Juvéderm® Voluma® XC (Injectable Dermal Filler) – Leesburg, VA

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About Voluma

Are you looking for a facial filler that can last up to 2 years?

Introduction

Voluma is one of the most commonly used fillers in the United States.  It is part of the Juvederm family of hyaluronic acid products made by Allergan who also makes Botox.  The transparent soft gel is used to replace or supplement facial volume in areas like the lips, under-eye hollows and cheeks.  It is absorbed by the body over 2 years and is considered one of the safest injectable fillers because it is a soft biocompatible gel that is not generally subject to allergic reactions, granulomas, or cysts.  And if you don’t like the results of your treatment, Voluma can also be dissolved by a different injectable product called hyaluronidase ( vitrase ).

Overview

Voluma is an injectable filler that is part of a family of  hyaluronic acid injectable fillers made by Allergan.  Other hyaluronic acid  fillers made by Allergan include Juvederm, Volbella, Vollure, and Belotero.   Allergan also makes Botox.  Juvederm is the original product made by Allergan and remains their best selling injectable filler mainly because it is extremely versatile and because it has a low complication profile.  Voluma is a soft gel that is perfect for many areas of the face where a soft stable product is wanted.  Common areas include the cheeks, temples, chin, and areas around the mouth.
Voluma is absorbed by the body over about 2 years.

Quick Facts about Voluma :

  • Most patients benefit from 2 or more syringes
  • Juvederm and Voluma are the most common products that we use
  • We use Voluma in all areas of the face where we want a stable product that can last up to 2 years
  • Most patients can return to work immediately

While hollow cheeks were popular in the 90s, classic beauty calls for voluminous cheeks that help you appear youthful and healthy. From the top-selling Juvéderm collection of nonsurgical dermal fillers, Voluma is uniquely made to give lift and contour to the mid-face for a natural and more youthful look. At our Leesburg, VA office, plastic surgeon Dr. Phillip Chang offers treatments of Voluma to address a sunken mid-face that is hollow and flat due to weight loss, genetics, or age. Make an appointment to find out more about how Juvéderm Voluma injectable treatments at Aesthetica Cosmetic Surgery & Laser Center may boost your overall appearance by providing lift and fullness.

How long does Voluma Last?

Juvederm will last about 2 years depending upon the movement of the area.  It is more stable in areas that don’t move as much such as in the cheek mound.  It will dissolve quicker in areas that move a lot such as in the nasolabial folds and the marionette lines.  

What areas are most commonly treated with Voluma?

Voluma is a very soft injectable gel that has a consistency very similar to the lips.  But because of its very low complication profile, Voluma is used in almost every area of the face.  Common treatment areas include the under-eye hollows, the cheeks, the temples, nasolabial folds, and marionette lines. 

How much Voluma will I need?

The amount of Voluma needed will depend on your individual features.  As a rule of thumb, most patients will benefit from at least 2-3 syringes of filler.  Each under-eye hollow will benefit from a syringe.  The lips will often benefit from at least one syringe.  

What are some of the other Hyaluronic Acid Fillers?  ( HAs )

Hyaluronic acid fillers make up the largest family of fillers used in facial rejuvenation.  The most commonly used hyaluronic acid fillers are Juvederm, Voluma, and Restylane.  But their parent companies ( Allergan and Merz ) are continually creating new products that can be used for more specific indications.  Juvederm was one of the first fillers to be used for cosmetic rejuvenation.  It lasts for about 1 year.  Voluma was another hyaluronic acid filler released and lasts for 2 years.  Hyaluronic acid fillers are attractive to novice patients and non-expert injectors because of their ease of use.  They come as a soft gel that is also dissolvable if lord forbid you don’t like the result.  

Ideal Candidates

Candidates for Voluma have the following concerns: 

  • Under-eye hollows
  • Desire to under-eye bags
  • Provide youthful fullness the temples
  • Provide youthful fullness the the cheek bones
  • Reduce the appearance of the nasolabial fold and the marionette lines
  • Augment the lips
  • Augment the chin
  • Provide a nonsurgical rhinoplasty - add height to the nose, fill deformities
  • Fill acne scars

Voluma is an HA (hyaluronic acid) injectable filler that can help add lift and contour to your mid-face. Many people see the decreased fullness of the apples of their cheeks when they age or after they have dropped a dramatic amount of weight. Other people have naturally hollow cheeks and are seeking treatment with Voluma to enhance their mid-face. Female patients who are nursing or pregnant are not eligible for Voluma injections. Voluma by Juvéderm is approved by the FDA (Food and Drug Administration) for patients 21 and older. You will undergo a consultation to decide if Voluma is an effective filler for you. After considering your needs and cosmetic goals, as well as medical history, a personalized injectable treatment plan will be developed.

Procedure Technique

Filler treatments can be a lunchtime procedure that can be performed in a matter of minutes.   Voluma is a gel-like  substance  that will need to be injected.  Most patients describe the sensation as either painless or as a quick pinch. 

Step 1 - Consultation about the potential benefits of volume replacement for you
Step 2-  Detail where you will benefit from volume replacement and supplementation
Step 3-  Choose the appropriate filler based on the area, duration of action, and complication profile
Step 4-  Choose the volume required to provide maximum benefit
Step 6 - Inject the fillers based on your needs
Step 7 - Apply ice
Step 8 - Immediate return to work 

As a quick point of reference.  Most patients will benefit from at least 2-3 syringes of filler.  The cheek and under-eye hollows will usually require one syringe per side while the area around the mouth and lips will also require a syringe.

After your consultation with Dr. Chang, your procedure may be planned for your next appointment or completed that day, based on schedule availability. In a private room, you will sit and relax as your cheek is cleaned to prepare for the Voluma injections. Local anesthesia may be provided to help make the procedure more comfortable if requested. For accuracy, your injector will mark the areas to be treated before administering the injections with a fine-gauge needle. When the filler is injected, you may notice mild redness and swelling, but this usually subsides on its own.

What to Expect

What to expect after your Voluma treatment?

Expect minor swelling that should not draw attention unless there more than 4 syringes of filler are used.  Most patients can return to work immediately.  Minor swelling can be expected for up to 2-4 weeks.  Lips swell more than any other area.

For many patients, the benefits of Voluma treatments can be seen right away and may last about two years. It's rare to develop lasting or severe reactions from Voluma injections, although if you do have questions, concerns, or a reaction, please contact Aesthetica Cosmetic Surgery & Laser Center for more information. Common side effects are light swelling, redness, or irritation of the treated area. These cases are generally extremely minor. During your consultation, ask your injector about how soon to plan your next appointment to either build up or prolong the effects of Juvéderm Voluma.

What are the risks and complications of Voluma ?

All injectable fillers have the potential to be lumpy or irregular
All injections have the potential for bruising or swelling.  
In VERY rare cases, the filler can put pressure on a blood vessel or a nerve.  
Cosmetic improvement is subjective.  If you don’t like your result, a reversing agent called Hyaluronidase can be used to dissolve the Voluma.  Refunds will not be given.

Why should you choose Dr. Chang to perform your Facial Filler treatment?

Dr. Chang and his Cosmetic Nurses at Aesthetica have been designated as Black Diamond expert injectors by Allergan.  This puts us in the top 1% injectors of Botox and Cosmetic Fillers in the US.   Dr. Chang and his Cosmetic nurses teach injection techniques to other doctors and practitioners from all over the United States.  For this reason, patients with complications all over Leesburg, Loudoun and Northern Virginia seek out our clinic for corrective procedures and advice.  Dr. Chang’s expertise in cosmetic surgery has been highlighted in New Beauty magazine and he is regularly voted as a top plastic surgeon in Northern Virginia

Frequently Asked Questions

How much does Voluma cost?
The price of a Voluma treatment can vary greatly depending on how much of the filler is needed to create your desired appearance. The more volume that is needed to be replaced with the filler, the higher the cost will be. Prior to your treatment, we will discuss the cost of your treatment based on your specific needs.

What is hyaluronic acid?
Hyaluronic acid is a naturally occurring substance that works to bind water to cells. Along with other functions, it can secure moisture and create fullness in the skin. When injected into the skin, such as with Voluma, it can restore volume to the cheeks and mid-face area.

How long do the results last?
Most patients are able to see the results of a Voluma treatment immediately. In other cases, multiple treatments may be necessary to see optimal results. The duration of the results is dependent on the area being treated and the rate at which the patient’s tissue breaks down the filler, but results can last up to two years.

Is there any downtime needed after a Voluma treatment?
Following a Voluma treatment session, patients are able to return to their normal daily activities. However, it is suggested that strenuous activities be avoided for the first 24 hours after treatment. Any additional aftercare instructions will be provided to you by your injector.

What are some of the other Fillers that can build up collagen?

More expert injectors might introduce you to other fillers that are not made from Hyaluronic Acid.  These include Radiesse, Sculptra, and Bellafill.  These products tend to last longer than the hyaluronic acids because they build up your own collagen.  They also have the potential for more problems.  Although rare, these products have a higher potential for developing small cysts and granulomas than their hyaluronic acid cousins.  In addition, they do not have an antidote that can dissolve the product if you don’t like the results.  The benefit to these collagen building fillers is that they tend to be more cost effective as they last longer and usually come in larger volumes per syringe than their HA counterparts.

Can you use different fillers at the same time?

Many patients will use the strategy of using different fillers for different goals.  For example, patients who want a complete facial rejuvenation ( sometimes called a liquid facelift ) will have longer acting fillers like Sculptra placed in areas that need larger volumes but don’t tend to have as many problems;  and softer and safer products like Voluma or another HA in more sensitive areas like the under-eye hollows or the lips.

Will I need additional treatments?
For some patients, they may need multiple Voluma treatments to gain the results they want. This is typical for patients who need a larger amount of volume replacement. During your initial assessment, we will be able to create a customized treatment plan that will help you achieve your desired outcome.

How do injectable fillers slow facial aging?

Injectable fillers slow facial aging by restoring volume to loose and sagging tissue.  Think about a balloon, as the balloon is deflated, it becomes floppy; but as you refill and restore volume to the balloon, the skin becomes tense and full.   Because the tissue is no longer loose, sagging, and mobile, the collagen does not break down as quickly.   Tissue does not stretch or fall as quickly.  

What areas can be treated with injectable fillers?

  • Temples
  • Lower eyelid between the eyelid and cheek
  • Lower cheek
  • Nose
  • Lips
  • Marionette area below the corners of the lip
  • Chin
  • Hands

What are the side effects of injectable fillers?

All injectable fillers have the potential to be lumpy or irregular. Any time there are injections happening there is a potential for bruising or swelling. Normally filler and botox injections have very minimal downtime. In VERY rare cases filler can put pressure on a blood vessel which is why our office prefers the Hyaluronic acid based fillers that CAN be reversed if necessary, but again it is very uncommon.  

What is the Comprehensive Facial Rejuvenation Plan?

A comprehensive facial rejuvenation plan takes into account and targets the 3 components of aging.  These include:

  • Loss of facial volume
  • Loss of collagen and sagging of the skin
  • Visible changes in the skin including texture, pigmentation, fine lines, and wrinkles

During your consultation, we can make a plan to address some or all of these components to provide you with the best plan to look and feel younger.

Facial volume can be restored with facial fillers or a fat transfer
Loss of collagen and sagging of the skin can be addressed by redraping the skin with surgery if necessary
Visible changes of the skin can be addressed by skin care lasers, PRP skin rejuvenation


How long do fillers last?

How long your filler treatment will last will depend upon  the product used, the area of treatment, and your metabolism. Generally speaking, most of the popular fillers will last between one and two years.

  • Juvederm - 9 months to 1 year
  • Voluma - 2 years
  • Vollure - 1.5-2 years
  • Volbella- 9 months to 1 year
  • Radiesse - 1 year
  • Sculptra - 2-3 years
  • Bellafill - 5 years

How long does Juvederm last?

Juvederm is indicated to last up to a year.  In our office we use Juvederm Ultra Plus XC which is indicated for over one year depending on the volume injected into the area.  Highly mobile areas such as the nasolabial folds and lips tend to break down the product faster

How long does Voluma last?

Voluma typically last between 18 to 24 months depending on the volume injected into the area.  Highly mobile areas such as the nasolabial fold tend to break down the product faster

What is the longest lasting filler?

The longest lasting filler that we use is Sculptra.  It lasts between 2-3 years depending on the volume injected into the area.  Fat transfer can last 5 to 10 years but requires the need for recovery time.

What is the best injectable filler for underneath my eyes and cheek?

The best injectables for underneath the eyes are the ones that are safest and the softest.  These include the hyaluronic gels Juvederm and Voluma.  Both of these are soft and tissue-like for the the skin in the area but can also be dissolved if you don’t like the results.  I also like Radiesse if it is used more laterally to the side as it is moldable and actually builds up collagen.  Juvederm will last about 8-12 months while Voluma and Radiesse might last up to 2 years.  Fat transfer with or without PRP stem cells is my favorite as it directly replaces the lost fat but this requires the need for more recovery time.

What is the best injectable filler for my lips?

The best injectable filler for the lips are the ones that are safest and the softest.  The most common injectable filler for the lips is Juvederm as it is extremely soft and safe.  And if you don’t like the results, it is dissolvable.  I also like Voluma as it is also extremely safe and soft.  It lasts almost twice as long as Juvederm but needs to be performed by a plastic surgeon as it takes greater expertise.  It is particularly good when it is placed above the pink lip into the philtrum as this causes the lip to delicately turn up and shorten while reducing the vertical lip lines. When targeting the tiny etched little lines above the lip, Volbella is the best option, it gives you the ability to erase lines without changing the lip shape at all or adding any unwanted volume. 

What is the best injectable filler for the fine lines around my cheeks?

The fine lines around the cheeks are caused by multiple factors.  These include loss of volume, sun damage, and loss of collage.  These are particularly difficult to treat as proper treatment requires approaching the area with comprehensive rejuvenation plan; that is replace volume, redrape sagging tissue, repair surface skin issues, and treat hyperdynamic muscles.  Nonsurgical approach includes replacing the volume with injectable fillers and repairing surface skin issues with lasers.  Any of the fillers can be used, but Sculptra or Fat transfer with or without PRP stem cells are the most dramatic and cost effective over time especially when combined with the Triple Skin Care Laser System ( Forever Young will restore collagen and reduce the brown sun and age discolorations, the Micro Laser Peel will directly remove UV damage and smooth out fine lines and textural problems, while the Profractional Laser will tighten tissue, reduce fine lines, and induce more collagen ) If the lines are worse and contract with squinting Botox can also be used to soften these lines. 

What is the best injectable filler for my temples?

Any of the fillers including Juvederm and Voluma can be used, but Sculptra or Fat transfer with or without PRP stem cells are the most dramatic and cost effective over time.  Placement in the temple must be performed with a skilled injector as placement needs to be placed under the temporalis fascia to avoid lumps and next to the orbital bones to help elevated the brows and improve the cosmetics of the lower eyelid.  

What is the benefit of using fat transfer instead of injectable fillers?

Fat transfer with or without PRP stem cell augmentation is the most natural way to provide or replace volume in the face.  The procedure is performed by first taking fat cells from your abdomen, waist, or thighs; then processing the fat so we have only fat tissue, and then injecting it into the face wherever it is needed.  The most important benefit is that it provides your own natural tissue.  You are providing volume replacement with your own tissue.  The tissue is soft and it is living.  This is why it is usually difficult to answer the question about how long it will last.  Because it is living tissue, it theoretically lasts forever.  The problem lies more in the fact that we all lose more fat volume in the face with time and aging.  The second benefit is that it is ultimately less expensive over time because you are not paying the overhead of injectable fillers.  We do not have to pay a medical device company half of the syringe fee as you are providing your own fillers.  Finally, you have unlimited supply.

What is the benefit of using injectables instead of fat?

The major benefit of using injectable fillers is convenience.  Injecting fillers takes about 5-10 minutes after we already know you.  The product is directly taken off the shelf.  And for the most part, there is no significant recovery time beyond some minor swelling and rare but potential bruising.  Most patients return to work the same day or the next day.  Fat transfer takes at least one week to return to work because of swelling and bruising.  The hyaluronic acid fillers Juvederm, Voluma, Restylane, Perlane, Belotero, and Bellafill can be dissolved if you don’t like the result.  This is not true of fat.  Finally, injectable fillers can be placed with more precision.  This is particularly important around the lips.  One strategy for lip augmentation includes performing a fat transfer for more lasting bulk but adding Juvederm along the outlines of the lip for precision.

What is PRP stem cell augmentation and why would I want to add it to my Fat Transfer procedure?

PRP stem cell augmentation takes concentrated growth factors that we process from your own blood to inject it with the fat transfer to improve the percent of fat that survives the transfer.   The  Plasma rich protein ( PRP ) also stimulate the existing fat cells to rejuvenate and multiply irrespective of the fat transfer.  PRP is also used to heal problem wounds, help repair problem tendon and orthopedic injuries, and help hair grow without hair transplantation.  

What is a non-surgical nose job?

The non-surgical nose job uses fillers like Juvederm or Voluma to reshape the nose.  This is most commonly indicated for adding extra height to a flat nasal profile, adding more tip projection, or evening out contour irregularities.

How can I prevent bruising?

There is always a chance for bruising when you have an injection. The vast majority of patients for these injectables don’t have bruising. Avoiding blood thinning agents such as Advil, Aspirin, and Alcohol the days before your procedure can help minimize this from happening. If you do have some bruising, introducing Arnica Montana and eating pineapple can help make bruising go away faster.

Youthful Contour and Lift

If you need more shape in your cheeks or lift in the middle of your face, find out more information about Voluma by Juvéderm at Aesthetica Cosmetic Surgery & Laser Center in Leesburg, VA. Schedule an appointment to meet with plastic surgeon Dr. Phillip Chang for an evaluation of your skin and a customized plan that may include Voluma, other Juvéderm dermal fillers, or advanced skin procedures to help you attain a more youthful appearance.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.