Could fillers still be in cheeks nearly 3 years later causing a “shelf”? (photos)

Question

Can Voluma XC still be on upper cheeks & causing a line when I smile. In the tear trough I got Restylane. When I smile it looks different than before the filler now it looks like a shelf, line is pronounced and crisp. It made me look better with a neutral face. When I feel the area it feels like product is there. I’m wondering if that is still possible, initially I went back & to address the line he added more but it didn’t help. Could Botox lessen the appearance?

Jason Emer, MD · Answer

fillers can last many years in some people.   try RF treatments and hyaluronidase to see if you can get inprovement. this also maybe malar bags that happen with age.  Best, Dr. Emer.

Jonathan Kulbersh, MD · Answer

It could still be filler. I recommend following up with a cosmetic dermatologist. If it's filler, it can be reversed with hyaluronidase. Hope this helps.

Sachin S. Parikh, MD · Answer

I’d guess your issue is more related to the tear trough filler than the Voluma. It’s difficult to tell based on your photos. I’ve seen tear trough filler last for several years. I’d follow up with your injector. Best wishes!

Val Lambros, MD, FACS (retired) · Answer

yes, Plain restylane can have this kind of duration in the lower lid.  Voluma can be dissolved though it takes more hyaluronidase and maybe multiple injections, then you are back to where you started. Sometimes trying to get perfect may make you look worse.

Could fillers still be in cheeks nearly 3 years later causing a “shelf”? (photos)

Answers (4)

Answer: Still be in cheeks nearly 3 years later

Answer: Still be in cheeks nearly 3 years later

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Everything you need to know about Voluma

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Could fillers still be in cheeks nearly 3 years later causing a “shelf”? (photos)

Answers (4)

Answer: Still be in cheeks nearly 3 years later

Answer: Still be in cheeks nearly 3 years later

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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.