I Had Juvederm Voluma in my Cheeks Today and See No Results is This Normal?

Hi Hele,Voluma (Juvederm) is a revolutionary injectable filler that was just FDA approved for adding volume to the cheeks, lasting up to 2 years after a single injection session.  We have been amazed by the natural and immediate rejuvenation of the cheeks, the under eye tear trough hollow, nasolabial folds, and even cheek lines, jowls, and marionettes in some patients.  The effect of Voluma is immediately seen.  There can be some additional swelling and bruising.If you do not see the results of your Voluma treatment then either not enough was used, or it was injected in an improper location.  Voluma lasts for up to two years, it is therefore priced higher by the manufacturer (Allergan Inc., Irvine,CA) and costs more than other fillers.  Patients and their Voluma physicians must discuss the amount of Voluma estimated to be needed for best results.  Using too little Voluma is like partially filling a balloon with air; you may not notice it until enough is used.  Our training as Voluma de Maio Master Injection Technique physicians aids our pre-treatment facial analysis and estimate the amount needed for realistic patient expectations.  Voluma is not a commodity, rather the results are dependent on how it is used by the individual physician on each unique face. The most important aspect of any facial aesthetic treatment is choosing your physician most carefully based on their artistic vision, knowledge of facial anatomy, skill, and experience to insure your best natural cosmetic results in the safest manner.  See the below web reference and watch the video for more Voluma information.  Good luck and be well.Dr. P

There are many reasons why you might not be seeing as much volumizing from the Juvederm as you had hoped.  One is that you may not have had enough put in.  Sometimes finances play a role in that decision.  Better to under inject and go back for more than to feel that you were over injected.  Make sure your injector is well versed in all of the fillers so that you have many options. Good luck!

 

Some doctors may decide to start with a conservative amount of filler to ensure client satisfaction and gradually build on what they have done. This helps to prevent  clients from having tremendous swelling or a look that is overdone.
It is also difficult to guage clients' expectations. Some people look for subtle improvements and some people would like more noticeable effects. Speak with your doctor about your expectations and I'm sure they can make adjustments.

Depending on how much volume you need or have lost in the cheecks, fat transfer remains your best option, It is the longest lasting, and feels more natural. However you need an expert's advise and analysis to determine where and how much to put to achieve the facial rejuvenation needed.

I usually use Radiesse for cheeks and the patients see the results immediately. In fact they dictate where additional Radiesse is needed at thatvery time