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JUVÉDERM® and JUVÉDERM® Ultra PlusJuvederm

JUVÉDERM® and JUVÉDERM® Ultra Plus gels are Hyaluronic acid dermal fillers. Hyaluronic acid is a naturally occurring skin component. Hyaluronic acid may diminish with age, contributing to the formation of wrinkles and folds. JUVÉDERM® injectable gel works to correct this by restoring Hyaluronic acid in your skin. JUVÉDERM® and JUVÉDERM® Ultra Plus are safely metabolized and degraded by your liver to carbon dioxide and water.

The name “hyaluronic” comes from the Greek word “hyalos” meaning “glassy.” When used as filler the hyaluronic acid potently binds to water and in doing so volumizes, softens, and hydrates the skin. JUVÉDERM® injectable dermal filler is a non-surgical, physician-administered treatment that requires no allergy skin test and minimal recovery or downtime.

Dr. Aguilera’s expert hands guide JUVÉDERM® under the skin using a fine needle to augment the soft tissue of the dermis—the dense inner layer of skin beneath the epidermis. Filling adds volume and diminishes wrinkles and folds. Dr. Shino bay Aguilera is a Top Platinum level Injector of Juvederm and Botox for Allergan. (He is also one of the Top 5 Injectors of Sculptra Aesthetic in the entire United States).

FDA approved JUVÉDERM® injectable gel is great for your "laugh lines," "smile lines", "parentheses" (nasolabial folds), or "marionette lines" (oral commissures). The difference between JUVÉDERM® and JUVÉDERM® Ultra Plus is the size of the particles. JUVÉDERM® Ultra Plus has a larger particle size so is designed for deeper dermal filling. Both are intermediate lasting fillers of about 6 to12 months. Side effects were usually mild to moderate lasting 7 days or less and include temporary injection site reactions like redness, pain, firmness, swelling and bumps

Wrinkle fillers that erase the signs of aging are getting better all the time. As a highly regarded leader in the field of medical cosmetics and dermatological innovation, Dr. Aguilera is a master of artfully administering all kinds of dermal fillers and he welcomes the latest innovations and incorporates the use of new and exciting therapies and products to optimize your results.

Juvederm Ultra

JUVÉDERM® Ultra 3 Days After UPPER LIP ENHANCEMENT (may last up to 1.5 Years although average is about 9 months)

Technique and Artistry is Critical to achieve the Best Results! Dr. Aguilera's Patient here now has a more symmetric, better balanced and younger look.                CLICK IMAGE TO ENLARGE >>

Shadows And Dark Circles Under Your Eyes

This is one of the most common complaints people have dark circles under their eyes. Sometimes this can be treated and sometimes the problem resists treatment. The first thing to determine is the cause of the darkness. Three factors can contribute to darkness under the eyes:

Tear trough hollow treated with one syringe of Juvéderm at Shino Bay Dermatology

  1. Excess pigment
  2. Visible blood vessels
  3. Hollowness due to a deep tear trough. Some people have one cause, some have two or even all three.

How to tell which one do you have?

If you apply pressure to the circle or shadow and it disappears, your problem is due to visible blood vessels underneath the thin skin of the eye area. If the color doesn't disappear, the darkness is caused by excess pigment. And if the shadow forms at the inside corner of your eye, where a tear would flow, it's probably due to a deep tear trough.

How do you treat each one?

Visible blood vessels are the most difficult to treat. We have multiple ways to treat this such as our Cynergy vascular laser to destroy these vessels. We first must determine if your individual problem is too close to the eye.

Excess pigment can be treated with a prescription bleaching cream. But care must be taken as this is a sensitive area and the bleaching creams can be irritating.

A deep tear trough is a common cause and can be treated with a filler like Restylane or Juvéderm. This is one of those procedures that gives dramatic, almost-instant results) after a bit of temporary bruising.

Other causes and treatments

One other cause for dark circles under the eyes only occurs in patients with seasonal allergies. This is essentially pigment caused by constantly rubbing their itchy eyes. We treat these dark circles with bleaching creams and with allergy medicine to stop them from itching and rubbing.

Last, there are some people who have too much fat or excess skin under their eyes causing puffiness in addition to dark circles we can often treat and revise treat with one of our several fractional lasers.


  Call the number below or use the contact form to schedule an appointment for a complimentary cosmetic consultation with Dr. Shino Bay Aguilera. Top