Juvederm Volbella vs Ultra Smile under the eyes
Could you possibly tell me which one of these products would be better to fade wrinkles under the eyes? I'm thinking dollar for dollar, of course, but even more importantly, which is the better product for my specific needs. For that matter, is there another filler besides Juvederm Volbella or Ultra Smile that would be even better?
I would encourage you not to think about which filler treatment is better "dollar for dollar". There are significant performance differences between different hyaluronic acid fillers.
Volbella injections, Belotero Balance and Restylane all have different properties which lend themselves to different issues. Some are better for lip enhancement, some for sculpting the jaw, while others can make effective tear trough treatments.
I would leave the choice of which filler to use up to your plastic surgeon or dermatologist -- and allow them to make a specific recommendation based upon a direct consultation.
While it's tempting to ask which treatment is better in general for dark circles under the eyes or volume loss in the tear trough area, the reality is there’s no good way to answer that question in general terms.
I advise you to schedule a consultation with a board-certified plastic surgeon or dermatologist to determine which under eye / tear trough filler is best for you.
I can't provide any direct answers without a consultation because the choice of which dermal filler to use depends on your specific presentation.
Both Volbella and Ultra Smile belong to the Juvederm family of facial fillers, which also includes Juvederm Ultra, Juvederm Ultra Plus, Voluma, Volift, Vollure and others.
Generally speaking, neither Juvederm Volbella or Ultra Smile are well-suited for treating under-eye bags, tear troughs or under eye areas. Because the under eye hollows are a delicate area with thin, sensitive skin -- I prefer to use a dermal filler with a smoother consistency than Juvederm products.
We have had great success with Restylane Silk, which has a very smooth consistency and produces very natural looking results.
In terms of costs, both Restylane and Juvederm are priced depending on how many syringes you use. But the choice of which under eye filler to use in your specific case should be left to the judgement of your dermatologist or plastic surgeon.
The choice of which dermal filler to use really depends on the specific advice of your dermatologist or plastic surgeon during your consultation. There’s no way to say “in general” which injectable filler would be better without personally assessing your presentation.
Regarding the two products you asked about: Volbella is a newer dermal filler that is quite long-lasting. Juvederm Ultra Smile is a product designed to be used specifically as a lip filler. For the under eye area, however, I like to use Restylane Silk or Belotero. Both are very smooth and don't create nearly the same amount of bruising or swelling that Juvederm sometimes does in the tear troughs.
In your case, since it sounds like the issue is fine lines and wrinkles and not so much volume loss, I would be more likely to recommend Fraxel laser resurfacing rather than filler treatments. We’ve seen pretty impressive results with restoring firmness and reducing mild, superficial lines in the tear troughs with laser therapy.
For a specific recommendation, please schedule an appointment so we can discuss the best treatment options for you. In some cases we might use a combination of laser surfacing and injectable dermal fillers together.
I think Volbella is an excellent hyaluronic acid filler but I prefer to use it for lip augmentation to add definition. Without seeing a photo it’s hard to answer your question directly, but in general I avoid using fillers under the eyes as a first step because the results can be unpredictable. Juvederm in my experience often causes excessive redness and swelling when used in the tear troughs, so I avoid using it there.
From your question it sounds like you’re not looking to replace lost volume, but you are looking to correct some skin laxity and fine lines. I would probably recommend a combination therapy consisting of laser resurfacing using a fractionated CO2 laser or Erbium laser -- and a TCA chemical peel. We also sometimes use a small amount of Botox to address wrinkles near the lower eyelid.
But for an answer specific to your case, I would need to see your specific presentation. I recommend scheduling an appointment with a board certified plastic surgeon or dermatologist to discuss the best approach.
Dr. Lawrence Broder has 1 Fillers, Laser Resurfacing before & after:
All fillers are hyaluronic acid based. Your surgeon will help you in knowing what product is best for you. This will vary according to your skin and volume loss. Juvederm, Belotero, Revanesse, Restylane are all great products - your injector will make all the difference.