Can you really not buy Juvederm Ultra 3 in the States?

Last I heard Juvederm Ultra 3 had not yet been approved by the FDA. But does that mean you can't buy it here as well? I want it to plump up my lips and understand it's the best product by far for this purpose, except that doesn't do me any good if I can't actually get my hands on it, or have to fly to Europe or Panama or something just to find some, which ain't gonna be happening. So if it's really not available here in the States, what would be the next best thing to use for lips?


F, 33, Montana

In the US, Juvederm Ultra was approved by the FDA for the filling of facial wrinkles. Outside of the United States, Juvederm expanded that line of fillers to include a thin, medium, and thick filler marketed as Juvederm Ultra 2, 3, and 4 respectively. Thin fillers for fine lines. Medium fillers for moderate lines. Thick fillers for volumization.

In the United States, Juvederm skipped expanding the Juvederm Ultra line and instead introduced an updated formulation with Vycross that are marketed as Volbella, Vollure, and Voluma respectively.

A detailed examination will help delineate the best option. Consultation with a surgeon certified by the American Board of Plastic Surgery would be the next best step.