Juvéderm is a filler that can smooth away the lines, wrinkles and folds around your nose and mouth. Most patients respond to just one treatment with smooth, natural looking results that can last for more than a year. The gel filler that Dr. Yovino will inject is a gel that is combined with a topical anesthetic so that the injection is virtually pain-free. The gel itself contains hyaluronic acid or HA. HA is what helps to give your skin structure and volume, but as you age, your body begins to reduce the production of HA. Excessive exposure to sun, smoking, and other factors can also inhibit the production of HA, and when the levels of HA decrease enough, that is when lines and wrinkles develop, especially around the nose and mouth. When you receive Juvéderm injections, the HA is replaced, and the volume is safely and effectively restored to your sub-dermal tissues, erasing the folds and wrinkles.