I had my annual tear trough appt a year ago & we gradually added 2 syringes of voluma inmy cheeks. I am very please with the results & intend on getting more soon. I'm blessed/cursed with a rapid metabolism so the resty in my troughs last 8 months max. typically but w/voluma its a game changer! Pic 1-2 is freshly done & 3 is a month later. Pic 4-5 is a year later