Juvederm Voluma is a hyaluronic filler filler of the Juvederm VYCROSS series from the famous global corporation Allergan. Juvederm Voluma is designed specifically for volumetric facial correction. Has one of the highest lifting potentials. It is used to replenish lost volume in the area of the cheekbones, cheeks, for chin contouring, as well as non-surgical rhinoplasty. The gel elegantly restores clear facial contours. Juvederm Voluma is used by doctors at our clinic in contouring procedures and is the drug of choice in the presence of deep wrinkles on the skin, loss of tissue volume, and incipient and severe ptosis. The filler is introduced either into the deep layers of the epidermis or deep periosteum. The drug can be administered either by injection or using a cannula.
Features of Juvederm Voluma filler
Juvederm Voluma is synthesized using the latest Vycross technology. As part of this technology, long and short chains of hyaluronic acid are linked to each other, which leads to an increase in the viscosity of the gel and, accordingly, increases the duration of the effect.
Juvederm Voluma contains three main components: hyaluronic acid with a concentration of 24 mg/ml, a phosphate buffer that prolongs the effect of the drug and reduces swelling of tissues after injections, and lidocaine, which allows the procedure to be carried out without additional pain relief. Juvederm Voluma has a high degree of safety, since hyaluronic acid is of non-animal origin, which allows it to interact unhindered with tissues, and the gel is well absorbed by the skin.
Juvederm Voluma is a biodegradable gel that is completely broken down by skin enzymes over time and removed from the body without harm to health.
Biorevitalization Juvederm Hydrate: reviews
The biorevitalization technique allows you to prolong the youth of your skin by introducing medicinal components into it. Unbound hyaluronic acid (native) is most often used as the main component of such products. Allergan Inc. produces 2 drugs that can be used for biorevitalization - these are “Juvederm Hydrate” and “Juvederm Volite”.
Juvederm® Hydrate –
Juvederm Hydrate is a gel based on native (i.e. unbound) hyaluronic acid of non-animal origin. The drug contains hyaluronic acid – 13.5 mg/ml, and mannitol – 9 mg/ml. As we said above, the life cycle of native hyaluronic acid molecules is only 24-48 hours, i.e. It is during this time that the HA content in the skin will return to its original state. Mannitol is an antioxidant that slightly slows down the rate of breakdown of HA chains, making the drug last a little longer.
Indications for use: the need to quickly improve hydration and, to some extent, skin elasticity, for example, after prolonged exposure to the sun, after exposure to adverse meteorological and toxic factors, in smokers. This effect develops due to the fact that the increased concentration of HA leads to the saturation of the dermis with water, and the function of endothelial cells is also activated. Improving the function of these cells stimulates angiogenesis and improves blood supply to the skin.
Administration technique - the drug is administered using a series of microinjections - to the depth where the epidermis passes into the superficial layer of the dermis. The needle insertion points are located at a distance of 3 mm from each other, the volume of the injected solution for each injection is 0.01 ml. Traditionally, doctors recommend 3-4 procedures (with a break of 3-4 weeks between them). The cost of 1 syringe of Juvederm hydrate for biorevitalization is the price of 4,000 rubles per 1.0 ml. The cost of the procedure in the clinic will be at least 10,000 rubles.
You must understand that Juvederm Hydrate for skin biorevitalization is not able to influence the collagen content of the skin, and therefore it is not a remedy for wrinkles. However, saturating the dermis with water can lead to an increase in skin thickness, which still causes a slight smoothing effect of wrinkles. The effect of increasing skin elasticity also occurs due to the increase in water content in the dermis, and the improvement in the appearance of the skin mainly occurs due to improved blood supply to the skin.
→ Official instructions for Juvederm Hydrate
Juvederm® Volite –
Juvederm Volite gel has been available since 2022. It differs from Juvederm Hydrate in that it is made with cross-linked non-animal hyaluronic acid. Thanks to this, it has a combined effect - it can be used both as a filler to fill superficial wrinkles, and as a means to increase skin hydration and elasticity. In the latter case, it is administered through a series of microinjections once every 9 months, but it should be noted that native unbound HA has a significantly stronger moisturizing effect than bound HA. The only advantage is that the drug does not require a course of treatment consisting of several injections.
The content of hyaluronic acid in it is 12.0 mg/ml, and it also contains 0.3% of the anesthetic lidocaine. Needle size 32G. The gel is injected into the middle layers of the dermis. The drug has been approved for administration to the face and neck, but in principle can be used in the décolleté and arms. There are currently no independent clinical studies on the effectiveness of the drug. However, a study conducted by the manufacturer involving 131 people showed that improvement in skin condition was observed after 1, 4 and 6 months. We consider this drug to be a purely marketing product and not suitable for biorevitalization procedures.
Reading the results published by the company, it is absolutely not clear whether the drug was used as a filler or as a biorevitalizant, what exactly was meant by improvement (whether it was smoothing out wrinkles, increasing elasticity or improving the appearance of the skin). But most importantly, the published information lacks objective criteria for its effectiveness. For example, comparison of hyaluronic acid content in skin samples taken before injections and 1, 3 and 6 months after injections could be considered objective criteria. The cost of Juvederm Volite is from 13,000 rubles per package (2 syringes of 1.0 ml each are included). The cost of the procedure in the clinic will be no less than 13,000 rubles per 1.0 ml.
→ Official instructions for Juvederm Volite
Juvederm Hydrate and Juvederm Volite injections: video
When you watch the first video, pay attention to the depth of the needle. According to the rules of Juvéderm Hydrate, it should be injected to a depth at which the epidermis passes into the upper layers of the dermis. It can be seen that in those places where the doctor inserts the syringe too deeply, vascular injury occurs. In this case, the risk of hemorrhage is higher and the healing time increases. After injection of Juvederm Hydrate, small papules will be visible on the skin for 3-4 days.
Complications after biorevitalization procedures are quite rare, and one of the most unpleasant is associated with the individual reaction of the skin to skin damage as a result of injections. You can easily find reviews on the Internet of patients who have barely noticeable bumps on the skin at the injection sites. Any injury in the skin activates a healing mechanism; in some patients this occurs with elements of fibrosis. Therefore, in patients in whom even minor skin damage has occurred with the formation of scars, it is better not to use this procedure.
Reviews about the biorevitalization procedure –
Reviews for Juvederm Hydrate biorevitalization will depend on the level of your expectations. If your goal is to quickly improve the appearance of your skin and make it more radiant (improve color, even out the texture a little), or you want to slow down skin aging, then you will certainly be satisfied. If you need express lifting or reducing the depth of wrinkles, then these drugs are not suitable for this.
But you shouldn’t believe cosmetologists who, in a rush to sell you a procedure, will advertise it as a remedy for wrinkles, or that it will help increase the collagen content of the skin. Mono-preparations of hyaluronic acid (not containing peptides, DNA-RNA complexes or DMAE) are not able to stimulate fibroblast function and collagen synthesis. You can read about this in the article on biorevitalization at the link below. But they stimulate blood circulation in the skin well, and also saturate the dermis with moisture, which increases its volume and improves skin elasticity.
To summarize, Juvederm Hydrate, containing only 13 mg/ml hyaluronic acid (equivalent to 1.3%) - in our opinion, is only suitable for patients about 25 years old for single procedures to prevent photoaging and age-related aging, or if you have been over-tanning for a long time. sun, or in winter, skin is dry from central heating. For patients 26-35 years old, we believe that higher concentrations of GC would be more appropriate - already about 1.8-2.0%.
In patients aged 35+, who usually already need express skin lifting and reduction in the depth of wrinkles, Juvederm Hydrate will not help with anything other than slightly improving skin color. But even in this case, it must be used in a course of 3-4 procedures. For patients 35+, for skin lifting and wrinkle reduction, components such as DMAE or DNA-RNA complexes are necessary. Read more about biorevitalization procedures using such drugs at the link below.
→ Biorevitalization and types of aging
Important: preparations with hyaluronic acid are suitable for biorevitalization procedures only in patients with finely wrinkled type of facial skin aging. If you start using HA for deformation/edema type of skin aging, you will only worsen the swelling and deformation of the face. Therefore, in patients with deformational type of aging, lymphatic drainage vascular injection of the face always comes first, together with biorevitalizants based on DNA-RNA complexes, DMAE, and only at the end of a course of treatment of 4-5 procedures can they add small concentrations of GC to the composition of the administered drugs (and then no more than 0.3-0.5%).
Using the link above, you can also read independent clinical studies that show that injections of mono-preparations of hyaluronic acid (or with additional vitamins) do not lead to an increase in collagen content. These data were obtained by analyzing histological skin samples taken before and several months after the injections. The only thing that was discovered was that a slight increase in collagen content occurs only at the points where the needle injures the skin during injection. Those. this is not due to hyaluronic acid, but to the healing mechanisms of damaged skin. By the way, this is precisely the principle used by laser skin rejuvenation techniques.
→ Skin rejuvenation with Fraxel lasers
Effectiveness of Juvederm Voluma
The filler effectively affects areas with a lack of soft tissue, while simultaneously modeling the oval of the face and intensively moisturizing the skin. Juvederm Voluma filler has shown excellent effectiveness in correcting the middle third of the face. It is also used to correct the contours of nasolabial folds and remove wrinkles around the lips. During a clinical trial of the drug, participants noted that after the injections they felt 5 years younger.
The first results after the injection of Juvederm Voluma filler are noticeable immediately after the procedure. The unique formula of Juvederm Voluma and its plasticity ensure the most long-lasting results that last for 18 months.
Juvederm: price for 1.0 ml
For Juvederm injections, the price is calculated based on the amount of gel required. The prices below are based on 1.0 ml of gel –
- Juvederm® Ultra 2 – from RUB 12,000.
- Juvederm® Ultra 3 – from RUB 13,000.
- Juvederm® Ultra 4 – from RUB 13,500.
- Juvederm® Voluma – from RUB 14,500.
- Juvederm® Volbella – from RUB 14,500.
- Juvederm® Volift – from RUB 14,500.
- Juvederm® Hydrate – from RUB 9,000.
- Juvederm® Volite – from 13,000 rubles.
What fillers are included in the series, and what is each of them intended for?
Juvederm fillers are widely known due to the wide range of drugs produced under this brand. This aspect is an indisputable advantage, since it makes it possible to implement an individual approach to solving the problem of each patient. The products differ from each other in their density and amount of hyaluronic acid content. There are several main lines of Juvederm fillers.
First generation drugs are numbered; the higher the number, the higher the concentration of hyaluronic acid..
Juvederm 18 – intended for:
- removal of fine wrinkles on the forehead;
- reduction of facial wrinkles in the corners of the lips;
- filling the finest wrinkles.
Juvederm 24 – used for:
- correction of shallow expression wrinkles;
- smoothing wrinkles on the forehead;
- filling shallow glabellar and nasolabial folds;
- outlining the contour of the lips.
Juvederm 30 is the most concentrated preparation of this line, with which you can:
- get rid of well-defined deep folds;
- remove nasolabial folds;
- increase lip volume;
- change the shape of your lips;
- correct the oval of the face.
In order to improve existing drugs, the gel density was increased. In this way, it was possible to extend the duration of the injection. Fillers from this line are labeled HV .
Juvederm HV is a high-viscosity base gel that has a “long-lasting” effect. Serves for:
- correction of linear wrinkles;
- combating wrinkles on the skin.
Juvederm 24 HV (Juvederm 24 HV) – used for:
- correction of nasolabial folds;
- elimination of wrinkles of medium depth.
Juvederm 30 HV is the thickest filler in this group. It is applied for:
- correction of facial oval;
- increasing lip volume.
The new series of Juvederm preparations is developed based on the innovative patented 3Matrix technology. They contain intermolecularly bound hyaluronic acid and lidocaine. Fillers are marked Ultra . The numerical code indicates the degree of effectiveness - the higher the number, the higher the degree of complexity of the problems being solved.
Juvederm Ultra 2 is intended for introduction into the superficial layers of the dermis to:
- remove fine wrinkles on the forehead, around the mouth;
- eliminate crow's feet near the eyes.
Juvederm Ultra 3 is injected into the upper and middle layers of the dermis. Is used for:
- smoothing wrinkles on the forehead and cheekbones;
- lip contouring.
Juvederm Ultra 4 – used for injection into the middle and deep layers of the skin. Effective for:
- elimination of pronounced nasolabial folds;
- correction of facial oval;
- increasing lip volume.
Juvederm Ultra Smile – designed for lip correction:
- contour delineation;
- increase in volume;
- alignment of corners;
- treatment of vertical wrinkle lines;
- elimination of nearby wrinkles in the mouth area.
In addition to these groups, there are several “niche” drugs in the Juvederm family.
Juvederm Voluma is designed to add additional volume to the cheekbones, cheeks and chin. Serves to restore a clear facial contour.
Juvederm Hydrate is the latest development from the manufacturer, including HA and mannitol. This filler is designed to additionally moisturize the skin and is used for biorevitalization.
Juvederm Volbella is the latest product using advanced HA molecules. Designed for plastic surgery in the lip area.
Features of application
The filler injection process itself lasts about 30-60 minutes and involves several subcutaneous injections.
The procedure is painless for most patients, as cosmetologists use external freezing to eliminate discomfort.
The Voluma XC line of fillers has added lidocaine in small volumes, which plays the role of an anesthetic for injections.
When testing the drug, patients received up to 7 syringes of filler - all injections were free. This is a large amount, so fewer shots are usually needed on average.
The exact amount of the drug is determined for the client individually depending on his age, weight, genetics and other characteristics of the body.
The opinion of cosmetologists is something like this:
“For a young patient, it is recommended to start with ½ syringe on each cheek, for older patients - 1-2 syringes. If the effect is insufficient, then the doctor will give additional injections during the second appointment.”
Safety and Precautions –
The use of Juvederm for cosmetic purposes is approved by the FDA (the most prestigious US medical organization for monitoring the quality of medications). This drug has a very high safety profile, but it should not be used in patients who are severely allergic to anything. Also, you should not inject the gel into the soft tissues of the face, which currently have an active inflammatory process. Juvederm should only be administered to a patient by a doctor, and in no case by nursing staff.
The most common side effects are: hematomas, redness, pain, hardness of the soft tissues of the face at the site of gel injection, swelling, bumps, itching of the skin. Most side effects do not last long and are not severe, disappearing within a maximum of 7 days. However, there are also complications such as granulomas that arise in soft tissues as a reaction of the body to a foreign body. This is a serious complication that requires injections of an enzyme that breaks down the filler, as well as the use of corticosteroid tablets. We hope that our article was useful to you!
Sources:
1.
, 2. Personal experience with fillers, 3. National Library of Medicine (USA), 4. https://www.juvederm.com/, 5. “Cosmetic dermatology” (L. Bauman), 6. “Injection methods in cosmetology” (B. Asher), 7. “Anatomy & volumizing injections” (Nabila Azib, Philippe Berros, Frederic Braccini, Olivier Claude).
Result:
- reducing the number and depth of wrinkles;
- full lips with a clear contour;
- smoothing the nasolacrimal groove;
- reducing the severity of swelling under the eyes;
- clearer oval face;
- reduction of skin sagging;
- high cheekbones;
- a younger and refreshed face.
For more detailed information about the services at the Center for Laser Medicine and Cosmetology “LS CLINIC” and to make an initial appointment, call:
,
or make an appointment online:
Contraindications
Before performing this procedure on a woman, cosmetologist specialists are obliged to warn her that fillers have a number of contraindications.
List of conditions for which Juvederm Voluma injections cannot be given:
- Autoimmune diseases,
- Allergy to lidocaine,
- Acute viral diseases, influenza, ARVI,
- Predisposition to scars
- Pregnancy and lactation,
- Age under 18 years.
- Skin inflammations
- Laser rejuvenation procedures,
- Chemical peeling.
What other products from the Vycross™ line do you use in your daily practice?
I really like Juvéderm® VOLIFTTM and the latest is Juvederm® Volite. I believe that there is no substitute for Juvederm® Volite on the market. This is a kind of bioretard that allows you to optimally and evenly supply the skin with hyaluronic acid for six months, moisturize it and help improve all processes that occur in the skin. This is a unique drug that allows you to achieve optimal hydration and skin quality. There are no analogues to it, and I also really loved this drug!
Share:
Have you encountered complications in your practice after the administration of Juvéderm® VOLUMATM?
What causes complications and what causes them? One of the main reasons for complications of contouring is the use of low-quality products.
No matter how well the doctor administers a bad drug, complications will arise. But even a good drug can be administered poorly. Even a good drug can be compromised by poor technique.
This is what we can achieve with Juvéderm® VOLUMATM. A good drug, but administered with poor technique, causes complications. That is why the Allergan company pays so much attention to the detailed, structural, systematic education of doctors. No company in the country conducts so many master classes or demonstrates optimal training activity. Moreover, I want to note that Allergan in its materials assumes a systematic approach, and everything that we tell our listeners and students undergoes repeated testing and verification at the highest level.
Reviews about the drug
Contour plastic surgery using Juvederm Voluma filler is considered an effective modern method of skin rejuvenation and tightening. But you need to understand that no matter how strong the desire to correct the shortcomings of your own appearance, you cannot ignore contraindications.
The opinions of cosmetologists about the Juvederm product line agree that it has proven itself well in cosmetology and is rightfully considered one of the best lines of gel fillers with hyaluronic acid.
If this drug or the technique of its use aroused your interest, or you have already done contouring using Juvederm gels, leave your review under the article in the “Comments and Reviews” section.
Your opinion and experience are important to us!
Correction of appearance using Juvederm injections
A cosmetic procedure, during which the gel is injected into the dermal layer of the skin using a syringe with a thin needle or cannula, lasts no more than 30 minutes. Minor redness, swelling and soreness of the skin may be observed for 2-3 days after the injection. Signs of injection intervention, according to reviews of Juvederm, disappear after a few days without the use of special therapy. In rare cases, nodules may appear at the injection site: you should notify your doctor about this side effect of Juvederm as soon as possible.
The duration of action of Juvederm for lips lasts 6 months - due to their high saturation with capillaries, for all other areas of the skin - about 9 months. On the earlobes, the results of correction last for 1.5-2 years. In general, the duration of the drug’s effect depends on the skin type, the technique used and the individual characteristics of the patient’s skin.
If after performing the procedure there are no complications in the form of swelling, the effect is noticeable immediately. Otherwise, it will take up to a week to see full results.
The retention period of the result depends both on the individual characteristics of the patient and on the type of drug administered.
Juvederm gradually dissolves, helping to reduce the effect it produces. If you are not satisfied with the result of the procedure, and you want to get rid of the resulting effect as soon as possible, resort to the hyaluronidase enzyme, which will artificially speed up the resorption of the drug.
Operating principle
Fillers, which include Juvederm preparations, are transparent biogels intended for intradermal injections. To understand how these products work, you need to understand the causes of skin aging and wrinkles.
A comparison of dermal tissue with an orthopedic mattress would be appropriate here. Its elasticity depends on the strength of the springs and the quality of the filler, which fills all the free space inside the mattress cover. While the mattress is new, all its parts hold their shape well, the cover is taut, and in the event of any dent, it immediately returns to its original position. But as soon as the spring stretches, the inner layer sag, and the appearance is completely different. Folds, depressions, and creases appear.
Similar processes occur in our skin. Important here are collagen and elastin fibers, which hold the tissue frame like springs. But the main role is played by hyaluronic acid, which is part of the intercellular substance that fills the space between the protein threads. HA is able to attract and hold a large number of water molecules near itself, transforming the liquid into a gel-like state. Thus, it moisturizes the skin and creates a viscous, elastic environment, holding the main components of connective tissue in the correct position.
Understanding the importance of HA for maintaining optimal skin condition, many manufacturers of anti-aging and modeling products have relied on using it as the main active ingredient in their products. This substance is also included in the composition of gel fillers that are used in contour plastic surgery.
