Can you combine fillers (Voluma & Restylane)?

Question

I just had 2 syringes of Voluma injected into my cheeks today. I have a thin face and I am trying to attain more pronounced cheekbones. I'm wondering if it would be okay to have a different filler, such as Restylane, injected into my cheeks in a few months? Or if I should just stick with one filler. The reason I'm considering this is because Restylane is cheaper than Voluma, so it would be more cost effective to do a touch up with that. Thank you!

Jason Emer, MD · Answer

I frequently do multiple fillers on the same day.  I am using more Radiesse than Voluma as I get more lift and find it is better financially for patients.  Although I do love how Voluma looks when injected properly.  I think whats most important is who is doing the filler.  I also find that HA fillers don't last as long in very thin people and it may be in your benefit to find someone as a second opinion who does sculptra to give you a more long term improvement along with your other short term fillers. I suggest someone who uses microcannula injections to limit complications and give better contouring results.  Best, Dr. Emer.

Nelson Lee Novick, MD · Answer

Experienced and expert injectors often combine fillers to achieve an optimal aesthetic result--not only at different treatment sessions, but even during the same treatment session. For example Voluma XC may be used for nonsurgical cheek augmentation to restore more youthful cheeks, while Belotero Balance can be used to treat the superficial crow's feet lines around the eyes, and Juvederm Ultra Plus XC can be injected to restore lost volume in the midface. When different fillers are used in the same area, one for deep support and volume restoration and another for more superficial lines, wrinkles and creases, the combination approach is appropriately called "the sandwich" technique.

Roger A. Dailey, MD, FACS · Answer

Hi Kalanna,It is quite typical to combine fillers in the face. Voluma has proven to be an excellent choice for volume in the cheek area and that is it's "on label" FDA indication.  One of the reasons it is so good is the increased structural integrity that comes from the way it's molecules are cross linked in manufacturing.  If you inject Restylane onto a counter top, it will spread out into a relatively thin, smooth layer.  However, if you inject Voluma on to the counter, it will keep it's shape.  I do like the reversible HAs (Voluma, Restylane, Perlane, and Belotero) as they can be removed by enzymatic degradation if the patient doesn't like them for some reason (almost never happens), or they are causing some other type of issue like an allergic reaction or inflammatory nodule.  Cost aside, the Voluma should be used to get the cheeks in the correct position and shape and then some feathering can be done with Restylane.  Restylane is also, in my opinion at this point, the best HA filler to be used in the tear trough area.  Remember, the Voluma does a better job in the midface and is likely to last twice as long or longer than Restylane.  This actually makes Voluma the less expensive choice in the long run.

Jennifer Janiga, MD, FAAD · Answer

Different fillers can most certainly be combined during the same treatment, or as you are describing over time with repeat treatments.  One thing I would caution you on: you said was that Restylane was less expensive than Voluma.  This is true on the price tag, but remember that Voluma is FDA approved for 2 years in the cheek area so if cost is important to you, it may be better to save up and get the longer lasting filler as Voluma may be better from a cost perspective long-term.

Vicki J. Levine, MD · Answer

There are several different types of hyaluronic fillers. Some are used to volumize your face, not for wrinkles, There are others, such as Restylane and Juvedern that are used for wrinkles. It is not uncommon to use both deep and superficial fillers.

Can you combine fillers (Voluma & Restylane)?

Answers (8)

Answer: Combining Fillers

Answer: Combining Fillers

Answer: Can use different fillers

Answer: Can use different fillers

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Can you combine fillers (Voluma & Restylane)?

Answers (8)

Answer: Combining Fillers

Answer: Combining Fillers

Answer: Can use different fillers

Answer: Can use different fillers

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Recommended reading

Everything you need to know about Cheek Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.