Does Voluma really last two years on cheeks? Are you able to achieve a softer look in the submalar area with one syringe each?

i had fat grafting but the results are not dramatic, so i anticipate doing voluma on the submalar area at the three month mark. are you able to achieve a softer look in the submalar area with on syringe each. how long will it last.

Doctor Answers 18

#Voluma

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Voluma is my new go-to filler for patients that need lift and volume for the mid and lateral cheek area.  Because of a different cross-linking technology, with cross-links between molecules of varying sizes, it has more lift than any other filler, so is really great for patients who have lost volume (and who that we treat hasn't?). It feels firmer than other fillers immediately after injection and for a few days after, but provides a very natural look because it allows us to recreate the former "Ogee curves" of the face.  It is also important, in trying to provide a soft and natural look for a patient, to utilize phi calipers to help to keep the facial proportions as close to the golden ratio of 1:1.618 as possible.

The studies performed prior to FDA approval showed a two-year longevity, but at the Cosmetic Boot camp for advanced injectors in Aspen last month, many physicians involved in the stuides, who have therefore had the opportunity to follow patients for more than two years, felt that it can last even longer than that and were seeing correction even at three years.

In my experience, when placed carefully one syringe is sufficient for a significant correction. We often inject more than one type of filler at a session because different fillers are appropriate for different indications.



New York Dermatologist
4.7 out of 5 stars 10 reviews

Voluma duration is not 2 years

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I have just studied Voluma vs Restylane Lyft in a "Cheek Challenge". My findings at one year was that there was minimal (10% or less) correction at 12 months on either side. I used 3cc on both sides, so this was cosistent with the median number of syringes used in the study. I just don't think HA fillers last much longer than 12 months. It has a very low G prime as well, so it's lifting ability is lower than Restylane, and much lower than Lyft. See link for video.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.9 out of 5 stars 75 reviews

Voluma adds volume to submalar area; Consider sculptra

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Voluma is a great product for the mid face.  I routinely choose Voluma for augmenting and lifting cheeks.  As well, it softens submalar hollows, but depending on the amount of correction, it can take a lot of voluma to soften those submalar hollows.  

For pronounced submalar hollows in thin faces, I often use sculptra.  Sculptra's effect is a softer, more gradual, lifting effect.

There are studies to show that voluma should last 2 years.  The real question is how long before you will desire a touchup.  That really depends on how quickly you are aging.  The amount of time it takes before a 25 year old needs a touchup is much longer than the amount of time before a 60 year old needs a touchup.  

If you go to an experienced injector, s/he will be able to explain what products will be the best for your particular situation.  

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Voluma to cheeks

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All patients in the Voluma FDA study had multiple syringes injected. Most also had more added at a 3 month follow-up. Each patient is unique so the number of syringes needed for full correction will always differ. However, I do like Voluma in the cheeks and think it has a nice lifting effect and a good smoothness to it. I think it looks full and natural. I will not use Sculptra as I have had to fix too many patients with issues from it. I think it is not the best choice and there is no counter product to it should you have issues with it. HA fillers are always superior to me because they last, look good, and are reversible if any issues occur.

"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."

Voluma for Cheeks and Effectiveness Duration

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Voluma is a good filler option if you need to add up some volume or lift the lateral and midsection of your cheek. Due to the formulation technology unique to Voluma, it can help provide greater lift as compared to other kinds of fillers. Aside from providing better lift, it also gives a very natural appearance as soon as the full effect kicks in. Voluma also feels a lot firmer immediately after the injection treatment. This is also true for the succeeding days.

 

As for the effectiveness duration, studies have been made even before the FDA approved it. These studies have shown that Voluma has a longevity lasting for a couple of years.

 

In terms of amount, carefully injecting a 1cc syringe will be enough to provide noteworthy correction in one area, for instance in one cheek. However, you may also take note that a variety of fillers may be used per session to correct different issues in different locations. This is because a specific filler is more effective in correcting a specific location compared to others or other fillers cannot be injected in the area. To know more about what should be used and how much, you should undergo thorough physical exam and assessment. Be sure to look for a board certified plastic surgeon to guarantee that you are working with only the best. This will also minimize possible after effects. Hope this helps you out!

Robert W. Sheffield, MD
Santa Barbara Plastic Surgeon
4.9 out of 5 stars 23 reviews

Voluma in the cheeks.

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Thank you for your question. Voluma is an excellent choice for adding volume to the midface area. Voluma can last approx. 2 years and sometimes even longer. You will require an in person examination to determine the amount of product right for the desired outcome.


Best,

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 521 reviews

Voluma last two years

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Voluma is an excellent choice for enhancing the malar ridges and mid portion of the face. There are studies that shows the duration effect to be up to two years in this long lasting non permanent filler. 

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon

Voluma can last "up to" two years in the cheeks with full correction.

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Voluma is now the number one choice for volume correction to the mid face area. The average patient uses about one syringe per cheek but we may need more or less depending on the severity of volume loss and several other factors such as skin thinness, other fillers being used, and goals. I really recommend seeing a board certified dermatologist experienced specifically with Voluma for the best advice, since everyone is different.

Fat grafting can have long term effects that are not evident in the first few months, so I recommend considering waiting at least 6 to 9 months before adding any Voluma to the same areas. Speak with the surgeon that did your fat grafting for advice.

Jessica J. Krant, MD, MPH
New York Dermatologic Surgeon
4.7 out of 5 stars 41 reviews

Voluma - Long Lasting Volumizing Facial Filler

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Voluma was FDA cleared for mid face volumization based on studies where patients were seen to have results lasting 2 years and beyond.  However, the amounts of Voluma put in each side of the face were quite large and not commonly done in practice today.  Those patients were getting up to 8 - 10 cc of Voluma.  I rarely do more than 1 - 1 1/2 cc per side for total of 3 - 4 cc max.  It is not know if doing smaller amounts will result in slightly shorter duration of action.  I think it is safe to think it will last somewhere between 12 - 18 months.  Patients have been maintaining their volume correction with touch up syringes at 6 - 12 months after their initial injection session with a single syringe in my practice.  This also helps keep the cost down by not requiring a huge amount of volume all at once.  1 syringe every 6 - 12 months is much more affordable for most patients.

Kent V. Hasen, MD
Naples Plastic Surgeon
4.8 out of 5 stars 67 reviews

Voluma for cheeks

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Voluma is the leading product for mid facelift and volume correct. The norm is 1 syringe on either cheek, but more may be needed depending on the degree of correction needed.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 56 reviews

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.