Is it safe to mix Radiesse and Voluma?

Question

I've been getting radiesse on my jaw for a few months now but I would like to switch to Voluma due to longer lasting effects. I just got radiesse on my jaw a couple weeks ago would it be safe to get voluma or would it look unnatural

Ava T. Shamban, MD · Answer

Radiesse and Voluma may safely be used in combination by your injector. The fillers have different molecular makeup and textural nuances which make the products favorable for certain areas of the face to achieve the desired outcome.

Douglas Wu, MD · Answer

There is no problem using either Radiesse or Voluma in an area that has previously been treated with either filler.  They each have slightly different properties and create subtly different results and so it’s important to see an experienced and expert injector to achieve maximal satisfaction.

Young R. Cho, MD, PhD · Answer

Thank you for your question.  I would not hesitate to place voluma in an area that was previously treated by Radiesse.

Jason Emer, MD · Answer

I find that radiesse plus works much better than voluma long term on the jaw especially if you do a little sculptra under.  The combinations are safe if done by an expert. I suggest seeing someone with experience in combination fillers.  Best, Dr. Emer.

Harold J. Kaplan, MD · Answer

Hi Poizon.  It's no problem getting Voluma after Radiesse and this is a good option given that you were underwhelmed by the Radiesse.  The concern we have with the plan is that the Voluma is usually about 50% more expensive and it will not last longer.The initial FDA approval for Voluma that received an indication of 2 years duration used an AVERAGE of 6.5 CC's of Juvederm per patient.  The reason the 2 year indication was given was that a small % of patients could still feel or see the effects of the product two years after injections.  We have never injected 6.5 CC's of product into a patient at one visit, but we are certain that if we used 4 vials of Radiesse in the cheeks (where Voluma is FDA approved for) that it would last 2 years.  The more product, the greater the duration.  In today's Voluma dollars, this would mean spending somewhere between $4,000 and $6,500 on Voluma depending on how your injector prices it.  Voluma is a great product, but it will not last 2 years unless you use a large amount of product.

Henry Mentz, MD, FACS · Answer

Thanks for your question. It is safe to mix fillers. Please find a board certified plastic surgeon and/or certified nurse injector for the proper consultation.

Kiran Polavarapu, MD · Answer

Speak with your provider, but there should be no contraindication in switching the products. Good luck to you.

Francis R. Palmer, III, MD (retired) · Answer

Hi, different dermal fillers can be mixed.  This has not happened in any of my patients but Voluma has some reported issues with abscess formation and for that reason I am no longer using it for facial shaping.  Radiesse or Perlane would be my choice.  Hope this helps.

Is it safe to mix Radiesse and Voluma?

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