Disappointing Voluma results - how can I improve nasolabial folds, jowls and lines below corner of my mouth? (Photos)

Question

I had 3 sessions of Voluma injections. I am told a total of 10 syringes, which is hard to believe. I was told 10 syringes can do a full liquid face lift. I am very disappointed Please give your opinion. I do not like my appearance. My concerns were nasolabial folds, jowls and lines below corner of my mouth. Lumps on side of temple going toward forehead and lump on corner of brow Under my chin the left side skin is stretched. The right side is not like that as u can see in the pics. What can be done. Are these results of an unskilled injector??

Glenn Murray, MBBS · Answer

Hello 
I am sorry that your dermal fillers hasn’t had the desired effect.

I have noted on the first picture that there has been an improvement in your NLF. Unfortunately we can’t get rid of all lines, NLF when improved are nice as they frame the cheeks.

I do however share your concerns about the lumpiness of the fillers in your temple area and suggest that you either return to your provider for a review or seek an alternative experienced practitioner for review.
Options at this point would be 
- massage and time for it to degrade down 
- hylase 
- more filler to camouflage the lumpiness and blend around the temple

I wish you all the best 
Kind regards 
Absolute Cosmetic Medicine Team

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. I’m really sorry you’re going through this—when you've invested time, money, and trust into aesthetic treatments and don’t like the results, it can feel not only disappointing but deeply personal. Based on what you described—especially the use of 10 syringes of Voluma over 3 sessions—it’s understandable to question the judgment and skill of the injector. You're absolutely right: 10 syringes is a significant amount, and in skilled hands, it can absolutely deliver results equivalent to a full “liquid facelift”—typically including the cheeks, jawline, temples, nasolabial folds, and possibly even some under-eye support. But the key isn’t just the amount—it’s placement, balance, facial harmony, and injector skill that determine whether that volume enhances or distorts. You don’t need to remove everything, but targeted dissolving—especially in the temple, brow, or stretched chin area—can help restore balance and reduce the distorted areas. A skilled injector can use ultrasound guidance to safely identify and dissolve problematic filler without affecting deeper structural support. After correction, small, strategic re-volumization can be done using softer, more appropriate fillers in areas like the nasolabial folds or corners of the mouth, if those concerns remain.  If stretched skin remains under the chin or jowl area after dissolving, you may benefit from mild radiofrequency treatments, threads, or in some cases, a mini-lift—but that should come after filler correction. I hope this helps and best of luck!

Disappointing Voluma results - how can I improve nasolabial folds, jowls and lines below corner of my mouth? (Photos)

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Disappointing Voluma results - how can I improve nasolabial folds, jowls and lines below corner of my mouth? (Photos)

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Everything you need to know about Voluma

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