You have a hollow face - very common in ladies that are very fit or have lower body fat (eg runners).
In my option, you would do best with sculptra, which is my favorite product to add lasting volume to thinner faces.
Perlane®, now known as Restylane Lift® and Volulma® are both excellent for shaping and enhancing the cheeks. Please consult a board certified aesthetic dermatologist for a consultation.
Either Voluma or Perlane would be great choices for subtly plumping your cheeks. The best area would likely be to put them in the upper part of the cheek over the cheekbone going from the apple of the cheek back toward the temple area with feathering. You may also want to consider putting a little Restylane in the groove that extends down from the tear trough area. See web reference link with pic.
Thank you for your
Voluma and Perlane are both good options to restore volume loss in your cheeks. To be sure what is best for you and your desired goal you wish to achieve, see two
or more board-certified providers in your area for a complete evaluation to
make sure you are a good candidate and that it is safe for you to have
I hope this helps.
Hi Natural 2011,
In our officers we use HA fillers to replace volume in the face.
Voluma and Perlane are both used to augment the cheek and both work very well.
Voluma claims that it lasts longer. However, we have not yet seen 2 year longevity since the product is relatively new. For your first treatment you might opt for Perlane as it will last 6-12 months as a way to test it out and see if you like the improvement.
Dr. Jennifer Chwalek
Volume fillers such as Radiesse, Juvederm Voluma, or Perlane can work nicely to replace lost volume. Injecting one syringe at a time is a nice way to go slow and get the look you want. Because filler injections are an art as much as
a science, it is especially important to remember that the experience and
artistic ability of your injecting physician is the most critical part to your
achieving a beautiful, natural result.
Not rounding out the face and keeping your angles is a matter of seeing the right injector. Each syringe of filler has less than 1 teaspoon of actual material in it - if we are talking Perlane or Voluma - so there's not so much that it will round out the face with only a syringe or two. Yes, it is a matter of correct placement and a good injector will know that. Either of those two products works great. I used to use a lot of Perlane and Restylane in the upper cheek region and while I still do use these, I more often use Voluma now because I think it has a more natural look.
"This answer has been solicited without seeing this patient and
cannot be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."
While you can use any filler to achieve a desired affect, Voluma and Juvederm are a great combination, especially since there is a special now that if you do Voluma, Juvederm and Botox you will receive a rebate from the Allergan company! So what else could be better! It is important to go to someone who knows what they are doing as Voluma is a little finicky if you inject it in the wrong area and doesn't reverse well if they don't do it right. Good luck!
Cheek volume can be restored on a temporary basis with volume fillers such as Perlane, Voluma, Restylane, Juvederm and other HA fillers. Voluma lasts the longest in my experience, approximately 2 years in the cheek region. It is most common filler we use for the cheeks in my office.