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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 our body’s decrease in collagen production, which declines 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, Sculptra, 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, 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.

When Juvederm Vollure was approved by the FDA for use in the US in 2017, expert, board-certified dermatologist, Dr. Michele Green was one of the first to incorporate the treatment into her private Upper East Side practice. As a platinum Allergan provider, Dr. Green has extensive experience with the entire Botox and Juvederm collection. Whether it be deep nasolabial folds, lip lines, facial hollows, thin lips, or the best treatment for fine lines and deep wrinkles, expert cosmetic injector, Dr. Michele Green, is here to help. Dr. Green believes in non-invasive cosmetic solutions to these skin concerns.

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What is Juvederm Vollure XC?

Juvederm Vollure is a hyaluronic acid filler that is injected into the skin to treat 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 collection of dermal fillers, introduced this product for patients over 21 years 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”. Juvederm Vollure, like the Juvederm family of dermal fillers, is composed of hyaluronic acid. Hyaluronic acid is a substance that naturally occurs in our body.

Cosmetic njections of Juvederm Vollure 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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Nasolabial fold fillers before and after

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 other 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 and smooth out these deeper wrinkles and folds. Due to Allergan’s Vycross technology, and the combination of high and low 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. At that time, Dr. Green will perform any touch-ups as necessary.

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

The Juvederm Collection, made by Allergan, is a family of filler injections all used to target slightly different areas of the face. The main difference across the different injectable gels in the collection is how thick the gel is, which dictates the area of the face and types of lines of folds best suited for that treatment. The five filler gels that are FDA approved in the United States are: Juvederm Vollure, Juvederm Ultra, Juvederm Ultra Plus, Juvederm Volbella, and Juvederm Voluma. It is important to note that when you see “XC” after the name of the product, that indicates the inclusion of a chemical called “lidocaine,” which is a numbing agent. Lidocaine is a local anesthetic, which helps to minimize discomfort in the injection site.

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 Voluma, 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.

When you meet with Dr. Green, you will discuss your treatment and aesthetic goals and together you will determine the Juvederm product that will be best for you.

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What is the treatment with Juvederm Vollure?

The first step for treatment with Juvederm Vollure would be a consultation with Dr. Michele Green in her private NYC dermatology office. After a thorough analysis of your facial structure and individual needs, Dr. Green will determine the treatment process that is right for you. Medical photographs will be taken for your discreet patient record. A topical anesthetic is applied to the treatments areas one hour before the procedure. Dr. Green always recommends avoiding any blood thinners, vitamins, or fish oil, 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 using a thin needle. The number of syringes necessary for the treatment depend on the area of the face that is being treated. Immediately after injection, Dr. Green will place ice packs to minimize any swelling. Makeup can be applied the next day and all regular activities can be resumed. Patients should avoid heavy exercise and excessive heat, including saunas, for the 48 hours following the procedure. Since Juvederm Vollure can last up to 18 months, touch-ups or repeat treatments are limited. Dr. Green will have you return two weeks after the initial treatment for any immediate touch-ups. The process can be repeated after the effects of the injection begins to fade – approximately every 18 months.

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. The Juvederm Vollure filler injections can be repeated after the effects of the treatment begin to fade. As such, patients can repeat the treatment process once every 18 months or so. When you consult with Dr. Green, the two of you will create the injection schedule that works best for you aesthetic goals for continuous smooth, hydrated, youthful looking skin.

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

How long does Juvederm last for marionette lines?

As we age, the wrinkles on our face become more and more pronounced. One type of wrinkle that tends to become some of the deepest lines on our face are the marionette lines – or lines that trace downwards from the corner of the mouth. As Juvederm Vollure is able to treat deep wrinkles while remaining soft enough to allow for movement, it is a great filler to use to address marionette lines. Juvederm Vollure can last up to 18 months when it is used to treat wrinkles like the marionette lines of the face. Once the gel is broken down by the body (after about 18 months) patients can schedule a follow up appointment to repeat the treatment for continued smoothness.

How long does Juvederm Vollure last in lips?

Juvederm Vollure can be used for lip augmentation in addition to treating fine lines and wrinkles in the face. The malleability of the Juvederm Vollure injection results in a subtle lip enhancement that helps to create a naturally beautiful look. This is an off-label use of the product that Dr. Green uses to produce stunning results. There are other members of the Juvederm collection that are used for lip enhancement but products like Juvederm Ultra and Juvederm Ultra Plus are thicker fillers, which means that the lips are enhanced more dramatically using these injections as opposed to Juvederm Vollure. Another difference between other Juvederm lip augmentation injections and Juvederm Vollure is that Juvederm Vollure is the longest lasting filler of the collection. Where other Juvederm fillers last for up to a year, Juvederm Vollure can last for up to 18 months in the lips. Patients can repeat the process after 18 months when the effects begin to fade.

How long does Juvederm last in tear trough?

Throughout the natural aging process, you will notice the skin under your eyes start to sag as the fat pads that keep are faces full and youthful begin to drop. The result is a shadowy, hollow look with wrinkles under the eyes. While Juvederm Vollure is not specifically designed to be used under the eyes, the soft, pliant gel is actually quite effective in restoring volume and reducing wrinkles along the tear trough and under the eyes. This off-label use of Juvederm Vollure results in a flexible, full, smooth, and youthful look around the eyes. As a result of Vycross technology, results of Juvederm Vollure can remain effect for longer than any other Juvederm filler. So when patients ask how long does Juvederm Vollure last under the eyes, the answer is for as long as 18 months. As the effects fade, the procedure can be repeated approximately every two years.

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?

The Juvederm Vollure treatment is non-invasive and non-ablative meaning that there is no recovery time following the procedure, and the risk of side effects is minimal. 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 that could occur. 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 pigmentation if exposed immediately after injections of Juvederm fillers. There is no downtime required after a Juvederm Vollure injection treatment, which means that you can immediately return to your regularly scheduled activities. You can wear makeup later in the day following the procedure as well.

How long does it take to see results from Juvederm?

Patients may start to see an improvement in the treatment area immediately following the treatment but for most people, it takes approximately two weeks for the filler to settle fully into place. It is for this reason that Dr. Green will schedule a follow up appointment with you two weeks after your initial injection. At that time, Dr. Green will check in about your aesthetic goals and do any touch ups as needed. As Dr. Green is a believer in the “less is more” approach to treatment, the follow up appointment can be an opportunity to enhance the filler that has already settled if you are looking for a more dramatic transformation.

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 minimize any discomfort. Dr. Green uses a very small needle for this injection which minimizes any bruising or pain from these cosmetic injections. Additionally, Dr. Green is a highly skilled and experienced dermatologist who has performed many Juvederm injections. Many of her patients say that they feel minimal discomfort due to Dr. Green’s gentle precision.

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, also known as the smile lines or laugh lines. The effects of the treatment can last for up to 18 months for most patients. Due to the cross-linking in the gel, Juvederm Vollure is one of the longest lasting fillers. When eventually the body does break down the filler, — typically after about 18 months — patients can return to Dr. Green’s office to receive the treatment again for continued smoothness and fullness of the face.

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

Which filler is best for marionette lines?

Each Juvederm product has a slightly different makeup and as a result, can be used for different results across different areas of the face. No one product from the collection is inherently better than another — the filler you choose comes down to your individual aesthetic goals. When it comes to treating marionette lines, which are the lines that form starting at the corner of your lips and go downward along your chin, Juvederm Vollure is a great choice. Juvederm Vollure is designed specifically to address marionette lines and the nasolabial folds, which are the lines that run from your nose to the corners of your mouth. The Juvederm Vollure filler is of medium thickness and is malleable, making it a great treatment for the lines around the mouth. Juvederm Vollure is good for treating moderate to deep wrinkles and folds.

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. As the injections require a high level of expertise and precision, it is important to seek treatment from a very experienced dermatologist, such as Michele Green. Receiving injection fillers from an expert dermatologist minimizes the risk of potential side effects and ensures that you are receiving the highest quality treatment.

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 Vollure in her discreet, private, New York City office, 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. Dr. Green is consistently voted as one of the best cosmetic dermatologists in NYC by Castle Connolly, the New York Times, New York Magazine, and Super Doctors. If you are frustrated with the appearance of deep lines and wrinkles and are ready for the best skin 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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