How can I make my Juvederm cheek injections last longer? Will they last longer the more I get them done?

Voluma typically lasts up to two years when you get to optimal correction. If you are not seeing optimal results, I suggest returning to your injector and discussing your concerns.  If you exercise a lot this can decrease the longevity and fillers like scuptra and radiesse or bellafill should be used. Best, Dr. Emer

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.  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.  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

The best tip I can give to make your filler last as long as possible is to sleep on your back --- don't side sleep, because this puts pressure on the filler and can affect the shape. For women who have the filler done slightly before they see noticeable loss of their fillers this prevents that wax and wane of having fillers and watching them completely resolve before coming in for touch up. I often recommend for my patients to have standing appointments so we can prevent this from happening.

Are you using Juvederm or Voluma in your cheeks?  Voluma lasts 18 to 24 months and is a great filler for the cheeks.  Usingfiller that has been made specifically for this area is the first step. Next – filling to ‘full correction’ is ideal.  After that, it’s hard topredict who will have long lasting results & who will simply need morefrequent treatment.  I will often recommend to my patients who becomefrustrated with fillers to try a different one – just to see how they respond.Good luck!

Hi, and thanks for your question. I use Voluma daily in the cheeks and I've found it to be a really good, long lasting filler. In my experience, Voluma should last 1 to 1.5 years. Two syringes is a good amount of Voluma for someone as young as you and, even though there is some variability in how long any filler lasts, it would be really unusual for the Voluma to not be there after a month. Sometimes we get used to looking good, so I would suggest comparing before and after images at your injector's office to see if you can see the difference. Make sure that your injector is very experienced in Voluma injection - it takes experience to get facial sculpting just right.

We know from studies and experience that continued injections tend to cause longer lasting results due to new collagen production.  Often, if there isn't a noticeable difference in a month, too little filler was used.  It is very unlikely that the filler has started to decrease at this point.   In general, if smaller amounts are used, there is less of an impact and tends to be less longevity.

Thank you for your question.  If you have had success with overlapping injections of Juvederm you may well have a similar result with Voluma.  Everyone metabolizes the products at a different rate and thus it is difficult to say.  Another option is to consider cheek implants as a long term solution.  Good luck.

Every person metabolizes juvederm at a different rate.  If you don't see a difference it might mean you need more product.  Typically Voluma lasts 18 months.  I do find overlapping the treatments a bit will make it last longer.

Thank you for your question.You could try overlapping injections to see if they last a little longer. Everyone metabolizes the products differently, some faster, some slower. If it make the Juvederm last longer, it may work for the Voluma. Good luck.

 I love injecting fillers and contouring the cheekbone and the Jaw line because they make such a big difference in reversing the signs of aging, and creating that glamorous look. The key is to really place the fillers in the right tissue planes based on the patient's anatomy.

The other key is to use the right filler. Jupiter arm is a very soft filler, and if you are looking for a dramatic change in your cheek on structure, it may not be the best choice. Consider fillers that add more volume and are more rigid in there in their integrity such as Voluma, Radiesse, or Lyft. Not only can they last longer, they also produce a more dramatic results even with one syringe of product. You never want to put too much filler to make it last too long. The key is to put the right amount of filler each time so you always look natural. You can always pump your cheeks up too big and then let a deflate but that does not look natural or good!

 After I had my baby, I did the same thing to my face and it literally took off all the signs of aging as a result of the weight changes!   I used all three products that I mentioned in different locations to create the ideal look for my anatomy. I think these are so great to do and looks so fabulous after. Good luck to you!