Scheduled for Voluma injections.... any idea on how much I would require judging from the pics? (photos)
Doctor Answers 13
Typical Number of Juvederm Voluma Needed
Zone 1: outer cheek bone, this area is emphasized more with women. You could benefit from enhancement here, more on the right side vs. the left.
Zone 2: mid portion of the cheek bone. On the left, you only would need minimal enhancement, more so on the right.
Zone 3: this area gives us the apple cheek. this part of the cheek is the portion under the eye. It appears your surgeon augmented this area already with fat more on the left. You could benefit from a little Juvederm Voluma on the right side, about .2 cc.
Zone 4: also known as the sub malar zone. This is the lower part of the cheek. Here too you have adequate volume.
One area you didn't mention in your question- the temples. I will often fill the temples with Juvederm Voluma to give a more natural and youthful appearance. All too often, when only the cheeks are treated, the hollowness in the temples becomes accentuated. You would benefit from 1 syringe (half per side) in the temple area. Other areas (off label) that I will use Juvederm Voluma is along the jaw line and chin.
In summary, based on this analysis, I think two syringes would be adequate and I would use 1.25 syringes on the right and .75 syringes on the left.
I find it helpful for patients to bring in pictures of themselves from 5, 10, 15 and 20 years ago so as I can analyze. This can help demonstrate where and how much volume has been lost. This is combined with 3D computer imaging to see what kind of change can be accomplished naturally.
Good luck with your treatment.
Ran Y. Rubinstein, MD
Board Certified Facial Plastic Surgeon
Assistant Clinical Professor New York Presbyterian Hospital
Trainer, for Juvederm Voluma
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How much Voluma do I need
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If it were obvious by your pictures or desires that you need more than two syringes of Voluma, you would be better off using Sculptra, which would give you 8 ccs of volume and be more cost effective.
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