Can any injector who does Botox competently also do Voluma? What are risks or side effects if done incorrectly?

With Voluma, I recommend that you choose a very experienced injector. It is new on the market, and, while it is made out of hyaluronic acid (like Restylane or Juvederm), the cross-linking makes it much more of a "solid" liquid. This may sound weird, but if you squirt Juvederm or Restylane onto a surface, they make a puddle. If you squirt Voluma, it looks like a Hershey's Kiss. Voluma is supposed to be very long lasting, and is meant to be placed deep (just above the bone) in the cheek area. It is a great filler, and when done correctly, looks amazing. Most doctors that inject a lot of Botox, also inject a lot of filler, but:Botox is not a filler. It is a protein that binds to the junction between the nerve and the muscle and causes the muscle to not respond to the nerve (so it decreases wrinkles because you can't contract the muscles in that area). Botox is always metabolized, and any unwanted outcome will go away. The major risks of Voluma being injected incorrectly (too superficially, too much in one location, no placed just above bone) would be the development of an unwanted lump or asymmetry. You can use hyaluronidase to dissolve the Voluma, but it still might leave unwanted asymmetry or lumpiness. Again, I would definitely recommend an experienced doctor.

I appreciate your question. While most experienced injectors likely work with both Botox and Voluma, they are very different products. Botox is a neuromodulator that targets the muscles in the face that produce some types of wrinkles when certain facial expressions are made. When the muscle relaxes from the Botox, the line smooths away. Voluma is a dermal filler that is injected into the deep dermal layers to smooth away deep lines and restore youthful volume in areas like the midface and jawline. The technique, risks, and goals are very different for these two treatments. Make sure you work with a board-certified injector with extensive experience in your treatment of choice to ensure the best possible results.

Voluma is different than botox. Both require the provider to understand the anatomy of the face, its blood flow distribution, bony landmarks and nerve pathways.As a deep filler Voluma is placed often on top of the bone underneath the muscles. The injector needs to be cautious not to inject into a blood vessel and have the filler travel through the vein or artery to vital structures. Some side effects of injecting fillers are: bruising, infection, soreness,lumpiness, temporary numbness and undercorrection. Complications include but are not limited to: immune reactions causing delayed granulomas, nodules or lumps, bleeding collecting underneath called a hematoma, interference with circulation and scabbing of overlying skin causing scarring, overcorrection, intravascular (within a blood vessel) spread, and even but fortunately extremely rarely, blindness.It is best to see a board certified dermatologist or plastic surgeon for Voluma, or any filler and / or Botox.

Voluma and Botox are completely different types of injectables; Botox is a neuromodulator while Voluma is a hyaluronic acid gel filler. Many injectors can perform both, but it is advisable to find one who is experienced in Voluma injections specifically and knows facial anatomy well. Side effects of Voluma can include some swelling, bruising, and tenderness at the injection site. If injected improperly, patients may end up with irregular or uneven contours, or may be over or under filled. Always see a board-certified dermatologist for any injections.

Botox and Voluma are completely different products that serve different purposes. Being competent with one product does not necessarily make an injector competent with the other product. Definitely find an injector who is well experienced with the product you are looking for. With any injection, you may experience pain, bleeding, bruising, swelling, and redness at the injection sites. Those side effects are temporary. Other side effects that are more serious are vessel occlusion and, very rarely, blindness. Sometimes there may be lumpiness with injection of the product as well. You should have a detailed consultation where your needs can be assessed properly and your questions answered in person. The consultation will also provide you with information as to whether or not you are a good candidate for the treatment or what other options are available to you.

The side effects of Voluma are the same as with any other filler:1) discomfort2) bruising3) swelling4) inadequate correction 5) too much correction6) uneven correction7) wrong placement of productRarer side effects include infection or blockage of the blood supply, resulting in skin compromise.The skill set for Botox is different than for Voluma. A good Botox or Voluma injector is going to have a good eye and be able to assess the patient, but the skill sets are different. Just as a person who is very talented in painting may not be able to sculpt.

Botox and Voluma are very different products that require vastly different techniques for injecting. Both require an expert injector with a lot of experience to get optimal results. Just because a physician is great with botox doesn’t mean that he or she will be a good Voluma injector. Voluma has been FDA approved to be injected deep into the cheek hollows to help restore volume. Botox is injected more superficially and in other areas. When considering Voluma injections it’s important to do your research to find an experienced injector who will consult with you to answer any questions that you have before the treatment. Voluma is a very safe product to inject, although there are always risks involved with any injectable product. Most commonly patients experience slight tenderness and swelling at the injection site which usually resolves within a week. One huge benefit for Voluma is that in the rare case that something goes wrong, the results can be reversed because it’s a hyaluronic acid. I use Voluma all the time in my practice, and my patients are very satisfied with their results.

As important as it is that Botox injections are done by skilled providers, treating with Voluma XC for full-face volume-enhancement is best done by more experienced injectors familiar with facial anatomy and aging patterns . Having said that--it is as much artistry as it is skill ,so it is important to convey the correction you are seeking!

Although it is FDA-Approved to restore lost volume, Voluma does have the risk of side effects. The most common side effects of Voluma include bruising, redness, itching, and swelling around the treatment area. Most of these side effects subside after a few days. The risk of encountering side effects greatly decreases when Voluma is administered by a board-certified dermatologist with extensive training and experience with injectable treatments. It is best to seek a doctor who is familiar with Voluma in order to achieve the most natural-looking and effective results.

Voluma is a hyaluronic acid filler which is stiffer and holds its form better than its sister product Juvederm Ultra or UltraPlus. It is currently FDA approved for use in the mid face, basically across the cheekbones. It has similar risks to other hyaluronic acid fillers such as brusing, formation of lumps (either visible or palpable), and even possibly infection. Once injected, it does not absorb as much fluid from the surrounding tissues as other fillers, and its effects are considered immediate. The good news is that if you have a lump, it can easily be treated with an injection of hyaluronidase to break it up or dissolve it. Massage can often help as well.I would advise you to see how much experience or training an injector has. A good indicator of how well someone injects is how many syringes they usually need to achieve a desired effect. Although some initial studies showed multiple syringes in a patient, I would not expect the need for over 4 syringes in one sitting (perhaps over a few months yes, but not all at once). IMHO, I believe skilled injectors can achieve similar results with less material than those less proficient.I definitely do NOT believe that anyone who can inject Botox competently can inject voluma or any of the fillers just as well. They require more skill, as well as the visual eye to determine the best place to inject it.Hope that helps and good luck to you!