Juvederm Ultra 4 Lidocaine – Deep Folds Filler

Description

Juvederm Ultra 4 with Lidocaine is an elite, high-density, sterile dermal filler engineered to correct severe facial wrinkles, treat deep anatomical folds, and restore structural volume loss. Developed by Allergan Aesthetics, this premium injectable utilizing advanced Hylacross™ technology features a highly cohesive, viscous, and robust cross-linked Hyaluronic Acid (HA) matrix. Designed specifically to withstand the mechanical pressures of deep facial tissue layers, Juvederm Ultra 4 delivers immediate structural elevation and outstanding lifting capacity, making it a premier choice for contouring the cheeks, jawline, and chin.

Main Benefits of Juvederm Ultra 4

• Robust Deep-Tissue Lifting: Specifically engineered with high viscosity to lift heavy tissue structures, smoothing deep folds and reconstructing lost facial volume.

• Hylacross™ Structural Integrity: Formulated into an ultra-smooth, single-phase (monophasic) gel that yields a seamless, uniform distribution without fracturing under dense skin layers.

• Exceptional Clinical Longevity: Thanks to its highly dense cross-linking pattern, the stable gel matrix effectively resists natural enzymatic breakdown, maintaining visible results for up to 12 months.

• Integrated Patient Comfort: Formulated with 0.3% Lidocaine Hydrochloride, a fast-acting local anesthetic that minimizes discomfort and shearing sensations during deep tissue infiltration.

• Excellent Hydrophilic Volumization: Binds moisture efficiently within the deep subcutaneous spaces, providing a natural plumpness and keeping surrounding tissue perfectly hydrated.

Indications

Juvederm Ultra 4 is indicated for deep dermal or subcutaneous implementation to address structural deficits and reshape facial geometry:

• Severe Nasolabial Folds: Filling and flattening the deep creases running from the base of the nose to the corners of the mouth.

• Deep Marionette Lines: Correcting pronounced vertical folds at the oral commissures to lift and rejuvenate a downturned expression.

• Malar & Cheekbone Augmentation: Restoring structural fullness to hollowed or sunken cheeks while sharpening the zygomatic arch.

• Chin & Jawline Remodeling: Defining weak chin profiles and sharpening the mandibular border for enhanced facial symmetry.

• Volume Deficit Correction: Rebuilding global tissue deficits caused by facial lipoatrophy (fat loss) due to aging or medical conditions.

Technical Specifications

Feature	Specification
Product Name	Juvederm Ultra 4 with Lidocaine
Manufacturer	Allergan Aesthetics (An AbbVie Company)
Active Ingredient	Cross-linked Hyaluronic Acid
HA Concentration	24 mg/mL
Anesthetic Integration	0.3% Lidocaine Hydrochloride
Packaging	2 x 1ml Pre-filled syringes per box (Total: 2ml)
Needles Included	4 x 27G 1/2″ sterile single-use needles
Application Layer	Deep dermis / Subcutaneous space
Duration of Effect	Up to 12 months
Storage	Store between 2°C to 25°C; do not freeze or expose to heat

Mechanism of Action

The filler operates via High-G-Prime Hydrophilic Mechanical Elevation:

1. Immediate Mass Projection: Upon deep subcutaneous or deep dermal deployment, the highly viscous Hylacross gel acts as a dense physical cushion, instantly pushing up deep-seated wrinkles and sagging tissue.

2. Hydrodynamic Space-Filling: The cross-linked HA fibers firmly anchor water molecules, expanding within the interstitial spaces to stabilize the initial structural volume.

3. Resistance to Cleavage: The dense network of chemical cross-links creates a heavy barrier that slows down the penetration of native hyaluronidase enzymes, allowing the product to degrade slowly and uniformly over time.

4. Isovolemic Retention: As the HA polymer chains gradually break down, each molecule binds more water, keeping the overall filling volume stable until the final stages of degradation.

Administration Protocol

• Technique: Administered using a structured linear threading, retrograde fanning, or deep bolus injection technique depending on the structural requirements of the target zone.

• Injection Tool: Can be safely delivered utilizing the included 27G needles or an elite 23G to 25G blunt-tipped cannula to comfortably navigate deep subcutaneous fat pads and minimize vascular risks.

• Injection Depth: Must be placed strictly into the deep dermis or subcutaneous tissue layers. Superficial injection into the upper dermis must be strictly avoided to prevent visible lumps, surface irregularities, or vascular compromise.

• Post-Treatment Care: The practitioner must thoroughly massage the treated zone immediately post-injection to ensure the dense gel molds into a uniform, natural contour. Patients should avoid strenuous exercise, alcohol consumption, hot saunas, and direct facial pressure for 48 hours.

FAQ

Q: How does Juvederm Ultra 4 differ from Juvederm Ultra 3?

A: While both rely on Hylacross technology and share a 24mg/mL HA concentration, Juvederm Ultra 4 possesses a significantly higher cross-linking density and viscosity. Ultra 3 is medium-bodied, optimized for moderate folds and lip volume. Ultra 4 is a much thicker, heavier gel designed exclusively for deep facial folds, cheek augmentation, and non-surgical facial sculpting.

Q: Is there downtime after a Juvederm Ultra 4 treatment?

A: Downtime is minimal compared to surgery. Because it is placed into deeper tissue layers, patients may experience mild localized swelling, minor tenderness, and a light bruising at the entry sites for 3 to 7 days. Most individuals return to regular, non-strenuous daily activities within 24 to 48 hours.

Q: Can this high-density filler be dissolved if necessary?

A: Yes. Despite its high density and structural thickness, Juvederm Ultra 4 is a pure, biocompatible Hyaluronic Acid. The entire cross-linked matrix can be completely, safely, and rapidly dissolved using standard professional hyaluronidase solutions (such as Liporase) in case of overfilling or aesthetic adjustments.

IMPORTANT NOTICE ON INTELLECTUAL PROPERTY

This store operates as an autonomous merchant of genuine medical aesthetic products. We maintain no formal affiliation, partnership, or authorized distribution agreement with Allergan, its global subsidiaries, or the Juvederm brand family. All proprietary names, logos, and trademarks mentioned herein remain the exclusive intellectual property of their rightful owners. Their use on this site is strictly for the identification and description of the original goods we provide as an independent reseller.