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Posts for tag: Vollure

By Dr. Alex Eshaghian, MD, PhD
February 17, 2019
Category: Services

There are many cosmetic treatments available for rejuvenation of the face and neck. Here we will discuss treatments to address specific concerns with the lower face and neck.

What changes occur in the lower face and neck over time?

Liquid Facelift before and afterThe majority of changes associated with aging in the lower face result from loss of collagen and volume loss. Collagen is the protein that keeps the skin firm, tight, and youthful in appearance. Over time and with sun damage, we lose collagen. It is broken down faster and we make less of it. Also, the bone structure in the face changes. For example, the bones in the upper cheeks move downward and inward. At the same time the fat pads in this area move downward. Together this leads to a descent of the lower face. We start to see laugh lines (from the sides of the nose to the corners of the mouth) and sometimes they continue to the jawline as marionette lines. Loose skin and wrinkles are seen in the lower face and neck. The jawline definition is also reduced as we see the formation of jowls.

Restoring Volume in the Mid-Face

Voluma before and afterVoluma is a filler that is used to restore lost volume in the mid-face. Voluma is placed on the upper cheek bones and provides and immediate volumizing and lifting effect. Voluma will restore the youthful apple of the cheeks and pull up on the lower face to address many of these changes seen as we age. The active ingredient in Voluma is hyaluronic acid, a naturally occurring sugar found in the skin that draws water into the area to provide volume. You will see your results with Voluma right away and enjoy these results for one to two years depending on how much product is used.

Creating More Collagen

There are a number of ways to create more collagen in the skin. First it is important to use good skin care products to protect your skin. This includes daily sunscreen along with products such as retin-A and vitamin C, which stimulate collagen formation and protect your skin from damage. Treatments such as laser skin tightening and Ultra Microneedling will help this even more. These treatments stimulate your body to produce its own natural, new, fresh, and healthy collagen. This helps with wrinkles and loose skin. It will pull the skin from above and below, providing a natural lift.

Treating Wrinkles in the Lower Face

Volbella before and afterMarionette lines and fine lines around the mouth can be treated with fillers. Vollure is an outstanding product that provides natural and long-lasting results for the laugh lines and marionette lines. Vollure can also be used to volumize the lips. Fine lines around the mouth are best treated using Volbella, another filler that works well to fill in the small lines without providing much volume.

Getting Rid of the Double Chin

Kybella before and afterKybellla is a great treatment to get rid of the double chin. Kybellla is the first and thus far only FDA-approved, non-surgical, injectable treatment for the double chin. The active ingredient in Kybellla is a salt found in the body that is used to digest that fat that you eat. When Kybellla is placed in the skin Kybellla will dissolve the fat and it’s naturally eliminated by the body over time. Most people have two to four session Kybellla spaced every three months. A series of laser skin tightening treatments between the first and second Kybellla sessions will give even better results.

Defining the Jawline

Voluma chin before and afterSome people have a weak chin or jaw bone. Fillers such as Voluma can be used to enhance a weak chin and the corner of the jawline. This provides a natural result and can make the face look more balanced. Also, Botox can be used in what is called the Nefertiti Neck Lift to relax the muscle in the neck. This muscle pulls down on the lower face. When relaxed with Botox, it will provide a natural and subtle lift to the lower face to complement the other treatments described here.

Combining Treatments

Rather than simply having one treatment done, most people find that they get the best results when combining many or all of these treatments. These combinations address all of the different aspects associated with aging: volume loss, collagen loss, buildup of fat under the chin, and relaxing muscles.

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Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us to schedule an appointment for a free consultation with Dr. Alex in our Encino, CA office.

By Dr. Alex Eshaghian, MD, PhD
February 03, 2019
Category: Services
Tags: Vollure   Juvederm Vollure  

Vollure before and after lips IMLip enhancement using fillers has been very popular over the last decade. Initially a significant increase in lip size was most desirable. However, over the past few years women (and men) are desiring more subtle and natural results. Now with Juvederm Vollure we are able to provide an enhanced appearance of the lips without looking like your lips have been done.

What are fillers?

Fillers, or dermal fillers, are products that are placed in the skin to restore volume. There are many different types of products and they can go in different places. The most common fillers are those that use hyaluronic acid as their active ingredient. Theses include the products in the Juvederm collection (Juvederm Voluma, Juvederm Vollure, and Juvederm Volbella), Restylane, Belotero, and Revanesse Versa. Hyaluronic acid is a naturally occurring sugar found in your skin that draws water into the area to fill in wrinkles and folds. These are the safest products because they can be reversed if the results are not what you wanted or if there are any side effects. For this reason, Dr. Alex only uses hyaluronic acid fillers. Other non-hyaluronic acid fillers include Radiesse, Sculptra, and Bellafill.

Vollure before and after lipsDepending on the person, fillers such as Juvederm VolumaJuvederm Vollure, and Juvederm Volbella can be placed in different areas. Common areas of treatment include the temples, eyebrows, nose, under eye area, cheeks, laugh lines, marionette lines, chin, jawline, and hands. And different products work well for different areas. For example, Juvederm Voluma is a very firm product, making it ideal for lifting and filling certain areas such as the temples, nose, cheeks, chin, jawline, and hands. Juvederm Volbella is very soft, making it perfect for fine lines around the lips. Juvederm Vollure is in between and works well for eyebrows, under eyes, and lips.

What is Vycross technology?

Vycross technology is what is used in the newer products in the Juvederm collection: Juvederm VolumaJuvederm Vollure, and Juvederm Volbella. It has to do with the chemistry of the product and how it is made. There are different sized hyaluronic acid molecules in these products and there is more cross-linking. This allows for two different things. First, a lower concentration of the active ingredient (hyaluronic acid) is needed, so there is less swelling after the treatment and the results look more natural. Second, you will enjoy your results longer with these products. These are the reasons that Dr. Alex exclusively uses Juvederm VolumaJuvederm Vollure, and Juvederm Volbella at A E Skin.

What fillers work best for the lips?

When fillers first became available, they were initially used for the laugh lines that go from the sides of the nose to the corners of the mouth and the marionette lines that continue from the corners of the mouth to the jawline. Over time these products have been used in other areas. One of the most popular areas has been the lips. At first everyone wanted larger and larger lips. But after several years, people starting learning more about fillers and Botox and found that it can look like the lips are too big. Nowadays, people still want to enhance the appearance of their lips, but they want it to look more natural. Juvederm Vollure is an outstanding product for just this. The woman shown in the pictures here received one syringe of Juvederm Vollure in her lips. You can see in the before and after photographs shown here, the size and shape of the lips are enhanced without looking like a duck. Also, you can see that the fine vertical lines on the lips are improved. This is because the product hydrates the lips. And because Juvederm Vollure uses Vycross technology, she will enjoy her results for a year or more.

How does a Juvederm Vollure treatment work?

Treatment with a filler such as Juvederm Vollure is very easy. After taking baseline photographs to monitor your progress, we will numb you lips with cream for about 15 minutes. Then the area is cleaned with special cleansers to prevent infection. Juvederm Vollure is placed in different areas in the lips depending on your concerns using a needle. After your Juvederm Vollure treatment, swelling is usually seen and is normal. We will provide you with an ice pack to help reduce any swelling. If you get a bruise from your Juvederm Vollure treatment, we can treat it with a laser as early as the next business day. We also now have the anti-bruise pads to further decrease the risk of bruising. Bruises will go away on their own in about two weeks after a Juvederm Vollure treatment and the laser treatment makes them go away in one to three days. You’ll see your final results in two weeks when you return to the office for your after pictures. At that time, you can receive more Juvederm Vollure if you want further enhancement. After the Juvederm Vollure treatment, please avoid heat exposure, alcohol consumption, and strenuous exercise for 24 hours to reduce the risk of bruising. To decrease the swelling after a Juvederm Vollure treatment, apply ice packs on and off for five minutes at a time as much as possible for a few days, try to sleep on an extra pillow, and avoid salty foods for a few days. The best thing about a Juvederm Vollure treatment is that you will see the results right away.

Vollure for the Lips Demonstration

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Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us to schedule an appointment for a free consultation with Dr. Alex in our Encino, CA office.

By Dr. Alex Eshaghian, MD, PhD
May 20, 2018
Category: Events
Tags: Voluma   Volbella   Vollure  

Dr. Alex at the Allergan Medical Illumination TourOn Friday May 18, 2018 Dr. Alex attended the Allergan Medical Illumination Tour at the Westin hotel in Pasadena, CA. This is an event held in numerous cities nation wide to teach doctors about the newest technology and techniques in the use of dermal fillers for facial rejuvenation. The speakers with plastic surgeon Dr. Arthur Swift of Montreal, Canada and oculoplastic surgeon Dr. Steve Fagien of Boca Raton, FL.

What are dermal fillers?

Dermal fillers are injectable products used to restore volume in the face. Botox and dermal fillers are two of the most commonly used products for facial rejuvenation. Dermal fillers can be used to fill lines and folds such as the laugh lines (or nasolabial folds), improve hollowing under the eyes, restore the youthful apple of the cheeks, straighten a nose with a hump, enhance a weak chin, rejuvenate the jawline, and restore volume in the temples.

The products covered in the Allergan Medical Illumination tour were the fillers in the Juvederm collection. These include Juvederm Ultra and Juvederm Ultra Plus, the first ones available, as well as the newer products Voluma, Vollure, and Volbella. All of these products use a sugar found naturally in the skin called hyaluronic acid as the active ingredient. This brings water into the skin to restore volume and fill in wrinkles and folds. The newer products (VolumaVollure, and Volbella) use a new technology which allows you to enjoy your results longer than Juvederm Ultra and Juvederm Ultra Plus. These products are also softer, which allows them to move when you make facial expressions, providing a natural appearance.

What are the new techniques for using VolumaVollure, and Volbella?

The theme of the talk was light and shadows. These are two important things to understand when thinking about beauty. Makeup artists think about light and shadow all the time. The reflection of the light to highlight certain areas of the face is very important for beauty. At the same time, shadows formed on the skin provide a three-dimensional appearance of a contoured face. Using these ideas, the products are placed strategically in certain areas to maximize the effects of light and shadows. This allows for outstanding results without the requirement for a large amount of product. For example, certain points on the cheek should have maximum projection and more product is place there. Additionally, understanding anatomy allows injectors to place the products at the appropriate depth for safety as well as ideal results.

Dr. Alex attends numerous educational events to learn about the newest advances in the field of cosmetic medicine. He uses this knowledge to provide the best care for his patients in order to exceed their expectations. Dr. Alex also educates patients by writing a weekly blog and answering thousands of questions on Real Self. He also wrote a book, Everything You Ever Wanted to Know about Botox.

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Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us to schedule an appointment for a free consultation with Dr. Alex in our Encino, CA office.

By Dr. Alex Eshaghian, MD, PhD
February 11, 2018
Category: Services
Tags: Juvederm   Botox   Voluma   Volbella   Vollure  

Liquid Facelift before and afterThe liquid facelift if one of our most popular treatments and we are getting amazing results. This treatment uses multiple liquid products such as Botox, Voluma, Vollure, Juvederm Ultra, and Volbella to improve wrinkles and restore lost volume to the face. As compared to a traditional surgical facelift, the liquid facelift does not involve anesthesia, surgery, or recovery. The liquid facelift treatment itself is customized for each person.

The patient whose picture is shown here saw significant improvement in her skin with the liquid facelift. This was complemented by using the A E Skin line of products. In this case 54 units of Botox, two syringes of Voluma, three syringes of Vollure, and two syringes of Volbella were used. This treatment provides over 10 years of youth. Those who have the liquid facelift treatment state that they have increased confidence and enjoy their interactions with others more.

Liquid Facelift Testimonial

Botox

Botox is used in the non-surgical facelift to address wrinkles associated with facial expression. Usually this is in the upper face. The most common areas treated with Botox are the horizontal lines seen on the upped forehead when a person raises the eyebrows, the vertical lines seen between the eyebrows when a person frowns, and the crow’s feet seen around the eyes when a person smiles or squints. Typically, 50-60 units of Botox are used in this area. Botox can also be used in the lower face to relax muscles that pull the face downward. This will provide a further lift.

Fillers

Fillers are used to restore lost volume in the skin. The Juvederm family of products is the most popular group of fillers in the United States for a number of reasons. First, the active ingredient in the Juvederm family is hyaluronic acid, a naturally occurring sugar found in the skin and elsewhere in the body. It binds 1,000 times its weight in water and draws water into the skin to fill the wrinkles and folds. It has a high safety margin because it can be dissolved in the case of undesired results or a rare adverse event. The Juvederm collection of fillers includes the Vycross family: VolumaVollure, and Volbella. These products use a new technology that allows patients to enjoy their results longer. It also provides very natural results.

Voluma

Voluma is usually used in the upper cheeks to restore the apple of the cheeks. This provides a youthful appearance to the face and pulls up on the lower face. It can help improve the appearance of jowls and provide a more defined jawline. Voluma is a firm product and provides a noticeable but natural lift that is seen immediately. Unlike a traditional surgical facelift where only the skin is tightened, when using products such as Voluma, volume is restored to the face. Most people start with one syringe of Voluma per side, a conservative amount. The results of the Voluma treatment are assessed approximately two weeks later and more product can be added at that time if further enhancement is desired.

Vollure

Vollure is the second filler used in the liquid facelift. Vollure is slightly softer than Voluma and is commonly used in the nasolabial folds (the lines that go from the sides of the nose to the corners of the mouth) and the marionette lines (the lines that go from the corners of the mouth to the jawline). Most people start with two to three syringes of Vollure in this area, a conservative amount. The results of a Vollure treatment are assessed approximately two weeks later and more product can be added at that time if further enhancement is desired.

Juvederm Ultra

Juvederm Ultra is the original Juvederm product that uses the previous Hylacross technology. Similar to Vollure, Juvederm Ultra is used in the nasolabial folds and marionette lines. The difference is that Juvederm Ultra contains a higher level of hyaluronic acid, which means it brings even more water into the skin. Juvederm Ultra is best suited for those who have deeper folds in this area. Most people start with two syringes (one per side) of Juvederm Ultra in this area, a conservative amount. The results of a Juvederm Ultra treatment are assessed approximately two weeks later and more Juvederm Ultra can be added at that time if further enhancement is desired.

Volbella

Volbella is the softest filler available in the Juvederm collection of fillers. It is ideal to address fines lines on or around the lips as well as shaping the lips. Volbella can also be used to restore lost volume to the tear trough area. This is the area directly below the eyes where hollowing is commonly seen as people mature. Most people start with two syringes of Volbella in either of these areas, a conservative amount. The results of a Volbella treatment are assessed approximately two weeks later and more product can be added at that time if further enhancement is desired.

The liquid facelift is an ideal treatment for anyone who desires a more youthful appearance to make them look as good as they feel. When these treatments are combined, patients really love their results.

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Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us to schedule an appointment for a free consultation with Dr. Alex in our Encino, CA office.

By Dr. Alex Eshaghian, MD, PhD
December 10, 2017
Category: Services
Tags: Juvederm   Voluma   Volbella   Vollure  

Dermal filler before and afterDermal fillers such as Juvederm and Vollure are some of the most common products we use for facial enhancement. New products become available regularly. Here we discuss the difference between Juvederm and Vollure, as well as other dermal filler products.

What are dermal fillers?

Dermal fillers such as JuvedermVolumaVollure, and Volbella are products that are used to restore lost volume in the skin. They have been used for many years for the smile lines, also called the laugh lines, parentheses lines, or nasolabial folds, the wrinkles that go from the sides of the nose to the corners of the mouth. Sometimes these wrinkles continue all the way down to the jawline, what are called the marionette lines. Fillers are also used to restore the apple of the cheeks, fill in hollowing in the temples, provide volume to the lips, and enhance the chin. The can also be used off the face, most commonly to restore lost volume to the backs of the hands.

What are dermal fillers made of?

Dermal fillers can be made of many different substances. The most popular are those with hyaluronic acid as the active ingredient. These include JuvedermVolumaVollureVolbella, the Restylane family of products, Belotero, and Revanesse. Hyaluronic acid is a naturally occurring sugar found in the skin that binds 1,000 times its weight in water, allowing it to draw water into the skin to fill in wrinkles. The great things about hyaluronic acid is that is can be dissolved if the results are not as desired or if there is an adverse effect. No other product has this safety feature. Radiesse is another dermal filler whose active ingredient is calcium hydroxyappetite, which works well to restore bony structures such as the cheeks. Sculptra is made of poly-L-lactic acid. This does not volumize by itself; rather it stimulates the skin to form collagen. Bellafill is another dermal filler; it’s active ingredient is poly-methylmethacrlate. Bellafill lasts many years. There are also many other products available overseas but not in the United States. Unlike the hyaluronic acid products, RadiesseSculptra, and Bellafill are not reversible.

Why are VolumaVollure, and Volbella better than other fillers?

VolumaVollure, and Volbella have some distinct advantages over other fillers. First, they are all made of hyaluronic acid, meaning they are reversible, providing a high degree of safety. Second, unlike some of the other hyaluronic acid fillers, they contain lidocaine, which numbs the skin. Third, they provide patients with Brilliant Distinctions points. The Brilliant Distinctions program is a rewards program developed by Allergan, makes of BotoxJuvedermVolumaVollureVolbellaKybella, and Latisse, where patients receive points for each treatment which can be used toward discounts at subsequent treatments. The most unique feature of VolumaVollure, and Volbella is that they use a new technology called Vycross, in which the hyaluronic acid has special cross-linking. This is a fancy way of saying that patients enjoy their results longer than other products.

What is the difference between Juvederm and the other products in the Juvederm family?

Juvederm was the original dermal filler produced by Allergan, makes of BotoxJuvedermVolumaVollureVolbellaKybella, and LatisseJuvederm is made using an older technology called Hylacross. The new fillers VolumaVollure, and Volbella use the Vycross technology, which allows patients to enjoy their results for longer.

What is the difference between VolumaVollure, and Volbella?

We know that VolumaVollure, and Volbella all use the Vycross technology which allows patients to enjoy their results for longer. But what are the specific differences between these three products. All of these products are identical except for the amount of hyaluronic acid they contain. Voluma contains the highest concentration of hyaluronic acid in this group (20 mg/mL). Volbella contains the lowest amount of hyaluronic acid in this group (15 mg/mL). And Voluma contains an intermediate amount of hyaluronic acid (17.5 mg/mL). What this means is that they are used for different concerns. Since Voluma has the highest concentration of hyaluronic acid, it provides more lift and is ideal for restoring the apple of the cheeks, filling in temporal hollows, and enhancing a weak chin. Volbella has the lowest amount of hyaluronic acid and does not provide as much volume or puffiness, making it ideal for fine enhancement of the lips such as filling fines lines on or around the lips and defining the lips, as well as for placement in the tear troughs, the hollows which can appear under the eyes. Vollure is ideal for the smile lines and for volumizing the lips. The video shown here demonstrates a liquid facelift, where all three of these products are used in different areas in combination with Botox.

Liquid Facelift Demonstration

 

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Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us to schedule an appointment for a free consultation with Dr. Alex in our Encino, CA office.

By Dr. Alex Eshaghian, MD, PhD
July 02, 2017
Category: Services
Tags: Vollure  

Our patients are loving their results with our newest filler Vollure. Vollure is a member of the Juvederm family (which also includes Voluma and Volbella) which works well for various wrinkles on the face. Most people enjoy their results for up to 18 months, which is longer than previously available fillers such as Juvederm and Restylane.

Vollure Results

Vollure before and after

The patient shown here was concerned with her lower face in the area called the nasolabial folds and marionette lines. The nasolabial folds, also known as smile lines or laugh lines, are the lines that go from the sides of the nose to the corners of the mouth. Sometimes these folds continue all the way down to the jaw line as what are called marionette lines. She desired a subtle and natural enhancement and she was okay with the wrinkles, but just wanted them reduced. The photograph on the right is after two syringes of Vollure were used to address the nasolabial folds and marionette lines. The wrinkles are still there, but reduced, and she was very happy with the results.

Fractional CO2 Laser Resurfacing

Fractional CO2 laser resurfacing before and after

The other new treatment that we offer which further helps to improve the appearance of the nasolabial folds and marionette lines is the fractional CO2 laser resurfacing treatment. The fractional CO2 laser resurfacing treatment works by creating thousands of microscopic holes in the skin and generating heat. This stimulates the body to produce its own natural, new, fresh, and healthy collagen. This tightens the skin and further helps with fine lines and wrinkles. Outstanding results can be seen around the eyes (as shown here) as well as around the lips and on the entire face with the fractional CO2 laser resurfacing treatment.

Vollure Promotion

During the month of July 2017 we are offering a gift with purchase of Vollure. All patients who purchase two or more syringes of Vollure will receive a free A E Skin Hydrating Serum ($85 value). The A E Skin Hydrating Serum contains the same active ingredient, hyaluronic acid, as Vollure and other fillers such as Juvederm, Voluma, Volbella, Restylane, and Belotero. Hyaluronic acid draws water into the skin to hydrate the skin to keep the skin healthy. It feels like silk and also helps to reduce the appearance of fine lines. Applying a product like the A E Skin Hydrating Serum serves to enhance the results of Vollure as well as other treatments such as Botox, Juvederm, Voluma, Volbella, Restylane, and Belotero.

Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us to schedule a free consultation with Dr. Alex in our Encino, CA office.

By Dr. Alex Eshaghian, MD, PhD
June 18, 2017
Category: Services
Tags: Juvederm   Voluma   Volbella   Vollure  

The Juvederm family of dermal fillers now includes a variety of products which provide natural results when combined.

What are dermal fillers?

Voluma and Vollure before and afterDermal fillers are products that are used to restore volume in the face. They help rejuvenate the face and provide a youthful and refreshed appearance. The dermal fillers available in the United States include the Juvederm family of products, the Restylane family of products, Radiesse, Sculptra, Belotero, and Bellafill. Juvederm, Restylane, and Belotero are made of hyaluronic acid, a naturally occurring sugar found in the skin that binds 1,000 times its weight in water. They work by drawing water into the skin to provide volume. They have a good safety profile because they can be dissolved if the product is inadvertently placed into a blood vessel.

What is the Juvederm family of dermal fillers?

The Juvederm family of dermal fillers are the most popular dermal fillers in the United States. They are made by Allergan, the same company that makes Botox, Latisse, Kybella, and Skin Medica products. We are happy to participate in the Allergan Brilliant Distinctions Program, a rewards program where patients receive points for receiving any of these treatments or purchasing these products. These points can be used for subsequent treatments. As mentioned above the Juvederm family of fillers are all composed of hyaluronic acid fillers, make them a safe and natural product to use. The original members of this family are Juvederm Ultra and Juvederm Ultra Plus. These use a proprietary cross-linking technology called Hyalacross. This is a fancy way of explaining the chemistry in the product. The three newest members of the family include Voluma, Vollure, and Volbella. These use a newer technology called Vycross, which allows them to last longer. Now Dr. Alex recommends these products as they provide longer lasting results and the results are very natural. The difference between Voluma, Vollure, and Volbella is the thickness of the products and what they are used for. Voluma has the highest level of hyaluronic acid, making it the firmest product in this group. Voluma is ideal for restoring lost volume in the upper cheeks and mid-face. Often times an immediate lift can be seen. Volbella, on the other hand, has the lowest amount of hyaluronic acid, making it the softest product in this family. Volbella is ideal for fine lines on and around the lips as well as shaping the borders of the lips. Volbella also works well for to restore lost volume under the eyes. Vollure has an intermediate level of hyaluronic acid. Vollure works well for the nasolabial folds or laugh lines, which go from the sides of the nose to the corners of the mouth, as well as the marionette lines, which are sometimes seen as the continuation of the nasolabial fold to the jawline. Vollure is also great for those wanting more fullness to the lips.

What are the results when the Juvederm products are combined?

When these products are used in combination beautiful results can be achieved. Typically, the results are subtle and natural, providing a rested or refreshed appearance. Dr. Alex recommends starting with a conservative amount of product, as more can always be added later. Conservative amounts usually start at two syringes, or one per side. In the photograph seen here, the patient received two syringes of Voluma (one per side) in the upper cheeks and two syringes of Vollure (one per side) in the nasolabial folds. The scar under her lip on the right side of the photograph was not treated. This patient enjoyed a natural result as seen by the lift in the mid face, improvement of the nasolabial folds, and the appearance of a heart-shaped lower face.

Dr. Alex has performed over 10,000 cosmetic treatments. Contact us to schedule a free consultation with Dr. Alex in our Encino, CA office.

By Dr. Alex Eshaghian, MD, PhD
May 28, 2017
Category: Services
Tags: Juvederm   Voluma   Volbella   Vollure  

The Juvederm family of dermal fillers is one of the most popular group of products used for facial rejuvenation. The three newest members, Voluma, Volbella, and Vollure, provide the longest lasting results in their category.

What are dermal fillers used for?

Voluma before and afterDermal fillers are products such as Juvederm, Voluma, Volbella, Vollure, Restylane, Radiesse, Belotero, and Sculptra that are used to address wrinkles on the face associated with volume loss. These include areas such as the nasolabial folds or laugh lines which go from the sides of the nose to the corners of the mouth. Sometimes the nasolabial folds continue all the way to the jawline as what are called the marionette lines. Dermal fillers such as Volbella work well to address fine lines around the mouth. At the same time, dermal fillers such as Voluma are used to restore volume in the mid-face. This allows us to restore the youthful apple of the cheek, which cannot be done even with a face lift. Volbella can be used to fill in hollowing that is commonly seen under the eyes.

What are dermal fillers made of?

Most dermal fillers available in the United States use hyaluronic acid as the active ingredient. These include Juvederm, Voluma, Volbella, Vollure, Restylane, and BeloteroHyaluronic acid is a naturally occurring sugar found in the skin which binds 1,000 times its weight in water. This means that when placed in the skin, it draws water into the area to volumize the skin. This fills in wrinkles and restores volume loss in areas such as the upper cheeks, tear trough, and lips.

What are the members of the Juvederm family?

The Juvederm family of fillers is made by Allergan, the same company that makes Botox, Kybella, and Latisse. The original product was Juvederm Ultra and shortly thereafter Juvederm Ultra Plus was released, which is a slightly thicker product. In the last few years Allergan has release Voluma, Volbella, and Vollure. These new products are made using a novel technology called Vycross technology.

What is Vycross technology?

Vycross technology is what is used to make the newest members of the Juvederm family, Voluma, Volbella, and Vollure. The previous technology used to make Juvederm Ultra and Juvederm Ultra Plus was Hyalacross technology. With Vycross, different sizes of hyaluronic acid are used and the amount of cross linking between the molecules is higher. This allows the products to last longer.

What is the difference between Voluma, Volbella, and Vollure?

Voluma, Volbella, and Vollure are use the Vycross technology. The difference is the amount of hyaluronic acid they contain and consequently what they are used for. Voluma has the highest level of hyaluronic acid, making it a thick and robust product used to restore volume in the upper cheek and lift the lower face. Volbella, on the other hand, has the lowest level of hyaluronic acid. This makes it a softer product that is used for fine lines such as those around the lips. Vollure, the newest member of the Juvederm family, contains an intermediate amount of hyaluronic acid. Vollure is used to fill wrinkles such as the nasolabial fold and marionette lines. It can also be used for radial cheek folds which are parallel to the nasolabial folds seen in some people when they smile. Most people enjoy the results of their Voluma, Vollure, and Volbella treatments for two years, 18 months, and 12 months, respectively, with optimal correction. Depending on the individual, multiple products can be combined to provide a youthful and rested appearance.

Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us to schedule a free consultation with Dr. Alex in our Encino, CA office.

By Dr. Alex Eshaghian, MD, PhD
May 07, 2017
Category: Services
Tags: Vollure  

Vollure is the newest dermal filler available at A E Skin and we are excited to announce that we are getting outstanding results.

What is Vollure?

VollureVollure is the newest member of the Juvederm family of fillers available in the United States. Vollure is a hyaluronic acid product the restores volume to areas of volume loss such as wrinkles. It has been used in Europe for several years under the name Volift. Similar to Voluma and Volbella, Vollure is made using Vycross technology. This means that different sizes of hyaluronic acid are used and it has a higher level of cross linking, which makes it last longer.

What does Vollure treat?

Vollure is designed to address moderate to severe wrinkles on the face. These include the laugh lines (also known as nasolabial folds) that go from the sides of the nose to the corners of the mouth. In some people the lines extend to the jawline as what are called the marionette lines. Additionally, Vollure can also address secondary wrinkles around these areas.

What is the difference between Juvederm, Voluma, Volbella, and Vollure?

There are now four members of the Juvederm family: Juvederm, Voluma, Volbella, and Vollure. Juvederm is the first product that has been available for many years now. The manufacturer (Allergan) developed the new Vycross technology to allow the product to last longer. The first product using Vycross technology that was released in the United States is Voluma. Subsequently Volbella was approved last year and Vollure more recently this year. The difference between the three products in the Juvederm family that are made using Vycross technology is the amount of hyaluronic acid in them. Voluma has the highest level of hyaluronic acid, allowing for volumization and a lift in the upper cheeks. Volbella has the lowest level of hyaluronic acid, making it a softer product suitable for the lips and fines lines around the lips. Vollure has an intermediate level of hyaluronic acid, making it ideal for laugh lines and marionette lines.

When will I see results with Vollure?

The great thing about Vollure is that the results are seen right away. There is some swelling that lasts up to two weeks after a Vollure treatment. Most people actually enjoy the swelling because it improves the appearance of wrinkles. Final results with Vollure are seen once the swelling subsides after approximately two weeks.

How long does Vollure last?

Most patients enjoy the results of their Vollure treatment for up to 18 months with optimum correction. Some people have touch up Vollure treatments to maintain desired results.

What is hyaluronic acid?

Hyaluronic acid is a naturally occurring sugar found in the skin that binds 1,000 times its weight in water. When injected into the skin, hyaluronic acid will draw water into the area to fill wrinkles and folds.

Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us for a free consultation with Dr. Alex in our Encino, CA office.

By Dr. Alex Eshaghian, MD, PhD
April 23, 2017
Category: Services
Tags: Vollure  

VollureVollure is the newest filler in the Juvederm family and is now available at A E Skin. We are excited to offer another addition to our portfolio of fillers.

Vollure received approval from the FDA on March 20, 2017 for the correction of moderate to severe facial wrinkles and folds in people age 21 and over. These wrinkles include the nasolabial folds, also called laugh lines, smile lines, or parentheses lines, which go from the sides of the nose to the corners of the mouth. The nasolabial folds are common concerns as we age and sometimes continue to the jawline as the marionette lines.

Vollure was first approved in Europe in 2013 under the name Volift and uses Vycross technology. Vycross technology blends different sizes of the active ingredient hyaluronic acid. This allows for greater longevity of the product. Most people enjoy the results of their Vollure treatment for up to 18 months with optimal correction. This is in contrast to only 12 months with Juvederm. In the pivotal studies 96% of patients treated with Vollure reported improvement six months after their treatment and 62% of patients reported improvement 18 months after their treatment. The Vycross technology is now used in three fillers in the Juvederm family: Voluma, Volbella, and Vollure. Voluma is designed to restore lost volume to the upper cheeks, providing an instant lift and Volbella is designed to address fine lines on and around the lips.

The difference between the three products in the Juvederm family that use the Vycross technology, Voluma, Volbella, and Vollure, is the amount of hyaluronic acid in the product. Hyaluronic acid is a naturally occurring sugar found in the body that binds 1,000 times its weight in water. When hyaluronic acid fillers are placed in the skin they draw water into the area to restore volume. Voluma has a high concentration of hyaluronic acid (20 mg/mL). Therefore, Voluma draws in a lot of water and is able to provide the volumization and instant lift. Volbella, on the other hand, has a lower concentration of hyaluronic acid (15 mg/mL). Volbella does not draw as much water into the skin and is ideal for fine lines around the lips. Being a softer filler, Volbella is also being used off-label to treat hollowing under the eyes. Vollure has an intermediate amount of hyaluronic acid (17.5 mg/mL) and is suited for areas such as the nasolabial folds. Vollure can also be used in the lips. In the lips Vollure is used like Juvederm to provide volume whereas Volbella is used for fine lines and defining the borders.

Treating wrinkles with Vollure is fast and safe and leaves no scars or other traces on the face. Most side effects are mild or moderate in nature, and their duration is short lasting (seven days or less). The most common side effects with Vollure  include, but are not limited to, temporary injections site reactions such as redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, and discoloration. As with all skin injection procedures there is a risk of infection. People with a history of cold sores may experience a recurrence after the Vollure treatment, although this can be minimized by the use of antiviral medicines. At A E Skin we apply numbing cream prior to the Vollure treatment to maximize your comfort.

Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us to schedule a free consultation with Dr. Alex in our Encino, CA office.



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