JUVÉDERM Vollure™ XC

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Everyone inevitably goes through the process of aging, whereby we lose the collagen, fat, and skin elasticity that made us look youthful, in exchange for wrinkles, droopiness, and hollowness that make us look old and tired. However, nobody has to go through it alone. JUVÉDERM Vollure™ XC is an invaluable tool in the fight against aging, as an injectable filler that can revive your youthful glow as naturally as breathing.

WHAT IS JUVÉDERM VOLLURE™ XC?

JUVÉDERM Vollure™ XC (familiarly known as Vollure) is an injectable dermal filler that treats deep-set wrinkles and signs of aging in the lower part of the face. As a member of the esteemed JUVÉDERM family of fillers, Vollure is an innovative product that successfully corrects moderate to severe facial wrinkles and folds for a gentle and effective enhancement with long-lasting results. This well-balanced treatment will surely not disappoint.

Vollure is a HA (hyaluronic acid) based filler that has the consistency of a smooth gel, and has a long-lasting restorative effect on these classic signs of aging. HA is a naturally occurring substance found in the skin. Vollure utilizes a modified form of HA via Vycross® technology (which makes the material smooth versus granular, allows for deeper injection, and makes the material more durable). HA works by absorbing water (making the skin softer and suppler),  delivering nutrients to the skin, and volumizing treated areas.

WHY VOLLURE AND HOW DOES IT WORK?

Vollure works by relying on the main ingredient, the HA, to add volume and fullness to injected areas (as suggested by the name “filler”). HA acts like a sponge, in that it takes in moisture and expands to physically fill out lines and hollows. Filler is administered via fine needle injections to areas of interest, and is able to mimic natural facial fullness by binding to water and offering hydration and volume in return. Further, the injected HA induces your own collagen production which results in smoother and more supple results. The improvement will be so subtle that everyone will notice, but nobody will know.

WHAT ARE THE CREDENTIALS OF VOLLURE?

JUVÉDERM Vollure™ XC is manufactured and sold by the illustrious pharmaceutical company, Allergan. The FDA (Food and Drug Administration) approved Vollure for correction of moderate to severe facial wrinkles and folds via deep injection in March 2017, making it one of the newest additions to the JUVÉDERM family. It is the first filler indicated for treatment of nasolabial folds using the Vycross®  technology, and the balance and durability of the material is quite noteworthy.

WHAT AREAS CAN BE TREATED WITH VOLLURE?

Vollure is designed for correcting moderate to severe facial wrinkles and folds in the lower face, particularly the deep parentheses lines (laugh lines, or nasolabial folds) that go from the nose to the corner of the mouth. This is because Vollure can treat this ailment at a depth that cannot be targeted by most other fillers. Other areas that can benefit from this impressive filler include marionette lines (those that go from the corner of your mouth to your chin), oral commissures (extension of the laugh lines), smile lines, jowls, and more. Vollure is also able to be quite useful for treatment and enhancement of lips as well, making it quite versatile.

WHAT SHOULD I EXPECT FROM JUVEDERM TREATMENT?

It is comforting to know what to expect with a treatment that includes needles in the face, so we have detailed pre- and post- treatment instructions below so our clients can come into their appointments confident and ready.

It is highly recommended to consult with one of our aesthetic professionals here at Lavande prior to booking your filler appointment. This is to determine the best course of action for your aesthetic needs, determine which filler is right for you and your skin type, and to prepare you for your filler appointment. In preparation, we ask that you abstain from taking bloodthinners or non-steroidal anti-inflammatory medications (such as alcoholic drinks, Ibuprofen, Aspirin, Advil, Aleve, Fish Oil, Vitamin E, and others) for a couples days before treatment. This will lower the possibility of thinner blood causing bleeding, bruising, and swelling during/following treatment. In addition, we here at Lavande will offer our filler clients complimentary Arnica, which is a natural oral medication that has anti-inflammatory properties and will further prevent the likelihood of bleeding, bruising, and swelling. This should also be taken starting a couple days before treatment.

When you come in for your treatment, if a personal evaluation synthesizing your medical history and aesthetic goals had not been completed before, it will be done at that time. We here at Lavande want to make sure you are a candidate for this treatment as well as confident about your decision to proceed with the injectable gel treatment. The treatment area will be examined by our skilled and knowledgeable practitioner before injection, and private “before” pictures will be taken for comparison purposes and kept in your profile. Once examined the treatment area will be prepared by being cleaned with antiseptics, and a topical BLT (Benzocaine, Lidocaine, Tetracaine) numbing agent will be applied to sit for 30 minutes.

During treatment, our provider will begin by determining the most strategic injection sites that adhere to your aesthetic goals and needs. Using a fine gauge needled syringe, our provider will skillfully and softly begin injecting small amounts over multiple injection sites, while pausing for short intervals of time between injections to allow for the lidocaine numbing agent present in the gel to take effect. Also in between injections, our provider may rub injection sites with their fingers to mold the desired result with the filler and make sure the gel is distributed evenly under the dermis. They will also provide clients with a mirror to watch the smoothing and revitalizing of their skin take effect in real time, as well as to provide constructive feedback. Finally, an ice pack will be provided to clients to apply until they get home, in order to minimize pain and swelling. In total, the treatment should take about 30-60 minutes, but we will book the full hour in order to assure that all client needs are met and all questions answered.
Recovery time following JUVÉDERM Vollure™ XC treatment can be anywhere from a day to a week. Most people can resume daily activities following treatment, although they might have slight swelling immediately following treatment. Some clients develop bruises after about a day, and this can take anywhere from 3 days up to 5 days to subside. For the first 24 hours, it is recommended to avoid exposure to sunlight and high temperatures, and also to abstain from strenuous exercise and drinking alcohol, in order to evade any increase in redness, itching, swelling, and to avoid filler breakdown. Clients are advised to make a follow-up appointment for 1 month after filler treatment in order for our aesthetic professionals to examine treated areas and assure appropriate targeting of problem areas, evenness of treatment areas, and to determine whether more filler would be recommended.

WHEN CAN I EXPECT TO SEE VOLLURE RESULTS?

Clients can watch the HA gel work its magic during the treatment, witnessing revitalizing and smoothing with a mirror provided by our practitioner. Improvement is visible immediately following treatment, however the full result will not be visible until about 4 weeks following treatment. This is because swelling inflates results right after treatment, and it takes time for the HA to absorb moisture and for new collagen to form. It will take about a month for swelling to go down, the material to fully settle, and collagen production to be to successful; only then will the final result be present and touchups can be pursued.

HOW LONG DOES VOLLURE LAST?

A majority of subjects enjoyed results for up to 18 months in the clinical trials (this longevity in comparison to JUVÉDERM® Ultra Plus XC is due to patented Vycross™ technology). However, results will vary for clients depending on multiple unique factors including their metabolism (how fast their body naturally breaks down the material), their aesthetic goals, and more. Most people experience the benefits of Vollure for about 1 year to 18 months, after which they are welcome to get additional injections for maintenance, cumulative benefits, and prolonged benefits. Due to the long-term benefits of collagen production, future treatments can be less frequent and may require less filler to achieve the same result.

Frequently Asked Questions (FAQ)

Recommended amounts of filler vary depending on client personal aesthetic goals, volume loss, skin thickness, and more unique defining factors. Clients with more volume and collagen loss will need more filler to attain desirable results. Clients with thicker skin might be recommended more filler, or a different type of filler that will provide their skin with more support and lift. Certain clients want a natural look, therefore they might be recommended less filler, whereas clients that want dramatic changes will be recommended more filler. There is a delicate balance between type of filler, amount of filler, and clients needs that will need to be addressed by our professional and knowledgeable staff here at Lavande before proceeding with your injectable treatment.

Due to the fact that Vollure’s main ingredient, HA, is a naturally occurring substance in our bodies, the results of using this material for cosmetic purposes is actually quite natural. The HA will simply provide support in place of lost volume, collagen, and fat, which allows for a youthful and natural result. Further, the soft nature of the gel filler is made to mimic the suppleness of youthful skin (which is why particular fillers with particular thicknesses will be recommended for different areas of concern). People can of course achieve a more dramatic look by request, but a natural look is absolutely within reach.

The second main ingredient present in Vollure is 0.3% of the anesthetic lidocaine, which serves to make the injection experience smoother and more comfortable. Of course, perception of pain is a unique experience for everyone, but most clients will only feel a mild discomfort due to the combined numbing of the topical and injectable anesthetic that accompanies the procedure. Areas with thinner skin, such as around the mouth, will be slightly more sensitive as well. Further, the cooling effect from the ice that will be applied to the area following injections helps reduce any pain at injections sites.

Most side effects will be moderate or mild, and should last no more than a week or two. Side effects such as tenderness, redness, swelling, and bruising at injections sites might be immediately visible, of course only minimally, and can be covered up with makeup. Other common side effects include firmness, lumps/bumps, itching, and discoloration. If you are worried about any side effects, please feel free to make an appointment to meet with one of our professional providers or to give us a call at (760) LAVANDE (528-2633) to discuss your concerns.

There are various other filler options available at Lavande, and we invite clients to discuss these options with our experienced and insightful staff before proceeding with treatment. Most fillers are made with the same natural HA ingredient, but others have different chemical makeups to achieve similar results that are useful for certain circumstances and needs. Even among the HA fillers, there is lots of variation between added compounds, gel consistencies (spectrum of thinner to thicker fillers), designation of depth of injection, and more. Even in a single treatment, different fillers might be recommended for different needs (such as a thicker filler for your cheeks and a thinner filler for your lips), so it really is best to come in for a consultation for full understanding of recommendations first.

The other available fillers include JUVÉDERM® Ultra Plus XC, JUVÉDERM Voluma® XC, JUVÉDERM Volbella® XC, Restylane®, Restylane® Lyft, Sculptra® Aesthetic, Radiesse®, Belotero Balance®, and others. Certain situations might have recommendations that deviate from filler options.

Filler, as the name suggests, will physically fill out any lines, wrinkles, and hollows you may see. However, Botox as a neuromod is meant to simply relax underlying muscles by blocking nerve impulses and therefore prevent the formation of said lines and wrinkles. Filler is usually made from a natural ingredient that already exists in the body, but Botox is made from a neurotoxic protein. Filler is indicated for injection in the mid and lower parts of the face, and Botox is indicated for injection in the upper part of the face. Filler results will last up to a year, Botox results will last up to 3-4 months. Most clients will get a combination of filler and Botox treatments for optimal results.

Not to fear, there is absolutely a method for dissolving HA filler via injection of the enzyme hyaluronidase. This enzyme is another naturally-occurring substance found in the body (therefore it is safe and effective) that is able to degrade hyaluronic acid (HA) by catalyzing the bodys ability to absorb the material. This option is available per client desire, such as for clients that might be unhappy with their injectable filler injection, and per client need, such as clients that have an adverse reaction to the filler or those that have filler injected in a blood vessel. If HA filler is inadvertently injected in a blood vessel, it can cause negative side effects such as skin ulceration, breakdown, and necrosis, but thankfully hyaluronidase can reverse these effects. It is recommended to get this antidote at the institution that did the injection.