As a longtime provider of JUVÉDERM® products, facial cosmetic surgery specialist Dr. Timothy Greco is extremely well versed in the various formulations available, choosing the ideal injectable for each patient based on the features to be corrected and the degree of correction desired or needed. For mid-face facial volume loss that has changed rounded, youthful contours into a flat, aging shape, he uses Voluma® at his Philadelphia-area practice.
While injectable fillers like Voluma® do not replicate the results of a surgical procedure, such as a facelift, they do offer very satisfying results that can last for a significant amount of time. With optimal treatment, Voluma® can provide rejuvenating benefits that last up to two years.
Like other members of the JUVÉDERM® family, Voluma® has hyaluronic acid as its active ingredient. This molecule holds onto water, so its natural role in the skin is to provide ongoing moisture that allows for a smooth surface and generous pliability. The human body makes hyaluronic acid, but this organic manufacturing process slows over time. As this valuable carbohydrate diminishes in the skin, wrinkles begin to develop. As aging continues, this same process happens with collagen, a protein that provides a framework for hyaluronic acid and other elements.
Collagen loss, dwindling hyaluronic acid, and the reduction or shifting of healthy fat in the face can combine to drastically change the contours of the cheek area. The formerly round "apple" flattens out, hollows develop, and skin with no support at the cheekbone level sags to droop past the jawline, forming jowls.
The thicker formula that is Voluma® is ideal for creating volume again in this key facial area, where it rounds out the cheekbones to eliminate the gaunt look of an older, thinner face. The physical volume also rebuilds the support framework necessary for keeping skin in a lifted position to improve smile lines (nasolabial folds).
At the hands of an experienced facial specialist like Dr. Greco, an effective Voluma® session can be completed in one sitting. Injections are meticulously placed to ensure volume is safely added where it is needed most. Results are immediately visible, but will continue to improve over time. Many patients have reported looking five years younger.
As with any injectable-based treatments, patients may experience some slight bruising, redness, or discomfort at the injection site, but side effects are generally minimal and resolve quickly. Patients who want to return for maintenance treatments can do so after two years, and will typically find that they need less Voluma® to achieve their desired results.
The other dermal fillers in the same family as Voluma® also use hyaluronic acid to restore volume to an aging face, with formulations intended for smoothing wrinkles, folds, and creases, as well as for plumping thin lips.
For a longer-term solution, some patients may choose a facelift, which involves the surgical manipulation of the soft tissues of the face to lift away jowls and provide more youthful contours.