Voluma Diluted with Another Substance for use Under Eyes?

Question

I heard that Voluma can be diluted/mixed with something else, and can then be used effectively under the eyes. What substance is it usually mixed with in those situations? Can BOTH substances be dissolved with hyaluronidase, and it that second substance more easily dissolvable than Voluma?

Nima Shemirani, MD · Answer

Hi @Rdhead1! You are correct, fillers can be diluted with either saline or lidocaine to thin the consistency. I hyperdilute Voluma in my practice  to use for tear trough fillers. Best of luck to you, Dr. Nima!

Aldo Guerra, MD · Answer

Yes, many fillers can be diluted to thin out for ease of injection with either saline or lidocaine. Voluma would not be my first choice under the eyes. It can create a chronic swelling appearance. I prefer Belotero dilute with lidocaine or Restylane.Speak with an experienced injector.Best wishes, Dr. ALDO

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Fillers can be diluted with either saline or lidocaine to thin their consistency, but with the variety of fillers available on the market it is easier to choose a thinner filler than to doctor Voluma.  Hope this helps.

David Tauber, MD · Answer

In younger patients with good quality skin and mild to moderate under-eye bags, a hyaluronic acid filler can help camouflage the bulging fat and improve the contour in this area. Voluma is great for adding volume to the cheeks and midface where its bulk can be masked by overlying tissue. Under thin tissues such as the cheek-lid junction or in the tear trough, however, Voluma can end up being lumpy and suffers from the tindle effect. This occurs even when diluted with saline or lidocaine.A thinner filler such as Belotero or Restylane Silk is a better choice in these areas to bring up the depths of the tear trough and to improve the contour of the cheek-lid junction. Thin fillers, such as these, have properties that allow the material to diffuse into the tissues more easily then other fillers — helping the material to spread out. When Belotero or Restylane Silk is injected correctly there is no visible or palpable bulge and no discoloration (kindle effect).See the link below.A detailed examination will help delineate the best option. Consultation with a surgeon certified by the American Board of Plastic Surgery would be the next best step.

Michael A. Zadeh, MD, FACS · Answer

Any filler can be further diluted with saline or lidocaine to decrease it's density. I don't see the point of doing this with Voluma as there are a few other fillers that do the job very well for filling under the eyes. Make sure you see an expert injector.

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. I suggest that you move forward and consult with your board certified facial plastic surgeon to learn more about dissolving your Voluma injectibles. Best wishes,

Sean Doherty, MD, FACS · Answer

Voluma, in most cases, it not the ideal choice for treating the hallows under the eyes. You want a filler that is less thick like Belotero or Restylane. Best of luck.

Kouros Azar, MD · Answer

Personally, I do not use Voluma under the eyes. It is too thick. I much prefer a thinner filler such as Restylane or Belotero.

Shaun Patel, MD · Answer

Voluma is a great filler and I use it commonly for the mid and lower face. However, it is not my preferred filler for the undereyes. I recommend Restylane or Belotero when injecting the undereyes. Restylane last longer then Belotero and so I usually go with it. I also prefer injection of the filler using a microcannula to minimize bruising and trauma to the delicate undereye tissues. Hope this helps.

Michele S. Green, MD · Answer

Voluma is a fabulous product for injections but it is not really the best product for under eye injections.  You can dilute products with normal saline or sterile water but there are other fillers that are thinner and better for the delicate under eye area such as Belotero.  Please consult an expert in under eye fillers.  Best, Dr. Green

Voluma Diluted with Another Substance for use Under Eyes?

Answers (11)

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