Like any hyaluronic acid filler (HA), Juvederm Voluma XC can be reversed with injections of hyaluronidase. This is one of the reasons that the HA fillers are so powerful - because they are so safe. If, after injection, you just don't like the result then it can be reversed. The Voluma is a little "tougher" that the rest of the Juvederm family of fillers (hence its 2 year longevity) and it may take a couple of injections of enzyme to make it go away. The tear trough area is a VERY difficult area to correct and it is necessary that your physician be experienced. Injecting Voluma in the cheek (below the tear trough) often works very well. The thinner HA's are the ones generally indicated for the thin tear trough area above the cheek. Best wishes.
Voluma can be dissolved using Hyaluronidase but would require 2-3 sessions every few weeks apart
This is really a two part answer!
While it is true that naturally augmenting the cheek can significantly improve the tear trough and smile lines, we must be careful not to overly build up the cheek. Although off label, Restlyane is clearly the best hyaluronic acid product for direct tear trough injection. This is a very sensitive area and requires significant experience for success.
Hyaluronidase is very effective for volume but does require about 1.5 times the usual dosing given the high degree of cross linking that is present in Voluma.
I would check back with your injector and be certain that your professional has experience with both before moving forward.
Thanks so much!
Dear anon, thank
you for your question. Injectable fillers can be used to enhance facial volume,
correct lines and depressions, and rejuvenate the face without surgery. Some
common fillers used in our San Diego practice include restylane,
juvederm, perlane, voluma, radiesse, and sculptra. Yes, Voluma may be dissolved. Consult with an
experienced facial plastic surgeon injector to review your concerns. Good Luck!
Yes, but it does take about 2 times as much hyaluronidase, due to the fact that it is more densely cross-linked.
Yes, hyaluronidase can be injected into the Voluma to essentially "dissolve" the product. This is one of the advantages to Voluma is that it can be removed if the patient does not like it.
Voluma can be reversed with hyaluronidase. However, you are correct in assuming that you should go to a physician who has experience with both voluma and hyaluronidase. Even in experienced hands and utilizing standardized doses results can vary. I would suggest starting with a small dose of hyaluronidase and if you don't achieve the results you were hoping for, the injection can be repeated a few weeks later. Best wishes.
Voluma is a hyaluronic acid filler so yes, it can be dissolved with hyaluronidase. Just like when injecting fillers, removing them is also an art. So yes, experience matters with this! And that's how the injector knows where to put it and how much to put in.
"This answer has been solicited without seeing this patient and
cannot be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."
Yes, Voluma can be reversed with hyaluronidase. A physician experienced with performing injections should be able to properly administer hyaluronidase to correct any overfill.