Juvederm Ultra Plus vs Juvederm Voluma?

Question

For adding volume to face, what do you recommend? Juvederm Voluma, or Juvederm Ultra Plus? Which one is thicker and what is the difference?

Daniel Levy, MD · Answer

Ivana,In my opinion, Voluma is the better option for optimizing volume and contour of your cheeks.  It is a more cohesive gel that is designed to hold its place better in that part of your face, whereas Juvederm ultra plus is less cohesive and more of a plumping or polishing type of filler, better suited for lines and shadows in the lower part of your face.Good luck!

Jeffrey A. Sweat, MD · Answer

Excellent question.  When adding volume to the face, the area of placement is key to the answer.  If you are looking to add volume to the cheek area, then voluma is the answer.  Ultra plus is a great filler but should be reserved for the lower face.  Voluma is thicker and lasts longer than Ultra Plus but costs more.  You should seek out an experienced injector for any of these products.  Best of luck!

Jason Emer, MD · Answer

these are very different products as they have different cross-linking technologies making one (voluma) more like an implant so it stays in tissue longer and gives more support.  Both are hyaluronic acid fillers and be reversed if you are not happy.  I suggest you get a formal consultation with an expert to determine what would be best for you long term.  Best, Dr. Emer.

Jeanine B. Downie, MD · Answer

Hi Jess, Voluma is thicker and lasts longer than Juvederm Ultra Plus. Voluma lasts roughly 18 months and is more expensive than Juvederm Ultra Plus. Please consult with your board certified dermatologist to find out how Juvederm can enhance your face. Good luck, Dr. Downie

Richard Ort, MD · Answer

Voluma is a great filler for adding volume to the upper face.  Another great choice for this application is Perlane which is now called Restylane Lyft.  I have also used Radiesse with much success for the upper face.  Voluma and Lyft are both hyaluronic acid fillers which can be dissolved if needed.  Radiesse can't be dissolved, which is a disadvantage of that product.  The key with any of these products is to see an experienced injector who knows where and how best to inject these products.

Robert S. Bader, MD, FAAD · Answer

For cheek volume, Juvederm Voluma is a better option than Juvederm Ultra Plus. Voluma is thicker and is designed exactly for that purpose.  Alternatives to Voluma are Restylane Lyft, which is similar to Voluma, Radiesse, and Sculptra. I would recommend investigating these options as well.  Of all of the options, Restylane Lyft and Radiesse are often more cost effective as Voluma tends to be a bit pricey.

Louis W. Apostolakis, MD · Answer

Hello,Voluma is the latest product in the Juvederm line and is intended for deeper, longer lasting, volumizing of the face.  It is made of hyaluronic acid, as are many other injectable fillers.  Perlane is a similar product sold in the Restylane line of facial fillers.  Most often when we speak of volumizing fillers we are speaking of filling hollow cheeks and temples.  Voluma is the thickest of the fillers in the Juvederm line and is intended for sub-dermal injection (below the skin).  Ultra Plus is thinner and intended for more superficial applications, generally used as a dermal filler (within the skin for creases).  Finally the Ultra product is the thinnest for more superficial use yet.  Ultra Plus can also be injected sub-dermal and would provide similar results to Voluma, however, Voluma is expected to last longer and hold its shape a bit better in those applications.  Prior to the introduction of Voluma, most injectors would use Ultra Plus for both sub-dermal and dermal injections and many injectors still do.  Allergan (the manufacturer) advertises that reasonable results should last 2 years.  Aside from clinical trials, Voluma has only been available in the US for just over 2 years and as such the broader population of patients and doctors are just now able to start vouching for its longevity.

Michael T. Somenek, MD · Answer

The Voluma contains more lifting power and is especially effective in the midface and cheek region where a thicker agent is useful and causes a more noticeable change. Ultra Plus is more appropriate for nasolabial folds and perioral region.

Alix J. Charles, MD · Answer

Thanks for your question, Ivana.  I use both fillers depending upon what the patient actually needs.  Juvederm Voluma would be considered the "thicker" filler and has different properties than Juvederm Ultra Plus in terms of deformability once injected and ability to provide volume support.  For bulk volumization of the cheeks, temples and mid face I find Juvederm Voluma to be the superior choice.  If you are considering these fillers find a well trained and experienced physician injector who can evaluate you for the best filler to treat you individually. Best of luck!

Jerrold Gendler, MD, FRCS · Answer

I have used both , Voluma is probably the best Filler on the market today . I use it pretty well everywhere in the face except around the eyes where I will use either Bellaterro or Restyling . I have used Juvederm Ultra 4 & honestly don't see a lot of difference . Patients know about Voluma & ask for it , little pricier but not much .i think u can't go wrong with either product . Longevity is similar but really depends on location & amount used . I only use ' temporary ' products & believe ' Less is more ' !!

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