Sunday, October 1, 2017
Going back to her lips...so I filled her top left lip (.4cc) to match the volume of her right side by injecting the majority of the filler in my syringe to that placement. I actually put a tiny bit of filler in her top right (.1cc), as well...but just a tiny bit. I placed a tiny bit (.1cc) of filler in her bottom lip right in the belly of the center to finish the look. By the way, Juvederm Volbella only has .6cc volume total in 1 syringe as compared to many other fillers which typically come in 1cc volume. This allows for Juvederm Volbella to be, relatively speaking, less expensive because you have less filler you are purchasing in the syringe.
Note: 1cc = 1mL 5mL = 1 teaspoon 3 teaspoons = 1 tablespoon
Also, it's important to note that Juvederm Volbella has a very gentle, low Viscosity/G prime factor. So...in English...G prime refers to the rise/projection/firmness to the filler. Viscosity refers to the "spreadability" of the filler...I don't even think that's a word in this context but you get the idea. Let me give you an example, toothpaste is more viscous than melted butter. I think everyone has familiarity with both melted butter and toothpaste so that comparison helps, I hope!
I love low G prime/low Viscosity fillers for the "natural" look...they're a breeze to work with and easy to manipulate and predict. On the flip side, a criticism of a low G prime/low viscosity filler (like Juvederm Volbella and Restylane Silk) would be that it doesn't make enough of a difference...which, depending on your taste, may be an accurate criticism.
Bottom line, beauty is in the eye of the beholder...and this patient, in particular, has a very conservative job, has conservative taste, has a conservative mother giving her advice (which matters more than you know), doesn't wear a lot of makeup etc...so I think this filler, Juvederm Volbella, is a great choice. I did recommend to her, however, we reevaluate her lips in another 3 months to determine if we need to add a little more filler or just let them remain slightly enhanced...as they are now...post 1 syringe Juvederm Volbella filler. Either way, I believe her post op pictures ("After") are more attractive than her pre op pictures ("Before") and she still looks like herself. I am happy with this result and, most important, so is she! Sovay Reeder, Medical Injector