Juvederm Volbella is the ideal solution for correcting delicate areas

Drug review

The base of the drug is based on hyaluronic acid of non-animal origin, identical in characteristics to biological human one.

Due to the introduction of filler into the intercellular matrix, hydrobalance is normalized, due to the ability of hyaluronate to attract and retain water molecules.

As a result, the condition of the skin improves: wrinkles are smoothed out, natural turgor is restored.

Buyanov Sergey Yurievich (Expert Doctor):

According to the latest data from the Research Institute of the Russian Academy of Medical Sciences of Dermatology, hyaluronic acid has a bacteriostatic effect - it immobilizes pathogenic microorganisms, which makes them vulnerable to the immune cells of the human body.

Additionally, the biogel contains lidocaine to reduce pain, which allows for invasion without the use of anesthetics.

Manufacturer

Juvederm Volbella is marketed by the American cosmetics concern Allergan using the unique Vycross technology.
This approach to production makes it possible to achieve small particle sizes of the main substance, tightly bound together. Low molecular weight ensures a low level of water absorption, which is important when correcting areas of the face with special sensitivity of the epidermal integument.

The effect of using filler lasts from 9 to 18 months.

Efficiency

After the injections, a noticeable rejuvenating effect is observed, which manifests itself after a few hours.

When the drug is injected into the area around the eyes, small wrinkles are smoothed out and skin creases are smoothed out.

In addition to the periorbital zone, it is permissible to use lip gel: the action is aimed at increasing volume, and the contour acquires natural clarity, asymmetry disappears.

Indications for use

• Wrinkles and creases in the periorbital area;
• Crow's feet;
• Insufficient lip volume;
• Drooping corners of the mouth;
• Pronounced rings of Venus in the neck area;
• Relief of the nasolacrimal groove;
• Bags under the eyes;
• Asymmetrical features.

The product is suitable not only for rejuvenation, it is also indicated for the presence of cosmetic defects in young patients.

Nasolacrimal trough and why it appears

A nasal tear is a small (up to 1.5 cm) fold that originates near the inner corner of the eye, outlines the infraorbital region, and goes down towards the zygomatic arch. At first almost imperceptible, it gradually becomes more pronounced, and by Balzac’s age it turns into a noticeably deep nasolacrimal groove. For some, the problem appears earlier, and for others much later. In addition to the aging of the body, there are other factors influencing its formation:

• lack of proper facial skin care;
• constant fatigue and lack of sleep;
• losing weight too quickly;
• chronic stress, frequent frustration, worries;
• hormonal imbalance;
• bad habits (drinking alcohol, smoking).

Even if you normalize your lifestyle and restore the level of steroids, the wrinkle will not stop developing: the skin loses its elasticity with age, and its structure changes. In youth, the nasolacrimal groove

little expressed due to the elasticity of the dermis and its sufficient moisture. Therefore, before the age of 25-30, correction of the nasolacrimal groove with fillers is usually not used.

Anatomically, the nasolacrimal groove is located between two fatty formations (infraorbital and buccal), and is connected to the infraorbital bone by means of a septum - a muscular septum. With age, the density of this tissue decreases, the ligaments stretch and pull the surrounding tissues along with them. As a result, a fold forms under the lower eyelid, and the area around it darkens due to impaired lymph flow and blood circulation. You can level the relief of the nasolacrimal groove using several methods:

1. Surgical method.

Surgeons resort to the transconjunctival blepharoplasty method. The technology consists of filling the nasolacrimal fold with autologous fat taken from other parts of the patient’s body (thighs, abdomen). If the groove is too deep, then fat cells are taken from the lower eyelid area and transferred to the adjacent nasolacrimal groove. Visually, this evens out the imbalance, and the furrow becomes invisible.

2. Methods of aesthetic cosmetology.

— lipofilling

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The essence of the procedure is the same as that of invasive intervention: the wrinkle is corrected with one’s own fat. The difference lies in the method of introducing the autologous drug into the nasolacrimal groove. When carrying out lipofilling, the material is introduced into the fold using a special thin cannula, without incisions;

— correction with fillers

(contour plastic): special preparations based on non-sulfonated glycosaminoglycan, which can be easily modeled, are injected into the sulcus area.

Contraindications

Despite the safety of Volbell injections and the small risk of side effects, the correction procedure requires a serious approach.
At the initial stage, it is necessary to fully identify contraindications to manipulation, which will avoid complications.

Some of the restrictions are temporary and are considered individually - the possibility of implementation is determined by the cosmetologist after the examination.

Sometimes a consultation with related specialists is prescribed or tests are done to test for compatibility.

The procedure is prohibited (or postponed for a certain period) under the following circumstances:

• period;
• pregnancy;
• lactation;
• aggravated form of chronic diseases;
• diabetes;
• unsatisfactory blood clotting indicators;
• oncology;
• autoimmune pathology;
• problems of the cardiovascular system;
• intolerance to components;
• rehabilitation period after operations;
• psychosomatic diseases;
• tendency to form atrophic scars;
• predisposition to allergic reactions.

Indications and contraindications

For the nasolacrimal trough, correction with fillers is the best way to restore it. The procedure is recommended for patients with the following problems:

• deep and pronounced nasolacrimal groove;
• dark circles, bags, pits under the eyes;
• thinning of the skin of the lower eyelids, decreased tone;
• facial wrinkles and other age-related changes.

It is forbidden to do plastic surgery in case of intolerance to the drug, acute infectious and inflammatory processes, pregnancy, lactation, endocrine and cardiovascular diseases. A complete list is provided in the Frequently Asked Questions section.

Precautionary measures

Complications after using Volbell are extremely rare. Their appearance may be due to an incompletely reconstructed picture of the patient’s health condition or incorrect work by a specialist.

Side effects

• Swelling;
• Keloid scars;
• Inflammatory processes (redness, itching, burning, peeling);
• Papules;
• Seals in places where the dermis is punctured;
• Allergic reaction;
• Soft tissue necrosis;
• Pigmentation;
• Gel migration (associated with the introduction of the drug to insufficient depth);
• Hematomas.

Buyanov Sergey Yurievich (Expert Doctor):

If side effects persist for one week, it is necessary to raise the question of the advisability of continuing the course of procedures.

Description of the procedure

The rejuvenation procedure involves intradermal injection of filler into the correction area using a thin plastic needle. It lasts for 20-50 minutes.

To achieve an ideal result, a whole course is necessary, and the number of sessions is determined by a specialist, focusing on the condition of the patient’s skin and the desired effect.

Preparation

The initial stage consists of collecting information about the client’s health status and a number of restrictions that should be strictly observed to prepare the body.
During this period, it is recommended to completely avoid alcoholic beverages, fatty, spicy and salty foods, and also give up cigarettes.

At this time, you should not carry out other cosmetic procedures that are characterized by an aggressive effect on the skin. These include laser resurfacing, chemical peels, dermabrasion, etc.

If you are taking medications that tend to change blood counts, you will have to abstain from therapy for at least 10 days.

Administration technique

The method of injecting filler depends on the desired result.

1. “Point by point” technique . The optimal option for correction of the periorbital and perioral zones. The drug is administered pointwise in small quantities, so that there is no space left between injections. Distributed in close proximity to the defect.
2. Linear-retrograde . Used to strengthen facial areas, including filling the nasolabial fold. The needle is inserted into the dermis at an angle of 45 degrees, the filler is pushed out at low speed as the instrument exits the skin. As a result, the “bottom” of the wrinkle is filled with gel and lifted, leveling the relief.
3. Fan . Recommended for lifting drooping corners of the mouth and increasing lip volume. The operating principle is identical to the linear technique. The difference is that the lines connect at one point.

How does the session work?

On the day of the procedure, the client signs an agreement, which must indicate: the filler used with a serial number, the implantation method and possible side effects.

Additionally, an outpatient card is filled out. During the process itself, the package with the drug is opened in the presence of the patient. Using the product if the integrity of the bottle is damaged (or re-using) is not allowed.

Chronology:

1. Makeup removal. Cleansing the skin of impurities.
2. Treatment with an antiseptic for the purpose of disinfection.
3. If you are particularly sensitive, apply an anesthetic cream. In most cases, Emla is used.
4. Carrying out invasion using the chosen technique.
5. Final treatment of the affected area (necessary to prevent infection).
6. Light massage for more even distribution of the gel.
7. Applying anti-inflammatory ointment.

Benefits of nasolacrimal trough correction with fillers

Contour plastic

The infraorbital region has the following advantages:

• bags under the eyes disappear;
• the color of the dermis is evened out;
• there is a general rejuvenation of the area;
• the surface relief becomes smooth;
• the effect of lifting the dermis under the lower eyelid appears;
• facial wrinkles are smoothed out.

In addition to the visible positive results, the advantage is that the procedure is performed on an outpatient basis and does not require hospitalization. The rehabilitation period proceeds smoothly, quickly, without complications. Rejuvenation in this way guarantees a lasting effect for several years.

Healing period

The recovery period takes from two days to one week.
It is characterized by the appearance of mild swelling, redness, and in rare cases, hematomas at the puncture sites. This symptomatology does not require additional treatment. If the unpleasant sensations do not go away for a longer time or are accompanied by the appearance of compactions or severe swelling, you should immediately contact the clinic.

During the healing period, you should adhere to some rules.

1. It is better to sleep on a medium-high pillow. This helps ensure the required rate of lymph outflow.
2. For the first few days, avoid using decorative cosmetics. During this time you will have to refrain from water procedures. To cleanse your skin of dirt, you can use light care products based on natural ingredients. You should also minimize contact with your hands and other surfaces on the corrected area.
3. Alcohol, salty foods, coffee and energy drinks are strictly prohibited. These restrictions must be adhered to for at least a week.
4. It is prohibited to visit the sauna, swimming pool, solarium.

Recommendations for caring for the nasolacrimal trough during the recovery period

After the procedure, slight swelling develops, which does not require special therapy and goes away on its own within a few days. Ice, as well as regenerating creams with panthenol and aloe vera, will help speed up the process. During the recovery phase, it is necessary to fulfill some of the specialist’s requirements:

• Do not apply decorative cosmetics to injection sites for several days;
• Peels cannot be used for 14 days;
• do not massage the correction area for 2 months;
• When going outside, use ultraviolet protection.

For several days after modeling the nasolacrimal trough, it is necessary to limit physical activity and sports. It is advisable to sleep on your back. If there is pain, you can take a non-steroidal anti-inflammatory drug, but only after consultation with a dermatocosmetologist.

Comparison with analogues

In modern aesthetic cosmetology, a considerable number of dermal fillers are used, the main component of which is hyaluronic acid. They differ in the size of the hyaluronate molecules, the density of their cross-linking, and the presence of additional substances.

It is very important to choose the ideal drug in order not only to achieve good results, but also to avoid complications.

1. Radiesse (Radiesse) . It does an excellent job of filling voids in the area of ​​wrinkles and restoring the natural tone of the dermis. Contains calcium hydroxyapatite and a gel transporter.
2. Surgiderm (Surgiderm) . A dense multi-component gel with good viscosity based on hyaluronic acid with a three-dimensional molecular structure. Used to add volume to lips; not suitable for injections in the perioral area.
3. Juvederm Ultra (Uvederm Ultra) . The line produces several products of varying densities; in addition to hyaluronate, they contain mannitol (functions as an antioxidant).
4. Etermis (Etermis) . They are characterized by a prolonged action, which is ensured by a tandem of stabilized and unstabilized hyaluronic acid. The result can last for up to 2 years.

RESULTS

Juvederm VOLUX, being the densest product in the VYCROSS line, allows you to create flawless contours of the lower third of the face. A harmonious, natural and at the same time expressive line is modeled.

As a result of the use of Juvederm VOLUX filler, accentuation (highlighting) of the jaw line and contouring of the chin occurs. The oval of the face becomes clearer and more sculpted.

The filler relieves patients of pronounced sagging tissue along the contour and in the cheek area, giving the face a soft roundness and eliminating jowls. Hyaluronic acid saturates tissues, increasing their firmness and elasticity.

According to an Allergan clinical study, 95% of patients were satisfied with the results obtained 3 months after treatment, and an additional 62% of patients were still seeing lasting effects after 18 months.

Opinion of cosmetologists

All modifications of the Juvederm line occupy one of the leading positions among injection correction products, which indicates high demand.

Most reviews about the drug Volbella are positive; negative ones occur in case of illiterate use. Cosmetologists note the ease of working with fillers and high safety.

A specialist on the forum talks about the need to abstain from the procedure for a while if there are contraindications: