Facial contouring with Juvéderm® VOLUMA™: recommendations from expert Igor Rudenko

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.

WHAT IS JUVEDERM VOLUMA

With age, a person's appearance undergoes changes, which are primarily reflected on the face. Cosmetology products, fillers, which are an alternative to plastic surgery, help solve the problem. One of these products is Voluma Juvederm, which you can read more about on plastichno.com.

The use of Juvederm Voluma can improve the appearance of the following areas:

• nasolabial folds;
• cheekbones;
• cheeks;
• chin area and others.

The product, packaged in sterile 2 ml syringes, contains three components:

1. Hyaluronic acid, responsible for replenishing volume, providing hydration and promoting tissue regeneration processes.
2. Phosphate buffer is a substance responsible for stabilizing hyaluronic acid, helping to maintain the effect of the injection longer.
3. Lidocaine is an anesthetic drug.

All components of the filler are included in the optimal dosage, allowing injections without additional pain relief.

You train specialists by talking about Juvéderm® VOLUMATM, what do you pay attention to?

Both those doctors who are just starting out and those who have been working with Juvéderm® VOLUMATM for a long time must first of all understand where and how to administer the drug correctly. The technique of administering the drug itself is relatively simple, but understanding where the drug needs to be applied and in what quantity, creating an individual approach and avoiding cloning “made” faces that are already boring to our eyes - this, I believe, is the art of the doctor. And, of course, Juvéderm® VOLUMATM, like the entire Vycross™ line, allows us to conduct an aspiration test, which gives us the opportunity not to inject the drug into the vessel, and this is extremely important. Therefore, the doctor must have the skills to diagnose, treat and, first of all, think about safety.

INDICATIONS AND CONTRAINDICATIONS VOLUMA JUVEDERM

Indications for the administration of Voluma Juvederm are defects in the appearance of the lower part of the face:

• deep nasolabial folds;
• lack of volume on the cheekbones;
• loss of clarity of the oval of the face;
• sagging tissue in the chin and cheeks.

The condition of the skin and the need for correction depends not only on age. It is influenced by hereditary predisposition, external factors, diseases and injuries.

The introduction of fillers also has a number of contraindications. Among them are the following:

1. Individual intolerance.
2. Unhealed skin lesions in the treatment area.
3. Age under 18 years.
4. Dermatological diseases.
5. Diabetes.
6. Oncological diseases.

Ultra 3

A little denser in structure. It removes medium wrinkles and folds. The drug well corrects the shape and volume of the cheekbones, lips, and cheeks.

A transparent plastic gel that is highly resistant to decomposition in tissues, due to which the drug retains its volume and shape at the injection site for a long time. The effect of its action is observed for up to 1 year.

PROCEDURE FOR APPLICATION OF THE PRODUCT

The use of the correction drug Voluma Juvederm is carried out in accordance with the instructions:

1. Removing makeup and cleansing the face.
2. Antiseptic treatment.
3. Opening the package with the product.
4. Attaching the needle included in the kit to the syringe.
5. Removing the protective cap from the needle.
6. Administration of injections.
7. Massage the area of ​​the face where the product was injected.

The expiration date of the filler must be checked before use. For one zone, no more than 2 ml of the product should be injected, and the injection itself should be performed slowly. The dose of the drug is selected taking into account the zone, its size and the necessary correction.

What makes products based on Vycross™ technology different from other hyaluronic acid fillers?

I would like to say that Vycross™ technology is unique in its kind, and this opinion is based on many years of clinical and scientific experience. Is this the first time we have a product that can be integrated into tissue? This is extremely important because the product, which is integrated into the tissue, does not migrate, is physiological, completely fills the adipose or dermal tissue, and allows us to achieve the unique effect of optimal distribution of the drug in the patient’s facial tissues. Thanks to this, we are able to plan and can be sure that the drug, once placed in the tissues, will not go anywhere, will not move, and we will not experience any complications.

Vycross™ is a drug that is easy to administer and is a good tool in the hands of a doctor.

They are pleasant to work with, they are perfectly modeled, and I will say that when you are already accustomed to drugs based on Vycross™ technology, another drug simply does not fit into your hand, and it seems that your hands are simply tied. And when you switch back to Vycross™, you understand what the difference is. Because these drugs are easy to administer, well modeled, and provide good clinical results.

"EIGHT POINTS LIFTING"

The filler is introduced in accordance with generally accepted techniques. One of them is called “Eight Points of Lifting”. It is based on holistic processing of the face at the corresponding points located in the lower part of the face:

• on the cheekbones;
• on the chin;
• nasolabial folds.

With this treatment, the effect of the procedure is complex, allowing you to harmonize the face for a fairly long period - up to one and a half to two years. There are the following lifting points:

1. L1. Zygomatic arch.
2. L2. Zygomatic eminence.
3. L3. Anteromedial part of the cheek.
4. L4. Nasolabial fold.
5. L5. Labial-marginal fold.
6. L6. Premaxillary groove.
7. L7. Angle of the lower jaw.
8. L8. Parotid and submalar areas.

Ultra 2

It is considered the lightest and most flexible low-viscosity filler based on HA. It helps fight fine wrinkles, smoothes the skin, starts the process of tissue restoration, and models the lips. The drug is FDA certified.

Juvederm Ultra 2 is often used by clients who are undergoing plastic surgery for the first time.

The filler is suitable for people under 30 years of age. The effect of its use is as close to natural as possible.

PREPARATION AND REHABILITATION

The result of the injection of the Voluma Juvederm filler and how well the procedure itself and subsequent recovery will go depends largely on the patient’s compliance with a number of rules. At the stage of preparation for manipulation, it is necessary to be especially careful when taking medications. It is especially important to avoid the use of aspirin and vitamin C.

After the procedure, you should not use cosmetics for at least 12 hours. You need to try for a few days:

• spend less time in the sun;
• do not massage or squeeze your face;
• do not stay in very hot rooms;
• avoid temperature changes.

Saunas and baths are banned for half a month.

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

• “A cosmetologist recommended Voluma Juvederm to correct nasolabial folds. Deciding to have filler injected was not as scary as having plastic surgery. I have been pleased with the results for almost six months now. Of course, over time the procedure will have to be repeated.” Lina, 46 years old
• “I never liked the shape of my cheekbones. To choose a correction option, I had to study information on the Internet and consult at the clinic. The doctor advised me to try the Voluma Juvederm filler, which gives a reversible result. This method is suitable for those who want to improve the shape of their cheekbones, but are not ready to install implants.” Victoria, 27 years old

The duration of the effect depends on the characteristics of the body and the lifestyle that a person leads. The Juvederm line of products includes various products that are designed to solve many problems with appearance: from eliminating bags under the eyes to replenishing the volume of lips, cheekbones, etc.

Materials taken from Plastichno.com

Ultra Smile

Specially designed to correct the volume and shape of the lips. It gives them volume, makes them more expressive, and the surface becomes smooth and soft.

Juvederm Ultra Smile also helps improve drooping corners and wrinkles around the mouth.

The full effect after the cosmetic procedure can be assessed after 2 weeks, and the result from using Juvederm Ultra Smile will last up to 12 months.

Who is contraindicated for Juvederm Volux injections?

Juvederm Volux injections are prohibited:

• If you have cancer;
• Minors;
• Patients with epilepsy;
• Suffering from autoimmune diseases;
• Pregnant and lactating women;
• Diabetics;
• Suffering from blood diseases;
• For herpes;
• In case of pigment metabolism disorders;
• If you are allergic to the components of the drug;
• If there is a violation of the integrity of the skin or inflammation in the area where the injections will be administered;
• If previously, implants that do not biodegrade were introduced into the injection area;
• If the patient has a predisposition to the formation of keloids;
• In the presence of colds or exacerbation of chronic diseases.

Forms of release of Juvederm® fillers –

All fillers of this brand contain the anesthetic lidocaine 0.3%, but the concentrations of hyaluronic acid in them will be different and vary - from 15 to 24 mg/ml. In addition, depending on the technology of cross-linking HA molecules, fillers of this brand can be divided into 2 types. The first option is the Juvederm® Ultra series, which uses the traditional technology of cross-linking HA chains using cross-links.

The second option is the Juvederm® Vycross series of products, which uses innovative technology of short cross-links between chains of HA molecules. Juvederm fillers such as Volume, Volift and Volbella are made using Vycross® technology.

1) Juvederm® Ultra line of fillers –

• Juvederm® Ultra Smile - this filler is used primarily only to increase the volume of the lips and correct the contour of the red border of the lips. The gel has a low density, the concentration of hyaluronic acid is 24 mg/ml. The high elasticity of the gel ensures that after the injection you will not feel denser inclusions inside your lips. Needle size – 30G. The effect lasts about 6 months. Available in packs of 2 syringes (0.55 ml each), the cost of 1 pack is about 9,000 rubles.

• Juvederm® Ultra 2 is designed to be injected into the middle layers of the dermis and can be used to correct superficial fine lines around the eyes and around the mouth, as well as wrinkles between the eyebrows. This filler option is also suitable for correcting the contour of the red border of the lips. To increase lip volume, it should be used only if you plan to make a small amount of correction.

  The needle size marking is 30G. The concentration of hyaluronic acid is 24 mg/ml, the duration of the effect is about 6 months. The package contains 2 syringes of 0.55 ml each, the cost of 1 package is about 9,000 rubles.

• Juvederm® Ultra 3 – used for the correction of medium and deep wrinkles (optimally medium ones), nasolabial folds. But it can also be used to increase the volume of the cheekbones and cheeks, as well as correct the contour of the red border of the lips. The instructions say that the drug is also suitable for increasing the volume of the lip body, this is indeed true, but we believe that for these purposes it is still optimal to use the very first version of this filler (see above). The needle size marking is 27G.

  The gel has average density and elasticity and can be injected into the middle and deep layers of the dermis. The concentration of hyaluronic acid in it is 24 mg/ml. The duration of the effect is already from 6 to 9 months, which is ensured by its higher density compared to previous filler options. Release form - each package contains 2 syringes with a volume of 1.0 ml. The cost of 1 package is about 11,000 rubles.

• Juvederm® Ultra 4 – compared to previous filler options, Juvederm Ultra 4 has an even greater gel density. The drug should be injected only into the deep layers of the dermis. Indications for use: correction of deep wrinkles, nasolabial folds, but in principle it can also be successfully used to increase the volume of the cheekbones. Contains 24 mg/ml hyaluronic acid, needle size – 27G. The duration of the effect is 12 months. Release form - the package contains 2 syringes with a volume of 1.0 ml. The cost of 1 package is from 11,500 rubles.

2) Juvederm filler line using Vycross® technology –

• Juvederm® Volbella is intended for injection into the superficial and middle layers of the dermis using a 30G needle or cannula of the same size. Contains 15 mg/ml hyaluronic acid. The drug is intended for the correction of superficial wrinkles in the forehead and around the mouth, as well as increasing the volume of the lips and correcting their contour. Juvederm Volbella is made using Vycross® technology, the effect lasts about 12 months. The package contains 2 syringes of 1.0 ml each, the cost of 1 package is about 16,000 rubles.

• Juvederm® Volift is intended for injection into the deep layers of the dermis using 30G needles, or using 25, 27 or 30G cannulas. The main area of ​​application is moderate and deep wrinkles and nasolabial folds; it can be used to correct the volume and contour of the lips. The content of hyaluronic acid is 17.5 mg/ml. Juvederm Volift is made using Vycross® technology, the effect lasts up to 15 months. Release form - the package contains 2 syringes of 1.0 ml each, the cost of 1 package is about 16,000 rubles.

• Juvederm® Voluma - intended for introduction into the deep layers of the dermis, or periosteum. The drug is administered using 27G needles or cannulas. The concentration of hyaluronic acid is 20 mg/ml. Juvederm Voluma is made using Vycross® technology, the effect lasts up to 18 months. It is used exclusively to add volume to the soft tissues of the face in the area of ​​the cheeks and cheekbones. Release form - the package contains 2 syringes of 1.0 ml each, the cost of 1 package is about 16,000 rubles.

Important: the concentration of hyaluronic acid cannot be a criterion indicating the duration of the effect of the drug. For example, if you compare one of the Restylane® fillers with a HA content of 20 mg/ml to any filler in the Juvederm® Ultra line with a content of 24 mg/ml, you may erroneously conclude that the second brand will have a longer duration of action. This is absolutely not true, because... The duration of action of fillers largely depends on the number and type of bonds between HA chains that are formed during its chemical modification.

Juvederm biorevitalization procedures at Latum Clinic

A Juvederm session will last less than an hour, and practitioners will make the client's comfort their top priority. They will listen to any concerns you may have and answer any questions you may have. Most patients report a comfortable feeling, and sessions are usually short and painless. Juvederm has numerous reviews that talk about the effectiveness, reliability and safety of the cosmetic product.

During the session, the specialist injects the gel into the skin and gently massages the area to achieve a smooth and symmetrical spread. Temporary soreness and redness is normal but should not last longer than a day or two after the procedure.

In the first weeks after the session, it is important to carefully care for your skin. If you follow the recommendations of specialists, this will prolong the results obtained. Drinking plenty of water and eating a healthy diet will ensure your skin gets the nutrients it needs. Sign up for a consultation today!