Juvederm, Voluma in nasolabial area?

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, FACSDenver Facial Plastic Surgeon

Thank you for your question.  Voluma is a very good filler for your cheeks and midface.  It is a bit of a larger molecule, so it is usually placed deeper in the skin, (subdermal).  The sales people will tell you it lasts about 2 years.  In our experience it last about a year and a half.  It is not FDA approved for the NLF's.  As far as Juvederm Ultra Plus, (which we like for the nasolabial folds), and Juvederm Ultra, (which we like for the lips), the sales people will tell you it lasts about a year, in reality about 9 months. Every person is different so it can last a longer or shorter time period, depending on the patient.  It has been our experience that some folks that are hypermetabolic, (in the gym twice a day, etc.), tend to break down Botox and Fillers faster.  Each individual is different though. Please see a well trained, experienced injector.  Discuss your goals, and you should be able to come up with a plan.Jeffrey J. Roth, M.D., F.A.C.S.Board Certified Plastic SurgeonLas Vegas Plastic Surgery

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.

Since 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.The “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 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.

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.