In San Diego County, Synergy Aesthetics specializes in nonsurgical facial and skin enhancement in a relaxing atmosphere. For many people in San Diego County, dermal fillers offer a wonderful opportunity to smooth out some flaws and restore the precious dewy look of youth.

At Synergy Aesthetics, we offer the full line of Juvederm products: Juvederm Ultra, Ultra Plus, Ultra XC and Ultra Plus XC. Another set of miracles from the makers of Botox, these are clear injectable gels that fill creases and let you move on with life.

At Synergy Aesthetics we are ready to listen to your concerns and help you determine the best options for banishing wrinkles and fine lines. We want to have you smiling again.


With its hyaluronic acid, Juvederm’s syringe of youth-conferring gel offers seemingly endless applications. It is a dermal filler originally approved for smoothing wrinkles and scars. Doctors and patients alike have embraced it, applying its plumping, firming qualities to correct:

  • Forehead rows — horizontal wrinkles that cross your forehead above your brows.

  • Glabellar lines — vertical frown lines between your brows.

  • Nasolabial folds — smile or marionette lines running from your nose to the corners of your mouth.

  • Lateral canthal wrinkles — crow’s feet or laugh lines.
  • Lip shape, contour, fullness or asymmetrical imbalance.
  • Scarring where skin is sunken or pitted.

It is an easy, viable choice for San Diego patients to address mild or moderate wrinkles, folds, creases or sunken scars that may be marring your skin. It can also offer effective contouring and shaping options. Between the Ultra, Ultra Plus and XC formulations, we can treat most mild or moderate skin wrinkles and deep scars.


If you are considering allowing someone to make aesthetic enhancements on your face, you need an experienced, certified practitioner you can trust to understand your concerns and make your dream a reality, not your reality your worst nightmare. Our professional team here at Synergy Aesthetics has more than 10 years of experience in providing optimal, luxury facial care. We truly believe that each patient is unique and deserves our full attention. You will never feel rushed, nor will we ever gloss over any details. You will always feel as if you are our one and only patient.

At Synergy Aesthetics in Solana Beach, we focus solely on what we do best: minimally invasive cosmetic enhancements tailored to our patients’ needs. We are highly trained, experienced and ready to share our in depth knowledge of skin and beauty with you. You will always know why we recommend something, and you will always know exactly what to expect. We realize we are only as successful as our last patient’s smile and want your experience to be as unique and pleasant as possible. We specialize in making an aesthetic difference, one beautiful face at a time.


Juvederm’s primary active ingredient is hyaluronic acid, often referred to as nature’s moisturizer. Hyaluronic acid is a gel-like sugar found naturally in your body’s cells, especially in your eyes and joints. It makes up 40% of your dermis, the lower skin layer. With cushioning and lubricating qualities similar to gelatin, it draws and holds water molecules. It restores moisture to thinning tissues and aging collagen, making it the perfect candidate for banishing wrinkles and restoring a youthful, dewy appearance.

The gel comes in several formulas and strengths: Ultra, Ultra Plus, Ultra XC and Ultra Plus XC. All are synthetically derived through chemical cross-linking, meaning no use of animal products, less chance of any adverse reaction and longer-lasting results. Too, the Hylacross biotechnology used to synthetically create this smooth filler makes it less granular and more stable compared with others.

The basic difference between the forms is that the Ultra Plus is a more robust, or thicker, version of the Ultra. The Ultra contains 9% hyaluronic acid while the Ultra Plus has 11%. Each has its uses, depending on the application site, skin flaw depth and skin condition. Juvederm XC designations simply indicate that the dermal filler has an added 0.3% lidocaine, a local anesthetic to prevent any discomfort during the procedure.


Your consultation at Synergy Aesthetics in Solana Beach is one of the most important parts of the whole process. At that time, you’ll meet personally with one of our beauty specialists who will explain exactly what you hope to achieve with the procedure. We then will advise you on which products will work best for your skin all while establishing realistic expectations and time frames.

  • Your skin’s condition and quality.
  • The extent of the damage you want to treat.
  • What you hope to achieve as a result.
  • Any allergies or other medical conditions you may have.
  • Steps you need to take prior to the procedure.
  • What to expect during the actual procedure.
  • Choices in anesthetics.
  • Juvederm after care.
  • Any possible side effects.
  • What costs will be involved.

If you take aspirin, ibuprofen or naproxen, your Doctor will also recommend that you cease taking it for at least a week in advance of your procedure to prevent bleeding or bruising.

This is the time to be completely honest with your beauty specialist. We want to provide you with the best experience and results, but that can only happen if we have a crystal clear understanding of your lifestyle and what you’re seeking. Once you leave, you will have a set appointment date for the procedure and a personalized comprehensive treatment plan in hand that you can review at home. By taking the time to get to know and understand you, we can be sure to give you an optimal experience.


The actual procedure for injecting the Juvederm filler is straightforward. You can expect us to:

  • Cleanse your face thoroughly to remove any makeup or other impurities that could adversely affect your results.
  • Mark the exact areas to be treated.
  • Possibly apply a topical or other anesthetic to alleviate discomfort, depending on the procedure.
  • Using a very fine needle, inject the clear gel into the wrinkle or sunken tissue.
  • Spend several seconds on each injection.

During each injection, your Doctor will slide the needle into the mid-to-deep levels of the skin, smoothly injecting the clear gel along the path. With Juvederm XC, the path in numbs the area, and subsequent injections along or near that pathway can also benefit from the lidocaine’s numbing effects.


As time, sun, gravity, repeated facial expressions, age, weight loss, scarring or other conditions affect our skin, wrinkles, folds, sunken scars and fine lines result. Skin becomes dry and thin, its layers lose elasticity and connective collagen tissue begins to fail.

Minimally invasive, the Juvederm filler is a clear hyaluronic acid gel that, when injected, can plump fine wrinkles and moderate lines to smooth the skin. Hyaluronic acid is a moisturizing sugar that occurs naturally in the body but decreases with age.

Juvederm Ultra and Ultra Plus use a synthetically produced hyaluronic acid gel that is chemically cross-linked to provide an even, nongranular consistency. A carbohydrate sugar form, the hyaluronic acid draws moisture to not only fill in creases and sunken pitted areas but also hydrate surrounding tissues and help stimulate collagen, the main structural protein in connective tissue.

Doctors like how the gel flows from the needle, responds to controlled applications and provides a predictably smooth appearance. Patients love how the finished result is immediate, with noticeable smoothing of the skin without a radical change in appearance.


As a top Dermatologist in San Diego, Dr. Katrina Woodhall is highly trained in all the nuances of injecting dermal fillers in order to achieve the results you desire. Needles are extremely fine and small to allow precise placement of the hyaluronic acid gel exactly where it needs to be and only where you want it to be. We offer all four formulations: Ultra, Ultra Plus, Ultra XC and Ultra Plus XC. We work to your expectations and are sensitive to your need for a quick, pain-free experience.


You are a good candidate to achieve optimal Juvederm results if you have light or moderate facial lines, wrinkles or sunken scars that are making you feel dissatisfied with your appearance. We’ve used Ultra and Ultra Plus to treat wrinkles around the nose and mouth, cheeks, forehead and eye area. It is also effective for filling and smoothing areas pitted from acne or rashes. Ultra Plus is also a quick, effective way to augment or contour the lip area, especially if your lips are thinning, asymmetrical or out of balance with the rest of your facial features.


Treatments are quick and relatively pain-free thanks to the XC formulations of Juvederm with lidocaine and other topical and local anesthetics that are available. Lidocaine provides instant relief on contact. Following the procedure, you may experience some sensitivity until any injection site swelling disappears. Usually a cold compress with ice is sufficient.


The use of anesthesia differs among patients and procedures but since Juvederm’s XC formulations contain lidocaine, that is often sufficient. The lidocaine instantly numbs on contact and often provides relief for successive injections needed to fill an area. However, some procedures requiring deeper injections in highly sensitive areas may merit a nerve block to ensure a patient is relaxed and your Doctor can focus fully on aesthetics.


Each injection is very quick and only lasts a few seconds per injection. Most Juvederm procedures only take about  15 or 20 minutes. More complex procedures — contouring lips or filling wrinkles around the eyes — may require additional time of around 35 or 40 minutes. Make sure to schedule enough time to check in and check out, and at most, in one hours time you will have visibly rolled back years of aging.


You will see results immediately. As soon as your Doctor finishes the procedure, you will recognize that the injection of Juvederm gel has smoothed your skin. You may notice some swelling, redness or irritation at the injection sites, but that is usually easily concealed with light makeup and dissipates completely within 3 or 4 days.


Juvederm injections last up to a year, depending on your skin condition, age, nutritional habits and skin care regimens. Poor diets, dehydration, alcohol use, smoking and rough handling all have debilitating effects on skin and a treatment’s life span.

Juvederm’s Ultra Plus is the longest lasting hyaluronic-based filler available. Even with the more robust Ultra Plus formulation, your body will eventually reabsorb this natural material after a year. One of the benefits of lasting a year, however, is that, unlike injection treatments using non-biodegradable fillers, this gel lasts quite a while but leaves no foreign residue. Your Doctor can make adjustments so that your filler can continue to suit your skin, weight and appearance as time inevitably makes additional changes.


You should be able return to most normal activities immediately following your Juvederm treatment. However, you must avoid strenuous or high-impact activity, alcohol, sun exposure or heat — saunas or hot showers — for 24 hours. Any of these can increase bruising, discoloration or bleeding.  Make sure to ask us about any supplements you take because some, such as ginseng and ginkgo, have been linked to increased bruising. Most swelling or redness fades within 3 to 4 days, with patients able to easily camouflage it with light makeup.


Most practitioners charge by the syringe, but Juvederm price varies, depending on the formulation and your provider. If a provider whom you are considering is significantly less expensive than many reputable practices in your area, proceed with caution! Many injectors will undercut competitor prices to make up for a lack of proven results or inexperience. Some are even using counterfeit injectables, which can cause serious allergic reactions and life-long health problems. If you found a Juvederm Groupon offer, walk away. These providers a walking a very fine line of ethics that most in the medical community consider distasteful at best and malpractice at worse. When it comes to cost, don’t allow a lower price be your deciding factor. Instead, look at value over cost or talk with our staff about financing options available to help pay for your Juvederm treatments.


Everyone needs reassurance before they undergo a procedure. You want to be confident that you will still look like you — only better, younger, the way you looked before the wrinkles appeared. You want to hear about other people’s experiences and see their successful results. Thanks to the power of the Internet, resources abound.

Read the reviews from our San Diego Juvederm patients, and you will quickly realize that Juvederm’s formula does exactly what it’s supposed to do. The main difference between those happy with their results and those who are less than satisfied has less to do with the Juvederm gel and more to do with the Doctor, who performs your procedure.

Like most cosmetic procedures, injecting dermal fillers is an art. It depends on the skill, expertise, experience and finesse of the individual wielding that fine needle. Attention to detail and a clear understanding of what you want to achieve can make all the difference. Most patients are thrilled with their results and plan to maintain them with follow-up procedures.

For a clinical, or statistical evaluation of Juvederm,’s website contains information on clinical trials that demonstrated improvements of up to 90% after one treatment. If you want details on lidocaine, or Juvederm Ultra XC or Ultra Plus XC versions, the National Institutes of Health’s National Center for Biotechnology Information maintains a study on its website. Researchers examined the XC formulation’s long-term efficacy, safety and durability versus other options that did not contain the local anesthetic. Interestingly, most allergies to lidocaine are a result of the preservatives typically used in the lidocaine solution. Juvederm’s XC version, however, is preservative-free and in fact had fewer side effects than its non-lidocaine versions.

Juvederm In The Press