Will Voluma cheek injections improve under eye hollows?

I currently have Restylane injected in my tear troughs. I have had it injected twice. The first time I had one syringe injected, and I needed more after 6 months. My last injection of another syringe was 4 months ago. The Restylane injections have been an improvement, but have not given me the results that I want. I am considering injecting Voluma into my cheeks. I think I need it regardless, but will this improve my under eye hollows? If not, what are other alternatives.

Doctor Answers 14

Voluma - great for cheeks, not for tear troughs or under eye hollows

Voluma is a wonderful product, when administered conservatively in the appropriate area by an experienced injector. Voluma is not designed for under eye hollows. It could likely result in a lumpy looking appearance.  The ONLY material I find predictable for tear troughs or under eye hollows is your own fat. Fat grafting can also  create problems, like lumpiness, or an overfilled look. But, when performed by a surgeon with expertise, experience, patience and attanetion to detail, the result can be beautiful. It can also be permanent. before having material injected into your tear trough or under eye area, I would strongly suggest viewing a minimum of a dozen patients and before and after photos from thee angles to see what their result is like. View photos after weeks, and months after the procedure. Ideally,  a plastic surgeon should be able to share several dozen patient images. But just four or five photos aren't enough.  Photos are just a start when looking for a plastic surgeon, but photos can provide evidence of outcomes. 


Raleigh-Durham Plastic Surgeon
4.5 out of 5 stars 50 reviews

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Voluma For Eye Hollows

Voluma is a great product for enhancing the cheeks that can give you a natural appearance. While sometimes it may indirectly improve the appearance of other areas such as the nasolabial folds and jowls by lifting the cheeks, the results can vary greatly depending on your facial anatomy and bone structure. It is very difficult to directly target improving under eye hollows by injecting Voluma into the cheeks. Of course, Voluma is not recommended for direct injection to the tear troughs. A surgical alternative (that is more permanent) that you may want to look into is fat grafting into the tear troughs. Schedule a consultation with a board certified plastic surgeon to see if you are a good candidate for this procedure.

Good for cheek hollows

As people age, the cheek area loses volume, making the cheeks flatten out and the skin droop and sag. Voluma is a hyaluronic acid filler that is approved to temporarily correct age-related volume loss in the cheek area. It instantly provides smooth, natural-looking results that last up to two years with optimal correction. Most of my patients have been very happy with their results using Voluma, even given the higher cost for this filler.  Voluma can work very well for the area just below the eyes where you transition from the lower eyelid to the cheek.

Voluma for Under Eye Hollows?

Voluma should not be used to target under eye hollows.  It is specifically designed for adding volume to the cheeks which can help mask the transition between eyelid and cheek. It is very technique dependent and require an injector with a great deal of experience. 

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
5.0 out of 5 stars 48 reviews

Will Voluma cheek injections improve under eye hollows?

Voluma is a great product that can help with facial volume lose in the mid face. It may help inadvertently to camouflage that area by pulling the cheek area and eye area out. I usually recommend doing a combination of products to help augment the under eye and cheeks. Usually, I'll use radiesse or voluma for the cheeks and beloterro or restylane for the under eyes. So, in my opinion it's good thinking to believe that you may still need to fill your cheeks in order to fully correct that area. Hope this was helpful.

Best of Luck!

Kristin J. Tarbet, MD
Bellevue Oculoplastic Surgeon
5.0 out of 5 stars 14 reviews

Absolutely a good option.

We have been using Voluma since it's release in early December 2013 and have extremely pleased with its effect at volumizing the tissues. It can be used safely if done conservatively up to the bony orbital rim, including the "tear trough" deformity and the outer (lateral) eyelid area. Your pictures appear to show a lumpiness to the eyelids, and if lumps can be felt, they can be treated effectively with injections of hyaluronidase which breaks down any hyauronic acid material (Restylane) injected previously. This is also true of Voluma which is 100% reversible if needed. It also lasts for over 2 years, making it very cost effective. It has quickly become our favorite injectable similar to its approval and use in Canada

Maurice P. Sherman, MD
San Diego Facial Plastic Surgeon
4.5 out of 5 stars 26 reviews

Voluma for Under Eye Hollows

Voluma cheek injections are likely to improve the appearance of dark circles and under eye hollows. Voluma is formulated with hyaluronic acid, a hydrating substance naturally found in our bodies that helps gives skin its youthful volume. By restoring lost volume and providing a natural lift to the cheek area, the appearance of the under eye region will improve as well. For the most ideal results, it is best to ask your dermatologist about fillers such Juvederm, Restylane, and Belotero which are more commonly used to correct the tear trough area.

Mitchel P. Goldman, MD
San Diego Dermatologic Surgeon
4.5 out of 5 stars 7 reviews

Voluma eye hollows

I do not like to use Voluma under the eye hollows and keep it in the FDA approved areas of the cheek. As this may vary by practitioner,  I would suggest discussing with a Board Certified Dermatologist with expertise with Voluma.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Under eye

Voluma is primarily used for cheek augmentation and can be a nice compliment to restylane or fat transfer surgery to address the lower eyelids.
I would suggest consulting with an Oculoplastic surgeon or eyelid specialist for an evaluation and proper discussion of your options for the best result.

Malena Amato, MD
Austin Oculoplastic Surgeon

Voluma And Undereye Hollows

Voluma is excellent for treating undereye hollows and has extremely low risk of Tyndall (creating a blueish discoloration after injection).  Seek a cosmetic dermatologist with expertise in using fillers and im sure for you a little will go a long way with Voluma.  I use cannula injection in this area so I see almost no bruising and swelling, however, with Voluma I find there is very little swelling to begin with. I wish you the best of luck, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
5.0 out of 5 stars 92 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.