Is it better to add volume in stages with Volbella or add it in one stage with a thicker filler like Ultra Plus?

When it comes to lip fillers, less is definitely more. I always like to start slow, and add more later if desired. That’s a preferable strategy to trying to do it all at once and possibly overfilling. Because your lips are already large, you need to be extra careful not to overfill or you could look unbalanced. I’d suggest starting with Volbella. It is a nice, thin hyaluronic acid-based filler that adds subtle volume to the lips. In expert hands, you can re-contour your lips so they look younger without looking overdone. Then, if that’s not enough, you can add more later or switch to Juvederm. Don’t rush the process; find the filler and amount of volume that works for you.I do not recommend using Voluma, as that will make your lips stiffer rather than soft and natural. Consulting with a board-certified dermatologist will allow you to explore your options in more depth and come up with a plan to give you just exactly the amount of volume you need without going overboard.

Thank you for sharing your question.  Unfortunately repeated rounds of Volbella will not equate similar results as using Juvederm Ultra Plus as the composition of each is quite different.  Volbella helps to add subtle definition and volume to the lips, smoothing out any wrinkles that may exist. Juvederm Ultra Plus is better at creating changes to lip shape, contour and a more dramatic increase in volume.  Based on your narrative I would recommend the Juvederm Ultra Plus.  Be sure to see an ASPS board certified plastic surgeon in consultation. 

This is difficult to answer without pictures. Usually Doctor's will inject with one syringe first to avoid over filling and then touch-up after 1-2 weeks, if necessary. These fillers, (Volbella, Restylane, Juvederm) are good to create a symmetrical and full lip.  Implants or fat are an alternative. See an expert in facial sculpting for a formal evaluation. Best, Dr. Emer