Can Voluma to inner cheeks cause tear trough problems? How can this be addressed? (photos)

Question

I’ve had Voluma twice now 1.5 years apart to my medial cheeks as I’m 42 and with exercise regularly my upper body including my face gets very lean. I’m happy with the outcome of the fillers on my cheeks as they had started to develop a sunken, deflated look and now I look more refreshed. However with the that area being raised it seems to have created a more noticeable tear trough whereas it was only very mild before. Is this to be expected? Or how can this be better addressed for next time?

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  Nothing replaces an in-person examination but if the Voluma was placed superficially along the medial cheek it may be causing the worsened tear trough deformity.  I would seek out a board certified plastic surgeon to evaluate your current results and discuss treatment options.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Glenn Murray, MBBS · Answer

Hi
In some cases mid face filling will help address the deflation and desent of the fat pads as we age.
The fat pad under the eye although helped with mid face filling for support may need additional support in the form of a fine HA to help soften any sunken appreances.

You may find that addressing the cheeks only will replace what you once had but other areas will continue to age.

I hope that helps.

Anshul Gambhir, MD · Answer

Thank you for your question! Sometimes when filler is placed in the anterior cheeks it can make your tear troughs appear worse since you added volume to the cheeks and not the under eye. Typically we will do both at the same time because the areas compliment each other when they are done together. Hope this helps!

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,

You do have quite a bit of volume loss in the tear tough and you need a bit more filler in the cheek area as well the temple area.  If you exercise daily you will always need to stay on a filler regime.    I would also consider working your extensive sun damage and that will help refresh you immensely.

Best of luck!

Can Voluma to inner cheeks cause tear trough problems? How can this be addressed? (photos)

Answers (5)

Answer: Cheeks and Tear Troughs

Answer: Cheeks and Tear Troughs

Answer: Fillers

Answer: Fillers

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Everything you need to know about Voluma

Our mission is to create a world where every investment in modern beauty is Worth It.

Can Voluma to inner cheeks cause tear trough problems? How can this be addressed? (photos)

Answers (5)

Answer: Cheeks and Tear Troughs

Answer: Cheeks and Tear Troughs

Answer: Fillers

Answer: Fillers

Browse related questions

Recommended reading

Everything you need to know about Voluma

Our mission is to create a world where every investment in modern beauty is Worth It.