Does the voluma filler help with "crepey" looking skin in the lower cheek area?

Doctor Answers 15

For crepey-looking skin, consider an energy-based device to stimulate collagen

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Crepey-skin generally indicates that the skin is very thin.  A soft HA filler (juvederm ultra or restylane silk) could be injected in a pinpoint, matrix-like fashion to give the skin more substance. However, the effects would not be very long-lasting.

You may find the best results with a device that introduces controlled injury to the skin, thereby stimulating collagen production.  Depending on your skin type, this device could be a co2 laser (lighter skin types) or a radio frequency device (light- or dark skin-types).  

A collagen-stimulator, such as sculptra, can also be feathered into the skin to stimulate collagen production.  

Finally, if you can tolerate a mild retinoid, that will also help to promote collagen in the superficial layers of the skin.  Note: retinoids works slowly (over 9-12 months).

Voluma is suited for the midface

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Voluma is an excellent filler that is often used to improve the appearance of the midface and cheeks. And while increasing volume can sometimes have some positive effects on the skin, it has no effect on skin elasticity. For the lower cheeks, I would discuss other options with your physician.

Ryan Greene, MD, PhD
Fort Lauderdale Facial Plastic Surgeon
5.0 out of 5 stars 85 reviews

Based on assessment

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Voluma is an excellent mid face volumizer that is extremely technique dependent. An assessment would need to be made by an expert in the product placement to determine if it would help the "crepey" skin. As we age we lose volume in different areas. If the "crepey" skin is a specifically a product of loss of volume one would benefit from dermal filler. If the skin is a product of overall elastin or collagen loss and is not in an area that dermal fillers can be placed, then you may want to consider laser skin tightening. It is always important to be evaluated and assessed by an expert injector to determine the source and treatment of the area.

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 123 reviews

Voluma Injections and improvement in Face

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Voluma is an excellent mid face injection and will definitely augment and rejuvenate the mid face.  Depending on product placement it can help in the lower cheek area as well.  Voluma in the original studies also helped improve the area under the eye even though it was not directly placed there.  Thermage in combination may provide the best results in tightening the face and rejuvenating with Voluma.  Please consult a board certified dermatologist with experience in lasers and facial injections.

Voluma effect on skin

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Thank you for your question.  Voluma is a great adjunct to help restore lost volume and contour to the middle part of the face.  While filling up some of the cheek may diminish some fine lines a little bit, Voluma does not really have much effect on the skin.  Many of these minimally invasive procedures work well together.  Combining fillers and Botox is a great way to help improve the facial appearance.  Fine, crepey lines often benefit from aggressive skin care and use of Retin-A.  Additionally, more aggressive chemical or laser peels will have a greater effect on these fine lines.  Find a board certified plastic surgeon with whom you are comfortable and make sure you have all of your questions answered. Good luck. 

Voluma in the lower cheek

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In most cases Voluma is injected at deeper depths so it won't have as much of an effect on the skin's surface texture. Voluma is used to restore underneath volume. However, I have found with some added volume certain areas of lax skin tend to blend better and that may be the case, but it can't be expected in every case.

To resolve fine wrinkles in face especially around the lower eyelid-cheek junction I believe resurfacing procedures like Fraxel (CO2 laser) can be very beneficial.

I do recommend a consult with a plastic surgeon comfortable in skin treatments and injectables and lasers to evaluate your concerns

Steven M. Camp, MD
Fort Worth Plastic Surgeon
4.9 out of 5 stars 120 reviews

Voluma helps cheek contour

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Voluma is a great product for a cheek lift.  It can give you a beautiful and youthful cheek curve.  However, it does not help the texture of the skin.  To improve that area you have a few choices.  One possibility is a skin laser treatment.  If you would like to stick with filler, Belotero can often be used to improve skin texture.
Your best bet is to discuss this with your cosmetic surgeon who can help you figure out what treatments are right for you.

Marc Cohen, MD
Philadelphia Oculoplastic Surgeon
4.8 out of 5 stars 26 reviews

Best Treatment for Crepe` Looking Skin in the Lower Cheek Area

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Hi Kool,

Voluma revolumization of the upper cheeks does help with lower cheek lines.  The best course of treatment for lower cheek lines is to have a fractionated CO2 laser treatment such as Fraxel repair followed by the injection of Voluma and other fillers is necessary.  Choose your injecting physician most carefully.  Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 39 reviews

Voluma can help "crepey" looking skin

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Voluma can be injected into the upper cheek bone area and by filling this upper portion of your face, it will lift the crepey skin in the lower cheek area, thus making is look less crepey. If you want to know the cost of Voluma from a doctor near you.

Voluma for Cheek enhancement

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Voluma is the latest FDA approved filler and is unique in that it is a safe hyaluronic acid product that may last up to 2 years. It has exceptional lifting ability, making it useful for the cheek area. By injecting in the submalar region, deflated skin this region may also be improved.

Roy A. David, MD
San Diego Facial Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.