It has been nearly three months since the tissue filler Juvederm was introduced into the U.S. cosmetic market. My experience up to this point has been nothing but positive. As compared to the other hyaluronic acid tissue fillers, I have found Juvederm to have a much smoother consistency and hence patients have had a lot less ‘lumpiness’ following the injection. This lumpiness found with the other hyaluronic acid tissue fillers, would last generally one to two weeks following injection and was for the most part not visible but only evident to touch. Patients have also surprisingly complained of less bruising following the injections. The smoothness of the Juvederm has also afforded an additional benefit, namely the ability to inject the product in regions of the face that have particularly thin skin i.e. skin in the area of the lower eyelid. This can certainly be done with other products, but again the smoothness of the product allows for a more reliable result. As far as the longevity of the product is concerned, only time will tell if the duration of results will be greater then the other leading tissue fillers. I will keep you posted in the coming months.