slightly depending on the wrinkle depth and size.

After the first 24 hours, you may resume your normal activities but refrain from doing any high level exercises. Dr. Bolitho will give you post treatment instructions, including no consumption of alcohol within 24 hours, and to stay away from the heat and sun right after your JUVÉDERM® treatment.

Normal Side Effects

Following your JUVÉDERM® treatment, you may experience the following side effects near the injected areas after the first week. They may include the following:

Generally, icing the area can help reduce swelling and alleviate any minimal discomfort. These are usually manageable and will go away. Dr. Bolitho and his team will direct you on when you can apply makeup to the treated area once again. Leaving the area makeup-free will promote healing.

For Voluma patients, side effects may last a little longer. Dr. Bolitho will give you after-treatment guidelines.