Lip Fillers and Cheek Fillers : Juvederm Voluma Vollure Volbella

What is JUVÉDERM® XC?

Non-surgical filler

JUVÉDERM® XC are non-surgical fillers, initially approved in 2006, to instantly smooth out the lines along the sides of your nose and mouth. It can provide natural-looking results for up to a year with optimal treatment.

Modified form of Hyaluronic Acid

JUVÉDERM® XC is made from a modified form of hyaluronic acid (HA), manufactured using proprietary HYLACROSS™ technology. Hyaluronic acid (HA) is a naturally occurring substance found on your skin. As you age, you start to lose HA, which causes the skin to lose structure and volume, contributing to the formation of wrinkles and folds. JUVÉDERM® XC is also formulated with lidocaine for a more comfortable treatment experience.

What are the different types of wrinkles?

There are two types of wrinkles:

Dynamic wrinkles

Dynamic wrinkles are caused when muscles contract to make facial expressions such as smiles and frowns.

Static wrinkles

Static wrinkles develop because our skin’s natural substances (such as collagen and hyaluronic acid), which provide structure and volume, decrease over time.

What is JUVÉDERM® XC approved for?

JUVÉDERM® XC  fillers are approved for injection into the mid to deep dermis (below the outer layer of skin) for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds (the creases running from the bottom of your nose to the corners of your mouth), and smile and laugh lines.

Juvederm is commonly used for:

Facial folds and wrinkles:

Dermal fillers are an excellent complement to Botox® injections because they correct a different type of wrinkle. Combining the two treatments with a chemical peel or laser skin resurfacing can help improve all your wrinkles.

Restoring facial volume with cheek fillers:

As we age, our faces naturally lose volume and gravity takes hold. This gives the face a drawn, tired appearance. Cheek fillers can be used to fill in areas that have lost volume, restoring a youthful fullness to your face.

Lip Fillers:

The lips also tend to lose volume as we age. Thin lips can create an older, sterner appearance. Lip fillers can be used to restore a youthful volume to the lips.

Facial reshaping:

Some people do not have the facial shape they desire and, in many cases, this can be at least partly corrected with dermal fillers which can give the appearance of higher cheekbones or a stronger chin and jawline.

Very Fine Lines: Fine

lines and wrinkles around the mouth, eyebrow, eyes and cheeks can be reduced. These include Smile lines, Laugh Lines, Marionette lines, and Vertical lip wrinkles.

How are Juvederm injections performed?

JUVÉDERM® XC injections are performed in the office and usually take about 30 minutes. The injection site will be cleansed. Ice is then placed over the area to be treated to make the experience more pleasant and to constrict the surrounding blood vessels to minimize the chances of bruising. If the lips are to be injected, a lip block may be performed for a more pleasant experience.

JUVÉDERM® XC non-surgical filler is injected into the dermis of skin using an ultra-fine needle to temporarily fill in the treatment area and smooth moderate to severe facial wrinkles. Slight pain, short-lasting swelling, and minimal redness and bleeding may occur as a result of your procedure. Touch -up injections in 2 to 3 weeks may be required to achieve optimum results.

Does the correction last forever?

Correction is temporary and may last up to one year with optimal treatment. Therefore, touch-up injections, as well as repeat injections, are usually needed to maintain optimal results.

Side effects of JUVÉDERM® XC?

Most side effects are mild or moderate in nature, and their duration is short lasting (7 days or less). The most common side effects include, but are not limited to, temporary injection site reaction such as redness, pain or tenderness, firmness, swelling, lumps or bumps, bruising, itching, and discoloration. As with all skin injection procedures there is a rare risk of infection.

Difference between JUVÉDERM® XC, JUVEDERM® ULTRA XC, and JUVEDERM® VOLUMA XC Fillers?

• JUVÉDERM® XC is a non-surgical dermal filler used to instantly smooth out moderate to severe lines along the sides of your nose and mouth. Natural-looking results may last up to one year with optimal treatment.
• JUVÉDERM® ULTRA XC is the first and only FDA approved non-surgical dermal filler to last up to one year in lip augmentation (enlargement) with optimal treatment.
• JUVÉDERM VOLUMA® XC is the first injectable gel that is FDA-approved to instantly correct age-related volume loss in the cheek area for people over 21. It adds volume, creating contour and lift for up to two years with optimal treatment.

What is the difference between BOTOX® and JUVÉDERM® XC?

BOTOX® Cosmetic and JUVÉDERM® XC are two possible ways to treat moderate to severe facial lines and wrinkles. Both are non-surgical, but they work differently:

BOTOX® Cosmetic injected beneath the skin

BOTOX® Cosmetic is injected beneath the skin’s surface to target the underlying muscle activity which is one of the causes of moderate to severe frown lines between the brows and crow’s feet. BOTOX® Cosmetic temporarily reduces the activity of those muscles.

JUVÉDERM® XC injected into the skin

JUVÉDERM® XC is injected into the skin to temporarily fill and smooth moderate to severe wrinkles such as those around the nose and mouth.What makes Juvederm different from other dermal fillers?

JUVÉDERM® XC is the only Hyaluronic Acid (HA) filler FDA-approved to last up to one year with optimal treatment, and JUVÉDERM® XC was studied in all skin types. The unique manufacturing process uses HYLACROSS™ technology to provide a high concentration of cross-linked Hyaluronic Acid.

Juvéderm Vollure XC is the first and only hyaluronic acid dermal filler approved for the correction of moderate to severe wrinkles and folds, like the nasolabial folds, that lasts up to 18 months in people over the age of 21.

Clinical Trial of Juvéderm Vollure XC

According to an exciting clinical trial featuring the dermal filler Juvéderm Vollure XC:

• 82 percent of patients were very satisfied after six months
• 68 percent of patients were satisfied at 18 months
• 59 percent of subjects saw improvement in nasolabial folds for up to 18 months

These findings are significant because most fillers last only about a year with lower patient satisfaction scores.

Formulated with VYCROSS® Technology

JUVÉDERM VOLLURE™ XC is formulated with Allergan’s proprietary VYCROSS® technology.

What is VYCROSS® technology?

VYCROSS® technology blends different molecular weights of hyaluronic acid allowing this dermal filler to last longer. Also, JUVÉDERM VOLLUMA designed to increase volume lost due to aging of the cheeks and JUVÉDERM VOLBELLA® XC designed for lip augmentation and correction of perioral rhytids use VYCROSS® technology.

Expectations from Juvederm Vollure

As fillers improve, you get to expect a longer correction and smoother correction. The patented Vycross® technology blends different molecule weights to achieve a particularly smooth result. Vycross cross-linking makes the fillers more malleable and easier to inject, further improving the outcome. Juvederm Vollure contains lidocaine for injection comfort.

Uses of Vollure

Vollure is used for moderate to severe lines in the mid-face including:

• Laugh Lines
• Marionette Lines
• Horizontal Chin Lines

How is Vollure Different from Voluma?

Vollure maintains correction and allows easy movement in the treated area with a molecule weight mix specific for this area. Voluma is weighted heavier than Vollure and is not as elastic in nature. Volume replacement in the cheek is not subject to the same repeated movements in the mouth area, so a dermal filler that is stiffer, like Voluma, works best for cheek augmentation.

Use of Denser Fillers

Generally, you can expect the denser fillers to be used in areas that require deeper levels of product injection and thinner fillers to be used in areas that are frequently mobile.

Juvederm’s four formulas, Juvederm XC (lines and folds), Volbella (lips and lip lines), Vollure (midface moderate to severe lines) and Voluma (cheeks) all are designed to give you the best results in the areas they have been developed for.

Are There Any Side Effects?

The most common risks or side effects seen in the clinical study were temporary injection site redness, swelling, tenderness, bruising, firmness, lumps/bumps, redness, pain, discoloration, and itching. Most side effects are mild or moderate and last 7 days or less.

One should limit strenuous exercise, exposure to extensive sun or heat, and alcoholic beverages within the first 24 hours following treatment.

Cheek Filler Injections
* Left cheek = Before Injection.
* Right cheek = After Injection.
* Fuller more youthful cheeks.
* Less prominent nasolabial folds.
* Lasts 1-2 years.
* In office procedure.

Where Do Hollywood Celebrities Get their Filler?

Apart from using Dermal fillers for a non-surgical nose job, Hollywood celebrities have been getting dermal filler injections to all the usual places. Traditional areas for injection include cheeks, lips, and facial wrinkles. Did you know that there are several other areas that you can get dermal filler injections? Celebrities have been injecting these areas for years with amazing results.

The Ears

Reason

Over time, just like the rest of our bodies, our earlobes lose volume, sag, wrinkle and become less firm.

Benefits

Adding a dermal filler helps fill the earlobes and make them fuller, firmer and appear more youthful. The filler helps provide support and structure around the ear piercing to support larger and heavier earrings.

How Long Does It Last?

How long the filler will last depends on which filler is used and how quickly one metabolizes the filler. Dermal fillers can last six months to up to two years in the earlobes.

The Hands

Reason

As we age, the skin on the top of the hand becomes thinner with less subcutaneous fat. This causes the veins and tendons to become more visible. Age and sun damage also adds to wrinkle formation. The back of the hands can make you look older than you actually are.

Benefits

Dermal filler injections have been an excellent way to reduce these signs of aging. Hand models are doing this on a regular basis to keep their hands appearing young.

The Nipples

Reason

With time, nipples too become less firm and less erect.

Benefits

Hollywood celebrities have filler placed in their nipples because they are filming and want a little more of the nipple to show. Other women, just like having a more youthful appearance and feel their partner likes it.

The Temples

Reason

As we age or even lose weight, the temple area can hollow. This can make one look older, gaunt and unhealthy.

Benefits

Dermal filler injected into the temple hollows can round out the face giving a more healthy and pleasing look.

The Belly Button

Reason

Some people may develop indentations above or around their belly button. This can happen with age, weight loss or childbirth. The belly button can become stretched out and have wrinkles around it.

Benefits

Dermal fillers can fill these areas making the belly button-less wrinkled, more firm and have a more pleasant appearance.

The Under Eyes and Tear Trough Fillers

Reason

The under eyes are a very common area Hollywood celebrities and women, in general, get dermal fillers. The injections can improve the darkness and hollowness which makes you look tired and older. The younger you start, the better.

Benefits

When you start to get that indentation, that’s the time to start thinking about it, because then you only need a small amount. The overall effect is amazing

Cellulite

Reason

Many women suffer from cellulite. Cellulite is caused by fat pushing up against the connective tissue under the skin creating the appearance of dimpling.

Benefits

If there are specific areas, the release of the connective tissue and placement of a dermal fillers can help make the cellulite less visible.

The Labia

Reason

Just like every other part of your body, the labia are susceptible to signs of aging. But changes in this intimate area are about more than just appearance. It is also about comfort. Luckily, “labia puffing” can address this.

Problems with labia majora

The labia majora (outer folds) wrinkle and lose elasticity and tone with time. This is caused by a decrease in estrogen levels that can be caused by both childbirth and menopause. Extreme weight loss can also lead to loss of labia fullness.

Problems with labia minora

As the labia majora continues to thin over time, the labia minora (inner folds) become more noticeable. This is more pronounced if they are darker or hang down past the edges of the labia majora. The total effect is that of a flat and sagging labia. This ages the overall appearance of the vulva.

Labia Puffing Using Dermal Fillers

The labia majora act as a cushion during sexual intercourse. The loss of tone and firmness in the labia majora can cause discomfort during sex because they are unable to protect you from excessive friction and impact. Labia puffing is the use of dermal filler injections to restore the appearance and function of your labia.

FDA-Approved Lip Fillers

Juvéderm® VOLBELLA® XC is the latest advancement in the Juvéderm® range of facial fillers, developed specifically for your lips and mouth area. It is the first and only FDA-approved lip filler to increase lip fullness and correct perioral lines for up to 1 year.  It has been specifically developed as a smooth gel to give a soft, natural feel. The gel fills in lip lines and wrinkles while the hyaluronic acid attracts and retains moisture, so results can last up to a year.

Why Choose Juvederm Volbella Lip Fillers

Juvederm Volbella uses Vycross technology which tightens and cross-links the hyaluronic acid to improve duration. It has the lowest HA concentration, lowest affinity for water, and lowest cohesivity which makes a soft smooth gel appropriate for adding volume to lips and softening the appearance of the perioral lines.

Improvements in Lip Fullness and Perioral Lines

In a multicenter, double-blind, randomized study:

80.3% of patients had a clinically significant improvement in lip fullness at 3 months
61.8% of patients had a clinically significant improvement in lip fullness at 1 year

65.4% of patients had a clinically significant improvement in perioral lines at 3 months
66.2% of patients had a clinically significant improvement in perioral lines at 1 year

Overall,  96.1% of patients were satisfied with the improvement of their lips and perioral lines.

Volbella is injected into the lips using an ultra-small needle.  Ice or a lip block may be performed for comfort.

Recovery With Volbella Lip Fillers and Side Effects

Recovery with Volbella is minimal allowing you to return to your usual activities after the procedure. You may experience mild side effects such as redness, tenderness, bruising or swelling right after the procedure.

Within the first 24 hours after your treatment, it is best to not do extreme exercise and to limit sun exposure. Make-up can be applied 2 hours after the procedure.

Should I have My Botox and Fillers Done at the Same Time?

Chemodenervation, using Botox, prolongs the lasting effects of hyaluronic acid lip filler and cheek filler by reducing muscle activity in the treated area, according to a new study.  Aesthetic physicians have been known to use lip filler and cheek filler in combination with Botox to temporarily reduce muscle activity and prolong filler life.

Get a Consult for Your Filler Treatment

Dr. DeConti has 24 years of experience and has performed over 100,000 facial injections. As a highly credentialed surgeon with the American Board of Plastic Surgery and training in Craniofacial Surgery, he is an expert in the intimate details of facial muscle anatomy. This knowledge allows Dr. DeConti to perform BOTOX® Cosmetic, Juvederm® XC, Volbella XC, Voluma XC, and Kybella injections accurately and effectively for the finest and most optimum results with the least amount of risk.

To learn how BOTOX® Cosmetic, Juvederm® XC, Volbella XC, Voluma XC, and Kybella can help you look younger, call 804 673-8000 and schedule a facial rejuvenation consultation at DeConti Plastic Surgery today.  Dr. DeConti participates in the Allergan Brilliant Distinctions Loyalty Program to help benefit your aesthetic needs.

How to use fillers to improve cheek wrinkles and forehead wrinkles.