Juvederm Voluma

What makes JUVEDERM VOLUMA different
The loss of midface volume is one of the hallmarks of facial aging. This occurs in varying degrees of severity, and can lead to significant changes in the facial appearance. One of the most noticeable changes is the loss of cheekbone definition. Historically, this was addressed with surgery to tighten the overlying skin and lift the deeper soft tissues. More recently, volumizing fillers have been used to provide a similar ‘lift’ without surgery. The goal is to restore volume in the midface to create a natural, youthful face.

Juvederm Voluma is the first filler formulated with lidocaine that is FDA approved to restore age-related volume changes in the cheeks. Unlike other fillers commonly used to treat the midface, Voluma is a hyaluronic acid (HA) filler. HA fillers are made from long chains of sugars that occur naturally in the skin. Juvederm Voluma is unique in that the HA is cross-linked through a process called Vycross that helps provide an excellent lifting capacity. This special cross-linking also helps to avoid degradation, making Voluma last almost twice as long as other fillers. Studies have shown that it can last up to 2 years. And since it is an HA filler, it can be molded and shaped into the desired contour after injection.

JuvedermVoluma_Product_Box JuvedermVoluma_FaceDiagram

WHO IS A CANDIDATE FOR JUVEDERM VOLUMA?
Virtually anyone with volume loss in their midface is a candidate for treatment with Voluma, as well as individuals with poorly defined cheekbones. Patients in their 30s, 40s, and 50s may not be appropriate candidates for surgery, but may benefit instead from Voluma treatment. Patients in their 60s and beyond who have more significant skin laxity and volume loss tend to require more filler volume. And while these patients are often good candidates for surgery, they often choose volumizing filler treatments due to surgery concerns such as anesthesia and potential complications.

WHO IS A CANDIDATE FOR JUVEDERM VOLUMA?
Virtually anyone with volume loss in their midface is a candidate for treatment with Voluma, as well as individuals with poorly defined cheekbones. Patients in their 30s, 40s, and 50s may not be appropriate candidates for surgery, but may benefit instead from Voluma treatment. Patients in their 60s and beyond who have more significant skin laxity and volume loss tend to require more filler volume. And while these patients are often good candidates for surgery, they often choose volumizing filler treatments due to surgery concerns such as anesthesia and potential complications.

WHAT CAN I EXPECT WITH A JUVEDERM VOLUMA TREATMENT?
Dr. Krachman’s specially formulated topical numbing cream is applied for 15 to 20 minutes prior to treatment. Treatment takes approximately 15 to 30 minutes to perform. The treatments involve very small needles, and are virtually painless due to the numbing cream and Dr. Krachman’s gentle injection technique. After Dr. Krachman injects the Voluma, he then massages the area to ensure that it is properly distributed. Patients may return to normal activities immediately after treatment.

JUVEDERM VOLUMA XC FREQUENTLY ASKED QUESTIONS (FAQ)

WHAT IS JUVEDERM VOLUMA XC?
Juvederm Voluma is a facial filler made up of hyaluronic acid, a naturally occurring substance that helps to bind water to cells. Its extensive cross-linking helps to provide an excellent lifting capacity, making it an excellent choice for restoring volume in the cheeks and midface.

WHAT SHOULD I EXPECT AFTER A JUVEDERM VOLUMA XC INJECTION?
Results are immediate and can last up to 2 years. The duration of filler correction depends on the facial area treated, the injection technique, and the rate that the patient ‘s tissues break down the filler. The majority of patients can resume their daily activities immediately after treatment. Some patients may experience slight swelling and bruising, but this typically improves rapidly.

IS THERE ANY DOWNTIME AFTER A JUVEDERM VOLUMA XC INJECTION?
There is no downtime after treatment, and patients may return to their normal activities. In some patients, there are transient side effects, such as minor swelling and bruising, but these are usually mild.

WHAT ARE THE COMMON SIDE EFFECTS OF A VOLUMA TREATMENT?
Side effects are generally minor, such as bruising or mild swelling, and can be easily concealed with makeup. Avoiding certain medications and supplements, such as baby aspirin and fish oil, can minimize bruising.

HOW DO I KNOW IF VOLUMA IS RIGHT FOR ME?
To learn if Voluma is right for you, Dr. Krachman will perform a thorough consultation. Dr. Krachman has experience with a number of different fillers, and will select the best filler combination for you.

CAN JUVEDERM VOLUMA BE REMOVED OR DISSOLVED?
One of the major advantages of Juvederm Voluma is that it is composed of hyaluronic acid (HA). If necessary, HA fillers can be dissolved with an enzyme in a very simple procedure. Experienced injectors like Dr. Krachman rarely need to remove any filler after it has been injected, but this is a benefit to have as a potential option.

ARE THE TREATMENTS WITH JUVEDERM VOLUMA PAINFUL?
Patients usually report only minimal or mild discomfort during treatment. Dr. Krachman uses a specially formulated numbing cream that alleviates most discomfort. Juvederm Voluma XC is also formulated with lidocaine to enhance patient comfort. During treatment, ice may also be used in some patients.

CAN JUVEDERM VOLUMA BE COMBINED WITH OTHER FACIAL FILLERS?
Juvederm Voluma can often be combined with other facial fillers. In fact, Dr. Krachman often uses different fillers for the same patient in order to achieve a more natural result. Voluma is well suited for many areas of the face, such as the cheeks, but is not ideal for certain areas like the lips.

WHAT AGES ARE MOST APPROPRIATE FOR TREATMENT WITH JUVEDERM VOLUMA?
While theoretically any patient with deficiency in the midface could benefit from Voluma treatment, there are some important principles to understand when it comes to selecting appropriate patients for Voluma treatment. Younger patients with early fat volume loss often notice a more dramatic restoration of their facial volume due to excellent skin elasticity. Older patients, on the other hand, typically require more filler in order to achieve optimal correction. Often these patients benefit from other treatments, such as Botox and laser resurfacing, to create a more complete facial rejuvenation. But overall, there are no absolute age limits for Voluma treatment.

To learn if Voluma is right for you, Dr. Krachman will perform a thorough consultation. Dr. Krachman has experience with a number of different fillers, and will select the best filler combination for you.

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