Thank you for your question and photographs. From the picture that you uploaded it does not appear that you need any additional Voluma in the cheek area, Voluma has a life expectancy of approximately 2 years; however, that can alter due to your own body's metabolic rate and chemistry. It may be time to address the signs of aging skin to help tighten and enhance your results from your already placed dermal fillers.
Best Regards.
I would be glad to give some advice on your areas of concern; it is important to know that as we age everything begins to sag and fall as we loose our collagen and our fat pads begin to deteriorate and split. From looking at your pictures, I would address midface volume loss first and work my way down and address your concerns of the NLF and ML at which point everything will be lifted and the jowls will appear less noticeable or gone. As far as lip enhancement goes, that is very individualized- depending on what you would like your end results to be. All in all I suggest an in person consultation with a well known provider in your area, they should be able to help you address all of your concerns and develop a treatment plan that is best suitable for you.
Best Regards.
Excellent questions, however in the U.S. we do not have Juvederm Ultra 3 so it is hard to give specific recommendations in order to compare it to any of the Restylane fillers. I suggest an in person, one on one consultation with a well known provider in your area. During the consultations they should be able to answer all of your questions and concerns and give a more reliable suggestion on which type of Restylane filler will best suit your needs for your areas on concerns.
Best Regards.
Some patients have antibodies to Botox, I would contact the office for a follow-up. If you still have no responded to the Botox injections, I would ask if they have a different neurotoxin that could be used, such as Dysport or Xeomin. Best of luck! Always follow-up with the provider that administers your injections.
I am sorry to hear about your experience with the results from dermal filler in your tear troughs. I would schedule a visit for a consultation with a reputable provider that specializes in cosmetic/aesthetic procedures. There are a few options but it all depends on the skin elasticity and issues around your eyes. Botox could help tighten that area along with a small amount of dermal filler in your cheeks. After the age of 30 we lose collagen at a rapid rate which can cause the areas under our eyes to appear worse and worse as we age. In order to fix your area of concern correctly I would schedule a consult.
Hope this helps!