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TOPIC: HA Fillers - Volux?

HA Fillers - Volux? 1 year 5 months ago #1308703692

  • abab
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Hello Dr Oates. Is Juvederm Volux (VYC-25L) available as an HA filler in Australia? If so, do you have experience using it in your practice, and does it offer noticeable advantages (or disadvantages) in cosmetic or functional outcomes over Voluma, Perfectha Subskin or some of the other HA based filler brands that seem to have been used a bit longer for this purpose, but are sometimes described as 'less firm feeling'?

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HA Fillers - Volux? 1 year 5 months ago #1308703781

abab wrote: Hello Dr Oates. Is Juvederm Volux (VYC-25L) available as an HA filler in Australia? If so, do you have experience using it in your practice, and does it offer noticeable advantages (or disadvantages) in cosmetic or functional outcomes over Voluma, Perfectha Subskin or some of the other HA based filler brands that seem to have been used a bit longer for this purpose, but are sometimes described as 'less firm feeling'?


Hi abab,
Sorry for the slow reply.

Volux is available but we have not used it. We had occasional granuloma with Voluma (also in the Juvederm/Allergan range) and switched to a Teosyal filler called Ultimate then RHA4. Recently we have been using Ultra Deep by Teosyal which has been around for a few years and used it a lot in the face. My initial thoughts in the penis is there is not that much difference. It is more "cohesive" that it it sticks to itself more because of increased cross linking. That is what makes it firmer - it goes not spread out. Maybe it contracts down on itself just a little more and this can give us a slightly empty ring at the base of the penis or cutting off instead of tapering towards the glans. But that is why we do 2 sessions to get the shape. Is it a big step forward? Dont know yet but will report back over the next few months and let you know

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Last edit: by Skeptical_One.

HA Fillers - Volux? 1 year 1 week ago #1308705829

Dr_Oates wrote:

abab wrote: Hello Dr Oates. Is Juvederm Volux (VYC-25L) available as an HA filler in Australia? If so, do you have experience using it in your practice, and does it offer noticeable advantages (or disadvantages) in cosmetic or functional outcomes over Voluma, Perfectha Subskin or some of the other HA based filler brands that seem to have been used a bit longer for this purpose, but are sometimes described as 'less firm feeling'?


Hi abab,
Sorry for the slow reply.

Volux is available but we have not used it. We had occasional granuloma with Voluma (also in the Juvederm/Allergan range) and switched to a Teosyal filler called Ultimate then RHA4. Recently we have been using Ultra Deep by Teosyal which has been around for a few years and used it a lot in the face. My initial thoughts in the penis is there is not that much difference. It is more "cohesive" that it it sticks to itself more because of increased cross linking. That is what makes it firmer - it goes not spread out. Maybe it contracts down on itself just a little more and this can give us a slightly empty ring at the base of the penis or cutting off instead of tapering towards the glans. But that is why we do 2 sessions to get the shape. Is it a big step forward? Dont know yet but will report back over the next few months and let you know


Always keen to learn form your observations and growing knowledge about the best filler for penis enhancement

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HA Fillers - Volux? 1 year 1 week ago #1308705830

A well known UK Doc suggest that Teosyal is a bit difficult ot mould and not suitable for first time patients, as they state that the moulding process is a big part of the esthetic success. Always happy to know your observations

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HA Fillers - Volux? 1 year 1 week ago #1308705836

tiritera wrote: A well known UK Doc suggest that Teosyal is a bit difficult ot mould and not suitable for first time patients, as they state that the moulding process is a big part of the esthetic success. Always happy to know your observations


Depends which Teosyal. I have totally abandoned Ultra Deep but really like RHA4.

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HA Fillers - Volux? 1 year 1 week ago #1308705846

Thank you @Dr_Oates , it's so important that you keep on trying new fillers in search of the best outcome, and this is evident as you abandoned Ultra Deep that was one of your first choices as you mentioned in your previous post here only 4 months ago.
On Dr. H website they made a page comparing fillers with chart for durability, filler firmness, Moulding Difficulty and price, probably based on their own experience.
Unfortunately it's limited to 4 HA fillers + Ellansè.
The RHA4 you found to be better in your experience hasn't probably been used yet, and also belotero Intense isn't included in the list.
As you probably remember a forum member had Belotero Intense from an italian surgeon with very pleasant results.
I remember you tried Belotero (not intense though) and found it too soft, but maybe it was an other type.
This italian doctor uses to implant micro drops rather than bigger ones in order to avoid lumps and granulomas, and state that in 8 years he never had problems this way.
But the limited number of patients treated in 8 years is not statistically significant, and he never ventured out to try other fillers.
I also remember that is difficult to get detailed infos on filler properties by the companies, and probably none of them ever developed something specific for this kind of procedure.
I found an interesting study about filler properties, I don't know if it can be helpful for you, probably you already saw it, but as for me it's like reading Egyptian hieroglyphs, I just share the link in case you missed it.
journals.sagepub.com/doi/pdf/10.5301/JABB.2011.8566

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HA Fillers - Volux? 1 year 1 week ago #1308705882

Hi Tiritera,

Yes 'familiar' with the paper. How it works to help change what I do is less clear - especially when it does not cover the fillers I want to know more about. Tried Belotero Volume but thought it was too fluid/soft. The RHA product line is especially designed to be more flexible , so that was one of the properties that attracted me to it. I have never used Volux anywhere but expect it is good.

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HA Fillers - Volux? 1 year 1 week ago #1308705891

:-) of course I didn't mean to help change what you do by sharing this paper, I knew you're certainly familiar with it and having personally used you know form direct experience which one is better for this particular kind of application.
Just interesting to find a comparison table between different filler caratheristics, even tough as you said unfortunately it doesn't cover a wider range of gels, and maybe it could be updated now.
It's interesting to observe that Belotero Intense has the highest HA concentration together with Teosyal Ultra Deep but have different viscoelastic properties.
The main goal of a filler for penis is the right balance between firmness, longevity and moreover absence of lumps and granulomas.
I don't know what is the granuloma main risk factor in a filler, if it's viscosity, elasticity, concentration or else.
Interesting fact also that Belotero Intense longevity seems to be in the higher range with Voluma despite being less cross-linked.
I remember that Mato, who had Belotero Intense, observed almost no loss at 1 year after its third treatment.
Probably repeated treatments even with HA develop a sort of permanence in the long way, requiring top-ups less often and with less product.

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