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As we age, we tend to lose volume in our face and have increased skin laxity, fine lines, and wrinkles. The main reason for these changes is the lack of collagen production, which decreases with every decade of life, after our twenties. One of the revolutionary mechanisms to replace this lost facial volume is through hyaluronic acid dermal fillers, such as Juvederm®  Voluma, Juvederm Volbella, Restylane, and Belotero. Each unique dermal filler is designed to treat a particular area of the face with different thickness properties to address fine lines, deeper lines, and facial hollows, without the need for invasive plastic surgery.

One of the latest dermal fillers to come on the market is Juvederm Vollure. Juvederm Vollure is a unique hyaluronic acid filler, specially formulated for the nasolabial folds, or smile lines, marionette lines, and oral commissures. Juvederm Vollure is one of the longest acting dermal fillers currently on the market, lasting up to 18 months. Before the advent of Juvederm Vollure, Juvederm Ultra Plus was the most commonly used injectable for the mid face. Juvederm Vollure uses Vycross technology, allowing Dr. Green to contour the injected area with long lasting results.

Dr. Michele Green was one of the first NYC dermatologists to incorporate Juvederm Vollure into her Upper East Side practice. As a platinum Allergan provider, she was one of the first dermatologists to inject Juvederm Ultra Plus XC and Botox in her discreet New York City private dermatology office. If facial hollows or smile lines are becoming a concern, Dr. Green is able to help correct this cosmetic problem with a non-invasive injectable solution.

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What is Juvederm Vollure XC?

Juvederm Vollure is a hyaluronic acid filler that is injected into the skin to improve lines and wrinkles and improve facial volume in any treatment area. Juvederm Vollure is classifed as a “medium filler,” which makes it an excellent product for moderate to severe facial wrinkles and creases. Currently Juvederm Vollure is being primarily used in the mid-face region, around the mouth and cheek area, particularly in the nasolabial folds. Prior to March of 2017, before Juvederm Vollure was FDA approved in the United States, this dermal filler was only available overseas under the branded name Juvederm Volift.

Allergan, the maker of the Juvederm family of dermal fillers, introduced this product for patients over 21 year of age. Juvederm Vollure has been FDA approved to last up to 18 months in patient experience. In clinical trials, 59 percent of patients had improvement in smile lines for up to 18 months, 82 percent of patients were happy with the results after six months, and 68 percent liked their results at eight months. It is the longevity of this hyaluronic acid filler which has created so much “buzz”.

Hyaluronic acid is a substance that naturally occurs in the body. Injections are performed into wrinkles, deep facial folds, and lines, to add fullness to the treatment area. The injection of  hyaluronic acid effectively helps increase the moisture content of the dermis and “plumps” up the skin, which in turn reduces the appearance of the wrinkles. Hyaluronic acid based dermal fillers have been on the market for years, including other Juvederm products such as Juvederm Voluma XC, Juvederm Ultra Plus XC, and Juvederm Volbella XC . In fact, these three dermal fillers are bonded by their unique Vycross technology, which holds the hyaluronic acid together into a cohesive gel. This cohesion is what allows these unique dermal fillers to mold and stay intact after they are injected into the skin. Since Juvederm Vollure is a mixture of both high and low molecular-weight hyaluronic acid, it is firm enough to be able to mold effectively into lines and wrinkles, but soft enough to still maintain mobility and natural facial expression.

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Advantages of Juvederm Vollure?

One of the advantages of Juvederm Vollure is that it features a different type of cross-linking, which slows the breakdown of the filler within in the skin, which means that it will last longer than current hyaluronic acid fillers. Juvederm Vollure will last up to 18 months in the area it is injected..

Juvederm Vollure is a popular treatment in Dr. Green’s NYC office, since its ease of injection, longevity, and lack of swelling, make it a great choice for treatment of the nasolabial folds. Juvederm Vollure also contains lidocaine, which makes the injection very comfortable. Juvederm Vollure provides quick, lasting results which will become very popular for facial rejuvenation and “liquid facelifts” and are longer lasting than most competitive fillers.

What is Juvederm Vollure used for?

Juvederm Vollure XC is used to treat moderate to severe lines and wrinkles associated with aging and volume loss, especially around the nasolabial folds. Juvederm Vollure is injected into the dermal layer of the skin, to replace lost volume in the smile lines an smooth out these deeper wrinkles and folds. Due to Allergan’s Vycross technology, and the combination of high and low weight molecular weight hyaluronic acids (HA), Juvederm Vollure has an extremely strong ability to hold and attract moisture and “lift” the skin in different areas of the face. In “non-plastic surgeon speak,” it is this resilience which allows Juvederm Vollure to be used “off label” in other areas of the face, such as the perioral lines, lips, chin, jawline, and temples.

Dr. Green’s “less is more” philosophy, means that your Juvederm Vollure XC injections will never look “overdone”. Dr. Green also injects cosmetic fillers to her patients in the New York office, in stages, to slowly assess the volume increase and facial rejuvenation. This slow approach ensures that you have the most naturally looking cosmetic results. Typically, Dr. Green will have you return to her NYC office two weeks after your cosmetic injections to ensure that you have the best results.

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Juvederm Ultra Plus, Juvederm Vollure, Juvederm Voluma XC, and Juvederm Volbella XC:  What is the difference?

Juvederm Vollure’s combination of high and low HA cross-linking gives it the ability to be injected deeper than traditional Juvederm Ultra Plus, to smooth more severe nasolabial folds. Juvederm Ultra Plus is composed only of Hylacross technology, which consists mainly of high molecular-weight hyaluronic acid. Juvederm Ultra Plus spreads more easily than Juvederm Vollure, but Juvederm Vollure lasts 18 months as opposed to the 9 to 12 months of Juvederm Ultra Plus. Juvederm Vollure could be described as in the “middle” between Volbella and Vollure, since it has both durability and can fill the nasolabila folds, parentheses lines, while still maintaining natural facial expressions and movement. Juvederm Voluma XC is the thickest and stronger gel, which is perfect for a deep injection and a volume lift for the cheek area. Juvederm Voluma is currently one of the most popular facial fillers for cheek augmentation. Juvederm Volbella XC is the thinnest of are the Juvederm family of dermal fillers, and is ideal for fine lines around the mouth, lip lines, or the delicate under eye area.

What is the treatment session like with Juvederm Vollure?

The first step would be a consultation with Dr. Michele Green in her NYC private dermatology office. After a thorough analysis of your facial structure and individual needs, medical photographs are taken for your patient record. The treatment areas are numbed with a topical anesthetic. Dr. Green always recommends avoiding any blood thinners for at least one week before your cosmetic injections to avoid unnecessary bruising.

The treatment session will take approximately 30 minutes as your dermal fillers are carefully injected into the areas of your face. Immediately after injection, ice packs are placed to minimize any swelling. Makeup can be applied later that day and all regular activities can be resumed except for heavy exercise and excessive heat or saunas for 48 hours. Since Juvederm Vollure can last up to 18 months, touch-ups or repeat treatments are limited.

How long does Juvederm Vollure last?

Juvederm Vollure lasts typically for up to 18 months. This makes Juvederm Vollure the longest acting FDA approved hyaluronic dermal filler for the smile lines.

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Before/After photo: Juvederm Voluma, Juvederm Vollure – 1 day

What are the side effects from Juvederm Vollure?

The most common side effects from Juvederm Vollure injections, at the injection site, are temporary and include:

  • Bruising
  • Swelling
  • Localized pain or tenderness
  • Itching
  • Discoloration
  • Lumps/bumps
  • Redness

What should I do post Juvederm Vollure treatment?

Dr. Green recommends applying ice packs, (not directly on the skin), immediately following any types of Juvederm injections. This application of ice is done to minimize any bruising or swelling. It is also best to avoid any intense physical exercise for 48 hours after dermal fillers, saunas, hot tubs, or intense sun exposure. Heat and sunlight can cause increased swelling and/or hyperpigmentation if exposed immediately after injections of Juvederm fillers.

Is Juvederm Vollure painful?

Juvederm Vollure XC is compounded with lidocaine, which makes the injections much more comfortable. In adding, Dr. Green recommends applying a topical numbing cream for one hour before injection of the treatment area to maximize any discomfort. Dr. Green uses a very small needle for this injection which minimizes any bruising or pain from these cosmetic injections.

How many treatments of Juvederm Vollure will I need?

Typically only one single treatment session is necessary to achieve complete correction with Juvederm Vollure in the nasolabial folds. The long lasting effects negates frequent touch-ups or repeat treatments.

Before/After photo: Juvederm Voluma, Juvederm Vollure & Restylane

How much is Juvederm Vollure?

The cost of Juvederm Vollure is more than Juvederm Ultra Plus since Vollure lasts longer than than other hyaluronic acid filler. In addition, price varies depending on your geographic location, expertise of injector, and qualifications. A board certified expert dermatologic injector, like Dr. Michele Green, may be more expensive than a spa or clinic with a nurse injector.

Why choose Dr. Green for your Juvederm injections?

Dr. Michele Green was one of the first dermatologists to utilize Botox, Juvederm Voluma as well as Juvederm Volbella in New York and is a leader in cosmetic dermatology and skin care. She has over 25 years of experience in cosmetic injectables and her “less is more” philosophy and aesthetic sensibilities leads to beautiful and natural looking results. If you are frustrated with the appearance of deep lines and wrinkles and are interested in rejuvenation, please contact us online today or call our NYC office at 212-535-3088 to learn more about whether Juvederm Vollure® may be right for you.

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