Is Juvederm Vollure similar to Restylane Refyne or Silk?

Question

I am a very thin woman (5'1", 90lbs), with facial volume loss. Previously, I have had tried Sculptra, and developed a large visible lump on my jaw line. I also have had filler in nasolabial fold area, and found that the "thinner" dermal fillers looked the best/most smooth in the lower face area (i.e. Silk). I am looking to add filler to my cheeks (Radiesse or Restylane Lyft) and my parentheses lines. Is Vollure on the thinner side? Also, is Defyne much thicker than Refyne?

J. Jason Wendel, MD, FACS · Answer

Thank you for your question about dermal fillers.  Juvederm Vollure is more similar to Restylane Refyne and Defyne.  However, there are still significant differences among the products.  One of which is patients have less swelling with Vollure and it lasts longer than Refyne and Defyne.  All three of these products would be appropriate fillers for nasolabial fold area.  To be sure which product is best for you, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

Jonathan Kulbersh, MD · Answer

Thank you for your question. Vollure, Refyne, and Defyne are all good choices for restoring volume and treating nasolabial folds and smile lines around the mouth. Silk is preferred for delicate areas like the lips and perioral lines that often form above the mouth. It is more important to choose your injector based on experience and other qualifications rather than the specific filler used. An expert filler will know how to choose the filler that will meet your needs and goals best.

Jed H. Horowitz, MD, FACS · Answer

All of the above mentioned products are beautiful fillers to use ,however it is best to let your advanced injector decide which filler is best for you.   Restalyne Refyne/Define will last 6 to 8 months while Vollure is made with a Vicross Technology that makes this product last up to 18 months.Your best bet is once again to trust the choice of your injector.

Bradley Bengtson, MD, FACS · Answer

While Restylane Refyne, Defyne and Juvederm Vollure are all hyaluronic acid fillers, they do differ in molecular cross linking of the HA itself. This variation makes each filler uniquely qualified to treat specific areas of the face optimally. I would suggest that you visit your board certified plastic surgeon for an in person examination. He/She will advise you regarding the filler that will help you achieve the most effective and natural result for an beautiful outcome.

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question.  Vollure is more similar to Refyne/Defyne than it is silk but should be an excellent option for your parentheses.  Vollure is on the thinner side and leads to less complications of lumps and bumps than other fillers.  Defyne is thicker than Refyne but still can be injected with smooth, longer-lasting results.  It is also better for deeper creasing.  Hope this helps.

Aldo Guerra, MD · Answer

Volure, refyne, defyne, silk, and belotero are good options for thin skin. I suggest an in-person consultation for a better explanation of differences and similarities.Best wishes, Dr. ALDO

Kenneth D. Steinsapir, MD · Answer

These products are not commodities.  They require and artful eye from a highly trained injector to get the best possible injector.  The right injector will steer you away from products that consistently have issue and guide you to filler choice that perform better.  It is the injector who is the artist.  Focus on finding the right injector rather than looking for the latest filler.

Martie Gidon, MD, FRCPC, FAAD · Answer

Both Restylane and Juvederm have a line of products that can be used for most patients.  The most important issue is treatment with an experienced cosmetic dermatologist or plastic surgeon who uses all of these products and can chose which products would be best for you.

Kris M. Reddy, MD, FACS · Answer

While Restylane Refyne/defyne is a comparable product for Juvederm Vollure, they are not necessarily interchangeable. 
Like with Restylane Refyne/defyne, Juvederm Vollure is appropriate for patients with thin skin. However, Juvederm Vollure is made with Vycross technology, which blends different molecular weights of hyaluronic acid to deliver results that last up to 18 months. Restylane Refyne/Defyne does allow for better natural movement. 
As these fillers require advanced injection techniques, consult in person with an experienced and expert physician injector to understand your options.

Darryl J. Blinski, MD · Answer

All are very similar to thickness or molecular diameters. But best to try them, each, to find the exact one which might work for you in the sub dermal zones. Another thought might be deeper injections in larger amounts/volumes (8 to 10 syringes along the bone of the cheek and jaw) as in the Y Lift techniques.