Voluma didn't make much of a difference. Will there be any change over time?

Thank you for your question. Without before and after photos it is difficult to determine the difference. Schedule a consultation to view these with your injector. Also, wait 2 weeks for the product to settle before you determine your results. Best,

Thank you for your question. You are early in your post procedure course. Usually the patient sees the start of the neuromodulators, (Botox Dysport, Xeomin), working at day 4.  The fillers usually see some result early, but some modulation continues.  In our office we have patients come back at 2 weeks for their check on their neuromodulator or filler.  At that point, most of the swelling is usually down, and we have an idea of the result.  This may be delayed if the patient has a bruise.  Often, asymmetry can be improved.  Please make sure your well trained, experienced injector knows your current status.Jeffrey J. Roth, M.D., F.A.C.S.Board Certified Plastic SurgeonLas Vegas Plastic Surgery

Whenever a patient is injected with filler and did not notice enough change it is important to find out reasons for this:- Not enough filler (patient may need additional filler).  In some patients larger amounts of filler may be necessary- High metabolic rate (some patients "absorb" filler faster)- Skill of injector (injecting filler is an art and some injectors may not be as technical and visual as others)- Patient understanding (sometimes patients may forget how they looked and not appreciate the difference)It is unlikely that the filler will expand and fill out more and create more volume.  

It is more than likely that the result you are
seeing is the end result unless you are experiencing swelling. Unlike many of
the other fillers, Voluma does not have a tendency to attract water. It is a wonderful
product and yields beautiful natural results when injected properly with the
right quantity. You may need additional product depending on the amount of
volume loss you are experiencing. It takes 5mls (syringes) to equal 1 teaspoon
and it is not uncommon for people to require multiple syringes to achieve the
desired result. I recommend returning to your provider or an expert injector
for reevaluation.

I am sorry to hear that you've not noticed any result.  I think there are at least a couple of possible explanations.1) You have a subtle result that you are not able to appreciate.  Some of us notice small details and others do not.  Many patients are very happy with these "subtle" results, since they do not want to look "done," but they do want to look refreshed. 2) There is actually no change - in this case, the filler may have been incorrectly placed, or you may need more. Faces that have more heaviness require more filler to make a difference.  Sometimes, either due to a conservative injector style, or patient's preference, we start with a baby step, knowing that we can build upon it.It is one of our challenging responsibilities to try to convey the result that the patient can expect whether we add one, two, or six syringes.  Good photography is also usually very helpful.

Three days is a little early to assess optimal results from Voluma. If you are still dissatisfied after two weeks you should return to your injector to review your results as well as your before and after photos. It is possible you may require additional syringes of filler to achieve the desired outcome. It is important to have realistic expectations as fillers are not a substitute for surgery. In the meantime it is advised to avoid extreme heat and cold as well as direct compression to the treated area.Best regards,