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209 Hospital Dr #202
Highlands, NC 28741

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  • Add volume to the cheeks
  • Correct age related volume loss
  • Lift the cheek and surrounding areas
  • Erase the suborbital hollows
  • and shape facial contours

RealSelf Patient Reviews of Robert T. Buchanan, MD


JUVÉDERM VOLUMA XC is one of the newer facial fillers, having been released in early summer 2014. Before VOLUMA Dr. Buchanan had used RADIESSE® for about 10 years to correct age related volume loss in the face, lift the cheek and surrounding areas, erase the tear trough and sub orbital hollows, correct facial contours and add volume to the cheeks. He was, in fact, among the first to appreciate the rejuvenating advantages of filling these areas, returning the face to its youthful triangular shape rather than retaining an aged square look by injecting lower.

JUVÉDERM VOLUMA XC is a synthetic hyaluronic acid gel, a natural substance found throughout your body that is a precursor of collagen, the support layer of the skin. This synthetic product carries no risk of allergic reaction. It is extremely safe, with millions of injections of similar products yearly. It is heavier, smoother, more concentrated, more cross-linked, and lasts significantly longer than other hyaluronic acids. It is approved by the FDA for injection deep to fill the cheeks. It lasts an average of 24 months according to Allergan’s initial studies, though that is the shortest we have seen, having it last over 4 years in several patients. Because it does not attract water, it is ideal for use around the eyes. It is our preferred product for the areas above.

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We have switched to JUVÉDERM VOLUMA for this as it is a hyaluronic acid and can be reversed (though we never saw a need to reverse RADIESSE®) if a problem arises, thus making it safer, and it lasts a third longer than RADIESSE®. Because it can disguise the early signs of aging so well and can substitute for a facelift if the changes are not too severe, it is the mainstay of Today’s Liquid Lift®. We significantly prefer it to Sculptra® because its results are immediate and it lasts as long or longer.

How Is JUVÉDERM VOLUMA XC Administered?

Since the youthful face is triangular, we began quite a number of years ago to approach the nasolabial and marionette folds from above, filling the cheek area to lift the tissues above the nasolabial and marionette areas thus reducing the folds. We reasoned that this was better than filling the folds since that only reduced the fold, doing nothing for the aging cheek and tended to make the face more square, one of the signs of aging. Others, obviously, thought the same, as Allergan, the developer of VOLUMA, with its release is now teaching the same methods we have used for many years.

How long does JUVÉDERM™ last?

JUVÉDERM™ is not a single filler, but a family of fillers. When used together, the JUVÉDERM™ family of fillers usually lasts 2 years, however, some patients can still see results up to 4 years later.

  • Ultra® is used to fill facial lines, creases, folds and depressions as well as the lips. It is ideal when extra superficial volume is needed because of its water absorption that increases the fill obtained from the injected volume.
  • Volbella® is used to fill the lips and lines there and elsewhere on the face. It is excellent when only a little filler is needed or we need to make minor corrections. When used in lines along with tretinoin as part of skin care, we rarely have to inject the lines more than twice to almost completely eliminate them.
  • Vollure® is used similar to Ultra®. It is especially useful when you do not need as much plump or want the filler to last longer, lasting, on average, 1 ½ times as long as Ultra® and Vollbella®. It is ideal for adding volume to the part of the cheeks not over bone where injection into the superficial fat compartment is best.
  • Voluma® is heavy and will support tissues well. Therefore, it is used deep to lift and support, especially around the eye and in the cheek over the underlying bone.
  • Ultra Plus®, another Juvéderm™ product by Allergan is no longer used by us as we find its uses better performed by other products.

Will There Be Bruising / Side Effects?

We inject it in a Spa setting using either topical or regional nerve block numbing in addition to a numbing agent in the JUVÉDERM VOLUMA itself, making it as painless as we can. You can return to normal activities immediately. The most common problem is mild bruising that can last a few days. We try to reduce this by using where possible a very small blunt cannula type needle and encouraging your use of Arnica Montana and Bromelain (over the counter products, though we can provide them) or Pineapple juice peri-injection. If you do bruise, we can guide you in camouflage techniques using Jane Iredale® Mineral Make Up so you never have any down time.

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JUVÉDERM VOLUMA XC Before & After Photos:

Tear Trough, Cheek fullness and roundness | After


Tear Trough, Cheek fullness and roundness | Before






Brilliant Distinctions

We support Allergan’s Brilliant Distinctions Rewards Program that rewards points for products (Juvéderm®, Botox, SminMedica, Latisse, Kybella) allowing you to shop at Allergan’s Mall or receive discounts on products.
Click here to request an appointment or for more information on JUVÉDERM VOLUMA Gel

Thank you for your business over the years! Dr. Buchanan is closing his practice and the Center For Plastic Surgery's last day open will be January 31, 2023.