Juvederm Volbella, a dermal filler product in the Juvederm family, is a filler that is manufactured using cutting-edge Vycross Technology. As a low-viscosity hyaluronic acid filler, Juvederm Volbella is designed to be soft and spreadable for complete and even integration with treated tissue. Many patients may not have a complete understanding of what Juvederm Volbella can achieve in comparison with other Juvederm products, as it is a relatively new product. Here, we take an in-depth look at this lip filler to rectify this issue.
Where and how should you use Juvederm Volbella?
Juvederm Volbella is indicated for treating lips and for correcting wrinkles around the mouth. In a study evaluating the effectiveness of Juvederm Volbella for lip enhancement, it was found that Juvederm Volbella was as effective as Restylane-L and results in less swelling. When treating the lips, Juvederm Volbella gives optimal results when used subcutaneously to coat the orbicularis oris muscle in the cutaneous lip and vermillion. By doing this, the filler hydrates and fills in fine perioral lines in a natural manner that does not look overdone and unnatural.
In addition to these indications, Juvederm Volbella may also be safely used to correct superficial wrinkles in other regions. It can also be used to treat the following:
• The glabella region, the forehead, tear trough region, the decollete, and oral commissures;
• Crow’s feet lines and infraorbital hollowing, and fine cheek accordion lines.
Juvederm Volbella can be administered with a needle if treating targeted lines or with a cannula to minimize bruising and swelling when treating areas like the under-eye region. Suitable injection techniques for this filler include tunneling, serial puncture, fanning, or a combination of the above.
What is the difference between Hylacross products and Vycross products?
The Juvederm portfolio includes products that are manufactured with one of two technologies: Vycross or Hylacross. Juvederm fillers made with former include Juvederm Voluma, Vollure, and Volbella, while the Hylacross products include Juvederm Ultra and Ultra Plus. Hylacross products are made of highly cross-linked high molecular weight strands of hyaluronic acid, whereas Vycross products consist of a mixture of low and high molecular weight hyaluronic acid. The different compositions of Hylacross and Vycross affect their behavior in tissue and, in turn, the clinical effects they produce.
For one, Vycross products do not expand as much as Hylacross products when implanted in the skin, so they do not cause as much swelling. As a result of this, the risk of side effects is minimal, and both the practitioner and patent can be assured that they will get a “what you see is what you get” result with a Vycross product, such as Volbella. Furthermore, as Juvederm Volbella diffuses easily, the likelihood of Tyndall effect occurring with this filler is low. Vycross products have a relatively high G prime with a lower level of cohesivity, resulting in a higher level of malleability for these products when compared to the Hylacross products with similar indications.
How does Juvederm Volbella compare with the rest of the Juvederm Vycross range?
With a low hyaluronic acid concentration (15mg/ml), a low G prime, and low cohesivity, Juvederm Volbella Is the thinnest and most spreadable of the Vycross formulations. While a high viscosity dermal filler like Voluma is suitable for deep injections to volumize and lift the skin and a cohesive yet malleable filler like Juvederm Vollure is able to treat severe wrinkles while maintaining the face’s natural dynamics, a thin, easily diffused gel like Juvederm Volbella is ideal for superficial injection into the lips, perioral lines, and minor wrinkles.
Which is the better product for treating the lips?
Other Juvederm products, such as JUVÉDERM® ULTRA XC, can also be used in the lips; however, the purposes for which a dermal filler treatment is given is key to determining which product should be used. Juvederm Volbella has a thin and spreadable consistency. When used in the lips, it provides a high-quality finish and is used to add subtle volume for minor corrections or adjustments. JUVÉDERM® ULTRA XC is a more cohesive gel and thus is more suited to adding fullness to thin lips. Not only that, JUVÉDERM® ULTRA XC is approved for other uses, including the correction of medium to deep facial wrinkles. Both JUVÉDERM® ULTRA XC and Juvederm Volbella have similar durations of action of about one year. Ultimately, the choice of filler will depend on the patient’s aesthetic aims. For instance, some patients may find that the subtle effect that Volbella gives is insufficient; conversely, others may find the natural enhancement to be exactly what they were looking for. In all cases, a patient should receive advice from an experienced injector on the right filler to use.
The Vycross range of products ae a recent addition to the Juvederm family. Juvederm Volbella is the softest of these fillers and is useful for superficial placement to correct fine lines and for indications that require small volumes of filler. As with other Vycross products, Juvederm Volbella does not swell to a substantial degree and is malleable, making it useful to treat delicate areas with thin skin, like the under eye and forehead regions.