Will Voluma work in temples, cheeks to lift jowls, and to address indentations in chin? ( Photos)

Question

I have some volume loss in my face, due to weight loss, and age. My biggest concern is the lax skin around my mouth and jowls. I have developed 2 shadows/dimples/divets in my chin area. Maybe from the excess skin in that area? I have quite a bit of volume loss in the temples too, especally my left. Suggested fix is 2-3ml Voluma in cheeks and 2ml in temples. I'm told this is how to address my lower face concerns. Is this so? Is this enough? 43 yo, female, 5'7, 130lbs

Brandon Richland, MD · Answer

Hello, and thank you for your question. Filler can be a great option to replace volume loss and to help restore structure to the face. By treating the upper face, this will help treat the lower face, however, you may still need product in your lower face. As we age, we lose volume and structure (bone, fat, muscle,) which makes skin sagging worse. Gravity pulls down, so if we start by treating the upper face, it can help pull parts of the lower face “up”. I would suggest consulting with your provider and discuss if filler would be a good option for you in the lower face.

Scott Trimas, MD · Answer

The suggested filler to cheeks and temples would help restore volume and balance your overall features, but it is not addressing other signs on aging in the lower face. While a profile image was not provided, I can see some blunting to your chin that suggests you may benefit from jawline/chin filler. Additionally the divots you pointed out- I like to call them chin shadows, can results from volume loss in that area and would need filler directly to the shadows to improve. In addition to what was suggested, you may benefit from lower face Volux/Voluma. I would recommend developing a long term plan with your injector to treat these areas over a few months.

Stanley Okoro, MD · Answer

Thanks for your question. I think Voluma and to the cheeks and temples is a fine plan. I do note that your skin is aging and you would benefit from microneedling with radiofrequency.  Consider treating your skin prior to filler with Morpheus 8 for complete facial rejuvenation. Make sure you consult with a board certified plastic surgeon.

Jason Emer, MD · Answer

Facial sculpting and contouring can be created with well-placed fillers (Voluma, Countour, Radiesse, Bellafill) and Sculptra, which would give improvement in facial balance. Fat or implants are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Connie Hiers, MD, FACS · Answer

I would first suggest doing radiofrequency with micro-needling to help thicken your tissue. After these 3 treatments, then add filler where it may be needed. You will be surprised how nice your face will response and will need less filler.

Camille Cash, MD · Answer

Voluma is typically used for mid face concerns, although it can be used in other areas.  The great thing about fillers is that you can go slowly and build up to the look you want.  We recommend using medical grade skin care products like Transform MD and wearing sunscreen every day to keep skin looking healthy.  You can also consider peels and microneedling to improve overall skin tone and texture.

Burgess Plastic Surgery and MedSpa · Answer

Hello and thank you for your question! For our patients with similar anatomy and facial volume loss we would recommend starting with Sculptra injections and then possibly adding in hyaluronic acid filler injections if needed. Sculptra Aesthetic is a poly-L-lactic acid injectable known for stimulating collagen production and providing results that can last up to two years. Sculptra addresses the underlying cause of aging&mdash;loss of collagen&mdash;instead of the symptoms. It works to stimulate the body to produce its own collagen to restore skin structure and volume. As the injection microparticles are absorbed, collagen production accelerates. This treatment is typically done as a series of treatments spaced about 2 months apart. Typically, the recommendation is a vial per decade of age so in your case it may take about 4 vials.This is an excellent treatment option to address global facial volume loss. Something else to consider would be the degree of skin laxity. Treatment options to address this issue would be Ultherapy or The Secret RF. Ultherapy uses ultrasound energy while The Secret RF uses radio frequency energy. Both produce heat energy to work by tissue contraction to help lift and tighten loose skin. They also stimualte collagen production to help maintain the support. The ideal order of treatments would be to heat first and fill after. We recommend seeing a trained registered nurse or plastic surgeon in a board-certified plastic surgery office who can assess your individual anatomy before treatment. Thank you again for your question and good luck with your journey.

Vibha Gambhir, MD · Answer

Hello, and thank you for your question. I think Voluma would be a great addition and would help address your main concerns! With proper placement it will help create the look of lift for the jowl area and add fullness to your temples while creating contour and lift in your cheeks as well. It may also help with under eye hollowness. It's a great place to start and good luck on your journey!

Will Voluma work in temples, cheeks to lift jowls, and to address indentations in chin? ( Photos)

Answers (8)

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