Does Voluma last longer than Radiesse and can it be used in tear troughs?

Question

I've been using Radiesse in upper cheeks and temples because it has the added benefit of stimulating collagen growth. I was wondering if Voluma would be a good alternative and last longer? I usually need a syringe of Radiesse every six months (I tend to metabolize it fast). It gets expensive. Also, would Voluma work for tear troughs?

Johnny Mao, MD, FACS · Answer

Before Voluma came out Radiesse used to be my go-to cheek filler.  But now Voluma has become my gold standard filler for the sunken cheek region.  Voluma lasts longer than Radiesse and because of the more volumization and ability to retain more fluid (hygroscopic property), the skin around it has an improved "plumped" appearance (my opinion).  It does get expensive but it looks and feels better and is more "moldable" compare with Radiesse.  I do not recommend Voluma for tear troughs because it is too firm for thin eyelids and you risk more surface irregularity.  There are better products for the tear trough region; Restylane is a good choice.

Young R. Cho, MD, PhD · Answer

Voluma in the cheeks is a great product and does have the longevity that outlasts radiesse.  For the tear trough region, I would recommend a softer, thinner product like Restylane silk, Restylane, juvederm or boletero.

Anthony Corrado, DO · Answer

Voluma is the newest option from the Juvederm family of hyaluronic acid based dermal fillers.  Voluma is approved for midfacial and cheek augmentation.  Studies have shown the Voluma can last up to 24 months, making it an excellent option for long term facial volume augmentation.  If you are looking for long term solutions, facial fat grafting is also an excellent option.  I would not suggest Voluma as a filler in the tear trough.  The tear trough area is a very delicate, and Voluma is too viscous of a filler.  Filling the tear trough with Voluma would lead to probable irregularities.  I would suggest Restylane in the tear troughs.  Good Luck

Benjamin Barankin, MD, FRCPC · Answer

My experience is that both Voluma and Radiesse are longer lasting fillers, and both last more than 1 year, and in some people up to 2 years. It is important to choose the right filler for the right location, its not all about duration. For the tear trough, I prefer restylane or restylane fine lines (which typically last more than 1 year in the tear trough), and would not use Voluma or Radiesse in that location.

Matthew H. Steele, MD · Answer

Thank you for your question.  Voluma is new to our injectable choices, but is a great option for volume enhancement of the cheeks and midface.  It can be used in the temple, but this is an off label use.  Studies suggest at least two years of longevity for Voluma vs 12-18 months for Radiesse.  Voluma is more expensive than Radiesse, however  I would not recommend injecting Voluma directly into the tear trough area.  Another option is Sculptra.  All of these long lasting fillers have their advantages and disadvantages.  Ask your board certified plastic surgeon to recommend what is best for you.  Good luck.

Stephen Weber MD, FACS · Answer

The studies of Voluma actually show the majority of patients whose cheeks are fully corrected still seeing benefit beyond two years. In practice, cheek injections with Voluma also tend to improve the tear trough area and nasolabial folds through it's lifting effect. However, Voluma should NOT be injected directly into the tear trough or nasolabial folds. In many cases, additional treatment of these areas is not necessary but hollow tear troughs or deep nasolabial folds remain after Voluma treatment they should be filled with a different filler meant for those areas. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Kevin L. Smith, MD, FACS (retired) · Answer

Voluma does seem to last longer than Radiesse and studies have shown that as much as 65% of Voluma is still present at 2 years post injection. And, both Radiesse and Voluma have been show to stimulate collagen growth so I believe that after injection, no one ever returns completely to "baseline". Neither Voluma or Radiesse are products that are appropriate for the thin delicate skin of the tear trough. This are is VERY technically difficult areas and make sure that you see a qualified experienced injector. For the tear trough I prefer to use a "blended" Juvederm Ultra product injected with a very fine 32g needle (we call it "airbrushing") to feather the lid/cheek junction. I prefer to use a microcannula to inject the Voluma in the cheek. I commonly use both Voluma and "blended" Juvederm Ultra together for a more comprehensive result. Best wishes. Remember, your choice of injector is more important than your choice of filler.

F. Victor Rueckl, MD (in memoriam) · Answer

Actually, neither Voluma or Radiesse should be used in the tear troughs. My assumption is that you are actually getting your injections into the upper cheeks, rather than the tear troughs themselves, which is a better solution, and both Radiesse and Voluma can be injected here. In my opinion, Voluma is preferable here because the filler is softer and looks more natural. It can last for up to 2 years when appropriate amounts are used. While it's stated that Radiesse stimulates collagen production, the amount is negligible really, so I am not thrilled when that's used as a selling point. All injections technically stimulate some collagen because any trauma or change to the skin does this. It would be best for you to discuss which option is best for you with your injector. I doubt you will find Voluma costs less than Radiesse, but since it may last longer, this could give you some savings overall. "This answer has been solicited without seeing this patient and 
cannot be held as true medical advice, but only opinion. Seek in-person 
treatment with a trained medical professional for appropriate care."

Does Voluma last longer than Radiesse and can it be used in tear troughs?

Answers (8)

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