• Juvéderm® VOLUMA® with Lidocaine is an injectable implant intended to restore volume of the face.
• The presence of lidocaine is meant to reduce the patient’s pain during treatment.

JUVÉDERM® VOLUMA with Lidocaine is indicated for deep (subcutaneous and/ or supraperiosteal) injection for cheek augmentation to correct age-related volume deficit in the mid-face and for augmentation of the chin region to improve the chin profile in adults over the age of 21.

• JUVÉDERM® VOLUMA™ with Lidocaine is a sterile, biodegradable, non-pyrogenic, viscoelastic, clear, colorless, homogeneous gel implant.
• It consists of hyaluronic acid (HA) produced by Streptococcus species of bacteria, which is crosslinked with BDDE.
• It is formulated to a concentration of 20 mg/mL and 0.3% w/w lidocaine in a physiologic buffer.

Injection Technique:

Due to its density, Juvederm Voluma with Lidocaine requires deep dermal or subdermal injection. Here’s a breakdown:

• Needle Selection:
  • A 25G or 27G needle is commonly used for controlled placement and accurate product delivery.
  • Blunt tip needles are preferred to minimize tissue disruption.
• Cannulation:
  • Cannulas are often the safer option for volumization procedures with Juvederm Voluma, especially in the cheeks, to reduce bruising and bleeding risks.
• Injection Technique:
  • Deep layer bolus injections are the primary technique for volumization.
  • Serial puncture technique can be used in some cases for precise distribution.
  • Layering technique may be used in combination with other Juvederm fillers for a more comprehensive volumizing effect.

Important Considerations:

• Juvederm Voluma with Lidocaine is for licensed practitioners with advanced training in deep dermal filler injections and facial anatomy.
• Deep understanding of facial structures, blood vessels, and nerves is crucial for safe placement and avoiding complications like vascular occlusion.
• Aseptic technique is essential to minimize infection risks.
• Lidocaine helps with pain management, but additional local anesthesia might be necessary for some patients.
• Gentle massage after injection helps with even product distribution.
• Advise patients on potential side effects like bruising, swelling, and tenderness, which may last longer due to deeper injection. These effects may also be more noticeable in volumization areas like the cheeks.

Additional Tips:

• Use aspiration during injection with cannulas to minimize vascular occlusion.
• Start with a conservative amount of filler and perform touch-ups if needed after two weeks. This allows for gradual volumization and reduces the risk of overcorrection.
• Advise patients to avoid strenuous activity or excessive manipulation of the treated area for several days after injection.
• Post-injection cooling therapy may help reduce swelling and discomfort.

Remember:

• Juvederm Voluma with Lidocaine is not intended for the under-eye area, lip augmentation, or patients with unrealistic expectations.
• Refer to Allergan’s product information for full prescribing details, safety instructions, and potential contraindications.

Contraindications:

• Do not inject Juvéderm® VOLUMA® with Lidocaine in specific areas like the periorbital area, glabellar region, or lips.
• Do not inject into blood vessels (intravascular) to avoid complications.
• Avoid overcorrection and usage in certain patient groups like those with hypersensitivity or specific medical conditions.
• Do not use in areas with cutaneous inflammatory and/or infectious processes.
• Avoid simultaneous use with certain treatments like laser, deep chemical peels, or dermabrasion.

After-care:

• Avoid using makeup for at least 12 hours following the injection treatment.
• Avoid extended exposure to the sun, UV rays, cold temperatures, sauna, or hammam sessions for two weeks post-injection.