Juvederm is a hyluronic acid that is a smooth gel and is injected into your deep folds in the smile lines, vertical lip lines, marionette lines, chin and cheek bones to add volume and hydration. Our highly trained physicians at Plastic Surgery of Palm Beach will discuss your options of whether to use Juvederm Ultra or Ultra Plus depending on the depth of your creases. Juvederm in West Palm Beach is now available with lidocaine already in the product which allows for a more relaxed treatment. Some patients still prefer to have a topical anesthetic applied for 20-30 minutes prior to treatment which we include in the cost of your treatment. This process is minimally invasive, can cause some bruising and swelling but creates a beautiful and natural appearance.