Voluma Facelift?

Is Voluma an appropriate solution without surgery for lower face sagging?

Doctor Answers (15)

Voluma Facelift?

Dear molly, thank you for your question. Injectable fillers can be used to enhance facial volume, correct lines and depressions, and rejuvenate the face without surgery. Some common fillers used in our San Diego practice include restylane, juvederm, perlane, voluma, radiesse, and sculptra. Consult with an experienced facial plastic surgeon injector to review your options. Good Luck!

San Diego Facial Plastic Surgeon
4.5 out of 5 stars 19 reviews

Voluma for lower face

Voluma is approved for use in the cheek areas at this time.  The best choce would be a full evaluation by a surgeon experienced in surgical and nonsurgical options for treating the lower face.  

Susan D. Vasko, MD, FACS
Columbus Plastic Surgeon
4.5 out of 5 stars 3 reviews


There are multiple aspects of facial aging -- specifically sagging tissues, volume loss, and aging skin.  Volume enhancement through Voluma, other dermal fillers, or autologous fat transfer is commonly performed in conjunction with lower face / necklifting.  Oftentimes, we will perform laser skin resurfacing, as well.  

Voluma is indicated in the midface and cheek region of the face.  Results are natural with an experienced and skilled surgeon and last 2 years.  It may address lower face and neck laxity somewhat but not as directly as a surgical procedure.  An alternative to surgery is ultrasound-guided tightening, or Ulthera.

Good luck!

Jeffrey B. Wise, MD, FACS
Wayne Facial Plastic Surgeon
5.0 out of 5 stars 49 reviews

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Voluma for lower face sagging

Dear Mollygirl,

Many good points have already been made. Facial aging changes that we see are caused mainly by Descent of the soft tissues with loss of boney support,  Deflation of the soft tissues, and Deterioration of the skin quality.  Historically, fillers have been most useful for filling the deflated areas of the face while surgery had been used to "lift" the descended areas.  Voluma is different from the other hyaluronic acid (HA) fillers in that it has the ability to give much more structural support so it really can not only fill but also provide lift in some scenarios.  This is why it can be so useful in the mid face but also other "off label" areas of the face.  It can also be diluted for administration in some of these areas to avoid lumpiness if it has to be used more superficially or in someone who is very thin.  This product has been a welcomed addition to the armamentarium of surgeons operating in the mid and lower face.

Roger A. Dailey, MD
Portland Oculoplastic Surgeon
5.0 out of 5 stars 2 reviews

Voluma for lower face

The FDA indication for Voluma is for mid-face volumizing. Having said that, yes it can be used for lower face injections (and very nicely). It relies heavily on the skill level of the injector, and skilled injectors can do some very nice things with this product. The company cannot promote off-label use, but physicians can use it where it is needed. 

Michael Gold, MD
Nashville Dermatologic Surgeon
4.0 out of 5 stars 3 reviews

Voluma for lower face sagging

Voluma is an excellent filler for lifting and adding volume to the cheeks. In the studies for FDA approval results lasted up to two years.  While it does not replace surgery,  combining Voluma with Ultherapy can give long lasting tightening and lifting to produce more youthful skin for those not yet ready for surgery.

Ritu Saini, MD
New York Dermatologic Surgeon
5.0 out of 5 stars 5 reviews

Best Non-Surgical Treatment for Lower Face Sagging

Hi Molly,

By filling volume in the cheeks, Voluma place properly helps to soften nasolabial folds, and even lessens minor jowling.  It can be used off-lable along the jaw line and chin to help the lower face.  The best non-surgical solution for lower face sagging is Ultherapy.  If there is too much lower face sagging then a face/neck lift is the answer.  By all means, choose your treating aesthetic physician most carefully.  Good luck and be well.

Dr. P 

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 23 reviews

Voluma can help correct lower face sagging without surgery

Voluma is a filler FDA approved for mid face rejuvenation. It is used off-label in many other areas of the face. The lower face sag or "jowl" that develops with age is largely due to loss of volume in the fat pads and bones that make up the cheek bone as well as the fat in the cheeks. Voluma can offer lift and reduction in the appearance of the jowl without undergoing surgery and the results last up to 2 years.

Meg Cherry, MD
Birmingham Dermatologic Surgeon
5.0 out of 5 stars 5 reviews

Voluma for Lower Face Sagging

Voluma is an excellent option for lower face sagging. If Voluma is placed in the appropriate areas the result can be amazing.

Kimberly Butterwick, MD
San Diego Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

Loss of facial Volume is one of the hallmarks of an aging face


Adding volume to the cheeks can make your face look younger by restoring a youthful roundness. Voluma, by it's nature as a strong lifting filler can also help some facial sagging as well. Often we combine it with other non-surgical modalities such as Ultherapy for patients who aren't ready or really need a facelift yet.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon
5.0 out of 5 stars 39 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.