{"id":402,"date":"2015-05-23T23:58:42","date_gmt":"2015-05-23T23:58:42","guid":{"rendered":"https:\/\/www.injectionartistry.com\/modesto-botox\/?p=402"},"modified":"2015-05-24T00:01:01","modified_gmt":"2015-05-24T00:01:01","slug":"voluma-disappeared-over-a-month","status":"publish","type":"post","link":"https:\/\/www.injectionartistry.com\/modesto-botox\/voluma-disappeared-over-a-month\/","title":{"rendered":"Voluma Disappeared over a Month?"},"content":{"rendered":"

Another public forum question which I will attempt to answer.<\/p>\n

Almost total Voluma absorption after only 5 weeks? What caused and does that mean hyaluronic products a no-go for me?<\/h1>\n

I had 1 vial of voluma–split between both facial cheeks and eye areas, and one perlayne split between both marionette areas 5 weeks ago and already the sunkeness around my eyes is returning–voluma should last at least a year–any suggestions as to why this happened? Does this mean I’m not a good candidate for any hyaluronic acid products? My injections performed by a very experienced plastic surgeon–little bruising, redness or after discomfort; immediate happy results. )-: thank you!<\/p><\/blockquote>\n

My Voluma <\/a>Answer:<\/h3>\n

I will attempt to answer your question from a community discussion standpoint. \u00a0Please see your own doctors in person for personalized medical advice.
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\n\u200bMuch of what an injector does with fillers is an art, thus the amount, the products, the location, and the method of placement is all different.
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\n\u200bI am currently mostly a cannula injector when it comes to Juvederm Voluma<\/a> and I still prefer the threading methods. \u00a0And for me, Voluma is not the only filler I use in the cheek. \u00a0I have found myself layering with Juvederm Ultra Plus XC, and also Belotero when needed for additional superficial shaping. \u00a0I used to inject this differently – using droplets of filler. \u00a0But my style changes from time to time and from patient to patient. \u00a0Thus I am speaking only from my experience, and my methods and thought process could be completely different from your plastic surgeon. \u00a0Please keep in contact with your plastic surgeon. \u00a0I think he\/she would appreciate an open dialogue. \u00a0I am answering this question as a public academic exercise for myself to see how my answer compares to others and to personally build up information sheets for my own patients. \u00a0Thank you for giving me the opportunity to participate.
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\n\u200bYour comment about Voluma disappearing in about a month’s period of time is a comment I hear from my own patients in my practice. \u00a0Much of the time, it isn’t because they were fast metabolizers of Juvederm Voluma. \u00a0But most of the time it is due to at least these four factors:
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\n\u200b1. The Juvederm Voluma softened over that time and lost some of it’s original projection. \u00a0This almost always happens in what I’ve seen. \u00a0Then the Voluma spreads out and becomes more of a diffuse appearance – more rounded \/ less angular. \u00a0this is what I mean from the title – the Juvederm Voluma evolves over the first few weeks.
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\n\u200b2. The Juvederm Voluma, with gravity, sometimes shifts downwards. \u00a0Thus, it might get somewhat “lost” in the hollows of the cheek. \u00a0This is what I also mean from the title – the Juvederm Voluma evolves over the first few weeks.
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\n\u200b3. Some of the original swelling has gone down from the procedure itself (needles\/cannulas\/massaging), and thus it appears that some of the material is lost – but in fact the only thing lost is the swelling.
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\n\u200b4. Our patients sometimes gets used to the new look and had pleasantly “forgotten” the “before” look. \u00a0Thus the changes don’t seem as dramatic.
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\n\u200bWith all those four factors, additional Juvederm Voluma injections might solve the problem. \u00a0I have found that one syringe is useful in youthful patients with tight skin over their cheek bones. \u00a0But for most of my other patients, two syringes of Voluma helps me achieve the look (and duration) I want for my patients. \u00a0It is not uncommon for me to consider 3 or 4 syringes.
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\n\u200bYou also mentioned in your question about Perlane. \u00a0The active ingredient in both Voluma and Perlane is hyaluronic acid. \u00a0If the Perlane results are still evident, this means that you are unlikely to be a rapid metabolizer of hyaluronic acid. \u00a0It sounds like from your question that you are satisfied with your Perlane results. \u00a0This means to me, even more so, that another syringe of Voluma might be your best solution before thinking of switching to a different material such as Radiesse or giving up on future Voluma injections.
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\n\u200bCalvin Lee, MD
\n\u200bModesto, California Juvederm Voluma Injections<\/a>
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\n\u200bDisclaimer: \u00a0some of the discussion above involves off-label FDA usage of fillers. \u00a0And none of what I mentioned above is meant to be personalized medical advice. \u00a0I am just discussing a hypothetical situation posed by a person I have not examined. \u00a0Without a personalized examination, I am only guessing at possible solutions which I present above. \u00a0I am also assuming that the mention of 1 “vial” = 1 syringe.<\/p>\n

\"logo_bag\"<\/a><\/p>\n

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 <\/p>\n","protected":false},"excerpt":{"rendered":"

Another public forum question which I will attempt to answer. Almost total Voluma absorption after only 5 weeks? What caused and does that mean hyaluronic products a no-go for me? I had 1 vial of voluma–split between both facial cheeks and eye areas, and one perlayne split between both marionette areas 5 weeks ago and … Continue reading Voluma Disappeared over a Month?<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[42,5,22,46,47],"tags":[50,48],"class_list":["post-402","post","type-post","status-publish","format-standard","hentry","category-cannulas","category-modesto","category-questions","category-real-self","category-voluma","tag-disappear","tag-voluma"],"_links":{"self":[{"href":"https:\/\/www.injectionartistry.com\/modesto-botox\/wp-json\/wp\/v2\/posts\/402","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.injectionartistry.com\/modesto-botox\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.injectionartistry.com\/modesto-botox\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.injectionartistry.com\/modesto-botox\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.injectionartistry.com\/modesto-botox\/wp-json\/wp\/v2\/comments?post=402"}],"version-history":[{"count":3,"href":"https:\/\/www.injectionartistry.com\/modesto-botox\/wp-json\/wp\/v2\/posts\/402\/revisions"}],"predecessor-version":[{"id":405,"href":"https:\/\/www.injectionartistry.com\/modesto-botox\/wp-json\/wp\/v2\/posts\/402\/revisions\/405"}],"wp:attachment":[{"href":"https:\/\/www.injectionartistry.com\/modesto-botox\/wp-json\/wp\/v2\/media?parent=402"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.injectionartistry.com\/modesto-botox\/wp-json\/wp\/v2\/categories?post=402"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.injectionartistry.com\/modesto-botox\/wp-json\/wp\/v2\/tags?post=402"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}