Eyes look more sunken after Voluma. Any suggestions? (photos)

Question

Yesterday I had one syringe of Voluma XC split between my two cheek bones and I am not happy because my eyes now look more sunken in. I have always had dark circles and now they look worse. I am thinking of having the Voluma removed but the DR said to give it two weeks before I make that decision. Turning 40 this year and want to look better not worse. Help!!

Raffy Karamanoukian, MD, FACS · Answer

It is not uncommon to have facial hollowness in one area when another area is filled with fillers. We advise patients to undergo Belotero for the lower eyelids and tear trough after Voluma injections. Best, Dr. Karamanoukian Santa Monica

Jason Emer, MD · Answer

I see this all the time in my practice and it is because people use the filler to lift the cheekbones when they really need it to lift the fat pad in the middle face and to treat the tear trough.  You need more filler to the trough and medial cheek to balance what over correction was done in the lateral face.  I suggest seeing a filler expert and one who uses cannulas for injections.  Best, Dr. Emer.

Michael A. Zadeh, MD, FACS · Answer

You have actually gotten a pretty good result for having just 1 syringe of Voluma spread between both cheeks. Sometimes when the volume in one area is improved, we start noticing the deficiencies in other areas more. Give it 2 weeks and see how you feel. If you are still not happy with your sunken eyes I think the better solution would be to add some Belotero just underneath your eyes rather than dissolve the Voluma. Best of luck to you!

Michael A. Persky, MD · Answer

Hi N,Not to worry.  I agree with your physician.  Wait a few weeks for the Voluma to settle.  You can always have a little Restylane placed in the lower eye lid hollow if need be.  I would not dissolve the Voluma, you do look better already.  Happy Birthday!  Good luck and be well.Michael A. Persky, MDEncino, CA

Sean Paul, MD · Answer

This can be quite common after volume augmentation for the cheeks.  A combination of lower eyelid/tear trough filler (restylane) may be advise once swelling has come down.  Additionally, a detailed discussion with your physician on your goals would be advised as well!

Eyes look more sunken after Voluma. Any suggestions? (photos)

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Answer: Best Remedy When Eyes look more sunken after Voluma. Any suggestions? (photos)

Answer: Best Remedy When Eyes look more sunken after Voluma. Any suggestions? (photos)

Answer: Hollowness after Voluma

Answer: Hollowness after Voluma

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Eyes look more sunken after Voluma. Any suggestions? (photos)

Answers (10)

Answer: Best Remedy When Eyes look more sunken after Voluma. Any suggestions? (photos)

Answer: Best Remedy When Eyes look more sunken after Voluma. Any suggestions? (photos)

Answer: Hollowness after Voluma

Answer: Hollowness after Voluma

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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.