After reaction to Voluma, should I switch back to Juvederm XC or Radiesse, or Fat Transfer?

It's understandable to have concerns after experiencing issues with a particular filler. Here are some considerations that might help you decide on the next steps:

Reaction to Voluma: It's possible to have a reaction to a specific filler formulation, even if it's from the same family of products. Different fillers have varying compositions and cross-linking technologies, which can affect how your body responds.

Returning to Juvederm XC: Since you previously used Juvederm XC without any issues, it could be a viable option to consider returning to it. Your past positive experience suggests that your body tolerated it well, making it a safer choice compared to trying new products.

Exploring Radiesse: Radiesse is another option, but it's important to note that it is a calcium hydroxylapatite-based filler, which is different from the hyaluronic acid-based fillers like Juvederm and Restylane. Discuss with your provider whether this formulation is appropriate for your needs and if it might pose any risks based on your history.

Fat Transfer: Fat transfer is a more permanent solution that involves using your own fat to add volume to the face. This option can provide long-lasting results, but it is more invasive than fillers and requires a surgical procedure. Consider this if you're looking for a longer-term solution and are comfortable with the associated recovery time.

Consultation with a Specialist: Before making a decision, have a detailed discussion with a board-certified dermatologist or plastic surgeon. They can review your history, assess your facial structure, and help you weigh the pros and cons of each option based on your specific situation and aesthetic goals.

Ultimately, your choice should align with your comfort level, the desired longevity of results, and the advice of a trusted healthcare professional.

You could have possibly had a reaction specifically to Voluma, especially if you have used the other Juvederm products for years without issue. If you are wanting something longer lasting you could consider Renuva or Sculptra as well. I've included a video on Sculptra that I hope you find helpful.