How does Juvederm Voluma stack up against Radiesse for larger-area volumizing, such as cheek hollows? Or is it so new that not many physicians have tried it yet?
Is Juvederm Voluma an Alternative to Radiesse?
Doctor Answers 59
Juvéderm Voluma® is an excellent alternative to Radiesse®, and can be reversed.
Juvéderm Voluma® is an excellent alternative to Radiesse®, and [unlike Radiesse®] can be easily reversed by injection of hyaluronidase in the rare event of a problem.
Another advantage of Juvéderm Voluma® is that [at least in Canada] it comes with lidocaine anesthetic in it, improving patient comfort. Radiesse®, by contrast, hurts a lot unless the doctor adds lidocaine, and the process of mixing in lidocaine in the office carries the risks of contamination and/or error.
Finally, patients treated with Juvéderm Voluma® often look good compared with their baseline photos 12-18 months after treatment -- about the same duration of cosmetic benefit as Radiesse®.
Voluma and Radiesse: Excellent for Different Kinds of Correction
On the other hand, Radiesse is made from Calcium Hydroxylapatite (CAHA) microspheres suspended in a dense gel. It is typically injected into the folds and creases that run from nose to mouth (nasolabial folds) and mouth to chin (marionette lines) for the purpose of smoothing and plumping. However, Radiesse is not approved for deep injection into the cheek area to lift the cheek area and fill in cheek hollows. In short, neither injectable is a replacement or alternative for the other. Both are excellent, but for different types of correction.
How does Juvederm Voluma stack up against Radiesse?
Juvederm Voluma XC received FDA approval to be used in the USA October 23, 2013. Voluma is an injectable hyaluronic acid gel like other Juvederm products, Restylane, and Perlane. Voluma is the first and only filler that is FDA-approved to instantly add volume to the cheek area. The filler gives a subtle, natural lift, that helps restore a more youthful look and add volume to the cheek area. The good news is that Juvederm Voluma lasts 2 years! (this is double the time of regular Juvederm Ultra and Ultra Plus).
In my mind, the main advantage of Radiesse was that it was longer lasting than the previously-available hyaluronic acid products. Voluma now lasts just as long. In addition, Voluma has the added advantage that if you are unhappy with the results of your treatment, it can be dissolved, whereas Radiesse can not.
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Juvederm Voluma is an outstanding product
Juvederm Voluma vs. Radiesse: Why We Like It Better
- Voluma can be dissolved for safety reasons or if a patient decides he or she does not like it. On the other hand, Radiesse is composed of very tiny smooth calcium hydroxylapatite (CaHA) microspheres which form a scaffold that can’t be dissolved. Once injected, the body’s own collagen grows around the scaffold.
- Voluma lasts longer. Clinical studies are showing that Juvederm Voluma lasts about two years as opposed to the 12-18 months of Radiesse.
- Voluma’s thick gel formulation is softer and more natural-feeling than the toothpaste consistency of Radiesse. It injects easier with much less bruising and swelling. Frankly we are surprised at how little bruising and swelling we are seeing with Voluma when the patient has followed our easy instructions on how to prevent bruising. The link to that is below. Using the flexible cannula sure does help!
Both Radiesse and Voluma should never be used in the lips or under the eyes.
Voluma, Radiesse and the filler toolbox
experienced hands, as it just further expands the number of tools in our toolbox.
When your physician has knowledge of this subtle differences between these fillers, those different properties can be exploited to get the most precise and specific results for your personal needs.
Voluma and Radiesse do have overlapping uses, yes, but they are entirely different molecules with very different properties. Voluma was the first filler approved or the cheek area by the FDA, but Radiesse has been used there for several years prior with excellent results and duration of correction.
Voluma is unique on the market now since it is the hyaluronic acid filler that has the longest duration. I have personally seen people from the initial trials who were still having correction as far as four years out. Being a hyaluronic acid it also comes with the advantage of being easily reversible/dissolvable.
Radiesse is a completely unique molecule on the market, and is not dissolvable, but tends to be less expensive.
Make sure you find someone with great experience utilizing all the different products on the market. This is something that's definitely easier said than done.
To guarantee you're receiving the highest level of care, seek out a dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties.
Juvéderm Voluma is a wonderful new filler for volume
Radiesse will still have a role to play, but Juvéderm Voluma is an important addition to our treatment options. A distinct advantage that Juvéderm Voluma has is the ability to remove it if desired.
Juvederm Voluma is a great alternative to Radiesse
Personally I like both fillers. There are advantages and disadvantages to each. Voluma is an HA product which is good for first time patients since it is reversible. However, Voluma is slightly more expensive and come with less volume in the syringe, so it ends up costing the patient more to achieve the same result. However, in the FDA studies, Voluma was shown to last up to 2 years or longer. Radiesse is not an HA and can't be reversed. However, is comes with more volume per syringe is is slightly less expensive so the patient gets more for their money in the short-term. Radiesse is also long lasting and typically lasts longer than other HA products except Voluma. In terms of results, I have found Voluma to be slightly smoother since these fillers are used for deeper injections, I don't think this is clinically appreciable except during the injection process.
Voluma cheek augmentation
Voluma is a fantastic product for cheek augmentation. It is the newest kid on the block. There are other traditional fillers that are also excellent candidates for cheek augmentation. These include Perlane, Juvederm and Radiesse. . What is more important than the type of filler is the experience of the injector. I would definitely recommend going to a board-certified plastic surgeon as they are also qualified at doing procedures such as cheek augmentation using implants or fat grafting. They would be best able to help you understand the pros and cons and the longevity of each different approach.
The one distinction that Voluma has versus the other fillers, is that it is the only FDA approved product for cheek augmentation. However doctors commonly use products for off label reasons.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.