Voluma Services at image Dermatology® P.C. In Montclair, NJ
The Voluma XCTM Process
Dr Downie does Juvederm Voluma for Janet's 60th birthday present
[Patient]: "27 pounds."
"27 pounds. Some of it unintentionally from her face. So we need to do filler. Smile. Now relax. She’s a great patient. This is Voluma. It’s what I have in my cheeks. It's instant. You took digital pictures of her before, right? Good. How are we doing, Janet?"
"Still speaking to me? That's good, because she works for me. She has to be able to speak to me, otherwise it would be really bad. Janet's worried about bruising. She's been numbing for 17, almost 18 hours. We're joking. She's numb for two hours. She's a good patient. She makes me look good. She doesn't bruise right away, which is sweet and thoughtful of her."
And Janet's going to be 60 in a month. Shhh… don't tell her. So We're doing this for her 60th birthday present 'cause we love her. She's worked at Image for 700 years. She's a good patient. Now look at the one side. The cheeks picked up some. Now look it over here a little bit over in here. And then the other side. We need to do a little something, something there. We can't leave her lop-sided. Maybe if she was one of my brothers, I would do that to her. But she's Janet. I can't do that. OK."
Dr. Downie was featured on the Today Show on November 22 injecting a patient with Voluma. See video below.
[Hoda]: "What is that?"
[Kathie Lee]: "It's something called Juvederm, but it's Juvederm with a new twist."
[:18 seconds to :52]: Unrelated ad spots.
[Hoda]: Alright, do you have a big event coming up and you want to look a little bit younger? Well, there's a brand new facial filler on the market called Voluma that claims it can plump you up.
[Kathie Lee]: Plump you up. Some are calling it the knife-free facelift, which can last up to two years. Dermatologist Dr. Jeanine Downie is here to tell us about it and show us how it's done. Our patient, Lynn Is-a-pon, and we promised not to show you anything that Hoda can't handle.
[Dr. Downie]: "So this is cool. I'm going to squirt it on my glove for a second. It's called Vycross technology. So it's nice and thick. It goes on a soft gel. It goes on really, it goes into the skin very, very well. And it just lifts and it plumps.
[Hoda]: "What makes it different than all the other stuff that's already out there on the market?"
[Dr. Downie]: "The technology makes it different, and the fact is that it lasts two years. And there's no other filler that can say that it actually lasts two years. So they've extensively studied it."
[Kathie Lee]: "And you said you can build on it over the two years?"
[Dr. Downie]: “Right. Because the bottom line is some people are going to come in and maybe they want to do one syringe now and wait awhile, come back, and you can build on it and do another one later. That type of thing. Side effects are normal. Bruising, little bit of tenderness.”
[Kathie Lee]: “And you did this side of the face already, and there’s no bruising at all.”
[Dr. Downie]: “Sit up for a second. So you see this side. She’s lifted some right in here. And then she’s kind of flat in here. So we’re about to do this side right now. Smile. Now relax. Now smile. Now relax. Hoda, you’re going to be fine. I’m covering. I have to keep you in mind. I want to be invited back. I’m a smart dermatologist. OK, so we’re lifting in the cheekbone area.
[Kathie Lee]: “And you’re not feeling anything, sweetie? You’re good?”
[Patient]: “Little pricks, but …”
[Kathie Lee]: “You’re a very brave woman. It’s not as bad as giving birth. I do justify to that.”
[Hoda]: “So who is this good for you, Jeanine? Can this work with anyone?”
[Dr. Downie]: “This can work with anyone, not a pregnant woman, and not somebody on immunosuppression. So thank you for asking. But even people that are on blood-thinners can come off of them for a little bit.”
[Hoda]: “And usually when you do this how long does it last? Not this kind, but the other kind normally?”
[Dr. Downie]: “Six months or less, if it’s in your lips because you talk so much it lasts a little bit less.”
[Kathie Lee]: “And how expensive is it?”
[Dr. Downie]: “It winds up being about $1,200 per syringe roughly, it depends on what part of the country you’re in, Kathie Lee.
[Kathie Lee]: “But you think about what a facelift costs and so …”
[Dr. Downie]: “And then you divide it by the number of months it’s going to last. It’s going to last 24 months.”
[Kathie Lee]: “You’re going to be gorgeous for two years! We’re going to check in on you.”
[Patient]: “We need to come back in two years.”
[Hoda]: “We should also point out that usually right after you get those injections, bruising happens right away. And we’re not seeing it on her.”
[Dr. Downie]: "She's really good. She's a trooper."
[Hoda]: "Alright, Jeanine, thank you."
Treatment always begins with a consultation in which Dr. Downie listens to the patient’s concerns about facial changes. When we understand the ultimate result that a patient desires to achieve, we can tailor treatment precisely to their needs. The skin is then examined and discussion had about the best type of treatment.
Juvéderm Voluma XCTM is gently injected to the deeper layers of the skin where indicated. Dr. Downie plans treatment areas in a way that will lift the cheeks and define the chin, ultimately creating harmony among the various facial features. The goal of treatment is to accomplish a subtle, natural change that removes years from the face.
Patients who feel anxious about treatment with injectables will be happy to hear that topical numbing cream is available and can be applied before treatment. Juvéderm Voluma XCTM also contains lidocaine in the filler solution, adding greater comfort as treatment progresses. A treatment session lasts 10 – 15 minutes, as Dr. Downie carefully inserts filler with great precision. The results achieved with this filler will be immediately noticeable, and both male and female patients leave our office feeling refreshed and confident in their appearance.
Side effects and recoveryJUVEDERM VOLUMA XCTM is a wonderful minimally invasive alternative to cosmetic surgery. There is no downtime associated with treatment, and patients may take advantage of additional treatment to accomplish optimal results. Side effects include bruising, swelling and slight tenderness. There is no recovery time and patients can resume normal activities immediately. Exercising should be put off for 24 hours.
RisksIn clinical trials, only five percent of patients experienced these side effects, which resolved quickly. Only 8 percent of patients in clinical trials experienced swelling or hematoma, and no instances of product migration were reported.
Within a day after treatment, patients are able to resume their normal activities comfortably. Should discomfort persist, we can suggest solutions to handle this until comfort improves naturally. Discomfort associated with Juvéderm Voluma XCTM is due to the design of the product, thicker in consistency, and the depth at which solution is applied.
We answer your questions about Juvéderm Voluma XCTM
Why use Voluma over other dermal fillers?Voluma XCTM stands out from other dermal fillers in that this product is designed for injections deep in the dermis, leading to true volumizing in the cheeks, cheekbones, and the chin. Though other fillers may be ideal for plumping deep creases around the nose and mouth, Voluma XCTM is designed for the specific purpose of creating volume where it has been lost.
Can I get Voluma XC treatment without a doctor?The robust viscosity, or thickness, of this product is what sets Volume XCTM apart from traditional dermal fillers. Due to the unique characteristics of the filler solution, specialized training is provided to those physicians who wish to offer volumizing treatment to their patients. For optimal outcome, restoring volume in the cheeks and chin should be performed only with an expertly trained physician.
How is Juvéderm Voluma XCTM injected?Different from conventional fillers, Voluma XCTM is designed with more fullness. This filler is intended for the lifting and volumizing of facial structure, which occurs when the solution is injected into the deep dermis. Injection into the uppermost layer of skin would result in the visibility of the product in the form of lumps or discoloration.
Can I add volume to my lips with Voluma XCTM?This filler is designed to add volume to larger areas such as the cheeks and chin. Because of the thickness of the filler solution, it is not intended for lip augmentation. Fuller lips may be achieved with a less viscous filler.
Dr. Downie is happy to offer numerous ways for her patients to achieve a more youthful appearance. Contact our office today to schedule your consultation for Juvéderm Voluma XCTM.