Voluma should NOT be placed in the nasolabial fold
Voluma is designed for use in the cheek area which can provide a lift and softening of the nasolabial fold. It is also used in my Denver practice in several other "off-label" areas (other than the cheek) but the nasolabial fold is not one of them. In some cases, people benefit from Voluma in the cheek and a different hyaluronic acid filler in the nasolabial fold, typically Juvederm XC. However, Voluma is not the right answer for the nasolabial fold. Please do not allow an inexperienced Voluma injector to put the product in that area. Juvederm XC or another hyaluronic acid product works better for the nasolabial fold.
Stephen Weber MD, FACS
Denver Facial Plastic Surgeon
You need a different approach!
The unique thing about Juvederm Voluma is that by injecting it into the upper cheek area, it lifts the upper cheeks and in turn, pulls up on the nasolabial area and improves them. So with repeated injections into the nasolabial area which apparently isn't giving you the result you want, you need to try treating the nasolabial area with a different approach. By "inflating" the upper cheek area, the deep creases of the nasolabial grooves will become shallower. Follow the web reference link if you are looking for other doctors in the Houston area that may be able to meet your needs.
For long-lasting results, sculptra for the nasolabial area
Please consider sculptra as a possibility for the nasolabial fold area. Sculptra is a biostimulator and works by inciting collagen production. In a major clinical trial, 80% of patients were still satisfied with their treatment results 25 months after their injections.
You may want to combine voluma to lift up the cheeks (heavy, falling cheeks are what cause nasolabial folds), along with sculptra.
The end result of aesthetic practice is to make you look natural and refreshed, not fake.
Voluma is a wonderful answer to that quest because by lifting the entire face, every part of it looks better.
The product is made to go deep in the area of the cheekbone, not fill in lines in the lower face. Other fillers can do that.
But, I have suggestion...try getting the Voluma first and see how your entire face looks. You might get enough softening of the nasolabial folds that you don't feel you need any further correction.
Sometimes less is more and going slowly (and less costly) is the better road.
Discuss this with your doctor and choose the best course for you.
Juvederm versus Voluma in the Nasolabial area
Voluma is a wonderful injectable for the mid cheek to augment and immediately lift that area. In doing so it will augment the mid face and you will find that the smile lines should be diminished. Voluma lasts for approximately two years and might be a great solution with longer lasting results. For the best cosmetic results please consult a board certified dermatologist with experience in Voluma and facial injections.
Voluma in nasoloabial folds—nothing to smile about!
its FDA approval, many of my patients who have used Juvéderm® XC have inquired
about switching to Voluma™ as a longer-lasting option to treat their nasolabial
folds. Injected into the apex, apple,
and/or the hollows of the cheeks, Voluma™ is a wonderful option for midfacial volume
restoration and contour enhancement of the cheeks. While the volume and lift that can be
achieved with Voluma™ may indirectly improve
the appearance of the nasolabial folds, it should never be injected directly
into this area.
“parenthesis” that appear and become more pronounced as we age is a result of
lost hyaluronic acid and as such, I find HA fillers such as Juvéderm® XC,
Perlane®, and Restylane® to produce the most natural looking appearance. The
long-lasting results Voluma™ delivers is attributed to a consistency that is
much thicker and injected much more deeply than Juvéderm® XC.As such, Voluma™ would create a very
artificial appearance and unnatural feel to the nasolabial area.
Voluma in the Nasolabial Folds
Although not FDA-approved for this indication, many in Europe, Canada and South America have used it in small amounts to the nasolabial folds with nice results when injected in the right plane and when blended with lidocaine. It is important to see a certified doctor and facial filler expert when undergoing any injectables procedure.
Voluma's approved indication is for deep injection into the malar area. Appropriate injection in this area will often help to adequately efface deep nasolabial folds in a very natural way.
Voluma is not the best filler for the nasolabial folds
Voluma is a great filler for cheeks. It is FDA approved to last for 2 years in that area and when injected by an experienced injector, gives beautiful and natural results. In addition, treatment in the cheeks with Voluma often gives a nice softening of the nasolabial fold smile lines.
However, Voluma is not the right product for a direct treatment in the nasolabial folds. For that area your best choice is Juvederm or Restylane.
Voluma in nasolabial folds
Voluma is FDA approved for the cheeks and is too thick to place in the nasolabial folds. However, injections into the cheek should result in an appreciable improvement in the nasolabial folds. This coupled with a thinner filler that is appropriate for the nasolabial folds should produce nice long lasting results.