How long does Juvederm & Voluma really last?

Hi Valentino.  Great question.  The problem with judging the duration with Voluma is that it is still a new product with less than 6 months on the market in the US.  It is a pricey filler and is typically 50% - 100% more expensive than other Hyaluronic acid based products like Restylane, Juvederm Ultra and Perlane.At this point, we are not believers in the added cost and here's why.  In the study used to market a 2 year duration, there are a couple key issues that warrant a closer look:1.  The AVERAGE patient in the study (for the cheeks) had 6.5 CC's (or 6.5 mL's) of the product injected.  At today's market prices in Los Angeles this would be around $4500 - $6000.  Over half the patients had more than 6.5 CC's and some as many as 12 or 13 CC's.  2.  We disagree with Dr. Soltman below as the number of patients reporting continued improvement at 2 years was only 44%.  In the study sent to us directly from Allergan's medical liaison, patients were judged to be "responders" at 2 years if they graded their improvement of at least 1 on a scale of 6.  This means even for patients that could barely see the product, they were judged to fit in the category of a 2 year duration.  Only 44% responded yes that the product could still be seen even though more than 1/2 of patients had more than 6.5 CC's injected.We believe that your assessment is right on point that Voluma is not worth the extra expense.  When Restylane and Juvederm were introducted to the market 5-10 years ago, they both claimed an 18 month indication (duration).  Any injector in Los Angeles will tell you this is not what they last and it's typically between 6-12 months.  We believe the same will hold true for Voluma that the actual duration will be about 50% of what is advertised and will come in at around 12 months. This duration is very similar to Radiesse, which is what we use in bridge of the nose.  With Radiesse, you get 50% more product (1.5 CC) at about 2/3 the price of Voluma.  So the answer to your question in our eyes, is to stick with the traditional products because we don't think Voluma will double their duration and it may not be worth the additional cost. 

Great question.  Juvederm Voluma is one of the longer lasting fillers.  It can last 1-2 years and produces fantastic results. How quickly your body metabolizes the product determines how long it lasts and this cannot be predicted unfortunately.
As always, an in-person consultation with a board certified dermatologist with cosmetic training is the best way to assess your needs and provide medical advice. 

Thank you for your question.  Voluma is a very good filler for your cheeks and midface.  It is a bit of a larger molecule, so it is usually placed deeper in the skin, (subdermal).  The sales people will tell you it lasts about 2 years.  In our experience it last about a year and a half.  As far as Juvederm Ultra Plus, (which we like for the nasolabial folds), and Juvederm Ultra, (which we like for the lips), the sales people will tell you it lasts about a year, in reality about 9 months. Every person is different so it can last a longer or shorter time period, depending on the patient.  It has been our experience that some folks that are hypermetabolic, (in the gym twice a day, etc.), tend to break down Botox and Fillers faster.  Each individual is different though. Please see a well trained, experienced injector.  Discuss your goals, and you should be able to come up with a plan.
Jeffrey J. Roth, M.D., F.A.C.S.
Board Certified Plastic Surgeon
Las Vegas Plastic Surgery

Hi there!This tends to vary quite a bit from patient to patient, site of injection and quantity. The product itself is licensed for 24 months, however, I generally advise for my regular clients - a 1-2ml per year maintenance depending on required results.  Also its good to know that areas of the face that are less mobile such as cheeks tend to last longer. Hope this is useful!Best wishes, Dr Rupert

The official line by the company that came up with voluma claim it lasts 2 years. My experience has been half that time. Radiese is probably a better choice.
Juvaderm lasts 6 to 10 months max. 

Voluma is a great product. As others have stated, the claim of 2 years of longevity is based on the primary study where patients received 6 syringes of filler and most were still satisfied at 2 years post-procedure. Like any other injectable treatment, Voluma lasts a different amount of time in each individual based on factors such as metabolism, activity level, location of the injection, and depth of injection. Voluma creates some very beautiful and long-lasting results, with many patients seeing results for 1-2 years, but as with any treatment, there are no guarantees.
All the best,

Thank you for your question. The longevity of fillers may be different for everyone. Everybody is different. Volume may last up to 2 years, where juvederm, which is cheaper, only lasts about 6-12 months. Just make sure you  are injected by a board certified plastic surgeon. Dhaval M. Patel Double board certified Plastic surgeonHoffman Estates Barrington Oakbrook Chicago

Voluma has been said to last up to 2 years. This can vary greatly from person to person and depending on how much product was used and where it is placed. With a greater amount of product used there will be more of a dramatic result that is longer lasting. The amount of time the product lasts can also depend on a person's metabolism. Another product that can be used is Radiesse which is less costly, but that has been shown to last about a year and the drawback is that it is not a dissolvable product like Voluma. Ideally, you should discuss your concerns and options with your injector so that they may help you determine the best treatment for you based on your needs.

You almost have to read the fine print.  The company claim of 2 year duration is based on their study of participants receiving more than 6 syringes AND with touch-ups.  Also, approximately 2/3rd of the participants were SATISFIED at 2 years do not translate into 2/3rd of the participants had palpable products at 2 years.  From my own injection experience, I do think Voluma when placed deep (on top of bone) tends to last longer than other fillers such as Radiesse in the same location.  If you had an amazing result I would still go with Voluma.  I think it's safe to say it can last up to one year but there are always outliers.

I favor Voluma, for most areas of the face, and that includes when I am performing injections on the nose to recreate or reshape the nasal bridge. The great news is, this is an area with practically zero motion and muscular activity, so if the Voluma was going to last for up to 2 years, this is the area where you would see that longevity. It should last you a long time, and if you wanted another filler as a substitute Radiesse can be used, however I prefer Voluma due to its better safety profile for this vascular area.

The longevity of any filler depends not only on its particular physical properties, but also on the following:1) how much is placed (1 syringe, 2 syringes, 3 syringes, etc), ]2) the location (cheeks have longer duration than lips), 3) how quickly the person is aging (some of us age a lot quicker than others).Your particular question has not been studied, but it seems that fillers tend to last longer in areas with less movement.  The bridge of the nose has relatively minimal movement.  Why don't you see how long it lasts, and then try Restylane lyft or radiesse for your next injection.  Preferably, you would do this with the same injector.  Then, you can do a comparison.  The fairest comparison would be if you again had 2 cc.