How much Voluma is required to see a difference?

I normally start with at least two syringes, one on each side of the face. It is a good place to start and if you need more you can always add to it in the future. I think less than one syringe on each side will not be very noticeable for most patients.

At age 28, most
patients still have a lot of facial volume. Starting at age 30, we
begin to lose a teaspoon of fat each year from the face, so by the
time we are in our mid to late thirties, two or three syringes may be
necessary. As a general guide, most patients will require one
syringe per decade, but it certainly does not need to be added all at
once. Faces come in all shapes and sizes and some will need more,
others less. In any case, it is difficult to give you a definitive
answer without seeing photos. However, in general I think it's best
to start out conservatively with the hyaluronic-acid based fillers,
such as Voluma. It is easier to add more than it is to go too far and
have to dissolve the filler with hyaluronidase.

From your
description and at your age, one syringe sounds like a good starting
place, as long as you realize that you may not see a dramatic
difference. If the person you consulted is unwilling to honor your
wish of starting slow, then I recommend finding a board-certified
dermatologist who is expert in contouring the face with Voluma who
also believes in a stepwise or “less is more” approach.  

Thank you for your question. It would be helpful to see photos. More importantly, you should feel comfortable with your board certified facial plastic surgeon. The surgeon will recommend a treatment amount based on your unique face and its unique needs rathen than setting a standard for all patients. 
Best wishes,

Thank you for your question. Voluma is a great option for adding volume and augmenting your cheekbone/midface soft tissue area. However, there is absolutely no reason to feel compelled to "start out with three or four syringes" of the product. In my own practice, patients are always welcome to start out with just one syringe - using half on each side of the face - if she or he is more comfortable "tiptoeing" slowly into the world of fillers. Please be certain to schedule your consultation with a board-certified plastic surgeon. 

Hello, 
Thank you for your question. While it is possible to see a small difference with one syringe, most people do an average of 2. If your doctor recommended 3-4 make sure to find out why, and where exactly they want to put it. You should always feel comfortable moving forward with your treatment. Good luck!

Often I like to evaluate and give my opinion as to how many total fillers may be required to see a positive difference.  But that does not mean you cannot choose to have far less than recommended.  The results will naturally be sub par.  If my patient wants to start with one or two there is no issue.  I do recommend waiting 2-3 weeks after the first syringe and letting it "settle" before returning to add the 2nd, 3rd, etc.   basically I don't like to reinject in less than that time frame because swelling can affect placement of additional fillers sometimes.  find someone who is willing to work with you!

Great question. I would say that 3 or 4 syringes is typical in our practice too. However, we almost always start with two syringes at the first injection and build up from this point. I find, that patients see an improvement and don't feel like it's to aggressive of a change. Consider a second opinion with an experienced injector. 

Thank you for sharing your excellent question.  Each patient's tissues respond differently to filler placement with some seeing clear results with a single syringe and others requiring more.  The thinner the patient and the less sagging skin present the less filler needed to achieve a noticeable improvement.  It is not uncommon to use a single syringe per area being treated - for example one cheek.   See a series of injectors until you find one you feel most comforatable with for treatment.  Hope this helps.

It would be helpful to see a picture, but in general for patients seeking "cheek bone augmentation", 1-2 syringes total is a good starting point. The depth of injection varies, where deeper injections require more volume to produce a noticeable change in contour. I think it is reasonable to start with 1 syringe and if not satisfied, you can always do more. 

Great question! I understand your concerns of wanting to start with 1 syringe as it can be a good idea to start with less and build up if more is needed. Often, it will be hard to see significant results if you are too conservative. Average starting doses for cheek area are 2 syringes and up. It is also important to find an experienced injector that will map your cheek area for you to see where the Voluma will be placed and listen to your concerns and goals. Best to you.