Which filler is right for me and my cheeks? Juvederm or Ellanse? (Photos)

Ellanse is a unique product that has excellent safety profile and has been shown in clinical studies and in practice to be a very effective treatment to restore volume and improve skin texture and elasticity. I have trained many doctors both in the UK and abroad with Ellanse and have used it extensively in my practice for the last 5 years without any complications. Juvaderm Voluma is a traditional hyaluronic acid filler and also has a good safety record. However as the particles in Juvaderm are very much larger than the tiny microspheres of polycaprolactone (PCL) in Ellanse there is a greater potential for a foreign body reaction to the product which can result in inflammatory nodules or lumps. 
Juvaderm voluma is purely a volumising product and needs to be placed deep. Ellanse however can be used as a volumiser when placed deep in the same way or it can be used more superficially to improve the skin texture and quality to eliminate fine lines and wrinkles.This is because the PCL in Ellanse is a very potent collagen stimulator unlike hyaluronic acids which have not been shown to stimulate healthy collagen. 
The other advantage of Ellanse over hyaluronic acids is that the results can last very much longer as the product can remain intact for up to 4 years unlike hyaluronic acids which will start to be broken down by the body from the day of injection.
It is this unique ability to use Ellanse to correct and restore both volume and skin quality with long lasting results and very low risk of complications to give a very natural results is why Ellanse is the most popular treatment in my clinics other than Botox 

Hi Jayne. Thank you for your question and I am pleased that you have asked questions about the choices offered in order to make an informed decision.
Firstly, both products are excellent products and will give really nice results. Sinclair Pharma (the company that produces Ellanse) are currently in the process of applying for FDA approval, a process which takes a long time. The evidence shows that Ellanse is a safe product and gives a comparable degree of volumisation to hyaluronic acid fillers, such as Juvderm, but the effects last considerably longer, from one to four years depending on which Ellanse product is used.
Looking at your photographs, I think that you would get a nice improvement to your mid-face contour with a cheek augmentation treatment. I use both HA fillers and Ellanse at my clinic but personally would choose Ellanse in your case. I would recommend discussing the pros and cons again with your practitioner before making a decision. I sure that if you go ahead you will be very happy with the results
Best wishes
Dr Ian Hallam MBE