Volbella in nasolabial folds? How long will it last?
Doctor Answers 10
Look at the origin not the problem...
If performed correctly, fillers such as Volbella, Restylane, Perlane, and Juvederm Ultra Plus can give great results. The trend now a days is to see where the nasolabial fold is coming from. In most cases this is due to loss of volume on the malar cheeks, or in front of the ear. Volume replacement here can lift the folds- in most cases this gives a more natural look than just filling folds. All cases of dermal filling should be tiered towards the individual, including the selection of fillers.
All the best
Dr Davin Lim
Laser and aesthetic dermatologist
Volbella in Nasolabial Folds
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.
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Volbella and Results
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
Vobella in the Nasolabial folds
Fortunately Vobella is an HA and can be dissolved.
Volbella results in NLF
Volbella is a great filler
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
Volbella for nasolabial folds
Lip contouring #injections #fillers
Thank 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 Regards
Trevor M Born MD
Thank you for your clinical post and question. Juvéderm® Volbella has unique gel properties that lend themselves well to augmenting the lips and sometimes even injecting in the tear trough and undereye area. In general, it lacks some of the soft tissue support characteristics that you’d want to achieve in the nasolabial fold. Injection of the smile lines needs to be underdone, rather than overdone, as to have smile lines is to look human. Over-injecting the smile lines often results in a simian-type appearance and too bulky an injection may impede migration of the lip on smile.
There is a very simple solution. Simply visit a plastic surgeon or dermatologic physician with significant soft tissue injection experience and undergo an enzymatic digestion of the product. Very dilute enzymatic digestion will affect only the Volbella, not your overlying soft tissue . Leave the post-enzymatic digestion nasolabial fold for approximately three to four weeks and see the physician again to decide if the nasolabial folds need to be softened and what product would best suit your needs.
I have been performing soft tissue filler and dermal filler injections for over 20 years and have pioneered a technique called the Voluma™ Lift. Generally, I will deploy multiple products in any given face – Restylane®, Perlane®, Juvéderm® Voluma™, Radiesse® and Sculptra – on occasion, to achieve the desired needs. Volbella is generally not something I deploy in the nasolabial fold, but some physicians, plastic surgeons and injectors make excellent results with it.
For more information, please review the link below.
I hope this information has been of some assistance and I’m sure if you pursue a judicious course of removal and enhancement that you will end up happy.
R. Stephen Mulholland, M.D.
Certified Plastic Surgeon
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.