Have fine lines, wrinkles, and sagging skin left you unhappy with how your face is aging? The volumizing benefits of Juvederm may be an ideal solution. Juvederm is the number one selling dermal filler in the United States because it restores youthful volume to facial structure, decreasing the appearance of wrinkles and folds. Dr. Jeanine Downie, founder of image Dermatology ® P.C. in Montclair, New Jersey, works with patients to find an optimal combination of injectables including BotoxRestylaneRestylane LyftVolumaSculptra, and Juvederm to address their aesthetic concerns.

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Juvederm Montclair NJ Photo

Juvederm is a dermal filler formulated with hyaluronic acid. Its smooth consistency works extremely well in areas of the face such as the lips, cheeks, temples, chin, nasolabial folds, and even on the back of the hands.

Dr. Downie was involved in the initial Juvederm clinical trials. She previously had a great deal of experience with collagen injections, and was excited to offer this better option to patients when it became available.


The hyaluronic acid in Juvederm replicates natural substances in your body so you will not need an allergy test before treatment. However, you should avoid vitamin E, fish oil supplements, and aspirin prior to injections, to reduce risk of bruising.

At your first appointment, your makeup is removed. While you look into a mirror, she watches how your face animates as you talk, smile, and laugh. This attention to detail helps her understand your concerns and where injections will be most helpful.

The injection process takes just five to 30 minutes, depending on how many syringes are needed. Treatment is well tolerated, and Juvederm XC (for eXtra Comfort) contains lidocaine for a more comfortable experience.


The Voluma XCTM Process
Once any bacteria on the face is wiped off with alcohol, Dr. Jeanine Downie proceeds to insert the Voluma filler. Having used it herself, Dr. Downie describes it as having an immediate effect. The patient is a staff member who has undergone numbing for two hours the procedure is done.

“So I’m cleaning off the face with Hibiclens. This is to make sure that there are no extra bacteria on the face. This is after I’ve already cleaned it with alcohol. Janet has lost how much weight?”

[Patient]: “27 pounds.”

“27 pounds. Some of it unintentionally from her face. So we need to do filler. Smile. Now relax. She’s a great patient. This is Voluma. It’s what I have in my cheeks. It’s instant. You took digital pictures of her before, right? Good. How are we doing, Janet?”

[Patient]: “Good.”

“Still speaking to me? That’s good, because she works for me. She has to be able to speak to me, otherwise it would be really bad. Janet’s worried about bruising. She’s been numbing for 17, almost 18 hours. We’re joking. She’s numb for two hours. She’s a good patient. She makes me look good. She doesn’t bruise right away, which is sweet and thoughtful of her.”

And Janet’s going to be 60 in a month. Shhh… don’t tell her. So We’re doing this for her 60th birthday present ’cause we love her. She’s worked at Image for 700 years. She’s a good patient. Now look at the one side. The cheeks picked up some. Now look it over here a little bit over in here. And then the other side. We need to do a little something, something there. We can’t leave her lop-sided. Maybe if she was one of my brothers, I would do that to her. But she’s Janet. I can’t do that. OK.”


How does zero sound? There’s no downtime – you may get on with your day immediately after a Juvederm treatment. Just remember to eat lots of pineapple to decrease bruising and ensure a smoother outcome.

Actual Patient Results


Injection of dermal fillers is a medical procedure that should be administered by or under the direct supervision of a physician, preferably a board certified dermatologist. As with any medical treatment, there are risks. Bruising, tenderness, or swelling can occur at injections sites, but those side effects are generally mild and resolve within a few days. Prior to treatment, Dr. Downie will talk with you about the potential for more serious complications. They are rare, but can occur in patients who take blood thinning medications, or have suppressed immune systems or severe allergies.

All about Juvéderm at Image Dermatology ® P.C. explained by Dr. Jeanine Downie

All about Juvéderm at Image Dermatology ® P.C. explained by Dr. Jeanine Downie
What is Juvéderm? is Juvéderm the filler you are looking for? Watch this video to learn more about Juvéderm as Dr. Jeanine Downie from Image Dermatology ® P.C. explains.

What is Juvéderm?
I was involved in some of the initial trials for Juvéderm Ultra Plus, which is one of their premier products. Juvéderm is another hyaluronic acid-based filler.

Hyaluronic acid is a gel-based substance that is found in your elbows, knees, and all your joints. Typically, one is not allergic to it at all.

Is Juvéderm reversible?
It is fully reversible through something called Hylenex or Vitrase in case somebody has an issue or needs a little melted.

What are the areas Juvéderm can be used in?
Juvéderm XC is one of those products where it can be used all over the place. A lot of my patients put a little on their foreheads. The forehead goes flat as you start to get older. They have me put a little bit of Juvéderm XC in here as well.

Other places you can do Juvéderm XC is in the tail of the eyebrow, to pick up the cheeks and on nasolabial folds. I also have used Juvéderm XC very off label in the nose for what I call a liquid nose job or liquid nose lift.

I have injected a gentleman’s nose with filler on the Today’s Show to make his nose look less dented. The filler in the nose can last upwards of 12 – 24 months.



Yes. It is approved by the FDA for treatment of moderate to severe facial folds and wrinkles. Dr. Downie and her team are trained and experienced in the use of dermal fillers, including Juvederm.


Yes. Clinical studies show no increased risk of pigmentation problems or scarring in patients with richly pigmented skin.


No. You’ll see enhancement right away, and since hyaluronic acid holds many times its own weight in water, the results of Juvederm continue for up to six months. Most patients are so thrilled with their new look that they schedule regular upkeep appointments.

Dr. Downie takes great pride in turning back the hands of time for her patients. Are you considering Juvederm or other injectables? Contact her today at (973) 509-6900 to schedule a consultation in her Montclair office.

A liquid nose job done live on The Today Show

Dr. Jeanine Downie is an experienced and popular dermatologist in Montclair. She possesses extensive experience and training in all aspects of dermatology, including cosmetic dermatology and laser surgery. Dr. Downie provides modern and cutting-edge dermatology treatments to everyone in your family in a professional, competent and compassionate manner while ensuring that your individual and unique needs are met. Having received rigorous academic training, she completed her residency in Dermatology at the Mount Sinai Medical Center in New York City and also served as Chief Resident. She continues to upgrade her skills set and share her knowledge through professional affiliations and lecturing assignments on behalf of several renowned medical societies such as The Skin Cancer Foundation and The American Academy of Dermatology, among others. She also frequently interacts with the public through popular television shows such as Good Morning America, The Today Show, and The Dr. Oz Show, to name a few.