Is Juvederm Voluma an Alternative to Radiesse?

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?

Doctor Answers 75

Juvéderm Voluma® is an excellent alternative to Radiesse®, and can be reversed.

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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®.

Niagara Falls Dermatologic Surgeon

Voluma and Radiesse: Excellent for Different Kinds of Correction

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In answer to your question, Radiesse actually earned FDA approval well before Juvederm Voluma. I recommend and use both fillers, however, for the correction of different anti-aging issues. While both are long-lasting, Voluma is a hyaluronic acid (HA) filler. More importantly, it is the first and only HA filler to receive FDA approval for deep injection into the cheeks for the purpose of uplifting and restoring youthful volume to the apex, apple, and cheek hollow. Voluma does this beautifully, and in doing so, smoothes facial wrinkles and lifts the sagging skin that causes deep nasolabial folds.
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.

Hal Michael Bass, MD
Miami Plastic Surgeon

How does Juvederm Voluma stack up against Radiesse?

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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.

Dara Liotta, MD
New York Facial Plastic Surgeon
4.9 out of 5 stars 31 reviews

Juvederm Voluma is an outstanding product

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Voluma has been used in Europe for the last 8 years and was finally FDA approved in the US in 2013. I love the product because it is a haluronic acid - which has been around for a long time, and it can elevate the saggy skin over the cheeks really well. We think of it as a "lifter", and it works fantastic in the cheek area. It is usually injected along the Cheek bone just near the outside lower part of  the eye, pulling the skin up, like a face lift. Because Voluma is configured with the ability to stay in place you can get a  liquid face lift without having to use several syringes. I like it better than radiesse because it is not as thick, does not need to be blended with lidocaine, and flows very easily. It can be dissolved using hyaluronidase, although that is rarely necessary. It  is always good to have the capability to reverse the effects of the product, which increases its safety. Also when going to an experienced injector, you may not need to use as much product as you would expect. There are several new injecting techniques that provide just as good results without using 5-6 syringes of product. 

Juvederm Voluma vs. Radiesse: Why We Like It Better

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Even though we have only had Juvederm Voluma XC for a year or so, we can already see that we’ll be using less and less Radiesse in the future. Juvederm Voluma is made of hyaluronic acid while Radiesse is calcium hydroxylapatite (CaHA). Here is why we prefer the Voluma’s thick cross linked hyaluronic acid to Radiesse’s calcium hydroxylapatite formula.
  1. 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.
  2. Voluma lasts longer. Clinical studies are showing that Juvederm Voluma lasts about two years as opposed to the 12-18 months of Radiesse.
  3. 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!
Although Voluma and Radiesse cost the same ($900 per syringe), Allergan has the Brilliant Distinctions program which is a big cost-savings, especially when combined with the increased longevity of Voluma.
Both Radiesse and Voluma should never be used in the lips or under the eyes.

David B. Reath, MD
Knoxville Plastic Surgeon
4.9 out of 5 stars 111 reviews

Juvéderm Voluma is a wonderful new filler for volume

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Juvéderm Voluma became available in December 2013. It's approved for cheek volumizing and is the first hyaluronic acid filler with the FDA approval for that. I'm very impressed with the smooth look and feel of this filler, and the ability to see an instant lift and shaping to the cheeks. Physicians who were involved with the clinical trials for approval and physicians in other countries who have used this product longer are impressed with a duration of results that can be 2 years! 

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. 

Kimberly Finder, MD
San Antonio Dermatologic Surgeon
4.6 out of 5 stars 64 reviews

Juvederm Voluma is a great alternative to Radiesse

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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.  

Good Luck.    

Voluma cheek augmentation

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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.  

Is Juvederm Voluma an Alternative to Radiesse?

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Juvederm Voluma is an alternative to Radiesse in that it is a deeper volumizing filler and can be reversed. It is an excellent volumizing filler.

Rod J. Rohrich, MD
Dallas Plastic Surgeon

Voluma is a new and excellent alternative to Radiesse

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Voluma (from Juvederm) is newly available in the US, expanding their treatment options.  It is not indicated for filling wrinkles, but rather used to restore the areas of the face that show volume loss.  

Facial aging often includes some degree of loss of fullness in the cheeks (sagging fat and thinning bones).  Traditional treatments include fat grafting and certain refinements of facelift techniques.  Injectable fillers including Radiesse and Sculptra are alternative ways to enhance cheek volume.  Now we have Voluma, the first hyaluronic acid volume filler.  It gives immediate results and is reversible if ever needed.

Sutton Graham II, MD
Greenville Plastic Surgeon

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.