What are hyaluronic acid fillers?

Voluma, Juvederm Ultra Plus XC, Juvederm Ultra XC, Restylane and Restylane Lyft are sterile gels, consisting of synthetic stabilized hyaluronic acid (HAs), which is a natural sugar found in skin. Your provider will help you decide which product would be best for you. All of these HAs are combined with a numbing agent (Lidocaine) for greater comfort. Be sure to tell us if you have a Lidocaine allergy.


Voluma is the newest Juvederm HA product. It restores lost facial volume, particularly in the upper lateral cheek, provides lift, and corrects deeper folds.

Restylane Lyft

It restores lost facial volume, particularly in the upper lateral cheek, provides lift, and corrects deeper folds. Formerly known as Perlane. Juvederm Ultra Plus XC This product fills moderate lines, finer lines and mild to moderate volume loss correction. It can be used in the lips.

Restylane and Juvederm Ultra XC

Restylane and Juvederm Ultra XC are softer HAs. Used for finer lines, mild volume correction and where a softer contour is needed, like the lips.

How long do these fillers last?

Filler companies, in their marketing materials, give the time it lasts from full to zero. Our estimations are based on a realistic time from treatment to next maintenance. Voluma and Restylane Lyft 9-12 months, Juvederm Ultra Plus XC 6-9 months, Juvederm Ultra XC and Restylane 4-6 months.

Dermal Fillers

Will there be any discomfort with my injection?

We use a topical skin anesthetic to make you comfortable during the injection of dermal fillers in Seattle. The cream not only makes you more comfortable, it decreases the chance of bruising by constricting blood vessels temporarily. If needed, a dental block may be done. To minimize your chances of bruising we advise you please follow our bruise prevention protocol.

Bruise Prevention Protocol
Dermal Fillers

Who should NOT use this product?

Do not use Voluma, Juvederm, Restylane or Restylane Lyft if you are allergic to it, pregnant, breastfeeding or bruise extremely easily.

A Message from Dr. Irwin and the Team at Madison Skin and Laser Center:

Dear Patients, Friends, and Colleagues,

We are pleased to announce that we will be reopening on Tuesday, May 5th, with limited days open, which we will expand as everything begins to reopen. We are following both CDC, Swedish Medical, and community guidelines and standards for healthy and safety, for both patients and staff.

If you would like to set up an appointment, please contact us at (206) 215-6600, or fill out a web form and we will reach out to you!

We are now offering telemedicine options to help serve you during this time! Click here for more information and to set up an appointment!

If you need skincare products, SkinTour is our sister site and can process your order. Product shipments are being sent out on a regular schedule.

Thank you for your support, and we look forward to seeing you soon!

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