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The truth about Voluma

Posted:2:49 p.m. Friday, Sept. 19, 2014

By Anita Mandal, M.D.

Question: I hear Voluma™ is the latest filler on the market. With all the fillers that you use in your practice, I’m wondering why you do not offer Voluma?

Answer: Voluma is a hyaluronic acid and type of Juvederm® that recently became available on the U.S. market. Its common use is volumization of areas such as hollow cheeks. The claims are that Voluma lasts up to 2 years. The key wording in the FDA study is “up to,” which does not mean Voluma lasts 2 years.
While the FDA study suggests a duration of “up to 2 years” after an adequate treatment with Voluma, other studies suggest a 2 year duration for Voluma only after numerous touch-up syringes were given during the 2 years following initial treatment.
Most physicians who currently offer Voluma began using it this year. Since Voluma entered our cosmetic market, I’ve seen three patients in consultation, all of whom had Voluma treatments in their cheeks by another physician and came to my office requesting Bellafill®. Each of these patients complained that their Voluma had significantly gone away 3 to 4 months after injection.
Given the high cost of Voluma and the fact that it is temporary and the studies on its duration are misleading, I’ve decided to hold off on incorporating Voluma into my practice. I am waiting to see what further results show in patients who are getting Voluma elsewhere.
I’m not at all saying Voluma is an inferior product. It just may be premature to claim that a single treatment lasts 2 years. With time, we will have a realistic sense of Voluma’s true duration and its role in today’s injectable filler market.
Careful consultation with a qualified Facial Plastic Surgeon who has a thorough knowledge of facial anatomy and can customize your treatment using the most suitable volumization fillers is the first step.

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