Why does my undereye look hollow after Voluma?

If you increase the forward projection of the cheek (below the rim of the eye), it is possible to make the rim of the eye appear more hollow, especially where the cheek abuts the corner of the eye. Not everyone is prone to this problem, which depends on patient specific anatomy. If this occurs, it is easily treated by placing small amounts of filler between the upper portion of the cheek and the rim of the eye to create a smooth transition. Because the skin in this area is very thin, it may sometimes be better to use a less viscous filler than Voluma, such as Restylane or Juvederm Ultra. Hope this helps

Often, the midface volume enhancement should be accompanied by tear trough enhancement with a lighter filler such as Belotero. Best, Dr. Karamanoukian Los Angeles

As with all injectables, when Voluma is used, it must be carefully placed to contour the cheek region and the under eye region. It is a thicker hyaluronic gel and it can be a bit tricky under the eye to place relative to the cheek region. This can be discussed with your provider to determine if you require a bit more fill under the eye or if perhaps there was overfill of the cheeks. He or she will be able to evaluate you

Thank you for your question. It is important that Voluma is skillfully injected to create a natural and more attractive appearance. Return to your injector and discuss your concerns. Best, 

The injection of
Voluma, as with all fillers, needs to be done in an office of a board-certified
dermatologist or plastic surgeon as they best understand the anatomy of the
areas that we are injecting, the precise placement of the filler, and how to
best use these in your cheeks/mid-face and in all areas of the face. On
occasion, the problem you are describing does happen, even with skilled
injectors. It is why we routinely speak with our patients after the procedure
to make sure that they are doing well, and let them know if they have any
concerns, such as what you have, that we get them into the office and address the
concern with them. You may need a little more filler to correct the problem –
usually Juvéderm, Restylane, or Belotero will work well here as a touch up. I
would go back to your injector and find out what he or she recommends and let
them take care of it, if they are skilled enough to do so.