Do they look fuller at the bottom of your face and not where your cheekbones are?
This is an extremely common occurrence as we age. When we are younger we have an inverted triangle appearance to our face, meaning the higher portion of our “cheeks” where our cheek bones are have more fat and collagen than the lower portion of our cheeks. As we age, this turns into a triangle appearance because our fat deposition decreases, the ligaments become weaker and we get a malar fat pad shift, all of which causes sunken cheeks, sagging skin, deeper nasolabial folds and jowls.
Juvederm vs. Voluma
Patients come into our practice requesting Juvederm in their nasolabial folds and we often times assess them and recommend Voluma in their cheeks. Voluma is an FDA approved dermal filler which is specifically indicated to add volume and lift to contour the cheeks; resulting in a more youthful appearance. Voluma has been shown to last 18-24 months, whereas, Juvederm lasts up to 12 months.
The way I structure my complimentary consultations with patients is to first give them a mirror and ask them what bothers them about their face and only then do I provide my assessment of the patient. After that discussion, the patient and I come up with a plan based on my assessment and their preferences. Many times I do recommend starting with Voluma and then assess to see if Juvederm is needed in the patient’s nasolabial folds (the line created between your cheek and nose/mouth). Often times, I find that Voluma alone fixes “the problem” by lifting and creating volume, thereby reducing the need for Juvederm. When Juvederm is used over and over in the nasolabial fold, patients can start to complain of feeling “mouth heavy”.
I still love using Juvederm, but it’s crucial to pick the best treatment for each patient, which is why consultations always take longer than follow-up treatments.