Voluma for the Lips: Last Longer than other Fillers?

I have also used Restylane, Perlane and Juvéderm for lip augmentation.  If you were looking for something longer-lasting, then you should consider fat grafting or lip implants. Voluma is indicated for cheek augmentation, but it may also turn out to be a good volumizer for the lip. It was released towards the end of 2013, so we can expect a lot more information to follow in this area. I would expect Voluma to be a reasonable option as it is something that can also be reversed with an enzyme if one has an undesirable result.

Each hyaluronic product is designed to benefit specific areas of the face.  Voluma is longer lasting but should not normally be placed within the lip.  Restylane products are ideal for lip augmentation and usually last up to 1 year.

Regardless of the filler used, product used in the lips tends to break down faster than other areas as the lip is a mobile, dynamic part of the face.  Use of Voluma in the lips is off label but may be performed in the appropriate patient with advanced technique by the provider.  It is always best to see your Board-Certified Plastic Surgeon for assessment and determination of the product and technique best suited to help you achieve your goal.

Thank you for your question.  Voluma is a very good filler for your cheeks and midface.  It is a bit of a larger molecule, so it is usually placed deeper in the skin, (subdermal).  The sales people will tell you it lasts about 2 years.  In our experience it last about a year and a half.  It is not FDA approved for the lips.  As far as Juvederm Ultra Plus, (which we like for the nasolabial folds), and Juvederm Ultra, (which we like for the lips), the sales people will tell you it lasts about a year, in reality about 9 months. Every person is different so it can last a longer or shorter time period, depending on the patient.  It has been our experience that some folks that are hypermetabolic, (in the gym twice a day, etc.), tend to break down Botox and Fillers faster.  Each individual is different though. Please see a well trained, experienced injector.  Discuss your goals, and you should be able to come up with a plan.Jeffrey J. Roth, M.D., F.A.C.S.Board Certified Plastic SurgeonLas Vegas Plastic Surgery

In my experience, Juvederm Volbella lip filler gets the best results with minimal swelling. Voluma can be used but gives a much bigger and harder look -- more voluminous.  They both have a special technology called Vycross allows the filler to be injected in single strands which holds less swelling and is much smoother than most fillers. It lasts for up to a year with only one treatment. We can also gage how much plump you'd like because of the specific formula. 

Lips should be soft and able to move.  Voluma is a firm product so it is probably not ideal for lips.  I like juvederm ultra for youthful lips that need more volume.I like restylane for older lips that need more structure.If you go to a skilled injector, s/he will be able to evaluate your needs and choose the right product(s) for you. Remember, it is not only the product, it is the placement into the lips.  Whenever someone comes to me for lips, I evaluate their symmetry, the ratio of the fullness of the upper lip to the lower lip, and the entire perioral area.  For me, it is important to always create a natural and harmonious appearance that fits with the rest of the patient's face.

Voluma can be used for the lips, though it is not FDA approved for this indication, it will also likely be firm and less natural looking. I still prefer to use Restylane or Juvederm for lip augmentation. They will likely come out with lighter bodied fillers similar to Restylane/Juvederm in the future that are more stable, and will last much longer, but until then...

Currently we are not using Voluma in lips as it is off label, we use Juvederm Ultra or Ultra Plus ( as they are softer and provide a very natural look. In our practice we usually use 1cc (1 syringe) total for lips, as that seems to give the best results, if smaller amounts are injected, as sometimes patients are afraid that their lips will be too large, the final result might not be satisfactory.  I feel that Juvederm in the proper amount can last over a year,and do seem to have a cumulative effect over time.

Voluma is indicated for use at the cheeks to give lift and volume. It is a much thicker product and it is intended to be placed deeper. A thicker product can have more of a likelihood of leaving lumps and bumps if injected more superficially and in the lips. If you are looking for a longer lasting option, you may consider getting a consultation for fat grafting to the lips.

Voluma is for the replacement of lost volume in the cheeks. While it may be used for the lips, this would be an off-label use. As a result, it may not last up to 18 months in the lips.Results for the lips tend to wear away faster simply because you move them much, much more than other parts of your face.However, there is another Juvederm filler that is specially designed for the lips. It is called Volbella, and has been found to achieve results that can last up to a year.  

Hi Phoebe,At this time I have not found Juvederm Voluma to be as natural in the lips because of its firmness.  My filler of choice remains Juvederm Ultra.  Results with repeat injections can last up to one year. I will use it however off label to:Fill the templesChin augmentationInjectable rhinoplastyFilling the jaw line to smooth out jowlsFilling deep nasolabial folds and marionette linesGood luck, 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)