Voluma is not FDA approved to treat the tear troughs. It is the first FDA hyaluronic injectable to be approved for mid face volume loss. Voluma has the Vylacross technology with much cohesitvity which enables the product to provide support and lift for the skin. I do not recommend the use of Voluma in the tear troughs. It is high risk of visible lumps in this area and there his a possibility of making the malar bags look worse. Studies have proven, as I have also observed in my practice, when adding Voluma to the Malarr areas as FDA approved, the tear troughs or lid to cheek junction is shortened. Therefore the tear troughs look better also.