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JUVÉDERM® in Ashburn, VA
Facial volume does not disappear all at once. It goes gradually, and the change usually shows up first around the mouth, the cheeks, and the jawline. Lips flatten. The corners of the mouth turn down. Lines that were only visible when you smiled start staying put.
At Joanna Claustro DMD & Associates in Ashburn, Dr. Joanna Claustro offers the JUVÉDERM® collection of hyaluronic acid dermal fillers to restore that lost volume and soften those lines. What makes her approach different is where she comes from clinically. Dr. Claustro has spent her career studying the lower two thirds of the face, the exact region JUVÉDERM® is most often used to treat, and she brings a cosmetic dentist's eye for proportion and symmetry to every treatment plan.

What Is JUVÉDERM®?
JUVÉDERM® is a family of injectable gel fillers made byAllergan Aesthetics. Each formula is built around hyaluronic acid, a sugar molecule your body already produces to keep skin hydrated, cushioned, and full. Your natural supply declines with age, and JUVÉDERM® replaces it.
Because it is a filler rather than a muscle relaxer, JUVÉDERM® works by adding volume beneath the skin. It physically lifts a hollow cheek, redefines a soft jawline, or plumps a thinning lip. That is a different job from BOTOX, which quiets the muscle movement that creates expression lines. Many patients use both, and Dr. Claustro will tell you honestly which one your concern actually calls for.
Most JUVÉDERM® formulas carry the "XC" designation, meaning lidocaine is blended into the gel itself for a more comfortable injection.
Why See a Cosmetic Dentist for Facial Fillers?
This is the question worth asking, and it has a real answer.
Dentists work inside and around the perioral region every single day. Dr. Claustro's training covers the muscles of facial expression, the branches of the trigeminal nerve, the vascular anatomy of the midface, and the underlying bone and dental structure that determines how the overlying tissue sits. She administers precise injections in this exact area routinely, with a level of hand control that comes from years of working in millimeters.
She also assesses your face the way a cosmetic dentist does, from the teeth outward. Lip volume, philtrum shape, incisal display, and the way the lower face is supported are all part of a single system. Filling a lip without understanding what is behind it is how results end up looking placed rather than natural.
That structural perspective is what separates her work from a walk-in injectable appointment.
The JUVÉDERM® Collection and What Each Formula Does

Facial Areas We Commonly Treat
- Cheeks and midface for flattening or hollowing that makes the face look tired
- Nasolabial folds running from the nose to the corners of the mouth
- Marionette lines descending from the mouth toward the chin
- Lips for fullness, better definition of the border, or correcting asymmetry
- Perioral lines, the fine vertical lines above the lip
- Chin for projection and improved profile balance
- Jawline for a cleaner, more defined lower facial border
- Under-eye hollows, treated conservatively and only where appropriate
Where Facial Fillers and Your Smile Intersect
Most people never connect the two, but the lower face is a single architectural unit, and dental changes show up on the outside.
Worn or shortened teeth reduce the vertical support the lips rest on. Long term denture wear or missing back teeth allows the lower face to collapse inward. Aggressive lip filler placed over an unsupported dental foundation tends to project forward rather than fill outward, which is where unnatural results come from.
Dr. Claustro evaluates both layers. Sometimes filler is exactly the right answer. Sometimes the more meaningful improvement comes from restoring the teeth first, through porcelain veneers, a smile makeover, or dental implants, and then refining the soft tissue with filler afterward. Patients often combine JUVÉDERM® with BOTOX or with our plasma skin resurfacing and skin tightening treatments for a more complete result.
You will get a straight recommendation about sequencing rather than a push toward whichever treatment is quickest.
Your JUVÉDERM® Appointment, Step by Step
- Consultation and facial assessment. Dr. Claustro reviews your health history, medications, allergies, and any prior injectable treatments. She examines your face at rest and in motion, discusses what specifically bothers you, and explains what filler can and cannot change.
- Your treatment plan. You will know which formulas are recommended, which areas will be treated, roughly how much product is involved, and what it will cost before anything begins.
- Preparation. The skin is cleansed and a topical numbing agent is applied if you want one. The lidocaine already in the gel handles most of the rest.
- Injection. Product is placed in small, controlled increments, with the results assessed as she works. Most appointments run about 15 to 45 minutes depending on how many areas are treated.
- Immediate review. You will see your result in the mirror before you leave, keeping in mind that some early swelling is normal and settling takes a little time.
- Follow-up. A brief check-in confirms everything settled evenly, and small refinements can be made if needed.
Recovery, Aftercare, and What to Expect
For the first 24 hours:
- Skip strenuous exercise, saunas, hot yoga, and prolonged sun or heat exposure
- Avoid alcohol, which increases bruising
- Do not massage or press on the treated area unless specifically instructed to
- Sleep with your head slightly elevated
For the first week:
- Hold off on facial treatments, microdermabrasion, and dental cleanings involving significant lip retraction
- Use sunscreen consistently
- Expect the result to keep refining as swelling resolves
Is JUVÉDERM® Right for You?
JUVÉDERM® is typically postponed or avoided if you:
- Are pregnant or breastfeeding
- Have a known allergy to hyaluronic acid or to lidocaine
- Have a history of severe allergic reactions or anaphylaxis
- Have an active skin infection, cold sore outbreak, or inflammation at the treatment site
- Are on blood thinners or have a bleeding disorder, which requires review first
- Are looking for the kind of lifting a surgical procedure provides
Safety, Expertise, and Reversibility
One practical advantage of hyaluronic acid fillers is that they are not permanent and they are adjustable. If a result is not what you wanted, an enzyme called hyaluronidase can dissolve the product. That flexibility is reassuring, though it is not a substitute for careful placement in the first place.
Injectables are medical treatments with real risks, including bruising, swelling, lumps, asymmetry, and rare but serious vascular complications. Those risks are managed through anatomical knowledge, appropriate technique, and knowing when not to inject. That is precisely why the credentials and training of the person holding the syringe matter more than the brand on the box.
Serving Ashburn, Leesburg, and Northern Virginia
Schedule Your JUVÉDERM® Consultation in Ashburn
FrequentlyAsked Questions About JUVÉDERM®
▸What is the difference between JUVÉDERM® and BOTOX?
▸How long does JUVÉDERM® last?
▸Does getting JUVÉDERM® hurt?
▸Why would I get fillers at a dental office instead of a med spa?
▸When willI see results, and how soon do they settle?
▸Can JUVÉDERM® be reversed ifI do not like it?
▸How much does JUVÉDERM® cost in Ashburn?
▸Can I combine JUVÉDERM® with other treatments in one visit?
▸What should I avoid before my appointment?
▸Do I need to be an existing dental patient?
Learn More About Joanna Claustro/DMD Facility
JUVÉDERM® in Ashburn, VA Posts

How Long Can Cheeks Stay Plump after JUVÉDERM® Treatment?
Dr. Joanna Claustro | 05/21/2026
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How Long Does it Take for JUVÉDERM® to Settle?
Dr. Joanna Claustro | 05/21/2026
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What Areas of the Face Can Be Enhanced with JUVÉDERM®?
Dr. Joanna Claustro | 02/09/2024
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