Juvéderm Ultra is the fuller lip option. It adds volume you can see, so it suits someone who wants their lips to look bigger. Juvéderm Volbella is the subtle one. It is a thinner, softer gel used for a small change, for the fine vertical lines above the lip, and sometimes for shallow hollows under the eye. They come from the same family and both are hyaluronic acid, so the real question is how much you want people to notice.
Lips that you want to look clearly fuller, and a defined lip border.
A quiet change in size, the fine vertical lines above the lip, and delicate areas like under the eye.
Firm enough to hold a shape in the lip without feeling stiff.
Thin and smooth, so it will not show as a ridge under delicate skin.
People who know you will usually see it. That is the point of choosing Ultra.
It reads as good lips rather than done lips.
A full syringe in a lip is a real change. Half is a common first step.
Volbella is a subtle product. A full syringe of it in a lip would be a lot.
The lines running out from the lip border, and the corners of the mouth.
It is the family's usual pick for the under-eye, because the skin there is the thinnest on the body.
Lips swell a great deal for two or three days. Judge them at two weeks.
Same picture, though less gel usually means slightly less swelling.
Too much gel, or gel placed too far forward, gives a heavy, rolled look at the lip edge.
Under the eye, too much product can hold water and look puffy for months.
Ask whether the clinic sells half a syringe, since half is often the sensible first treatment.
Half a syringe is common, and some clinics keep the rest for a top-up.
Ultra is built to add size: It holds a shape in soft tissue, which is what gives a lip more projection and a clearer border.
Volbella is built to sit quietly: It is thin enough to spread through the surface of a lip and smooth a line without adding much bulk.
Using one where the other belongs shows: Ultra placed too shallow in a lip line can read as a ridge. Volbella in a lip that wanted real volume can look like nothing happened.
The skin under the eye is the thinnest on the body: A firm gel there can show as a lump or a bluish line, which is why the soft product is chosen if any product is used at all.
Fine lines above the lip need a gel that sits close to the surface: Volbella is placed shallow for that reason, and it smooths the line rather than adding fullness.
Being reversible matters most in exactly these spots: A poor result under the eye can otherwise sit for a year, and hyaluronidase clears it in days.
No trial has put Ultra against Volbella: Each was tested on its own, in its own area, so the two sets of results were never designed to line up.
That is normal for fillers and it is not a red flag: It does mean nobody can tell you one gives better lips than the other. They were made for different jobs.
Describe the result you want: "Fuller, so people notice" and "smoother, so nobody notices" point at two different syringes.
Ask how much gel is planned, in millilitres: The amount changes the outcome more than the choice between these two does.
Ask what happens at the review: Two weeks is when lips settle, and adding a little more then is easier than taking some away.
Book at least two weeks before anything social. Lips swell hard for the first few days.
Ask to see that injector's own lip photos taken at two weeks, not on the day.
If you get cold sores, say so when you book rather than on the day.
Check the clinic keeps hyaluronidase on site.
Start small. You can always add gel at a review.