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What is Juvéderm Voluma® XC?

As we age, we lose not just the collagen in the skin, but also volume of fat and bone in the face.  Fat pads are anatomically separated in the face and some of the fat pads will also fall due to the effects of gravity as we age.  The combination of volume loss and drooping of the fat pads can result in deep lines forming under the eyes in the lower lids, extending onto the cheekbone area, also know as tear troughs, which accentuate the aging of the lower lids and midface and also lead to deepening of the nasolabial folds.  Prior to the introduction of Voluma, common practice was to try to fill the nasolabial folds, commonly known as the “parenthesis” lines, which can lead to an unnatural, overly-filled appearance of the lower face around the mouth and nose.  However, Voluma can be injected deeply into the tissue of the midface to restore the volume that has been lost and lift the fat pads that have dropped to form deep parenthesis lines.

If you are starting to notice volume loss in your cheekbone area and would like to recover your once higher cheekbones, Juvéderm Voluma® XC is a minimally invasive injectable treatment that can restore lost volume. Juvéderm Voluma XC has a hyaluronic acid base, similar to the hyaluronic acid found in the skin naturally.  However, the thicker formulation of Voluma is designed to be injected deeply near the bone, and since it is thicker, it is more slowly absorbed by the body and can last for 18-24 months.  The XC in the Voluma name means that lidocaine has been added to the formulation for increased comfort during and after injection.

Who is a Candidate?

The ideal candidate for Juvéderm Voluma XC would be a patient that is looking to correct the volume loss that occurs with age or may be part of a younger patient’s normal anatomy.  For patients who have early aging of the lower lids with minor “bags” under the eyes and elongated lower lids, which happens during the aging process, Voluma can be a safe, simple, and quick solution to reshape the lower lids. It works by filling in volume loss that leads to tear troughs and bagging of the lower lids which results in a refreshed, younger appearance without the downtime, expense and recovery of surgery.  The patient may also be interested in adding a more defined cheek contour for better facial symmetry. Injectable fillers are a great option for those looking for a subtle improvement to the facial contour instead if a drastic result that may be provided by a facelift or other cosmetic methods.  If you have severe facial volume loss and skin laxity that creates jowling and bands in the neck, you may be better served by surgical correction.  Many people will start to manifest the signs of volume loss in their late 30’s and early 40’s, but there is no right or wrong age for which Voluma can be used.  Voluma can also be used for volume correction in other areas of the face and body, such as strengthening the jawline or chin or correction of volume loss in the temples.

Results

With Injectable fillers, results will vary from patient to patient and the experience of your injector. When deciding to get Juvéderm Voluma® XC, you may opt for a more minimal amount at first to see what that result looks like on you. Although filler can be removed, it’s best to build onto the initial treatment to make sure you do not end up looking overdone.  As opposed to Botox in which the treatment should be maximized in a single session, filler can always be added to at any time, though Dr. Sweat and his injectors usually recommend allowing a couple of weeks between treatments to allow for swelling to resolve and the product to “settle” into place.

For those who are especially nervous about adding volume and looking overdone, one of the great things about Voluma is that the results are instant, and the patient can direct the amount of treatment immediately. In general, the result of Juvéderm Voluma XC injections is fuller cheeks with a more pronounced contour by adding symmetry and plumpness to the upper face.  The procedure is relatively quick and surprisingly painless since there are minimal nerve endings deep in the face where the product is placed.  Bruising tends to be minimal, usually only occurring at the site of skin penetration by the needle if at all, although if the product is placed close to the tear trough area, more extensive bruising is possible.

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