Voluma Injections Done By Expert Injectors Only
With Voluma, I recommend that you choose a very experienced injector. It is new on the market, and, while it is made out of hyaluronic acid (like Restylane or Juvederm), the cross-linking makes it much more of a "solid" liquid. This may sound weird, but if you squirt Juvederm or Restylane onto a surface, they make a puddle. If you squirt Voluma, it looks like a Hershey's Kiss.
Voluma is supposed to be very long lasting, and is meant to be placed deep (just above the bone) in the cheek area. It is a great filler, and when done correctly, looks amazing.
Most doctors that inject a lot of Botox, also inject a lot of filler, but:
Botox is not a filler. It is a protein that binds to the junction between the nerve and the muscle and causes the muscle to not respond to the nerve (so it decreases wrinkles because you can't contract the muscles in that area). Botox is always metabolized, and any unwanted outcome will go away.
The major risks of Voluma being injected incorrectly (too superficially, too much in one location, no placed just above bone) would be the development of an unwanted lump or asymmetry. You can use hyaluronidase to dissolve the Voluma, but it still might leave unwanted asymmetry or lumpiness. Again, I would definitely recommend an experienced doctor.
As important as it is that Botox injections are done by skilled providers, treating with Voluma XC for full-face volume-enhancement is best done by more experienced injectors familiar with facial anatomy and aging patterns . Having said that--it is as much artistry as it is skill ,so it is important to convey the correction you are seeking!
Botox and Voluma are very different products that require vastly different techniques for injecting. Both require an expert injector with a lot of experience to get optimal results. Just because a physician is great with botox doesn’t mean that he or she will be a good Voluma injector. Voluma has been FDA approved to be injected deep into the cheek hollows to help restore volume. Botox is injected more superficially and in other areas. When considering Voluma injections it’s important to do your research to find an experienced injector who will consult with you to answer any questions that you have before the treatment. Voluma is a very safe product to inject, although there are always risks involved with any injectable product. Most commonly patients experience slight tenderness and swelling at the injection site which usually resolves within a week. One huge benefit for Voluma is that in the rare case that something goes wrong, the results can be reversed because it’s a hyaluronic acid. I use Voluma all the time in my practice, and my patients are very satisfied with their results.
Voluma -- Getting the Right Practitioner
Voluma is a different animal from many of the other fillers.
It goes deeper and lasts longer.
You should look for a practitioner who has had some experience and one who will give you the look you want.
The goal of any aesthetic treatment is to make you look refreshed and natural, not artificial. I suggest to my Voluma patients that if their friends ask who did their filler, I've not done a great job!
So ask around. Don't be afraid to ask a practitioner who trained them to use Voluma or other fillers and what their philosophy is with regard to aesthetics. If you feel that it's just bottom line for them and you're being "sold" on either something you really don't want or more than you want, move on to somebody else.
The world is filled with many ethical, wonderful practitioners, dermatologists and plastic surgeons who see this field as art more than business. Making you happy and giving you the look you want is their goal.
Voluma Side Effects
Voluma is a new filler treatment, so not every Botox injector will be familiar with how to administer it properly. I would suggest seeking Voluma injections only from a board-certified dermatologist who has experience successfully treating patients with Voluma. Some patients may experience slight redness or swelling where the Voluma was injected, however the potential side effects are drastically reduced when performed by an expert Voluma injector.
Risks of Voluma
Generally the same risks that apply to other hyaluronic acid fillers apply to Voluma. It is placed slightly deeper in the face than others so carries a few additional risks.
I would suggest discussing with a Board Certified Dermatologist with expertise in Voluma.
Not all injectors feel comfortable with every filler that is on the market. We all have different reasons for using certain fillers. It is important that you go to an injector who you can trust and who has experience using Voluma. It is a great product, but as with all fillers, you can have complications, and an injector with experience will know how to handle these situations. Overall, I would say that there are very few complications that occur with Voluma, except for maybe bruising or swelling, but these are normal for anyone getting injections. Hopefully the bruising is minimal and the swelling goes down quickly. It is important to feel like your injector knows the product, and ask to see their before and after pictures. Most injectors will have plenty of pictures to show you.
Side effects of Voluma
The side effects of Voluma are the same as with any other filler:
4) inadequate correction
5) too much correction
6) uneven correction
7) wrong placement of product
Rarer side effects include infection or blockage of the blood supply, resulting in skin compromise.
The skill set for Botox is different than for Voluma. A good Botox or Voluma injector is going to have a good eye and be able to assess the patient, but the skill sets are different. Just as a person who is very talented in painting may not be able to sculpt.
Voluma Side Effects
The most significant side effect I have seen with Voluma thus far is over-filling. Some injectors use 4 syringes of Voluma as a standard for adding cheek volume. There should be no standard as each person is different. Find a very experienced injector, and when in doubt, be conservative. You can always have more Voluma dded later.
The quantity is one factor that determines results, but the placement is equally important. When looking for injectors, be sure to view multiple examples of their own work. This product can last up to two years. That's great if you love the result. But, awful, if you are displeased with the result.
Voluma versus other fillers
Voluma is a hyaluronic acid filler which is stiffer and holds its form better than its sister product Juvederm Ultra or UltraPlus. It is currently FDA approved for use in the mid face, basically across the cheekbones. It has similar risks to other hyaluronic acid fillers such as brusing, formation of lumps (either visible or palpable), and even possibly infection. Once injected, it does not absorb as much fluid from the surrounding tissues as other fillers, and its effects are considered immediate. The good news is that if you have a lump, it can easily be treated with an injection of hyaluronidase to break it up or dissolve it. Massage can often help as well.
I would advise you to see how much experience or training an injector has. A good indicator of how well someone injects is how many syringes they usually need to achieve a desired effect. Although some initial studies showed multiple syringes in a patient, I would not expect the need for over 4 syringes in one sitting (perhaps over a few months yes, but not all at once). IMHO, I believe skilled injectors can achieve similar results with less material than those less proficient.
I definitely do NOT believe that anyone who can inject Botox competently can inject voluma or any of the fillers just as well. They require more skill, as well as the visual eye to determine the best place to inject it.
Hope that helps and good luck to you!