I've had Juvederm (Voluma) and the softer type put in my face. Can I mix other types or stick with one brand? (Photo)

Question

I had my cheeks done , lips , smile lines all done in dec/Jan thus year. I'm so impressed except the doctor sucked at the smile lines but admitted he didn't like doing them. So now I'm so happy with the rest I want my hollow eyes done and maybe more in my cheeks and lip. I see many salons using diff brands near me. Can I get another type or do I need to stick to what's already there. I don't wanna create any problems.

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question and photographs.  It is possible to mix different brands and types of dermal fillers depending on your goal result, but more important than the filler type is the injector performing the treatment.  Be sure to see an experienced board certified plastic surgeon.  Hope this helps.

Elham Jafari, MD · Answer

Hi and thank you for your question! There shouldn't be any concerns with combining various types of fillers and it's actually even a preferred method. There are many different types of fillers and each are generally preferred for certain areas, so experienced physicians chose their filler carefully and individually based on the area and desired results. For under eyes, we generally use "softer" fillers such as Restylane Silk, Belotero or Volbella while for cheeks (and lips) fillers such as Voluma or Juvederm Ultra Plus work nicely. In any case, please make sure to work with a highly experienced physician who can show you several before and after pictures of similar patients. I hope it helps and good luck!

Sabrina Fabi, MD · Answer

It is very common and quite effective to combine different types of dermal fillers based on their qualities and the type of effects you are trying to achieve. What is not a good idea, however, is to get your cosmetic work done by someone who is not an expert simply because they have the latest product or are offering a good price. Especially now that you are considering filling out your tear troughs, it is essential that you find an expert injector to get excellent results without any side effects. If you would like to change dermatologists, spend some time consulting a number of board-certified dermatologists who have expert injection techniques and can show you impressive before-and-after results using multiple fillers. You should also discuss with him/her the types of fillers you have previously received, where they were injected, and when you were last treated.

Jason Emer, MD · Answer

Yes, you can use different HA fillers. For under the eyes, a combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

Kouros Azar, MD · Answer

Yes. It is fine to combine fillers. There have recently been a number of different HA fillers introduced by Juvederm that work for specific areas of the face such as Volbella for the lips and Vollure for the NL folds. The important thing is less the filler, though, than the skill and experience of the person injecting said filler.

Sean Doherty, MD, FACS · Answer

It is fine to use a combination of different fillers. The important thing is seeing an injection with the skill and experience to deliver exceptional results. He or she will know the pros and cons of each different filler and will be able to recommend the ideal choices for your individual needs. Best of luck.

Alex Eshaghian, MD, PhD · Answer

Thank you for
your question jp84. I understand your concern. Voluma is a filler
used to enhance the appearance of the face. Different fillers can be used in combination with others. Some fillers work better than others in certain areas. For example I find that Volbella and Restylane work well in the tear trough while Voluma works better in the cheeks. Please
consult with a doctor for specific recommendations. Good luck!

Emil A. Tanghetti, MD · Answer

While you definitely should let your provider know what fillers you have already had injected, you can certainly have other filler brands injected. At our center we use fillers from companies such as Allergan (Juvederm family of fillers) and Galderma (Restylane family of fillers). Each filler has slightly different properties which make them suited for different injection areas and different patient types. Our providers will often use different fillers from different companies to produce ideal results. One of the most important things to consider when choosing an injectable provider is their training and experience. An experienced injector will be able determine what product is appropriate to achieve your desired results. Good luck!

Faiyaaz Kalimullah, MD, FAAD · Answer

Thank you for your question.  There is no contraindication to using fillers from different brands at the same time.  All fillers are formulated slightly differently, and are best suited for different areas of the face.  As such, most experienced injectors often use several different products for their patients for best results.  I would recommend against going to salons or spas for filler injections - this is a medical procedure, and should only be performed by experts.  Please consider seeing an experienced cosmetic dermatologist or plastic surgeon for your treatment.  Best of luck!

Michele S. Green, MD · Answer

I often mix different fillers for a given patient.  The fillers all have different qualities and if your physician is only using one type of filler then they are not taking advantage of how best to contour and do cosmetic injections.  Please consult an expert in cosmetic injections for the best results.  Best, Dr. Green

I've had Juvederm (Voluma) and the softer type put in my face. Can I mix other types or stick with one brand? (Photo)

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Answers (14)

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