In late 2013, Allergan received FDA approval for the newest hyaluronic acid filler on the market – JUVÉDERM VOLUMATM XC (Voluma). This is a mid-face hyaluronic filler that can last up to two years. Voluma is the latest of the JUVÉDERM range of hyaluronic acid fillers and is FDA-approved to restore mid-face volume loss. It is approved for use in the central cheeks and cheekbone. This is the filler of choice to create higher cheekbones.

According to leading anti-aging experts, an attractive face is characterized by smooth, round contours, high cheekbones and a thin, well-defined jaw line. These features together comprise the ‘triangle of beauty’ or ‘heart of face’, with its base at the forehead and the peak below at the chin. This is what Voluma helps achieve.

For many years, Dr. Rueckl was the only injector at Lakes Dermatology. But after years of training them with his personal techniques and intricacies, Melanie Wade, BSN, RN, and Ross Davis, PA are both now injecting at our office as well.

What is Voluma and what does it do?

Created by Allergan, the makers of BOTOX and JUVÉDERM, Voluma was the first filler approved by the FDA to instantly add volume to the cheek area. Voluma is an injectable hyaluronic acid gel for deep injection in the cheek area to correct age-related volume loss. Hyaluronic acid is a naturally occurring substance in your body that helps to add volume and hydration, and the unique cross-linking of Voluma allows it to be a thicker, plumper gel than other hyaluronic acid fillers. Additionally, Voluma is unique because it is less hydrophilic than other JUVÉDERM products, meaning it pulls less water to itself after injection. What does this mean for you? Less swelling! Voluma has been shown to last up to two years, when injecting amounts for full correction.

Several years ago, Allergan introduced XC products to their JUVÉDERM line—now including Voluma. These products are the same formulations but with lidocaine already in them. While we use these syringes, Dr. Rueckl still pre-numbs all patients with lidocaine and epinephrine to ease any discomfort and help reduce bruising and swelling.

For more information about Voluma, including all FDA information and a photo gallery of befores and afters, please visit the Allergan Voluma website at

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Where is Voluma used?

VOLUMA is injected under the skin into three main areas of the cheek. The exact placement and amount will depend upon each patient’s volume loss in these areas.

Depending upon the site of injection and your specific volume loss, multiple syringes may be needed for full effects. If patients are truly unhappy with a hyaluronic acid filler (like VOLUMA, or if an error has been made with an injection,) the filler itself can be dissolved with the injection of Vitrase/hyaluronidase.

Why is Voluma different than other fillers?

Like many of the most well-known and well-liked fillers on the market, Voluma is made of hyaluronic acid. However, because of its unique cross-linking, Voluma was the first FDA-approved filler for mid-face volume loss because it is a larger, plumper molecule. Because of this feature, Voluma is injected at deeper levels within the skin. Voluma also pulls less water to itself after injection, which will result in less swelling.

Voluma is biosynthetic and of non-animal origin. Since it is not created from an animal source, there is little chance of allergic reaction and no testing is required prior to injection. The formula is highly biocompatible (over its lifespan, it will metabolize with your body). It has been proven to be safe and effective for skin of all types and colors.

Depending on your desires and the areas you want injected, Dr. Rueckl can help you decide if Voluma is the right filler for your needs through a free consultation.

What is a Voluma treatment like?

As with all filler injections, Voluma is only injected by Dr. Rueckl. He will begin by discussing the treatment with you and have you sign a consent for the procedure. Dr. Rueckl will prep the site with a lidocaine with epinephrine block to further reduce any pain or discomfort during the procedure and have you wait about 10 minutes. By waiting this amount of time, the blood flow to that area is able to dissipate a bit, resulting in less bruising and swelling. After about 10 minutes, Dr. Rueckl will administer the Voluma syringe and expertly and artistically inject the substance into the areas to be filled and re-volumized. Dr. Rueckl will apply ice packs to the injected areas and have you sit for a few minutes to apply pressure, thereby further minimizing swelling and bruising. The full procedure should take approximately 30-45 minutes. You will leave the office having minimal discomfort or other affects and be able to return to normal activities.

What kind of results can I expect from a Voluma treatment?

You should see an immediate improvement in the treatment areas (normally 1-2 days) with minimal bruising or swelling. Sometimes bruising and swelling can be minimized by taking Arnica pills, using Arnica gel, and/or having Arnica gel pads applied after injections. Arnica is a natural medication that can be obtained from a local health foods store. It is not necessary to take it, but some people find it helpful, particularly if they are prone to bruising. Ice packs and avoidance of aspirin for a few days will help should you encounter either of these as well.

Voluma will give a subtle lift and help contour the areas to which it’s injected. Voluma can last up to two years, although in some cases and areas, the duration of the effect may be shorter or longer. Supplemental treatments may be required to achieve and maintain optimal results. Voluma will often be combined with other fillers, like JUVÉDERM for the nasal labial folds or Restylane for the tear troughs and lips.

How much does Voluma cost?

As with all fillers at Lakes Dermatology, Voluma is charged by the syringe. One syringe of Voluma is 1ml and costs $850 for the first syringe. If additional syringes are needed, those will be $750 each.

Allergan’s Brilliant Distinctions Program

If you get Voluma regularly, make sure you sign up for Allergan’s Brilliant Distinctions program. By participating in this program you get points for each treatment which you can then deposit and redeem for discounts on future treatments and products from Allergan. For all of the details, please check out


Happy Patient

I am a happy patient of Dr. Rueckl.  I have had Fractora several times.  Couldn’t be happier.
– S.P.


Hi everyone at Lakes Dermatology!!!

Wanted to say “Thank You” to everyone for helping me look my best for my competition this past Saturday July6th.
I WON!!! Took first place ? on both of the categories I competed and took overall on both which I broke record, no-one has won 2 overalls in one show.
Thank you ??


I Love This Place!

I love this place. My first step in their office, I was like, whoa! It’s beautiful! I was sent here by the VA for some skin issues and the doctors here are truly amazing. He listens to every single complaint I’ve had without any judgment and is very positive about my treatment plan! Even the nurses and ladies behind the desks were super friendly. I definitely recommend this place!!


Does The Best Lips!

Does the best lips! He’s also a really skilled injector. I don’t even think he numbed me, but I barely felt anything. It was nice not to do a dental block. He gave me the exact (natural) look I was going for. Not obviously fake at all but I DID get compliments on my lips from a few of my doctor friends!


The Best Doctor Ever!

The best Doctor ever! I’ve been dealing with rosacea for years and he was the only doctor who really help me. Im really glad that i find this amazing person he’s so kind, professional humble

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