33 y/o male, Voluma in cheeks looking for more dramatic result, opinions? (Photos)

Thanks for your question and the photos you provided. When you consult with a board certified plastic surgeon for your injectable goals I would discuss further injectables which you will have to get injected on an annual basis or a cheek implant for a permeant dramatic result. This procedure is performed under general anesthesia and usually takes ~1 hr without any scarring on your face. Something to consider! Good luck!

​Volume and contouring of the cheeks can be created with well-placed fillers (Voluma, Radiesse, Bellafill) and Sculptra. Implants or fat are alternatives. Botox and radiofrequency can help slim and contour the jawline. Liposuction can help slim the face. Ultherapy, J Plasma and RF treatments can provide skin tightening and lift. I would recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer​

At your age, I would suggest one half syringe placed on each cheek. Please do not overfill your cheek area since your face is slim.

The wonderful thing about fillers is that you can go slowly and build up to the look that you want. Typically Voluma lasts about 2 years so you still should have product present in your cheeks. An in person exam is always best, but you should be able to notice an improvement with 0.5-1ml syringe on each side.

The volume of the lower eyelid, tear trough and upper midface all look good in your recent photo (photo #1). The main difference between your recent photo and your desired appearance (photo #2 and #4) is the hollowness in the lower cheek and jaw line. Options to restore volume of the lower face and jaw line would include additional filler (Voluma or Contour) or Sculptra. Sculptra is a biostimulator which requires a series of injections which stimulate your body to produce its own collagen. This new collagen build up over the course of 6 months and last several years. Sculptra works well in the lower face and jaw line and as it last longer this would be a great option for you at this juncture. Consulting with a physician highly experienced in Sculptra injections would be a great way to learn more about this option.