Even though the category of drama fillers has been around for several years, I continue to get questions about the differences between them and their uses in different locations in the face. At Maine Laser Skin Care, I have used and have tried multiple types and brands of fillers.
All fillers have their own unique advantages and disadvantages, but I have restricted my selection here to the Juvederm family of products. There are indeed several versions of Juvederm, not just one, and I will use this blog entry to differentiate them.
All Juvederm types contain hyaluronic acid that have been cross-linked to varying degrees. Cross-linking results in making the filler thicker, and the degree of cross-linking can result in filler products appropriate to the needs of particular areas of the face.
Juvederm Ultra is the least thick of the products in this family, and is generally used for injection into thinner areas of the face that need volume enhancement. The lips are a common target for Juvederm Ultra, as are lines around the lips. This variety is also used for areas in the lower face that are just starting to show the need for filler or to touch up areas previously treated by this and other fillers.
Nasolabial folds, also known in layman’s terms as “parentheses lines”, run from the corner of the nose to around the corners of the mouth. Juvederm UltraPlus is also used for deep lines that extend from the corners of the mouth into the chin, also known as oral committees or “Marionette lines”.
The newest entrant in the Juvederm and hyaluronic acid family is Voluma. This is the thickest of the three types and is specifically designed for use in the mid-face area from the eyes through the cheeks.
Whereas the other Juvederms are injected more superficially under the lines to be treated, Voluma is injected much more deeply into the cheek and acts to restore the volume lost as both fat and collagen reduce over time. Voluma restores also the youthful “apple” to the cheeks, and also acts to lift up the structures that have become sunken or drooped in response to gravity.
I am very confident that with these three varieties of fillers, I can treat the vast majority of facial line and volume loss issues that you may have. There are many other fillers out there and new ones coming all the time. I will investigate each new filler on the market and add them to our menu of possible treatments if they meet my stringent standards.
In the coming months, I plan to add an enhancement to the use of fillers alone once I have obtained the advanced training from the doctor who has developed this new process. More on that later . . .