Posts for tag: Voluma
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?
The 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 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
Marionette 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
Kybellla 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
Some 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.
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.
A common concern for many patients is a weak chin. Traditionally, surgery has been performed for correction. We now have non-surgical options that provide outstanding results.
What is a weak chin?
A weak chin described the condition where the chin is not balanced with the rest of the face. This has to do with the anatomy of the face. There are many bones in the face that provide the structural support. In the lower face, there is a bone that provides support for the upper teeth and another that provides support for the lower teeth and chin. In some people the lower bone does not project forward enough, making the position of the tip of the chin behind that of the upper lip. This makes the chin appear out of balance with the rest of the face.
How can a weak chin be treated?
Now with the use of fillers we can treat a weak chin without surgery. Fillers are used to restore lost volume in the face and in other places of the body. The filler that works best in this area is Voluma. Voluma is a filler in the Juvederm family that works well to volumize and restructure the face. The active ingredient in Voluma is hyaluronic acid, a naturally occurring sugar found in the body. Hyaluronic acid draws water into the area to provide volume and structure. Depending on the person and their individual appearance, different amounts of product can be used. The patient shown here received two syringes of Voluma to enhance her weak chin. Now the chin appears balanced with the rest of her face. Small changes wuch as this can make a big difference in a person’s appearance. The best thing about Voluma is that people will enjoy their results for two years or more in this area.
Hollowing of the temples is a common concern. Fortunately, we are easily able to treat it with Voluma.
Why do people get hollow temples?
At birth, we have many fat pads in the face that provide volume, giving the face a youthful appearance. Over time these fat pads get smaller and sometimes move. The fat pads in the temples slowly get smaller, while those in the cheeks also move downward. Other factors contributing to these changes include weight loss and genetics.
What is Voluma?
Voluma is a dermal filler that is used to restore lost volume in various areas in the face. The active ingredient in Voluma is hyaluronic acid, a naturally occurring sugar found in the skin that draws water into the area to restore lost volume. Voluma is in the Juvederm family of fillers and provides a high degree of volumization, making it perfect for areas such as the temples as well as the cheeks, nose, chin, and jawline.
How does Voluma fill hollow temples?
Voluma is placed deep on the bone over the temple usually with just a single, slow injection. The Voluma treatment is very easy and takes only a few minutes. We apply numbing cream for about 15 minutes before the Voluma treatment to maximize your comfort. We also place a vibrator distractor near the area to provide further comfort during the Voluma treatment. Take a look at a demonstration of a Voluma treatment in the video below. The results after a Voluma treatment in the temples can be seen right away and most people enjoy their results from Voluma for one to two years. Dr. Alex usually starts with one syringe of Voluma per side and the results are assessed approximately two weeks later. At that point more Voluma can be used if further enhancement is desired.
Voluma for Hollow Temples Treatment Demonstration
On 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 (Voluma, Vollure, 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.
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.
The 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 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 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: Voluma, Vollure, and Volbella. These products use a new technology that allows patients to enjoy their results longer. It also provides very natural results.
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 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 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 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.
Dermal 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 Juvederm, Voluma, Vollure, 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 Juvederm, Voluma, Vollure, Volbella, 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, Radiesse, Sculptra, and Bellafill are not reversible.
Voluma, Vollure, 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 Botox, Juvederm, Voluma, Vollure, Volbella, Kybella, and Latisse, where patients receive points for each treatment which can be used toward discounts at subsequent treatments. The most unique feature of Voluma, Vollure, 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.
Juvederm was the original dermal filler produced by Allergan, makes of Botox, Juvederm, Voluma, Vollure, Volbella, Kybella, and Latisse. Juvederm is made using an older technology called Hylacross. The new fillers Voluma, Vollure, and Volbella use the Vycross technology, which allows patients to enjoy their results for longer.
We know that Voluma, Vollure, 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
While the face is the most common area of concern for cosmetic treatments, treatments for other areas on the body are becoming more and more popular. Here we discuss a number of options for treatments from the neck down.
Treatments for the neck
Common concerns in the neck area include loose skin, fullness or a double chin, and loss of jawline definition. Over time and with sun exposure, collagen in the skin on the neck and on other areas is degraded. This leads to the appearance of loose skin and wrinkles. One of the most popular treatments is laser skin tightening. This is a no down time treatment that takes about 15 minutes. A series of six to eight weekly laser skin tightening treatments is recommended followed by one maintenance laser skin tightening treatment every three months thereafter. The double chin, also known as submental fullness, is very common and caused by age, weight gain, and genetics. We are now able to treat the double chin with Kybella, the first and thus-far only FDA-approved, non-surgical, injectable treatment for submental fullness. The active ingredient in Kybella is a salt used to digest the dietary fat. When injected into this area, Kybella will dissolve the fat and it is naturally eliminated by the body slowly over time. A series of two to six Kybella treatments is recommended and treatments are performed every three months. Unlike other treatments, maintenance treatments are not required with Kybella. Both laser skin tightening and Kybella will also help to define the jawline. To further enhance the jawline, Botox can be used just under the jawline to relax the muscle that pulls this area down in a treatment called the Nefertiti neck lift. This leads to an elevation of the lower face, improves the appearance of jowls, and provides improved definition of the jawline.
Treatments for the Chest
The most common concerns on the chest are wrinkles and uneven color, whether it is dark spots or redness. The Forever Young BBL IPL photofacial can be performed on any area on the skin including the chest. The Forever Young BBL IPL photofacial will even out the color on the skin, providing improvements in dark spots and redness. A series off six Forever Young BBL IPL photofacial treatments performed every six weeks is recommended followed by one maintenance treatment every three months thereafter. The fractional CO2 laser resurfacing treatment can be performed on the chest, which will significantly tighten the skin and reduce wrinkles in a single treatment. For this treatment, be prepared for up to four weeks of recovery which includes redness and swelling.
Treatments for the Hands
Over time changes on the skin of the backs of the hands are seen. Sun exposure leads to age spots and loose skin. At the same time volume is lost and veins and tendons in the area become more and more apparent. The hand rejuvenation treatment combines a Forever Young BBL IPL photofacial treatment with Voluma. The Forever Young BBL IPL photofacial treatment will address age spots while Voluma will restore lost volume to the area. The fractional CO2 laser resurfacing treatment can also be performed on the area to further improve uneven color as well as tighten loose skin on the area.
Treatments for the Belly
One of the most common concerns in the belly is the appearance of loose skin. This frequently occurs with weight gain and loss and is common in women who have had babies. Laser skin tightening works by heating the skin on the area. This tightens the skin by stimulating it to form its own natural, new, fresh, and healthy collagen. An initial series of six to eight weekly laser skin tightening treatments is recommended followed by one maintenance laser skin tightening treatment every three months thereafter. Laser skin tightening treatments take 15 to 20 minutes, are pain-free, and have no down time.
Treatments for the Legs
The appearance of veins on the legs can be a major nuisance to women who enjoy wearing shorts, skirts, and dresses. Fortunately, they can usually be treated non-surgically with laser leg vein treatments. Anywhere from one to three laser leg vein treatments is required and treatments are spaced out every two to three months. While the laser leg vein treatment completely treats the vein, often times new veins appear in nearby areas. This is because those people who tend to form veins in the legs frequently form new ones slowly over time. New veins can be treated as well as they appear.
Treatments for the Toes
Toenail fungus is very common and can be very disfiguring. Lasers can be used to kill the fungus and significantly improve the appearance of the toes. This works best in mild cases. In moderate and particularly severe cases, sometimes the appearance may not go completely back to baseline. However, significant improvement can be seen. A series of three monthly laser toenail fungus treatments is performed and the results are seen very slowly over time. It can take one to two years to see full results.
The chin is a feature of the face that provides symmetry and balance to the rest of the face. A weak chin can affect the appearance of the entire face. Now we can augment a weak chin using hyaluronic acid dermal fillers such as Voluma. This is an outstanding option for those desiring enhancement of the chin without surgery.
What is a weak chin?
A weak chin is very common and has a decreased forward projection. It is commonly seen in combination with a poorly defined jawline. With age, we lose the volume and projection in the tip of the chin. At the same time, due to loss of collagen and gravity the lower face descends which decreases the jawline definition. This is jowls which appear on the jawline on either side of the chin. Also, fat accumulates under the chin over time forming a double chin, which further reduces the definition of the jawline. Treatment of a weak chin can be complimented by treating the double chin with Kybella.
What is involved in a chin augmentation treatment?
The treatment uses Voluma, which has several properties that make it the ideal dermal filler of choice for this area. Since the bony support structures in this area of the face are being enhanced a firm product such as Voluma is required. Voluma will provide the forward projection desired with a low amount of product. Since Voluma is a hyaluronic acid dermal filler it can be dissolved if the desired results are not achieved. It can also be dissolved in the rare event of an adverse effect.
What will the results of a chin augmentation look like?
Voluma can provide a natural appearance without looking like work was done. The ideal candidate is a person in overall good health who desires more of a projection of the chin and/or an improvement in his/her jawline definition and does not want to undergo surgery. Depending on the individual Dr. Alex will individualize the treatment to provide a pointy or square appearance with a fullness and projection to provide a harmonious balance with the other facial features.
What happens during the chin augmentation treatment?
The treatment itself takes only a few minutes and results are seen instantly. Patients resume their normal activities right away without looking like a treatment was performed. Most patients enjoy their results for one to two years depending on the individual and the amount of product used. In our office, we apply complimentary topical numbing and use a vibrating distractor which is placed on the skin called the Beauty bar to maximize our patients’ comfort.
What are the side effects of a chin augmentation treatment?
Side effects are rare for a chin augmentation treatment. The most common side effects are swelling and bruising, which usually resolve in two weeks. Although most people enjoy the swollen appearance, it can be decreased by applying cold compresses such as ice packs to the area. We treat bruises with a laser as early as the next day, which makes the bruise resolve usually in one to three days; however, it could still last a full two weeks. With any injection, there are other risks including, but not limited to, pain, bleeding, redness, tenderness, and infection.
What should I do after a chin augmentation treatment?
After a chin augmentation treatment Dr. Alex recommends that patients avoid heat exposure, alcohol consumption, and strenuous exercise for 24 hours. After that patients may return to their normal activities.
The Juvederm family of dermal fillers now includes a variety of products which provide natural results when combined.
What are dermal fillers?
Dermal 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.
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?
Dermal 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 Belotero. Hyaluronic 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.
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.