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Juvéderm Voluma®: Everything You Need to Know

by Dr. Nazarian@DoctorNazarian

Dermal fillers can help you regain your sculpted, lifted, younger-looking appearance. As we age, changes to our skin, muscles, fat, and bones result in lost volume, making our cheeks and midface area appear gaunt.

Juvederm Voluma may be the answer. Voluma is an injectable hyaluronic acid filler designed to lift and volumize hollowing and sagging skin in the cheek and midface area, restoring the “apple” to your cheeks. It can also enhance your jawline, improve your chin profile and replace lost volume in the temples.

Here’s everything you need to know about Voluma.

What is Voluma?

Voluma is a hyaluronic acid filler in Allergan’s Juvederm collection of filler products. Voluma is an FDA-approved dermal filler designed specifically to treat the midface area.

To understand how Voluma works, you need to know about hyaluronic acid.

Hyaluronic Acid Fillers

Hyaluronic acid fillers are colorless gel fillers. Hyaluronic acid occurs naturally in our body and is responsible for keeping your skin hydrated, volumized, and youthful by attracting up to 1000 times its weight in water.

Once injected, they keep water in our skin at the treatment site, retaining a youthful firmness and maintaining structure.

Types of Hyaluronic Acid Fillers

All the hyaluronic acid fillers work the same way once injected into the tissue but differ in their formulation and their texture or viscosity. Most of them come with the choice of including lidocaine in their formulation to minimize discomfort during the treatment. These products are also customized based on the area of injection.

There are several FDA-approved dermal fillers currently available in the US. Allergan’s Juvederm products include Juvederm Ultra XC, Ultra PlusVolbellaVollure, and Voluma.

The Restylane family of products by Galderma includes Restylane Silk, Restylane Contour, KysseLyft, Restylane-L, Defyne, and Refyne.

Prollenium produces the Revanesse group of products- Versa and Lips+. Lastly, Belotero Balance is made by Merz Aesthetics.

Benefits of Hyaluronic Acid Fillers

Hyaluronic acid dermal fillers are great options for facial rejuvenation due to their proven ability to accomplish the following:

  • Restoration of Lost Volume
  • Decrease the Appearance of Fine Lines and Wrinkles
  • Provide Structure to Lift Sagging Skin
  • Improve Skin Texture, Firmness, and Elasticity

Indications and Popular Treatments

Hyaluronic acid fillers can provide facial rejuvenation to many areas, including:

  • Lip Enhancement
  • Smile Lines (Nasolabial Folds)
  • Laugh Lines
  • Marionette Lines (lines or folds that travel from the mouth to the chin)
  • Cheek Enhancement
  • Volume Loss Correction
  • Chin Enhancement
  • Jawline Enhancement
  • Lessen the Appearance of Fine Lines and Wrinkles

How does Voluma work?

Voluma is engineered using VYCROSS® cross-linking technology, which makes the result look and move naturally with your facial expressions. This technology provides the same benefits as traditional hyaluronic acid fillers with the advantage of absorbing less water, which means there will be minor swelling after injection.

Voluma is the stiffest or densest of the VYCROSS fillers, which makes it ideal for volumizing and sculpting hollow or sagging areas and structural augmentation.

Voluma Results

Voluma provides immediate, long-lasting volume to your cheeks, jawline, and chin with virtually no downtime. Since hyaluronic acid occurs naturally in your skin, there is a very low risk of allergic reaction.

You can expect the following results with Voluma treatment:

  • Fuller Midface and Cheek Area
  • Reduction of Saggy Skin in the Midface Area
  • Youthful Facial Contours
  • Youthful Jawline
  • Improved Chin Profile

How Long Do Voluma Results Last?

Voluma results are instant, but the duration of effects varies based on the area injected and the amount of filler used. Normal doses of Voluma deliver results that last up to six months.

There have been claims of the Voluma injections lasting up to 2 years. However, patients with these results received seven syringes of filler into the cheeks alone. Cosmetic professionals rarely recommend this course of action for long-lasting, natural cheek volume.

Voluma: How the Procedure Works

Juvederm Voluma treatment involves injections of the product into the deeper layers of your skin, close to the bony structures of your face, to volumize and define the midface, cheek, jawline, or chin. There is little downtime, and the treatment takes 30 to 60 minutes.

Consultation

At Nazarian Plastic Surgery, our injectable facial treatments begin with a consultation. Our injectable experts meet with you to develop your individualized treatment plan based on your goals.

Pre-Treatment

To get the most out of your treatment, we recommend you avoid the following medications and supplements to minimize bruising: aspirin, ibuprofen, Advil, Aleve, ginkgo Biloba, St. John’s Wort, and fish oil for one week before treatment. You should also avoid alcohol 24 hours before the treatment for the same reason.

You should schedule two weeks before the event if you seek treatment for a significant social event- wedding, reunion, etc.

During Treatment

Your treatment provider will cleanse the treatment area. Voluma contains the local anesthetic lidocaine, premixed with the hyaluronic acid gel to minimize discomfort.

As the provider carefully injects Voluma into the areas requiring correction or augmentation, you may feel slight discomfort as the needle penetrates the skin and pressure as the product is injected. Your provider will gently massage the treated areas following injection to help mold the product for the desired result.

Treatment takes about 30 to 60 minutes.

Post-Treatment

Redness, swelling, and moderate bruising are frequent side effects of the therapy. You should avoid touching, rubbing, or applying pressure to the treatment area and remain upright for four hours following treatment.

You may ice the treatment areas for the first 24 hours following treatment at 20-minute intervals.

Is Voluma Right For Me?

Voluma can provide temporary cheek enhancement for up to 6 months. However, it is best to consult a highly experienced practitioner to select the appropriate dermal filler.

While Voluma is FDA-approved for cheek enhancement, many Plastic Surgeons and cosmetic specialists prefer alternative fillers such as Radiesse, Restylane Lyft, and Sculptra due to lower risk of complications that are associated with VyCross technology, which include later term swelling, hardening, and the possible need for steroids, antibiotics, and/or dissolving injections to resolve.

Similar Treatments

There are a multitude of dermal fillers to choose from when considering treatment. Find an expert practitioner near you to determine which filler will help deliver the results you desire.

Juvederm Voluma vs. Restylane Lyft

Both are hyaluronic acid fillers but differ in consistency. Juvederm has a smooth gel or syrupy texture and spreads when injected, while Restylane is described as granular and cohesive, meaning it tends to stay where it is placed.

Juvederm vs. Radiesse

Radiesse is made from synthetic calcium hydroxyl apatite particles (the same material in your bones and teeth) suspended in gel. Once injected, these particles form a scaffold that causes your body to produce collagen, which is different from how Voluma works in your body. Radiesse lasts longer – two to three years compared to Voluma.

Juvederm vs. Sculptra

Sculptra is an injectable filler made from poly-L-lactic acid and is used to correct global volume loss in the midface. It works similarly to Radiesse in stimulating collagen production in the area injected.

Voluma vs. Restylane Lyft vs. Radiesse vs. Sculptra

Voluma Restylane Lyft Radiesse Sculptra
Material: Hyaluronic Acid, Lidocaine Hyaluronic Acid, Lidocaine Hydroxylapatite poly-L-lactic acid (PLLA)
Full Results Appear: Immediately Within 4 weeks Immediately Within 6 weeks
Average Cost: $1,200 $400-$800 $650-$800 $1,925
Duration of Results: 6 months 6 months Up to 2 years 2-5 years
Depth of Injection: Deep Deep Deep Deep

Voluma: Complications, Risks & Side Effects

There have been some recent discoveries of delayed complications from fillers made with Vycross technology. Clinical studies on Voluma Vycross reported a higher percentage of post-treatment side effects than fillers assembled with alternate technologies.

Delayed Complications: Vycross vs. XpresHAn vs. Preserved Network

The table below showcases the discoveries reported in a recent study in the Dermatologic Surgery journal comparing the delayed complications from fillers made with Vycross technology, XpresHAn Technology, and Preserved Network Technology.

Time of Occurrence Total Events of Interest (%) Inflammatory Nodules (%) Noninflammatory Nodules (%) Hypersensitivity Reactions (%) Granulomas (%) Related Dermal Fillers
Vycross technology 2 weeks to 19 months 74.4 28.7 25.6 15.9 4.1 Juvederm: Voluma, Volbella
XpresHAn Technology 2 weeks to 4.5 months 2.6 0.5 1.0 0.5 0.5 Restylane: Contour, Refyne, Kysse
Preserved Network Technology 1 to 8 months 2.1 1.5 0.5 0.5 RHA 2, RHA 3, RHA 4

Voluma: Side Effects

Common side effects following Voluma treatment may include

  • Swelling
  • Tenderness
  • Bruising
  • Redness
  • Firmness
  • Nodules

How to Choose a Provider Near You?

You should carefully choose your Voluma treatment provider. Facial injectable providers should have the experience and training to perform these procedures. Ask to see before and afters of their work- not just the photos provided by the filler companies. Do your research- there are many sites you can visit to see reviews like www.realself.comwww.yelp.com, or the practice’s website.

At Nazarian Plastic Surgery, we have several certified expert injectables experts with extensive experience providing facial injectables treatment that looks natural and not overdone. They will help you decide which filler products are best for your treatment goals. To set up a consultation, contact us.

Voluma FAQs

How long does Voluma last?

Voluma treatment can last up to two years, depending on the area treated and the amount of product used. Maintenance injection treatments can help prolong results.

What is Voluma good for?

Voluma is designed to sculpt and volumize the cheek and chin areas. It is the thickest of the Juvederm products and is injected deep into the skin, making it last longer.

Which is better- Juvederm or Voluma?

Both products are made using hyaluronic acid. The main difference is the thickness of the gel. Juvederm is a thinner product better suited for smile lines or lips, while Voluma is suited for cheek and chin augmentation.

What is the cost of Voluma?

The price of Voluma is $1200 per syringe, and most people will need at least two syringes for best results.

Can I sleep on my side after Voluma treatments?

We recommend you sleep on your back with your head elevated for the first 24-48 hours following treatment to reduce swelling and maximize your results.

Is one syringe of Voluma enough for cheeks?

Voluma comes in 1cc prefilled syringes. Typically, more than one syringe is needed for best results. Your provider can tell you how many syringes you need at your consultation.

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