When it comes to dermal fillers, there are few as versatile and well known as Juvederm®. Houston-area women and men may already be familiar with the name thanks to any one of a number of products in the Juvederm® family, all of which are designed to add temporary volume to the face for a more youthful look.
At Nuveau Medical Aesthetics, Dr. Christine Cheng offers many Juvederm® formulations, depending on the areas treated. Two of the newest formulations, Voluma® XC and Volbella® XC, are hyaluronic acid-based gels, though each has unique properties that make it especially suited for specific regions of the face. The "XC" in their names indicates that these Juvederm® products contain a small amount of lidocaine, which serves as an anesthetic to decreases sensation at the injection site.
This member of the Juvederm® family is used to replace volume lost over time in the mid-face. While youthful cheeks tend to be round and high, with curves in the area known as the "apple," the gradual shifting and destruction of collagen and fat lead to flat patches, sunken areas, and even jowls lower on the face. The inward collapsing of the bone structure also plays a big role in patients appearing older. Without the pronounced structural support of the apple, tissue can loosen and sag.
Under ideal conditions, the results of Juvederm Voluma® XC can last up to two years. Dr. Christine Cheng often uses it as part of a "liquid facelift," which combines a variety of nonsurgical treatments—such as BOTOX® Cosmetic—working in combination to provide an overall rejuvenated and refreshed look.
While Volbella® XC adds volume like the other Juvederm® products, it's intended for subtle augmentation of the lips, whether they need a boost because they are naturally small or they have thinned over time. The "lip gloss" look is ideal for women whose lips are their original size and shape, but have lost volume.
Volbella® XC can also be used to smooth out fine lines and wrinkles around the mouth. Results for both the wrinkle treatments and added lip volume can last for up to a year. The effect is subtle, but noticeable. Volbella® XC has quickly become Dr. Cheng's go-to product for subtle, beautiful lip enhancement. Due to the unique, soft consistency of Volbella® XC, patients report much less discomfort during treatments.
Both of these injectables are made with Allergan's proprietary Vycross® technology, which—to get technical—blends different weights of hyaluronic acid to create a gel that is both smooth and long-lasting. Hyaluronic acid is a naturally occurring substance that provides moisture wherever it is found throughout the body—from the skin to the joints to the eyes—thanks to its water-retaining abilities. The Juvederm® formula has the same benefit, as the hyaluronic acid molecules hold onto water molecules to create a gel that is easily injected and that adds a natural-looking volume in the face. Of course, the skill of the injector is also a significant factor when it comes to natural-looking results. Patients are encouraged to choose a provider who has experience with the products and a thorough knowledge of facial anatomy and how different treatments can combine to provide the best results possible for a unique face.