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

I had my cheeks injected with Juvederm Voluma and was told it should last at least 6 months. I had two syringes and I am 24 years old. It has been less than one month and I feel like I can barely see a difference. Also, does the longevity increase as you get them done more often? I have found overlapping Juvederm injections in my lips has made them last longer and wondering if this would work for cheeks as well. Thank you!

Doctor Answers 15

August 5th, 2016

Voluma Cheeks Injection - How Long Does It Really Last?

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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.

Learn more: http://westsidemedicalspa.com/procedures/injectable-fillers/voluma

Alexander Rivkin, MD
May 18th, 2017

Few tricks!

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 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! 

Tanya Kormeili, MD
Los Angeles Dermatologist

August 8th, 2016

Making That Filler Last!

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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.

Learn more: http://drpapantoniou.com/services/cosmetic/volumize/

Kaleroy Papantoniou, MD, FAAD
August 8th, 2016

Choosing the Right Cheek Filler

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

Michael Hromadka, MD
August 7th, 2016

Voluma

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Voluma typically can last up to 2 years.  It is unusual for it to only last 1 month.  Please follow up with your injector. Good luck!

Learn more: http://www.americandermatology.net/services/fillers-sarasota-fl/juvederm/

Jennifer Trent, MD, FAAD
August 6th, 2016

Voluma and Results -- Seek an Expert

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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

Learn more: https://www.youtube.com/channel/UCa6C2fuS-AgOnvBjr6_VSQg

Jason Emer, MD

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 203 reviews

August 6th, 2016

Voluma Duration

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Thank you for your question.  In general, Voluma lasts for up to 2 years, but everyone metabolizes the product differently.  In my opinion, a duration of only 1-6 months, as in your case, is highly unusual.  I would suggest following up with your doctor for an in-person reevaluation to fully discuss your concerns and to compare before and after photographs in order to determine the best course of action.  There is some evidence that longevity increases with increased frequency of treatments due to increased collagen production.  Hope this helps and best wishes! 
Christian N. Ford, MD
August 5th, 2016

Voluma longevity

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Thank you for your question little.mermaid.xo. Voluma is a filler that can be used to enhance the cheeks. The pivotal studies demonstrated that patients can enjoy their results for up to two years with optimal treatment. In my experience, when treating a patient with 2 syringes, most people will return in 6-12 months for 1-2 syringes (1 syringe at 6 months or 2 syringes at 12 months).We have our patients return two weeks after a treatment to take after photographs to assess the results. Please follow up with your doctor for specific recommendations. Good luck!

Alex Eshaghian, MD, PhD
August 5th, 2016

Fillers for cheeks

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If you find that Voluma is not lasting as long as you would like, consider switching to another HA filler such as Restylane Lyft.  In my hands this provides similar results in the cheeks but comes at a more attractive price point.  You could also consider Radiesse as an alternative to HA fillers.Regards,Dr. Ort
Richard Ort, MD

Richard Ort, MD
Lone Tree Dermatologic Surgeon
5.0 out of 5 stars 28 reviews

August 5th, 2016

Repeated filler injections

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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.
Kyle Coleman, MD

Kyle Coleman, MD
New Orleans Dermatologic Surgeon
5.0 out of 5 stars 11 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.