Volbella in nasolabial folds? How long will it last?

Thank you for your question in regards to Volbella. Volbella usually lasts up to 12 months. It can be used in the nasolabial folds although it is FDA indicated for lips and the lines around the lips. It is most commonly used for any area that needs more superficial correction (like lips and around eyes). I am not sure of the technique used or the depth of placement of your Volbella; We typically use a more robust product in the folds such as Juvéderm Ultra Plus or Ultra, or a Restylane. All hyaluronic acids can be dissolved with something called hyaluronidase if you are unhappy and do not want to wait for the product to dissolve on its own. To find out what is best for you, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

Vobella can last up to a year but I usually tell my patients
that it last about 6-9 months and I use around the lips only.  I don’t use it
for the nasolabial folds.  Juvederm Ultra is better
there.  See your Board Certified Plastic Surgeon or
Dermatologist with expertise in the use of all the FDA approved Hylaronic acid
fillers to get the best results.

 

Your smile is off because the filler has stiffened the nasolabial fold. Traditionally Doctors are taught to inject the length of the fold. Putting too much filler in this area can reduce the flexibility of the area. For many the improvement in appearance is a welcome trade off. For others it is an undesireable consequence. I prefer to place a bolus of the filler at the beginning of the fold, and only head south with the injection if necessary. Some patients have a superficial crease, for which Vobella would be an excellent choice.  Fortunately Vobella is an HA and can be dissolved.

While Volbella was designed for the lips, we have found that it can achieve great results in the nasolabial folds as well. However, if you are unhappy with your results I suggest you return to your injector to see if hyaluronidase can help. This will dissolve the product so you can return to how you looked before Volbella. Or you can wait it out, as it may last up to a year or so.

Volbella is a great filler. It is a soft filler and designed for gentle and natural rejuvenation. In some cases, like cheeks, temples or naso labial folds, other fillers may be better - but that really depends what kind of issues you had prior to filler treatments.I used many different fillers to get the best results in my patients and must say that I reserve Volbella for fine lines, lips or the areas under the eyes. I hope that helps

Dear ririjaggerThank you for your question!  Injection of the naso-labial folds is tricky- as you noticed it changed your smile.  This may have happened no matter what filler is used.  The filler can last a while - but the good news is that it can be removed by injecting an enzyme to remove it.With Warm RegardsTrevor M Born MD

It differs from person to person but on average it may last for up to 18 months. Hyaluronidase is a naturally occurring enzyme that breaks down hyaluronic acid, getting rid of the filler and reverting your appearance to its baseline state. If you are not satisfied you can always have it dissolved. Please contact a qualified provider or a board-certified physician with extensive experience in these procedures.

Thank you for
your question 66hearts. I am sorry to hear that you were unhappy with the results from your treatment. Volbella is a
hyaluronic acid filler designed to enhance the lips. It can also be used in other areas. I find that Volbella is too soft for use in the nasolabial folds and I prefer Vollure or Juvederm. In the pivotal studies where Volbella was injected into and around the lips most people enjoyed their results for approximately 1 year. This may be the case when it is injected elsewhere such as the nasolabial folds. Hyaluronic acid fillers such as Volbella can be dissolved with hyaluronidase if the desired results are not achieved. Please
consult with a doctor for specific recommendations. Good luck!

Juvederm Volbella XC is a temporary hyaluronic acid filler, and like most hyaluronic fillers it has FDA approval for results lasting up to one year. Allergan’s research has corroborated the FDA’s studies; however, it is important to recognize that each patient’s response to the treatment is different, which could affect the length of your results. Regardless, the key phrase here is temporary and the product can be adjusted or dissolved by your physician using hyaluronidase if you do not wish to wait for it to naturally metabolize.
While there are a number of options specifically designed for treating nasolabial folds (such as Juvederm Ultra XC, Juvederm Vollure XC, Restylane, Restylane Defyne, Bellafill, Radiesse, and others), Volbella is typically not one of them and is instead used for adding subtle volume to the lips or reducing the appearance of vertical lip lines. The specific filler or procedure for your nasolabial folds will certainly vary based on your desired results; therefore, it is very important that you meet with your physician to establish a personalized treatment plan.

Volbella is a great filler that is typically used in the wrinkles around the mouth.  It sounds like it was the injection technique and you should return to have the product dissolved with Vitrase.  Best, Dr. Green