Voluma for lip augmentation
I have also used Restylane, Perlane and Juvéderm for lip augmentation. If you were looking for something longer-lasting, then you should consider fat grafting or lip implants. Voluma is indicated for cheek augmentation, but it may also turn out to be a good volumizer for the lip. It was released towards the end of 2013, so we can expect a lot more information to follow in this area. I would expect Voluma to be a reasonable option as it is something that can also be reversed with an enzyme if one has an undesirable result.
Voluma is not the best filler for lips
While it is true that Voluma does last longer than the fillers you mentioned in your post, it is a very robust filler that could give the lips an overfilled or even firm appearance. While it is frustrating that our current fillers for lips are not as long lasting as we would like, there are additional longer lasting lip friendly fillers in development, so stay tuned!
Voluma use in the lips is "off label", not an indicated use of the product. Some injectors are diluting Voluma and then using it in the lips. We prefer to use Juvederm in the lips and have found that when properly placed, the product seems to be lasting longer and longer. After a few injections over time we find that patients need less and less product to the point where they can go 2 to 3 years or longer without needing further injections. As with all aesthetic facial treatments, it is most important to choose your treating physician most carefully. Good luck and be well.
This product is FDA approved for use in the deep layers ( which are not present in the lips!!!) of the midface to correct age related volume loss.
Hope this helps.
Voluma is probably too firm for the lips
Lips should be soft and able to move. Voluma is a firm product so it is probably not ideal for lips.
I like juvederm ultra for youthful lips that need more volume.
I like restylane for older lips that need more structure.
If you go to a skilled injector, s/he will be able to evaluate your needs and choose the right product(s) for you. Remember, it is not only the product, it is the placement into the lips. Whenever someone comes to me for lips, I evaluate their symmetry, the ratio of the fullness of the upper lip to the lower lip, and the entire perioral area. For me, it is important to always create a natural and harmonious appearance that fits with the rest of the patient's face.
While it is true that Voluma does last longer than the fillers you mentioned in your post, it is a very robust filler that could give the lips an overfilled or even firm appearance. While it is frustrating that our current fillers for lips are not as long lasting as we would like I would advise against using Voluma as a filler for the lips.
Voluma for the Lips: Last Longer than other Fillers?
At this time we do not have the clearance to use Voluma in the lips. If you would like a permanent augmentation, you can consider micro-droplet silicone 1000(off label use) or fat grafting.
Voluma can be used for the lips, though it is not FDA approved for this indication, it will also likely be firm and less natural looking. I still prefer to use Restylane or Juvederm for lip augmentation. They will likely come out with lighter bodied fillers similar to Restylane/Juvederm in the future that are more stable, and will last much longer, but until then...
Voluma should be thought of as a lifting product. You want to use it areas of sagging skin, so cheeks are ideal. Voluma is not to be used in the lips because they need volume or shaping. There are specific techniques an experienced injector can do to use less product, so you may need to only do 1 syringe of juvederm every 6 months. The product may not last long if you are using your lips to play an instrument like the flute or if you are sucking on a straw often. The constant pursing of your lips with movement makes the product dissipate.
This is not an indication for lips, and there are quite a few other products that may provide your desired results. There are also surgical options via fat and implants that you can consider for a longer lasting result.