Fillers erase the signs of aging to help sustain ones youthful appearance. Juvederm is a smooth gel filler that Dr. Patel injects to instantly smooth away wrinkles around your mouth and nose. The immediate natural looking results last up to a year. Juvederm is made of hyaluronic acid gel which is a naturally-occurring substance in the skin that aids in hydration and volume. Fillers such as Juvederm are relatively painless and there is no downtime after the treatment.