Vol lift or voluma for lower face rejuvenation? (photos)

Question

I have juvederm voluma in my cheeks and lines around my mouth and I love the results. My injector put 2 and a half syringes of volift in my lower face on either side. So 4 and a half in total in my lower face. I'm so very happy with the results and wanted her to use voluma but she said its not the right product for the lower face? I've been going to her for 5 years and would like another opinion. Thankyou

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.Voluma is indicated for deeper structures such as cheek (upper face) augmentation.Given that you are happy with your results, I would trust her.The best way to assess and give true advice would be an in-person exam.Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.best of luck!Dr Schwartz

David Stoker, MD · Answer

Voluma is indicated for deep injection in the cheek area.  It is not indicated for the lower face.Good luck!

Jason Emer, MD · Answer

I find great results with Voluma here and i often combine it with deep injections with sculptra to get long term lifting and collagen production.  I suggest speaking to a well trained facial rejuvenation expert.  Best, Dr. Emer.

Sheila S. Nazarian, MD · Answer

For the lower face, I recommend Sculptra posteriorly, Juvederm or Restalyne anteriorly.  Voluma is best for boney augmentation.  I wouldn't use it in soft tissue.

Nelson Castillo, MD · Answer

Thank you for your questions and photograph. I agree with your injector that Voluma is best placed into the deeper structures of the face for added volume, improved tissue support, and lift.  This is typically in the cheeks, but can also be used in the temples and jawline.  Thinner gels are best used for the tissues around the mouth to restore volume and minimize creases.  Hope that this helps.

Jeffrey A. Sweat, MD · Answer

While Volift is not yet FDA approved for use in the US, your injector is correct.  Volift should be used for the lower face and Voluma should be used for deeper augmentation of bony structures such as the cheekbones (FDA indication) or chin are (not-FDA approved).  Best of luck!

Dmitriy Schwarzburg, MD · Answer

The administration of fillers is a highly technical procedure. There are so many factors to consider to determine the best filler to use, the right amount, etc. You will have to ask your doctor more about the details if you want to know why.

Sunanda Chugh, MD · Answer

That is correct. Vollure (know as Volift in the US) is FDA cleared to treat  moderate to severe facial wrinkles and folds such as the smile and marionette lines.  Whereas, Voluma which is a thicker filler is FDA cleared to replete volume in the cheeks and mid-face ("upper face").  With this said, Vollure has been used off-label to treat the under eyes ('Upper face") and Voluma has been used off-label to enhance the chin and jawline ("lower face").  Note that they are both hyaluronic acid based fillers in the line of Juvederm fillers.

Alex Eshaghian, MD, PhD · Answer

Thank you for
your question beaniebaby2323. Vollure (Volift) is a
hyaluronic acid filler designed to enhance the appearance of wrinkles and folds
on the face. I agree that Voluma works best in the upper cheeks while Vollure is preferred in the lower face. Please
consult with a doctor for specific recommendations. Good luck!

Faiyaaz Kalimullah, MD, FAAD · Answer

Thank you for your question.  Voluma and Volift (marketed as Vollure in the United States) are both hyaluronic acid (HA) fillers in Juvederm family of products.  Both products are smooth gels made from highly-crosslinked HA molecules, which makes them longer-lasting than some of the earlier HA products on the market.  Voluma is a thicker, more dense product, primarily designed for deep injections into the cheek and the midface, while Volift/Vollure is slightly thinner filler designed for more superficial injections in the skin.  
Most governmental regulatory agencies (including the US FDA) require scientific studies demonstrating the efficacy and safety of medications prior to their release.  As a result, these fillers are often only studied in only one particular part of the face, to consistently demonstrate their efficacy, even if they can be used safely and effectively in other areas as well.  It is ultimately the responsibility of your dermatologist or plastic surgeon to know the specific properties of each product and to thoroughly assess your facial structure and anatomy to determine which products would be best for you.  Even though Voluma is technically for the cheeks, I often use it in the lower face as well for certain patients, with excellent results.  It's always best to ensure that your treatments are done by an experienced cosmetic dermatologist or plastic surgeon.  Best of luck!

Vol lift or voluma for lower face rejuvenation? (photos)

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