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Dr. Michele Green is one of the largest injectors of Juvederm Voluma XC in NYC and utilizes it extensively for volume enhancement and restoration because of its natural looking and long-lasting results. She is a platinum Allergan provider and was one of the first physicians in NYC to inject Juvederm Voluma XC in her Upper East Side practice.

Juvederm Voluma was first available as a non-surgical injectable hyaluronic acid filler in 2005 in Europe. It was brought to the United States shortly thereafter, and FDA approved in 2013. It is currently one of the most popular hyaluronic acid fillers in the Juvederm family. Juvederm Voluma XC was primarily created to restore age-related volume loss. Hyaluronic acid is a naturally occurring sugar found in the human body, with almost half of the hyaluronic acid in th body found in the skin. This naturally occurring sugar in the body, is formulated with Vycross technology, to lift and restore volume loss in the face. It is this unique Vycross technology which allows Juvederm Voluma XC to have amazing, natural looking, and immediate results.

What makes Juvederm Voluma XC Unique?

As we age, the body loses collagen and hyaluronic acid, which causes us to lose volume and facial structure. Many patients complain that they look “hollow” or gaunt, due to this volume loss, especially in the cheek area. This volume loss, in the mid face, contributes to the skin sagging, and the overall appearance of aging. In the past, the only option to address this volume loss was with plastic surgery to tighten the skin and lift the underlying tissue. Now, however, volumizers have been introduced to give an “instant lift” to the skin and restore midface volume and provide a more youthful appearance.

As the cheek area becomes flat and hollow, volumizers are needed to rejuvenate and restore facial structure. Part of the aging process is the gradual loss of collagen and hyaluronic acid, and the formation of fine lines, wrinkles, and skin folds in the skin. The other factors which contributes to facial aging are genetics, smoking, sun damage, and environmental pollutants. The Juvederm family of dermal fillers was created by Allergan, the makers of Botox cosmetics, to fill this need for facial rejuvenation. One immediate solution to this volume depletion is Juvederm Voluma XC, which restores facial volume in just minutes. A fine needle targets the area of volume loss, and replenishes this lost facial volume and contours the face. It is this immediate lift which is truly unique to Juvederm Voluma XC.

Juvederm Voluma XC for the chin

Juvederm Voluma XC was first approved for the cheek area to give an immediate lift to the cheeks. In June 2020, Abbie labs, (manufacturer of Allergan Aesthetics), announced that Juvederm Voluma XC was  FDA approved for the chin augmentation. Although this is a a new office approval, Dr. Green has been using Juvederm Voluma for the chin area for years, especially for patients who  require a chin implant but may not ready for an invasive procedure. In less than 15 minutes, patients can have a chin augmentation with the results comparable to the effect of a chin implant. Generally one to two syringes of Juvederm Voluma would be needed to achieve this effect. If you need a much larger chin implant, more Juvederm Voluma would be needed. Restylane Lyft is a similar dermal filler which can be used to augment the chin in a similar fashion. Adding volume to the chin area helps to balance a patients’ profile with excellent cosmetic results. 

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How is Juvederm Voluma XC unique from Juvederm Ultra?

The Juvederm family of products has several different injectables made up of various thickness of hyaluronic acid. Juvederm Ultra and Juvederm Ultra Plus are primarily used in the nasolabial folds (smile lines), and for injection for lip augmentation. Juvederm Volbella was designed for fine lines around the mouth. An experienced cosmetic injector, like Dr. Michele Green, will use a combination of injectables, and often layer them, to create a more youthful appearance.

Can you use Juvederm Voluma in the lips?

Each Juvederm product in the Juvederm family is designed for a different facial anatomical area. Juvederm Ultra Plus is designed for the lips, whereas Juvederm Voluma XC is best for the cheeks. Each injectable gel in the Juvederm family has a different structure and thickness and an experienced injector understands which product to use in each area of the face and body.

Consultation for Voluma Treatment

The importance of the consultation before the procedure is to review your compete medical, surgical history, and current medication profile. Next, Dr. Green will review with you all of your past cosmetic treatments including dermal fillers, laser treatments, and plastic surgery. Photographs will be taken, both before and after your procedure, for your private patient record. She will discuss in-depth with you which facial features you would like corrected or enhanced. Achieving facial symmetry and rejuvenation is always the goal of any cosmetic procedure. A list of medications and vitamins that cause bruising will be given to you in order to avoid them for at least one week before your dermal filler procedure. Dr. Green will explain all of the treatments, including the number and type of Juvederm syringes needed, so that a thorough understanding of both prices and expectations is achieved before the procedure. You should schedule your treatment two weeks in advance of any social event or special function, in case you have any bruising from the injectable procedure. 

Who is a candidate for Juvederm Voluma?

There are many patients who have volume loss and this loss can be seen in patients as young as 30 or well into your 60’s and 70’s. Many younger patients want to restore and contour the cheek area for  lift and better definition. Older patients, who have increased skin laxity and volume loss, usually require a greater amount of filler to be injected to replace this lost volume. Many patients do not want to undergo plastic surgery and find the results of dermal fillers, like Juvederm Voluma, natural, simple, and effective.

Is Juvederm Voluma XC painful?

Juvederm Voluma XC is formulated with lidocaine, as a local anesthetic, to make it more comfortable for the patient. Although the xc injectable gels contain lidocaine, you should let Dr. Green know if you are sensitive to injections, and she will schedule you to come in for 30 minutes before your injections for a topical numbing cream to make your treatment more comfortable.

What can I expect during a Juvederm Voluma treatment?

First, your facial makeup will be thoroughly removed, and Dr. Green’s special topical numbing cream will be applied for 30 minutes prior to your injections. After 30 minutes, the treatment area is cleaned with alcohol and prepared for your cosmetic treatment. Dr. Green uses very small needles to inject the Juvederm Voluma, with a very gentle approach, to avoid any bruising or discomfort. Since there are other areas of the face which may need injectables, you may choose to have Botox done for your forehead and crow’s feet and Juvederm Ultra XC injected into your nasolabial folds during the same visit. After Dr. Green has completed your cosmetic injections, she may massage the treated areas to effective distribute the product. 

How long does Juvederm Voluma last?

The original studies of Juvederm Voluma illustrated a longevity of over two and a half years. However, that study was based on using six syringes in the treating patient. Characteristically, most patients need one to three syringes injected into the cheeks for cheek augmentation. Juvederm Voluma typically lasts 9 months to a year form the date of treatment, with a maximum longevity of two years in duration.

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Instructions post treatment with Voluma

Immediately after your cosmetic injections, Dr. Green place ice packs on the treated area to avoid any swelling of the area and unnecessary downtime. You will be instructed to continue from refraining any blood thinners such as ibuprofen or multivitamins for several days. Sun avoidance, saunas, and steam rooms should be avoided for the next two weeks, to avoid additional swelling. No facial massage should be performed as well for at least one week after your cosmetic injections. Dr. Green will ask you to return to the office two weeks after the procedure to take additional photographs, assess your results, and determine if additional fillers are needed.

What are the side effects of Juvederm Voluma?

The most common side effects are temporary redness, swelling, lumps, tenderness, discoloration, or bruising at the injection site. Even though a small needle is used to inject the product deep into the dermis, there can often be irritation at the site of injection. Rare side effects of an allergic reactions to Juvederm have been described as well. A rare ischemic event from an injectable filler have been documented from an injector unintentionally injecting Juvederm XC into a blood vessel.

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Voluma 2 syringes, 1 month before and after

How much is Juvederm Voluma XC?

Juvederm Voluma is a cosmetic facial filler and is not covered by any health insurance. It is a completely cosmetic procedure. The cost of all fillers depends on the type of filler used, the region of the country you are in, and the experience of the cosmetic injector. As a general rule, a more experienced board certified dermatologist or plastic surgeon will be more expensive than a nurse injector. Additionally, a cosmetic dermal filler like Juvederm Voluma XC will be more expensive than Restylane, since Juvederm Voluma lasts for a longer period of time than other injectable fillers.

Can you combine Juvederm Voluma XC with other procedures?

Many patients who have volume loss and facial sagging choose to have other cosmetic procedures done at the same time as Juvederm Voluma injections. One of the most popular procedures that Dr. Green performs in her NYC office is Thermage for skin tightening. Thermage is the gold standard for laser skin tightening, produces new collagen, with no downtime at all. Many patients choose to first have Thermage performed on their face, neck, and jowls. Thermage takes one hour to complete the entire radiofrequency procedure. After its completion, patients will have numbing cream applied and have their cosmetic injections performed. 

In terms of skin rejuvenation, sun spots, sun damage, redness, rosacea, and hyperpigmentation, many patients take advantage of the fact that they are already numb for their dermal injections and have Vbeam laser treatment for rosacea, Fraxel laser for pigmentation, fine lines, or sun damage, or microneedling with PRP for overall facial rejuvenation.

Can Juvederm Voluma XC be combined with other dermal fillers?

Dr. Green often combines an array of dermal fillers during the same visit. Since different dermal fillers may be better for individual patient’s anatomy and features, Dr. Green often uses a combination of different types of fillers. For example, if a patient has signifiant underlying facial volume loss and skin laxity, Dr. Green often utilizes Sculptra to build collagen deep under the dermis. Since it can take several weeks for Sculptra to promote the growth of collagen, she will then layer Voluma above these injections for an immediate lift. She may also use newer products, such as Restylane Kysee, in some patients for lip enhancement. In this way, Dr. Green can combine different brands of dermal fillers to provide the best cosmetic results.

Can Juvederm Voluma be used for acne scars?

There are many patients with acne scars who have considerable volume loss, as a consequence of deep acne scars. In these cases, Juvederm Voluma XC is an excellent choice to replace this lost volume and fill in these deep acne scars. Voluma will restore lost facial volume and acne related collagen lost in just minutes. For smaller, more shallow scars, Dr. Green often uses Restylane dermal filler directly into each individual acne scar. In this way, combining different injectable gel fillers can give you a complete acne scar rejuvenation.

Why patients choose Dr. Green for their Juvederm Voluma XC treatments?

Dr. Michele Green is a board certified cosmetic dermatologist with a background in aesthetics and art. As an artist, her approach to facial rejuvenation is to maintain and restore classic beauty. With over two decades of experience in cosmetic injections, her “less is more” philosophy, yields beautiful, natural looking, long lasting results.

Dr. Green’s speciality is in non-surgical cosmetic rejuvenation, and will combine the best palette of dermal fillers to restore and enhance your own natural beauty.

If you’re frustrated with a sunken look where you used to have round, rosy cheeks, there’s finally a nonsurgical solution that can help. Contact us online today or call our NYC based office 212-535-3088 to learn more about whether using JUVÉDERM Voluma™ may be right for you.


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