Wouldn't adding Voluma to the upper cheeks push/lift the face upwards and crease up the under eye area?

Question

I was playing around with my face trying to see if I added more volume to the apple of my cheeks or the upper anterior part, it would "push" or "lift" the face upward which in turn actually creases and wrinkles up my under eye area if you know what I mean. Is this what happens? how can this be avoided?

William Groff, DO · Answer

Adding Voluma to build up your cheekbones is not equivalent to pushing on the apples of your cheek. The hyaluronic-acid based filler is injected deeply into the skin, where it plumps it up and strengthens it. The volume actually pulls the eyelid skin slightly outward, rather than bunching it up. Be sure to consult a board-certified dermatologist who knows how to build more volume in the face and smooth out wrinkles with Voluma.

S. Larry Schlesinger, MD, FACS · Answer

The short answer to your question is NO.Voluma will add volume to your cheeks at a deep level which pushes up the skin of the lower eyelid, therefore decreasing wrinkles in the lower eyelid.  Also, it adds volume to your infra orbital rim which decreases the visibility of fat bags and, at times, eliminates them entirely.Voluma as a base on your cheek with Vollure on top looks natural, is flexible, and if done artistically, makes your cheeks and upper face look aesthetically fuller for over a year.

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question.  Because Voluma is placed deep in the face it is unlikely to cause creases and wrinkles underneath the eyes and should in fact improve them by supporting the sagging tissues.  Be sure to see an ASPS board certified plastic surgeon in consultation to maximize your results.

Chad Pfefer, MD · Answer

Hi and thanks for the question.  If done correctly Voluma is injected into the deeper layers of the cheek and this will push the skin up and away from the bone.  We see wrinkles actually improve as the volume loss is one of the reasons that wrinkles develop under the eye area as we age.  thanks and take care.

John Tanqueray, MBBCh · Answer

You have raised a good question - yes if you have filler placed in the "apple" of your cheeks as you put it you may see the lines improve but there is a risk of an overfilled look and of the eyes looking smaller. The answer is to use Voluma in a way that lifts and tightens rather than simply filling, and this is achieved by placing the product more laterally. Done this way you will have a natural result that refreshes your appearance without any obvious sign that you've had treatment.

Christian N. Ford, MD · Answer

Thank you for your excellent question.  It is difficult to simulate the look of Voluma.  Because proper placement of this filler is deep, the undereye area should not become wrinkled.  In fact, Voluma can actually improve the tear trough or undereye area.  Voluma is a great product.  Beautiful and natural results can be achieved.  Please be sure to see an expert injector for an in-person consultation to fully discuss your goals and expectations in order to determine the best treatment plan.  Hope this helps and best wishes!

Steven H. Dayan, MD - Account Suspended · Answer

Dear bellbluey,
Thank you for your question. You are correct that Voluma injection to your cheeks can help add lift to the midface. As long as the filler is injected deeply and not towards the lower eyelid region, the tear trough area should not be significantly affected. If you have additional hollowing under the eyes, a thinner filler such as Belotero can be considered to restore volume in that area at the same time. I recommend you seek further evaluation with a facial plastic surgeon or plastic surgery who can perform a thorough examination and then discuss with you the best treatment options.

Val Lambros, MD, FACS (retired) · Answer

As the others docs  have written you don't get wrinkles in repose with cheek filler, However it is common to get some fullness in the upper lateral cheeks when smiling.  This depends on how much product is placed.

Wouldn't adding Voluma to the upper cheeks push/lift the face upwards and crease up the under eye area?

Answers (8)

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