Facial volume is essential to a youthful face.  In the “old days” before facial fillers, it was well known in Hollywood with actors and models that gaining a few pounds helped the face look younger. Our faces begin to lose volume from age 25 onward. Most of the volume loss is from bone resorption and fat loss. Movie actress Catherine Deneuve is famously attributed with saying, “At some point of every woman’s life, she must choose between her face or her fanny.” Fortunately, today we have been blessed with many excellent injectable facial fillers that allow us to stay trim or even lose weight while still maintaining youthful facial volume.

Aging can cause significant changes in skin quality, especially facial skin. When people lose facial volume, it leads to an aged, gaunt, sad, and saggy appearance. New folds and wrinkles appear that accentuate shadowed aging facial contours (think of a young Mick Jagger as opposed to his currently aged face). Due to the nature of volume loss, it cannot be corrected with topical over-the-counter treatments, such as creams and ointments—it needs a treatment that can recreate volume and rejuvenate the facial appearance from the inside out. Enter VOLUMA®, which turns back the hands of time and can restore natural youth in a quick, easy, safe, and effective, comfortable 10-minute injection treatment.

Dr. Michael A. Persky offers the latest and one of the most effective FDA-approved facial filler treatments, JUVÉDERM VOLUMA® XC. This FDA-approved injectable gel is made of hyaluronic acid and is injected deep under the skin to correct age-related volume loss. Dr. Persky has been using injectable facial fillers since the original FDA-approved filler—collagen— came to the market over 35 years ago. He is an injectable filler expert and trainer for physicians from all over the world.  Dr. Persky personally treats all of his patients with his advanced master techniques. He has injected more VOLUMA® than any other practice in the San Fernando Valley and is a certified Master VOLUMA® Injector.

What Is Hyaluronic Acid?

JUVÉDERM VOLUMA® XC consists of hyaluronic acid (HA), a naturally occurring and hydrating substance. This protein attracts and maintains moisture, giving the skin and tissues a naturally plump and refreshed appearance. Because hyaluronic acid stores in our body decrease with age, many people who experience sagging skin and volume loss are left searching for a treatment to restore their lost volume.


before and after
  • Tired-looking eyes
  • Sagging cheeks
  • Deep nasolabial folds
  • Lines on the sides of the cheeks
  • Fine lines at the corners of the mouth
  • Sagging along the jawline

How Is JUVÉDERM® Different From Other Fillers?

JUVÉDERM® is an FDA-approved filler that corrects volume loss in the face. It’s intended for deep-dermis injection and is a viscous, thicker filler. Unlike other injectable treatments like RADIESSE® or Sculptra® Aesthetic that require time to stimulate collagen production, JUVÉDERM® produces nearly instantaneous results.   Most of patients immediately see that “wow” effect.

Am I a Candidate for JUVÉDERM VOLUMA® XC?

A good candidate for JUVÉDERM VOLUMA® XC would like to target volume loss in the face that causes tired appearance,jowls, hollow eyes, sagging skin, fine lines, and wrinkles. Patients who like how they look when they place their hands on the upper cheek and lift superiorly and laterally are great candidates for VOLUMA®. JUVÉDERM VOLUMA® XC lasts for two years and gives immediate results. It is a great treatment to “look like yourself, just a better rested, younger version,” as Dr. Persky uses his natural artistic vision to create beautiful lasting results.  Conservative use of Voluma allows our patients to return for a little more as needed to look their best prior to special occasions, birthdays, anniversaries, weddings, or whenever they feel the need for a little “pick-me-up.” Candidates should discontinue the use of blood thinners, such as Advil® and MOTRIN®, for at least one week before treatment.

What Will My Consultation Entail?

Before your consultation, it is helpful to know what specific area(s) of the face you would like treated and what you are trying to achieve. Dr. Persky will evaluate your facial skin and discuss your goals to help you determine if JUVÉDERM VOLUMA® XC is the injectable that will most benefit you. We will also share many natural before and after treatment photos with you.

What Kind of Training Does a JUVÉDERM VOLUMA® XC Provider Need?

JUVÉDERM®, like all cosmetic procedures, should be performed in a sterile clinical setting. Your JUVÉDERM® provider should be trained in facial anatomy to administer a deep cheek injection properly. This is why it is essential to choose a facial plastic surgeon and those trained by plastic surgeons.

Is JUVÉDERM VOLUMA® XC Hypoallergenic?

No allergy testing is necessary for JUVÉDERM®; however, if you have had a reaction to lidocaine in the past, you should inform your treatment provider. JUVÉDERM® products contain trace amounts of lidocaine to enhance comfort during the injection process.

What Skin Types Can JUVÉDERM VOLUMA® XC Be Used For?

Voluma Patient

Typically, all skin types can be treated. However, clients with severe allergies (such as those that present with a history of anaphylaxis or a history of bad allergies) should refrain from having JUVÉDERM® injections. Clients who have an allergy to gram-positive bacterial proteins or lidocaine should also avoid this procedure.

Can Men Have JUVÉDERM VOLUMA® Injections?

Yes. We have many male clients as both men and women are subject to the same degree of facial volume loss. Approximately 15 % of Dr. Persky’s Voluma patients are male.

What Is My Injectable Process Like?

Using a small, thin needle, Dr. Persky will inject small amounts of the JUVÉDERM VOLUMA® XC solution into strategic areas of the face to maximize the volume replacement and lifting effect of the filler. Typically, JUVÉDERM VOLUMA® XC is used in the cheeks and zygomatic arches (the side of the cheekbones extending to the ear). Most patients report that VOLUMA® injections are easy and more comfortable than having BOTOX® Cosmetic injections.

Do JUVÉDERM VOLUMA® XC Injections Hurt?

You may feel a slight sting at the time of the injection; however, a topical anesthetic can help reduce the pain.  Dr. Persky has special injection techniques that make your experience very comfortable.

Can JUVÉDERM VOLUMA® XC Be Combined With Other Cosmetic Procedures?

We often combine JUVÉDERM VOLUMA® XC with other non-surgical cosmetic treatments, such as BOTOX® Cosmetic, laser skin resurfacing, microneedling, and injectable fillers like RADIESSE®, Sculptra® Aesthetic, and KYBELLA®. While JUVÉDERM VOLUMA® XC is one of the most effective injectable fillers, it cannot be used on all facial areas or for every facial concern. For example, BOTOX® Cosmetic is best suited for the areas around the eyes and the forehead, skin resurfacing can even out skin tone (injectables do not treat skin pigmentation issues), and KYBELLA® dissolves excess submental fat.

What Is the Recovery After JUVÉDERM VOLUMA® XC Injections?

After JUVÉDERM VOLUMA® XC treatment, patients can immediately return to work and normal activities. Some patients may experience some bruising at the injection site. We ask that our patients avoid strenuous exercise for 24-36 hours after their injection to prevent delayed bruising and swelling. For the most part, JUVÉDERM VOLUMA® XC is a safe and effective treatment for correcting volume loss in the face. In rare cases, patients may notice a lump or bump on or around the injection site; however, this will alleviate within two to three days.

How Long Does Swelling Last After a JUVÉDERM VOLUMA® XC Injection?

There may be some swelling and bruising, but many of our clients can engage in normal daily activities the next day. Although the swelling around the injection site may last up to two weeks, the bruising can be concealed with makeup.

When Will I See My JUVÉDERM VOLUMA® XC Results?

Once the treatment is complete, results will be immediately noticeable. Most patients achieve results that last up to two years when used in the cheek area. JUVÉDERM VOLUMA® XC is a quick, easy, comfortable, and safe treatment that can add facial volume to improve tired eyes, saggy cheeks, nasolabial folds, and loose skin along the jawline while creating a natural appearance.

How Can I Extend My JUVÉDERM VOLUMA® XC Results?

All injectable treatments will eventually be broken down and absorbed by the body. While JUVÉDERM VOLUMA® XC lasts longer than many fillers (between 18 months and two years), the results will eventually fade. You can help get the most out of your filler treatment by following a healthy lifestyle (by not smoking and eating a healthy diet) and limited sun exposure. Returning to our office for maintenance when you feel the need of a little lift is the best way to insure your best results.

Scheduling Your Consultation

Dr. Persky is an experienced and reputable facial plastic surgeon who has helped many patients achieve their cosmetic goals. Call our office in Encino today at (818) 918-9252 to find out how he can help you obtain the aesthetic you desire or to learn more about our financing options. You can also fill out our online contact form.

If you are traveling from out-of-town, please call (818) 918-9252 and send an email to Bookings@DrPersky.com. Once your photos are reviewed, you will be contacted by the office. To make your visit as comfortable and convenient as possible, we have selected the best hotels in the Los Angeles, Sherman Oaks, Calabasas, Thousand Oaks, and San Fernando Valley areas. You can find the full list of recommended accommodations here.