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Juvéderm Voluma is the newest HA (hyaluronic acid) soft tissue filler to join the family of FDA approved Juvéderm products in the USA.   Juvéderm Voluma has been available in Europe since 2005 and is used in over 60 countries worldwide.             Voluma       

Why is Juvéderm Voluma so important?

Mid-face volume loss is something that occurs to all of us at some point. It is an integral reason why people look older, because even when your skin’s elasticity is good and not sagging, the loss of volume causes significant changes in the appearance of your face.  The youthful face is typically characterized  by a round, full mid-face across the cheekbone area and a narrower lower face.  Although there are considerable ethnic and cultural differences, the hallmark of a youthful face is embodied by the central cheek structures. However, with aging, all that is eventually reversed. One way to think of this is to imagine that as your face undergoes the aging process, the fatpads deflate, causing the skin which they were holding up like a tent pole to fall and fold.  For people who still have very good skin elasticity, this folding may be more directed to the nose-to-mouth (nasolabial) folds and accentuating the smile and marionette lines- and thus contributing significantly to the tired, sad, old look that some people experience. By restoring lost mid-cheek volume with Juvéderm Voluma the impact is seen not only in the mid-cheek area, but also it can help ‘lift’ the skin upwards producing an overall more youthful effect in a very natural manner, softening the nasolabial folds and tear troughs as well.

The key to restoring a natural looking, youthful face is to re-inflate and re-contour the face with volume restoration. However, the goal of surgical procedures such as facelifts is to ‘pull’ and thus tighten the skin by simply removing any excess.  Juvéderm Voluma, though, ‘lifts’ by volumizing and pushing the skin upward, thus lifting without removing any skin surgically.

What does it do?

As the name implies, Voluma will help to restore the volume that is lost through VolumaB&A1the aging process and it is specifically indicated to restore lost mid-facial volume.

Who are the best candidates?

While theoretically anyone with facial volume loss may be a candidate for Voluma. The more dramatic results tend to be seen in patients in their 30s, 40s and 50s who have mild to moderate facial volume loss without significant skin laxity and sagging (when there is a lot of loose, lax, sagging skin, non-surgical options are typically adjuncts or alternatives to surgery such as a face, neck or brow lift).  However, many of my patients do not want surgery for various reasons related to recovery time, exposure to anesthesia, existing health problems, or concerns about complications.  For those patients, even though they have more severe volume loss and skin laxity, Voluma offers the opportunity for looking more rested and refreshed – albeit not the same result as if they had chosen surgery AND volume loss correction with fat or fillers.

How does it work?

HA fillers are all made from long chains of sugars which occur naturally in your skin which have cross linking to strengthen the filler material from degradation by the body’s own enzymes.  Juvéderm Voluma is unique in that it has a special type of cross-linking called VYCROSS technology, which gives it excellent lifting capacity, which is of great importance for restoring lost volume as well as lifting the face.  It also helps make Voluma last up to twice as long as current fillers (up to 2 years!.  Voluma is soft and silky smooth to inject and it can be gently shaped into desired contours and then it integrates into the tissues along with your own natural HA and retains its shape.

What do people experience?

Visible results are immediate and long-lasting, and Voluma is associated with few adverse events. Most people resume normal activities immediately (bruising and sometimes also slight swelling are typically the most common side effects).  It can even be done on your lunchhour.

Studies found that nearly all patients who received Juvéderm Voluma would recommend treatment to a friend (98+%) and that most would be very or quite likely to return for treatment (~93%).

How is treatment performed?

Most patients do not require any additional numbing, as the Voluma already contains lidocaine. Some very sensitive patients may want some topical numbing cream is applied 20-30 minutes prior to treatment. The traditional injection technique uses small needles similar to Juvéderm Ultra Plus.

How long does it last?

Typically, Juvéderm Voluma lasts up to 24 months, so it lasts about twice as long as other long-lasting HA fillers.   There is variability in duration of effects, and even though full correction fades, often a very pleasing effect continues for some time afterwards.