Will 1ml Voluma in each cheek be enough? (Photos)

Question

I had a consultation and was advised to get 1 syringe in each cheek of juvederm Voluma. I’m looking for lost volume in cheeks and for a reduction in nasolabial folds. Do you think this would be enough? Also how long is healing process? Going on July 8 for cheeks and to evaluate lip fillers that were done 5 days ago. I am unhappy with the lip fillers

Michael I. Echavez, MD · Answer

I think that 1cc of Voluma to each cheek is good advice.  I would start with this and more could always be added later if needed.

Jason Emer, MD · Answer

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting,  and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

J. Jason Wendel, MD, FACS · Answer

It is difficult to tell from just a photo from the front.  Side and 45 degree angles would also be helpful in determining how much filler is needed for the cheeks.  Historically 1 ml to each cheek should be enough for lateral cheeks.  You may need a product such at Juvederm Vollure or Restylane contour for midcheeks.  After supporting and contouring cheeks, you may notice an improvement of your nasolabial folds, and may often need less filler in that area once cheeks are addressed.  Based on your photo, I would also recommend at least 1ml of volllure to NLFs and 1-2 mls to marionettes/chin area.  
I hope that helps!

Brian M. Harmych, MD, FACS · Answer

In general, patients seeking volume replacement in the midface would start with 1-2 mL during the first visit. I usually tell patients to expect they may need additional volume replacement with 1-2 mL more. Although, as a rule I don't even inject more than 2 mL in the malar cheek during the same visit. Often, 2 mL of Voluma in a patient with your degree of volume may yield sufficient results.

Marc Polacco, MD · Answer

Thank you for your question. I'd say 1 cc in each cheek is probably a good place to start. I always tell patients that it's easier to add more filler than to take away filler that is overdone. There isn't much downtime at all. I usually ask patients to apply ice afterward and limit activity that day, but that's about it. Sometimes there will be a bit of a bruise, but usually not a large one if any. Hope that helps!
-Dr. P

Connie Hiers, MD, FACS · Answer

Try one cc in each cheek initially. More can be added later if needed. Please do not get too much filler.

Glenn Messina, MD · Answer

A single syringe into each cheek is 1cc per side, not a lot of volume. However, Voluma has remarkable lifting power and that single cc can deliver remarkable results. I say try one per side, wait 2 weeks and see if you like to change. Its always easier to add more that to try and remove or dissolve filler.
THere really is no healing time unless you get a bruise which can take a week of more the resolve. Without a bruise the cheek looks fuller and no particular healing is required.

Vibha Gambhir, MD · Answer

One syringe of Voluma on each side would give a great lift to your cheeks. It would also make a subtle change for your folds as well. Additional syringes of Vollure may be used for the folds if you want more change. Healing will be 2 weeks to see the full effect as swelling and bruising could possibly be present after any injections to your face.

Anshul Gambhir, MD · Answer

Hello! 
Thank you for your excellent question! I highly recommend consulting with a board certified physician with experience. As for the filler injected into the cheeks a typical starting regimen would be 1 syringe per side, depending of results you then have the ability to build on top of that.  The Voluma may help with the folds, if it does not significantly change the appearance of the folds I would recommend Juvederm Vollure to the nasal labial folds to help soften the appearance of the folds. Your injector may even place the Vollure into the corners of the mouth to soften the corners of the mouth.

I am sorry to hear you are unhappy with your lip filler, since only 5 days have past I would give it at least 2 weeks to fully settle to see your finished product. I am not sure what your concerns are regarding the lips however, I would recommend setting up a follow up with your current injector to discuss other options to achieve the result you are looking for.

I hope this helps you! Have a wonderful day!

Camille Cash, MD · Answer

One syringe per side of Voluma is a conservative starting point.  The wonderful thing about fillers is that you can go slowly and build up to the look you are wanting.  You can begin with one syringe per side and evaluate your results.  If more volume is needed, you can build from there.

Will 1ml Voluma in each cheek be enough? (Photos)

Answers (13)

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