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

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!

I'm sorry that you're unhappy with your results especially after investing in ten syringes. From the before photos it appears the main concern is skin laxity. Fillers can provide improvement but cannot correct skin laxity or give an actual facelift. I encourage you to visit with a board certified plastic surgeon near you to discuss options. Other non surgical options may include FaceTite or Morpheus8.

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