Juvederm or Voluma in cheeks to reduce smile lines? (Photo)

Question

I dislike the lines I have around my mouth and how my profile looks. I currently have Juvederm in my lips. I am wondering whether to fill these lines around my mouth with Juvederm or to get Voluma in my cheeks that would hopefully give me a better profile and pull up my skin to reduce those lines? Any suggestions?

Kristin M. Baird, MD · Answer

Based on your photos I think you would benefit from Voluma to upper medial cheeks which will soften the nasolabial folds ("parentheses"). You may need just a little filler to the folds directly. Your lip projection is out of proportion to your chin projection. I would recommend chin enhancement and less filler in the lip itself for better balance. This will improve your profile proportions. Please consult a board certified cosmetic dermatologist or plastic surgeon for treatment options. Best wishes.

Nima Shemirani, MD · Answer

Hi @Eyesandlips! Restylane Defyne is a great product to help smoothen out the nasolabial fold area.  I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications. Best of luck to you, Dr. Nima!

Steven H. Williams, MD · Answer

Voluma is a great filler for volume and lift at the cheeks that can last up to 2 years. It can help give some lift to soften the nasolabial folds as well as give you a youthful & more voluminous look at your cheeks. It may not completely soften the nasolabial fold depending on how strong it is. You may also have Juvederm injected directly to your nasolabial folds if the improvement with the Voluma is not as significant as you would like it to be. Voluma normally requires at least 2 syringes at the cheeks. It is always best to have a consultation to determine if you are a good candidate and which products will best address your concerns.

Martin Jugenburg, MD · Answer

Thank you for your question. From your photo it appears as though you would benefit from dermal filler to your cheeks and nasolabial folds bilaterally. Schedule a consultation with an expert injector to discuss product and treatment options.Best,

John Mesa, MD · Answer

Patient interested in augmenting their cheeks and reduce
their smile lines could benefit from injectable fillers like Voluma&trade; and
Juvederm &trade;. Voluma is FDA approved for cheek augmentation. Juvederm&trade; is FDA
approved for severe facial wrinkles and folds (such as nasolabial folds). Patients
interested in cosmetic improvement of their cheeks and smile lines with these
type of fillers should discuss about their indications, risks and benefits with
their Board Certified Plastic Surgeon.

Gregory A. Buford, MD, FACS · Answer

For years, many of us have been focusing on volume replacement to the cheeks instead of filler to the nasolabial folds because physiologically this just makes more sense.  In your case, you have early volume loss to the medial cheek and would benefit from a small amount of Voluma to this area to help create a more heart-shaped appearance to your mid-face.  I would definitely not focus on your folds.Although many patients mistakingly think that the nasolabial folds should be treated first, this belief stems more from the fact that the pharmaceutical companies emphasized this area because that is the area for which they were FDA approved.  Those of us who have actually studied the anatomy agree that the cheeks are a far more effective starting point for facial rejuvenation.  I hope that helps!

C. Bob Basu, MD, MPH, FACS · Answer

Voluma is great for the cheeks.  This may soften your nasolabial folds.   To treat your nasolabial folds, I would suggest you consider Juvederm.

Craig W. Colville, MD, FACS · Answer

I would recommend Juvederm Ultra Plus in your nasolabial folds (the lines coming down to your mouth). While Voluma may decrease the appearance of these lines or folds, the Juvederm Ultra Plus will treat it directly. However, if you are looking for more cheek volume, which I don't know that you really need, then I would recommend a small amount of Voluma to the cheeks in addition.

Erica Linnell, MD · Answer

Thank you for posting your photos.  You have lovely cheeks and I don't personally think you need any filler (like Voluma) in your cheeks.  Voluma can definitley help "lift" the cheeks and soften those smile lines, but with your already full cheeks I think you would run the risk of potentially looking "over done".  For your smile lines, or nasolabial folds, I would recommend some Juvederm Ultra to soften the lines.  I would see what your injector thinks as well with a face-to-face consultation.Good luck!

Jonathan Kaplan, MD, MPH · Answer

Juvederm or Voluma for smile lines are both good options. Here are the differences: Juvederm will last up to 1 year and would treat smile lines by injecting directly into the smile lines. Voluma will last up to 2 years but instead of injecting directly into the smile lines, Voluma is injected along the cheek bones to lift the upper cheeks and thereby reducing the appearance of smile lines. Click on the Web Reference link below to find a plastic surgeon and their pricing near you.

Juvederm or Voluma in cheeks to reduce smile lines? (Photo)

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