Can you just use more Juvaderm instead of Radiesse?

I just had juvederm around my nose/mouth and like it. I had a bad experience with cosmetic surgery years ago and also am allergic to a lot of medications. I now need some filler in my cheeks (My face is very long and drawn). Dr recomended a syringe of Radiesse but I'm afraid because Its not correctable immediately if I don't like it. He did say he could get the same job done with two syringes of Juvaderm. Thoughts?

Doctor Answers 9

Juvederm Voluma a new nice option for cheeks

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Being hesitant after a bad experience in the past is certainly understandable. The newest fill/lift product is Juvederm Voluma - which was developed specifically for mid face volume. And it's "dissolvable". Radiesse has more product in the syringe and that is why your doctor recommended 2 Juvederm.

The new Voluma product has history (it's been used in Europe for a number of years while we waited impatiently for the FDA to approve here!) Longevity projection for cheeks is around 18 to 24 months. That's an outstanding length of time for a hyaluronic gel.

Cheek filler

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I agree and recommend either Radiesse or Juvederm Voluma (not regular Juvederm or Ultra), both of which are sturdy enough to give good lift and volume replacement.  Voluma is reversible, but in experienced hands Radiesse looks great too.  In addition, Radiesse is clay-like in consistency when under the skin and can be molded within the first week of treatment as needed, and lasts 9-12 mths only, so I don't fear it as much as some other docs.  Voluma may last 2 years.  I also have experience and success with Sculptra for cheek lift.

Karen Stolman, MD
Sandy Dermatologic Surgeon

More Juvederm instead of Radiesse

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I like your line of thinking. Personally I don't like to inject Radiesse unless it's on a patient with a lot of filler experience, in a particular area too. Because yes, it's not dissolvable. I would tell you that Juvederm would not be my go-to for the cheek area because of its lack of thickness. It's a thinner, cross-linked formulation that is great for finer lines, marionette lines, and NLF lines, but usually doesn't have enough umphf for the cheek area. I would suggest either Restylane or better yet, new Voluma, for this area. Both of these are also hyaluronic acid fillers which are dissolvable.

"This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."

Radiesse vs. Juvaderm for Cheeks

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Hi tsaia77~

Radiesse is a thicker filler and is great for filling and lifting cheeks. It also lasts longer than Juvederm for many patients. That being said, if you are uncomfortable with a product that can't be dissolved, then you can get a great result with Juvederm as well. It really depends on how much volume you are looking for, but it may take more than one syringe of Juvederm to get the result you want.

Also, Radiesse usually contains 1.5 cc per syringe while Juvederm contains 1 cc per syringe (depending on the packaging), so the amount of product is not the same per syringe.

Best regards,
Amy Hsu

Amy K. Hsu, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 11 reviews

Voluma for cheeks

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If you are hesitant then I would recommend going with Juvederm, since it can be dissolved quickly with hyaluronidase. Rather than Juvederm Ultra, ask your injector about Voluma. This is designed for volume loss and works well in the cheeks.

A contraindication of Radiesse is stated not to be used on people with multiple or severe allergies, discuss this with your doct

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A contraindication of Radiesse is stated not to be used on people with multiple or severe allergies, discuss this with your doctor. He will assess your medical history.
Ensure you are comfortable with the product being used.



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Thanks for your question. RADIESSE is a thicker filler than JUVÉDERM, and therefore I think it is a better option. Although it is usually more expensive than JUVÉDERM, there is more in each syringe and it will fill better. It will last longer, as well. The company that makes JUVÉDERM (Allergan) has also recently released JUVÉDERM VOLUMA XC, which is made of the same substance as JUVÉDERM (hyaluronic acid) but is thicker and will last longer because it is processed differently. If your intent is to use JUVÉDERM, then I would consider using the VOLUMA XC formulation instead. Good luck in your decision!

Radiesse vs Juvederm

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Radiesse is a deep volumizer, so is Juvederm Voluma.  He may be right.  I am trialing Voluma this week.

Can you just use more Juvederm instead of Radiesse?

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If you are looking for injectable cheek augmentation and like reversability (who doesn't?) then Juvederm Voluma is typically the best option. Most people will require 2-3 syringes initially depending upon the amount and location of voluma loss. Juvederm Ultra or Ultra Plus is not the best option for cheek augmentation as it doesn't have the lift capacity or longevity. The results with those products will typically last fewer than 6 months. Voluma was specifically formulated for the midface and has alot of lift capacity and last about 2 years. I hope this information is helpful.

Stephen Weber MD, FACS
Denver Facial 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.