Murrieta (951) 719-2950 |
San Diego (858) 230-8938



Injectable fillers are a great way to help you look younger and refreshed without the need for surgery. As we age, we lose collagen and fat in our skin. And what we do have left often sags to where we don’t want it. Injectable fillers help smooth the wrinkles, scars and folds of the face, leaving a younger, smoother, often lifted appearance. They may also be used to add volume to thin or aging lips.

Juvéderm Volbella with Lidocaine is the latest advancement in the Juvéderm range of facial fillers, developed specifically for your lips and mouth area. It is a smooth gel that is injected by Dr. Balikian or his aesthetic injectors using an ultra-fine needle. It has been specifically developed as a smooth gel to give a soft, natural feel. The gel fills in lip lines and wrinkles while the hyaluronic acid within attracts and retains moisture, so results can last up to a year.

Juvederm Ultra Plus XC is available with numbing medication already added to the syringe. This significantly reduces the pain of injections and has made use much more comfortable. Additional numbing cream or ice are always available to ease injection discomfort. This treatment is offered by both Dr. Balikian and his Aesthetic injectors.

During your consultation, your injector will give an honest assessment of what he or she thinks would benefit you. We are known for being conservative but still effective. We prefer to start conservatively and want you to look like you, only more refreshed. Our goal is to have you look in the mirror and look as good as you feel.


Injectable fillers are different from Botox Cosmetic in that they do not work on muscle activity but work by physically plumping up the troughs of wrinkles and folds. Injectable fillers such as Juvéderm, Volbella, Restylane, Perlane and Bellafill are most often used to treat the folds that form from the base of the nose to the corners of the mouth, the so-called marionette lines that form from the corners of the mouth going down to the chin, other wrinkles around the mouth and cheeks as well as to augment the size of the lips.

The Juvederm collection of fillers is made from hyaluronic acid (HA). What’s interesting about HA is that it’s a natural substance in the skin that delivers nutrients, helps the skin retain moisture and softness, and adds volume. Each product in the Juvederm collection of fillers is made from a modified form of HA. Therefore, it is very safe to use and does not require a skin test. Juvederm Volbella, Juvederm Ultra XC, and Juvederm Ultra Plus XC, differ in thickness and Dr. Balikian will discuss with you in consultation which injectable filler may best fit your needs. These products generally last approximately nine months to a year before being reabsorbed by your body.

We advise patients to avoid using blood thinning medications such as Aspirin, Ibuprofen or Omega-3 Fish Oils for one week before any injection to help decrease the risk of bruising. In addition, avoiding alcohol a few nights before injection and taking the herbal medication arnica may help decrease the risk of bruising.

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For more information about Juvederm, or to schedule a consultation with either Dr. Balikian or his Aesthetic injectors, please call Balikian Facial Plastic Surgery today at (951) 719-2950 or use our online appointment request form.

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