Voluma allows for excellent
volumizing filler in the cheek area. It provides
shaping in this area. It does not correct sagging. Remember fillers Fill they do not lift.
If you are using a filler to lift then you are over volumizing and actually
making a patient look unnatural.
The answer to your question is very patient specific. I commonly treat patients with a concept that I call "Aesthetic Facial Balancing" to deliver very natural appearing rejuvenations without surgery. I use low G' hyaluronic acid fillers to create a natural draping of the soft tissues. I do not like volume because it creates a more unnatural lift that doesnt drape as well. Be careful in selecting the practitioner to apply fillers in your face. Most place filler too low creating an artificial "lion face" or "Monkey face." Fat grafting is another great option for most that can be much more economical. Both techniques can be wonderful or disasterous depending on the skill and judgement of the injector. I hope this helps!
All the best,
Rian A. Maercks M.D.
Voluma is a fabulous injection for the mid face as it provides an immediate lift. Voluma will not really help the sagging in the lower face that you are describing. For the lower face I prefer Sculptra since it naturally builds collagen in the face and can be used in other areas than just the mid face. In addition I would recommend Thermage to tighten the lower face. It works extremely well in building collagen in the lower face and provides excellent results especially when combined with Sculptra.
Voluma is an excellent product and we have successfully used Voluma in conjunction with Ultherapy and mini and full facelifts.
Raffy Karamanoukian MD FACS
Dear molly, 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. Consult with an
experienced facial plastic surgeon injector to review your options. Good Luck!
Voluma is approved for use in the cheek areas at this time. The best choce would be a full evaluation by a surgeon experienced in surgical and nonsurgical options for treating the lower face.
There are multiple aspects of facial aging -- specifically sagging tissues, volume loss, and aging skin. Volume enhancement through Voluma, other dermal fillers, or autologous fat transfer is commonly performed in conjunction with lower face / necklifting. Oftentimes, we will perform laser skin resurfacing, as well.
Voluma is indicated in the midface and cheek region of the face. Results are natural with an experienced and skilled surgeon and last 2 years. It may address lower face and neck laxity somewhat but not as directly as a surgical procedure. An alternative to surgery is ultrasound-guided tightening, or Ulthera.
Many good points have already been made. Facial aging changes that we see are caused mainly by Descent of the soft tissues with loss of boney support, Deflation of the soft tissues, and Deterioration of the skin quality. Historically, fillers have been most useful for filling the deflated areas of the face while surgery had been used to "lift" the descended areas. Voluma is different from the other hyaluronic acid (HA) fillers in that it has the ability to give much more structural support so it really can not only fill but also provide lift in some scenarios. This is why it can be so useful in the mid face but also other "off label" areas of the face. It can also be diluted for administration in some of these areas to avoid lumpiness if it has to be used more superficially or in someone who is very thin. This product has been a welcomed addition to the armamentarium of surgeons operating in the mid and lower face.
The FDA indication for Voluma is for mid-face volumizing. Having said that, yes it can be used for lower face injections (and very nicely). It relies heavily on the skill level of the injector, and skilled injectors can do some very nice things with this product. The company cannot promote off-label use, but physicians can use it where it is needed.
Voluma is an excellent filler for lifting and adding volume to the cheeks. In the studies for FDA approval results lasted up to two years. While it does not replace surgery, combining Voluma with Ultherapy can give long lasting tightening and lifting to produce more youthful skin for those not yet ready for surgery.