Whether it’s your first time thinking about receiving filler to plump up those lips, or a bi-annual trip to your local med spa to treat volume loss, it is important to recognize the difference in properties between filler types.

This is also why it can be extremely helpful to consult with your provider prior to your appointment — we like to set realistic expectations based on your anatomy and find a filler that will best meet your desired aesthetic outcome. Certain fillers are soft while others are firm. Some last 6-9 months, and others nearly two years.

I will give my best attempt at a brief, yet helpful overview!

Juvederm is the collection of fillers that we carry at Hawaii Blue. Juvederm includes:

• Volbella
• Voluma
• Vollure
• Ultra
• Ultra XC

While we carry a limited amount of Ultra/Ultra XC, we sell the most of Volbella, Voluma and Vollure as they seem to last our patients the longest. 

So what’s the difference, you ask? Filler is made up out of hyaluronic acid (HA) which draws water in. When treating the nasolabial folds, marionette lines and lips (AKA everything under the nose aside from chin), with consideration of the patient’s anatomy and aesthetic outcome, I choose between Volbella or Vollure. Volbella is the softer of the two and often a good choice for someone looking for subtle plumping/hydration. Vollure has a slightly higher HA concentration, meaning it may give more of that “plumping” or full effect, if you will. Volbella is quoted to last up to one year (this is how long filler takes to fully dissolve-not remain at max function), while Vollure is up to 18 months. Voluma is the most firm (highest HA concentration) compared to Volbella and Vollure, and is used on bony surfaces such as the chin and cheeks. Voluma may last within the body for up to two years. 

“So how much will I need?” This is the most common question that I receive. Cheeks and chin typically range between 1-2 total syringes in one sitting. Lips range from 0.5 syringe to 2 syringes (built over time as I do not inject over one syringe into the lips in one sitting for anatomical safety purposes). However, this can be more adequately assessed and individualized at your consultation. Consults are free and give me more time to discuss patient-specific concerns. Sign up for Alle (prev. Brilliant Distinctions) to receive points/discounts and set up your consultation to enhance your already natural beauty!

- Madison Cooper, PA-C

*Filler is indicated for those 21 and up. We recommend giving yourself two weeks prior to large events to allow time for any potential swelling, redness, bruising etc. to subside. Avoid NSAIDs, alcohol, Vit. E, and fish oil prior to injections to minimize side effect profile. Do not discontinue Aspirin or other blood thinners unless directed by your treating physician.