Voluma to tear trough?

Hi @Earl. Juvederm Voluma is a very thick and heavy filler. Restylane and Belotero work great for the tear trough. Best of luck, Dr. Nima!

Thank you for your question in regards to tear trough treatment. Voluma can be a wonderful product for treating the tear trough area. We use both Vollure and Voluma for tear trough correction. For very deep grooves you might need the lifting capacity of Voluma, but for less severe volume loss Vollure is wonderful. These two products tend to have the least amount of swelling compared to the other hyaluronic acid fillers available in the US, which is very desirable in this specific treatment area. To find out what is best for you, 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 treatment. I hope this helps.

Voluma is a thick, viscous hyaluronic acid based filler that is wonderful for creating full, smooth contours that replace volume in the face lost to aging. It’s wonderful for building up cheekbones, for instance, or even creating a chin augmentation. Voluma is not the appropriate filler for the tear troughs. There, you need something thinner and softer. Belotero or Volbella would be my top choices. Consulting a board-certified dermatologist will let you learn more about dermal fillers and how they can help rejuvenate your face without surgery.

Voluma is a beautiful option to enhance cheeks but to heavy a product for the tear troughs.  It is better to use a thinner HA filler that will soften that area without creating a bag or a bulge. In our office we like Vollure or Volbella, depending on the thickness of your skin. Both products will last around 18 months in that area.

Thank you for sharing your question. In general Voluma is too thick of a product to place along the tear trough or rim except in the most hollow of patients.  Thinner fillers such as Vollure, Volbella, Restylane and Belotero are typically better for the thinner skin of the lower eyelid.  Hope this helps.

This is a good question, and the answer will depend on the anatomy of your face. We don't use Voluma as our go-to product for this area, however, if there is significant loss of volume in the mid-cheek as well as the tear trough, or if the trough is extremely deep but to bone structure and aging, we may start with Voluma, and bring the patient back at 2 weeks to finish with a softer product such as Vollure or Volbella. We do not use Voluma to the lateral trough, as it is difficult to spread it evenly. We suggest you consult with a Board Certified Facial Plastic Surgeon who treats this area frequently for your consultation and treatment, during which time they can make recommendations as to their preferred product. Thank you and good luck!

I recommend Belotero, Volbella, Restylane Silk for this area. However, a combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

Many thanks for your question. 
Juvederm Voluma is a very thick and heavy filler. The  tear trough area is very thin and delicate. If Juvederm Voluma was injected here, it would look lumpy and uneven. It is also important to avoid using a filler that attracts a lot water since this will result in bagginess around the eyes. In the tear troughs, it is important to use a thinner filler which does not attract a lot of water. . 
Juvederm Voluma is best injected in the cheeks and the chin. 
See a qualified medical practitioner with plenty of experience. Good luck. 

Voluma's g-prime is too high to put into the tear troughs.  In other words, it is too thick to be placed in an area where the skin is very delicate and thin.  It would look bumpy and "too full".  We use Restylane in the tear troughs.  Restylane's g-prime is lower than Voluma's and gives a wonderful result.  As stated in other posted answers, Voluma is best for the cheeks and sometimes nasolabial folds.  

Yes. Voluma's thickness makes it ideal for adding volume to the cheeks, but not to the tear trough area. There are, however, quite a few other fillers (Volbella, Vollure) which work nicely and which will give you a long lasting result.