Generally with Voluma, is it the injection site or is it amount of filler that can cause "pillow face" or chipmunk cheeks?

Hi Mo,

I have been using Voluma in my patients since it was FDA approved in 2013. In hundreds of patients I have not had a single patient with the dreaded "pillow face" over filling. Voluma is one of my favorite facial rejuvenation fillers. With any aesthetic treatment it is the physician performing the procedure that determines the result. Anyone can technically inject, yet without artistic vision there will be aesthetic failure. In the case of Voluma, it needs to be placed properly in the proper amount. It is essential to choose your injecting physician carefully based on their skill, experience, knowledge, and most importantly their natural artistic vision. Good luck and stay well.

Michael A. Persky, MD
Encino, CA

The amount of filler as well as the injected site can make your filler results either wonderful or undesirable. The injector you select is important as she/he will suggest the correct product and amount to get the look you are wanting and then be the artist to create it. Each component is important.

Thank you for your question. Dermal filler treatments require a tremendous amount of precision in needle placement and dosing amount to achieve the most result. The experience, training, and qualifications of your provider cannot be overstated. I highly recommend working with an injector who has the expertise necessary to ensure you receive an optimal outcome.