Juvederm Voluma in tear trough, doctor said she did a 30% underfill, does this mean it wasn't all injected?

Question

Hi, I had juvederm voluma for my tear trough, the physician said she did a 30% underfill, now does this mean I didn't have all the 1ml injected? the results are significant however, I believe I could have a little bit more. thanks

Stephen Prendiville, MD · Answer

I would be very cautious about use of Voluma in the tear troughs.  Please bear in mind that there is no current FDA indication for tear troughs for any filler, but Voluma would be lower on most experienced injectors' lists in terms of preference.  My personal preferences include Belotero, Volbella, and Restylane, but all fillers in this area can have issues.  I am not sure what the 30% under-corrected remark is about.

Nelson Castillo, MD · Answer

Thank you for sharing your question and congratulations on your filler enhancement.  Your physician was likely referencing incomplete correction of your lower eye hollowness in order to minimize risk of being "over filled". Lower eyelids should be added to incrementally in order to produce a harmonious contour. Hope this helps.

Nirmal Nathan, MD · Answer

It sounds as if your injector undercorrected your tear trough by 30%, as HA fillers absorb water and can increase in volume...although Voluma is know to have very little water absorption. Generally, when I inject with Juverderm Voluma, I tell my patients "what you see is what you get". This is in contrast to Juvederm Ultra or Ultra Plus, where I will discuss things in terms of undercorrection.

Also, I would humbly advise you to be carefuly injecting Voluma in the tear troughs. It is a dense filler that is not meant to be used in shallow, thin skinned areas like the tear trough. This is not to say it can;t be used, but there are much better fillers out there for that purpose.

Hope this helps.

Sean Doherty, MD, FACS · Answer

I don't typically use Voluma to treat the tear trough. It's a bit too thick and can be problematic. The fact that you are happy with your results is great. I would encourage you to let things be. Underfilling this area is the right approach.

Jennifer Trent, MD, FAAD · Answer

The tear trough area is very tricky and delicate.  Underfilling the area is the correct way to approach treatment of the tear troughs. Always seek treatment from a qualified physician.

Juvederm Voluma in tear trough, doctor said she did a 30% underfill, does this mean it wasn't all injected?

Answers (9)

Answer: Tear trough area & Voluma

Answer: Tear trough area & Voluma

Answer: Voluma

Answer: Voluma

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Everything you need to know about Voluma

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Juvederm Voluma in tear trough, doctor said she did a 30% underfill, does this mean it wasn't all injected?

Answers (9)

Answer: Tear trough area & Voluma

Answer: Tear trough area & Voluma

Answer: Voluma

Answer: Voluma

Browse related questions

Recommended reading

Everything you need to know about Voluma

Our mission is to create a world where every investment in modern beauty is Worth It.