Juvéderm Ultra and Juvéderm Ultra Plus – 24 mg per ml – Hylacross™ Technology
With 24 mg per ml of HA, Juvéderm Ultra and Ultra Plus are the most hydrophilic of the fillers, meaning they tend to attract more water post-injection creating more volume and some swelling. They are great for adding soft pillows to the lips and replacing structure back to the border and cupid’s bow. They can also be used around the mouth and in the lower face. Juvéderm Ultra tends to last about 6 months using the Hylacross technology and with around 6% cross-linking. Juvéderm Ultra Plus tends to last about 6-10 months at around 8% crosslinking using the same Hylacross technology.
Juvéderm Voluma – 20 mg per ml Vycross™ Technology
With the new Vycross technology, Allergan has been able to provide HA fillers that can last longer without excessive hydrophilic swelling which can occur with higher concentrations of HA and Hylacross technology. Voluma is considered a powerhouse for lifting the midface and sculpting the jawline. Think of it as doing more of a “lift and tack” instead of just filling a space.
When small injections are placed in the right areas of the midface, changes can be seen in nasolabial folds, jowls, and tear troughs. It is one of our favorite fillers to use and lasts the longest of all the HA fillers, ideally 18-24 months. It is definitely a favorite of our male clients, but our lean, high-metabolism gentlemen should expect it to last about half of the time, 9-12 months, the first few times they are injected.
After nearly two decades of injecting filler, we’ve observed that this is true for most. One of the major manufacturers demonstrated that our natural collagen fibers better withstand time/aging when ideally supported with dermal fillers.