VOLUMA XC By Joshua Zuckerman, MD, FACS in New York City

Before and after of one of Dr. Zuckerman’s cheek enhancement patients in New York City. Patient treated with 1cc of Voluma total. Patient pictured on the day of treatment before and after. Added volume is subtle, so arrows are provided.

Dr. Zuckerman uses the injectable filler Juvederm Voluma on the face to restore lost volume due to aging or descent in midface, cheeks, chin and temporal area. Voluma is the first Hyloranic acid filler formulated with lidocaine to be approved by the FDA to restore volume in the cheeks. Voluma has a higher concentration of Hyaluronic Acid particles and a higher cohesivity, or thickness in texture, than any previous Hyaluronic Acid product. This means it is more viscous and more hydrophilic (absorbs more water) and can therefore more effectively restore lost volume. In addition, these characteristics also make it longer lasting, and it stays where injected. Voluma contains Allergan’s proprietary cross-linking technology Vycross®. This newer technology determines how the Hyaluronic Acid particles are cross-linked and allows variation in the molecular weight of the particles. It allows fillers to be made with lower concentrations of high molecular weight Hyaluronic Acid particles (long chains), making the dermal filler smoother and potentially longer lasting.

Treatments & Uses of Voluma XC

As a board-certified plastic surgeon, Dr. Zuckerman has hundreds of hours of injectables experience andis an expert injector of Voluma XC. In his practice in New York City, the most commonly requested treatments using this injectable include:

Cheek Augmentation

Juvederm Voluma is most commonly used for adding volume beneath the skin’s surface to the midface, thereby lifting and sculpting the cheek area. Dr. Zuckerman’s technique has an added benefit of softening nasiolabial folds around the mouth. Learn more about Dr. Zuckerman’s Cheek Augmentation and Cheek Fillers.

Non-Surgical Chin Augmentation

Dr. Zuckerman can also use Juvederm Voluma to add definition or augment the chin by adding volume. Learn more about Dr. Zuckerman’s Non-Surgical Chin Augmentation.

Temple Rejuvenation

Juvederm Voluma can be injected in the temple region to add volume to sunken or hollowed out temples. Learn more about Dr. Zuckerman’s Temple Rejuvenation.

Important Aspects of Treatment

Voluma XC injectable dermal filler product and packaging, taken in Dr. Zuckerman’s office in New York City. Source: Allergan. Please see the manufacturer’s Indications and Important Safety Information for further information.

Voluma XC Treatment Longevity

Treatment results are seen immediately and last approximately 2 years.

Voluma XC Recovery (Downtime)

Juvederm Voluma filler involves little to no downtime, and patients often return to work immediately after treatment. There can be bruising for 1-2 days post treatment, which then subsides, but most often Dr. Zuckerman is able to minimize or eliminate such bruising with his techniques.

Voluma XC Pretreatment Guidelines

A few precautions before undergoing Hyaluronic Acid filler injections are techniques to minimize bruising: no NSAIDs such aspirin or ibuprofen within a couple days before and a day after; don’t drink alcohol to excess a day before and a day after; refrain from lying flat or working out within 2 hours after injection. Makeup can be worn the day following treatment.

In this video, Dr. Zuckerman performs a cheek enhancement treatment for one of his patients using Voluma.

Frequently Asked Questions About Voluma XC

Are Voluma injections painful?
Voluma injections are not painful, because Dr. Zuckerman applies a topical anesthetic before treatment and the injectable product itself contains lidcaine, an anesthetic. The patient feels little to no discomfort during injections.

Should I visit a doctor for Voluma injectable treatments in New York City?
If you visit Zuckerman Plastic Surgery for your injectable treatment, you can be certain that Dr. Zuckerman will recommend and perform the best treatment option for you in a safe and comfortable manner. In general, the use of injectable fillers has become so widespread that unfortunately not only may your injector not be a board-certified physician, if you undergo injections in a non-medical setting, an injector may have little formal medical training. Dr. Zuckerman recommends you visit a board-certified plastic surgeon or dermatologist for these injections (if you aren’t able to visit Zuckerman Plastic Surgery!). In New York City, there many options for injectables treatments, and many medical offices also offer injections by a registered nurse or physician’s assistant (PA), often at a lower price. These injectors are required to be overseen by a physician, so if you are considering these practitioners due to price, Dr. Zuckerman recommends that you confirm with the office ahead of time that there is a physician on the premises and inquire to what degree the physician oversees the injector’s activities.

What are the possible side effects of Juvederm Voluma?
Voluma is overwhelmingly safe, well-tested and approved by the FDA. However, the most common side effects reported are redness, swelling, pain, tenderness, firmness, lumps/bumps, bruising, discoloration, and itching at the injection- site.

Are there any reasons in which I should not receive Voluma?
Do not use Voluma if you have a history of severe allergies or allergic reactions, or if you are allergic to lidocaine or the Gram-positive bacterial proteins used in these products.

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