Over time, deep wrinkles can develop within our face. In the past, surgery or facial resurfacing procedures offered the only solutions to help soften the wrinkles we develop over time. Now, other options are available. Injectable fillers are products that have been developed to help “plump up” and soften the wrinkles on our face to improve appearance.

Juvéderm injectable gel (including Juvéderm Ultra, Juvéderm Ultra Plus, Juvéderm Ultra XC, Juvéderm Ultra Plus XC, and Juvéderm Voluma) is a “next generation” hyaluronic dermal filler developed by Allergan, the makers of BOTOX. It is used to correct moderate to severe facial wrinkles and folds (such as those around the nose and mouth).

Juvéderm is safe. It consists of hyaluronic acid (HA), a natural substance found in all of our skin. Injected within the mid-to-deep dermis of the skin, the product attracts water and helps fill out the natural wrinkles within our skin. Unlike other filler products like collagen, no skin testing is necessary.

Juvéderm is not permanent. Natural enzymes within our body called hyaluronidases will slowly break down the product. Results vary; however, Juvéderm is the only hyaluronic acid filler FDA approved to last up to one year with initial treatment.

Juvéderm is a simple, in-office procedure. It now comes pre-mixed with lidocaine to help reduce discomfort with the procedure. Side effects were usually mild to moderate, lasting seven days or less, and included temporary injection-site reactions such as redness, pain, firmness, swelling and bumps. Juvéderm is not for people with severe allergies.

If Juvéderm interests you, please contact our office or call us at 402-483-8530. For more information, please visit www.juvederm.com.


In September 2008 I was diagnosed with breast cancer for the second time in my life. Because of treatment I had received 23 years prior, I chose to undergo a double mastectomy with reconstruction. I did some research and visited a couple of surgeons in Lincoln; I actually made an appointment for surgery with one of them. I was also referred to Dr. Cassidy Mitchell. After speaking to him on the phone and meeting with him, I chose to change doctors and have Dr. Mitchell help me with this challenge. Dr. Mitchell was new to Lincoln then, but I felt very confident about how he was approaching my surgery and about his compassion towards me as a woman and patient facing a very difficult surgery. I have never regretted that decision. I am very happy with the results, but most of all, Dr. Mitchell approached the choices, surgery, recovery and reconstruction in a way that made me feel comforted, confident and as though I was in charge. That was important to me at a time when women often feel like their lives have gone completely out of control. I highly recommend him as a surgeon. His work is impeccable. I also have to say my general surgeon, Dr. Carolyn Cody, and the nursing staff at Bryan West Campus was also incredibly supportive. What a team. I am blessed. I’m cancer free, making music with my husband, and moving on with life. Thanks to all of you at Bryan. Thanks, Dr. Mitchell for helping me, for sharing your talent, and treating me with kindness. I’ll never forget it.

*Actual patient. Results may vary."

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