After helpful advice on here i booked a consultation and was told i was to young for fillers and was advised to have epionce peels. i liked them but they didn't help with what i wanted as i am sure it is loss of volume. Would fillers help? I feel i have lost volume between and above the brows causing my eyelids to droop slightly and also from my cheeks giving me hollows under my eyes and also lines beside my mouth. I am just looking for some advice before i go to another consultation. Thanks
Juvederm Voluma? Will This Help Lift Between and Above the Brows and the Cheeks? (photo)
Doctor Answers (13)
Promoted Local Answer Promoted local answers are based on Featured Doctor activity within your current location.
Where do they put the Voluma?
Since this is a deep dermal product designed ( and FDA approved) for the midface volume, I would say that, based on your photos, if you were in my office I would not choose that.
I might suggest Belatero for the under eye area, and definitely a neurotoxin ( Xeomin or Botox) for the browlift you are looking for. This is done on the forehead and brow area.
Hope this helps you!
Voluma is not for the brow area
I have used Voluma for years here in Canada and the area between your eyebrows is not an area for Voluma injections. It is much too thick. Voluma has just been approved for usage in the US but it will probably be a while until it is available. Do not have it injected between your brows. You can have a thin product such as Belotero injected there, but make sure you consult an experienced dermatologist or plastic surgeon for this area. Voluma would be an appropriate product for your cheeks when available and for now, Juvederm Ultra Plus or Perlane could be used for your cheeks and the lines beside your mouth. An experienced injector of Botox and filler should be able to help you.
First, Juvederm Voluma isn't available for use in the U.S. yet. Probably later this year. It is being studied for central facial volume loss in the cheeks. Because it will be a larger molecule size, it would not be a great idea to put it in the forehead, or even into the NLF lines, unless you have very significant loss there, which you don't.
You might also like...
Juvederm for forehead?
Hi Tory. It's not very common to use dermal filler in the forehead. In some cases, we will use it to correct very deep creases in the area between the eyes, but almost never in the forehead.
As for the cheeks, you are a great candidate. Both for the groove at your upper cheek and for the nasolabial folds (laugh lines). 2-3 CC's would probably do the trick.
Best Use of Voluma for Cheeks
It appears that Voluma would be quite helpful for your cheeks. For your glabella (the area between and above your eyebrows), Botox, Dysport, or Xeomin would be the best treatment with a small amount of Restylane injected very carefully in the vertical lines between your brows. Injectors must be very cautious in this area because of underlying blood vessels that if occluded with filler can cause severe complications. Once again, it is most important that you choose your injecting physician most carefully. Good luck and be well.
Voluma is just that: for volume
Voluma is a great product that has been used here in Canada for almost 4 years. It is suitable for significant volume loss to the cheeks, nasolabial folds, marionette lines and temples. It should not be used for the brow, in the tear troughs or the lips as it is too firm and will give rise to uneven contours and possibly lumps. Are you too young to have fillers? Not if you need them! And recent evidence suggests these types of fillers ( hyaluronic acids) may even stimulate your own body to produce more collagen.
Voluma for cheek augmentation
Voluma is an excellent choice along with other HA fillers to augment the cheeks and the hollows under the eyes. An experienced injector can get nice results safely and effectively for these areas. Some may choose Voluma while others may choose fillers such as Perlane or Restylane especially under the eye area. Remember Voluma FDA approval is for the cheek volume loss
Juvederm Volume is an excellent Midface Lifting and Filling Injection
Yes, Juvederm Voluma XC would be an excellent filler to use for your cheeks. Recently the FDA approved Voluma in the USA for Midface injections. While Voluma has just gone on sale to the general population, I have been injecting it as part of my teaching and have found it to be an excellent product with minimal swelling, instant results and no downtime. I would not not suggest Voluma for most people between the eyebrows. A softer filler such as Juvederm Ultra in combination with Botox Cosmetic may be a better choice for this area. However, you would need to be evaluated in person to know which product would be best.
Web reference: http://www.ShaferPlasticSurgery.com
Juvederm Voluma is not available in the states. Based on the photos provided I suggest injecting 8-16 units on each side of Botox or Xeomin to help lift the brow and soften the lines. A physical exam would be best but you would also benefit from Restylane or Juvederm Ultra Plus, this will help fill in the nasolabial folds and tear troughs. Find a board certified physician who can provide the results you wish to achieve.
The Nonsurgical 3D Vectoring Browlift Works Well For Fallen Eyebrows & Mildly Hooded Upper Lids
The Nonsurgical 3D Vectoring Browlift can work well for fallen eyebrows & mildly hooded upper lids. Employing a technique analogous to those used for performing The Nonsurgical 3D Vectoring Facelift and The Nonsurgical 3D Vectoring Necklift (discussed elsewhere in RealSelf.com), the eyebrows can be lifted, using a volumizing filler, such as Radiesse or Radiesse combined with Juvederm Ultra Plus XC.
The principle underlying this method is exactly that of all other nonsurgical procedures, i.e. to reverse the downward deflationary vectoring of the aging (the sagging) brow with an upward and outward flare to the brow. Here, too, as with its sister nonsurgical vectoring techniques, strands or strains of the volumizing agent are laid down under the skin from a fixed, anchoring point located diagonally upward and outward close to the hairline.
The 3D projection and lifting produce immediate results. Further improvement comes over the next two months as the presence of the volumizing agent within the tissue stimulates new, native collagen formation and subsequent additional lifting and retraction. Note the more pleasing upward and outward flare of the outer third of the eyebrow. Also note the greater exposure of the true upper lids that results secondarily from the diminution in hooding and the more youthful realignment of the overlying eyebrow. Owing to its simplicity and lack of downtime, The Nonsurgical 3D Vectoring Browlift makes an excellent noninvasive browlift option for people of any age. If needed, additional outward projection of the underside of the outer third of the eyebrow can be obtained by the addition of small amount of volumizer directly into the area.
Hollows under the eyes generally respond well to the injection of Belotero Balance or diluted Restylane L--both of which give a good lift and smoothing and have little chance for giving rise to the the bluish discoloration known as the Tyndall Effect, which is sometimes seen when hyaluronic acid-based fillers are injected too superficially within the skin or into areas, such as under the eyes, where skin is naturally very thin.. Juvederm Voluma, with which I have extensive experience for the past several years in my private practice in Israel, is a very robust hyaluronic acid volumizer and is an excellent choice for nonsurgical cheek augmentation (absolutely not for under the eyes). Unfortunately, it is still not available in the U.S. (although it might finally come to the American market by the end of this year or early next year.)
Web reference: http://YoungerLookingWithoutSurgery.com
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.
You might also like...
Ask a Doctor
Get personalized answers from board-certified doctors. For free.