Does the voluma filler help with "crepey" looking skin in the lower cheek area?

Crepey-skin generally indicates that the skin is very thin.  A soft HA filler (juvederm ultra or restylane silk) could be injected in a pinpoint, matrix-like fashion to give the skin more substance. However, the effects would not be very long-lasting.You may find the best results with a device that introduces controlled injury to the skin, thereby stimulating collagen production.  Depending on your skin type, this device could be a co2 laser (lighter skin types) or a radio frequency device (light- or dark skin-types).  A collagen-stimulator, such as sculptra, can also be feathered into the skin to stimulate collagen production.  Finally, if you can tolerate a mild retinoid, that will also help to promote collagen in the superficial layers of the skin.  Note: retinoids works slowly (over 9-12 months).

Thank you for your question.  Voluma is a great adjunct to help restore lost volume and contour to the middle part of the face.  While filling up some of the cheek may diminish some fine lines a little bit, Voluma does not really have much effect on the skin.  Many of these minimally invasive procedures work well together.  Combining fillers and Botox is a great way to help improve the facial appearance.  Fine, crepey lines often benefit from aggressive skin care and use of Retin-A.  Additionally, more aggressive chemical or laser peels will have a greater effect on these fine lines.  Find a board certified plastic surgeon with whom you are comfortable and make sure you have all of your questions answered. Good luck. 

Hi Kool,Voluma revolumization of the upper cheeks does help with lower cheek lines.  The best course of treatment for lower cheek lines is to have a fractionated CO2 laser treatment such as Fraxel repair followed by the injection of Voluma and other fillers is necessary.  Choose your injecting physician most carefully.  Good luck and be well.Dr. P