How does Juvederm Voluma stack up against Radiesse for larger-area volumizing, such as cheek hollows? Or is it so new that not many physicians have tried it yet?
Is Juvederm Voluma an Alternative to Radiesse?
Doctor Answers (35)
Juvéderm Voluma® is an excellent alternative to Radiesse®, and can be reversed.
Juvéderm Voluma® is an excellent alternative to Radiesse®, and [unlike Radiesse®] can be easily reversed by injection of hyaluronidase in the rare event of a problem.
Another advantage of Juvéderm Voluma® is that [at least in Canada] it comes with lidocaine anesthetic in it, improving patient comfort. Radiesse®, by contrast, hurts a lot unless the doctor adds lidocaine, and the process of mixing in lidocaine in the office carries the risks of contamination and/or error.
Finally, patients treated with Juvéderm Voluma® often look good compared with their baseline photos 12-18 months after treatment -- about the same duration of cosmetic benefit as Radiesse®.
How does Juvederm Voluma stack up against Radiesse?
Juvederm Voluma XC received FDA approval to be used in the USA October 23, 2013. Voluma is an injectable hyaluronic acid gel like other Juvederm products, Restylane, and Perlane. Voluma is the first and only filler that is FDA-approved to instantly add volume to the cheek area. The filler gives a subtle, natural lift, that helps restore a more youthful look and add volume to the cheek area. The good news is that Juvederm Voluma lasts 2 years! (this is double the time of regular Juvederm Ultra and Ultra Plus).
In my mind, the main advantage of Radiesse was that it was longer lasting than the previously-available hyaluronic acid products. Voluma now lasts just as long. In addition, Voluma has the added advantage that if you are unhappy with the results of your treatment, it can be dissolved, whereas Radiesse can not.
Juvéderm Voluma is a wonderful new filler for volume
Radiesse will still have a role to play, but Juvéderm Voluma is an important addition to our treatment options. A distinct advantage that Juvéderm Voluma has is the ability to remove it if desired.
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Juvederm Voluma is a great alternative to Radiesse
Personally I like both fillers. There are advantages and disadvantages to each. Voluma is an HA product which is good for first time patients since it is reversible. However, Voluma is slightly more expensive and come with less volume in the syringe, so it ends up costing the patient more to achieve the same result. However, in the FDA studies, Voluma was shown to last up to 2 years or longer. Radiesse is not an HA and can't be reversed. However, is comes with more volume per syringe is is slightly less expensive so the patient gets more for their money in the short-term. Radiesse is also long lasting and typically lasts longer than other HA products except Voluma. In terms of results, I have found Voluma to be slightly smoother since these fillers are used for deeper injections, I don't think this is clinically appreciable except during the injection process.
Voluma cheek augmentation
Voluma is a fantastic product for cheek augmentation. It is the newest kid on the block. There are other traditional fillers that are also excellent candidates for cheek augmentation. These include Perlane, Juvederm and Radiesse. . What is more important than the type of filler is the experience of the injector. I would definitely recommend going to a board-certified plastic surgeon as they are also qualified at doing procedures such as cheek augmentation using implants or fat grafting. They would be best able to help you understand the pros and cons and the longevity of each different approach.
The one distinction that Voluma has versus the other fillers, is that it is the only FDA approved product for cheek augmentation. However doctors commonly use products for off label reasons.
Is Juvederm Voluma an Alternative to Radiesse?
Voluma is a new and excellent alternative to Radiesse
Voluma (from Juvederm) is newly available in the US, expanding their treatment options. It is not indicated for filling wrinkles, but rather used to restore the areas of the face that show volume loss.
Facial aging often includes some degree of loss of fullness in the cheeks (sagging fat and thinning bones). Traditional treatments include fat grafting and certain refinements of facelift techniques. Injectable fillers including Radiesse and Sculptra are alternative ways to enhance cheek volume. Now we have Voluma, the first hyaluronic acid volume filler. It gives immediate results and is reversible if ever needed.
Yes Voluma is wonderful!
Voluma is wonderful. I find Voluma to be smoother than Radiesse, and it lasts twice as long. Yes, not many MD’s have used it yet, but since my practice participated in the clinical trials as a study site, I have been using it for close to 3 years now, monitoring its very successful results.
Juvederm Voluma vs. Radiesse
Juvederm Voluma vs. Radiesse. What are the differences.
As doctors, we will often find other indications for various products based on our experience and clinical judgment. I like to tell patients that a treatment maybe "off label" as this is not what it received FDA approval for. It would be cost prohibitive for the pharmaceutical companies to receive FDA approval for each use.
So what are some of the off label uses for Radiesse? I will use it to restore volume in the cheeks, jaw line, temples and hands. It works well for deeper facial lines and folds and will often be combined with Juvederm for the more superficial lines, in a layered manner. The advantage to Radiesse is that it lasts 6 to 12 months and gives an instant result. It is not reversible and sometimes you can get more bruising with this product.
As we gain more experience with Juvederm Voluma we are beginning to see that there are many more "off label" applications beyond restoring cheek volume. It will last up to two years and is reversible. This is a big advantage over Radiesse. It does cost more per syringe.
Some of the off label uses that have provided may patients with beautiful natural results, often better than Radiesse include:
2. Deep nasolabial folds and deeper marionette lines.
3. Jaw line volume restoration.
4. Injectable rhinoplasty
I find that Juvederm Voluma gives you much more of a lift than Radiesse does with less bruising. I have started switching most of my patients for these reasons to Juvederm Voluma.
Ran Y. Rubinstein, MD
200 Stony Brook Court, Newburgh, New York
Board Certified Facial Plastic Surgeon
Clinical Professor New York Presbyterian Hospital
National Education Faculty (physician trainer) for:
Allergan (Juvederm, Voluma), Valient (Scultpra, Restylane),
Cynosure (Cellulaze, Precision Laser Lift) & Solta (Fraxel, Thermage)
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.