Hi @RSMember17232! Four syringes of Voluma will overfill you. I recommend starting with one syringe directly into the nasolabial fold. Best of luck, Dr. Nima!
Hyaluronate-based fillers shall not adversely interact with your immune system; so, you may proceed without undue concern!
My only advice is that you should go to a physician who observes antisepsis and works in a clean environment, in order to minimize the risk of infection...
The tear troughs are a difficult area for injections with dermal fillers, and from your photo it looks like perhaps the filler here is too close to the surface of the skin. It may be worth waiting a total of two weeks since the top-up, and see if it settles down. What kind of...