How much Voluma for my cheeks? (Photo)

I had 2 vials injected yesterday, 1 for each side. There is swelling which doesn't show on pictures. For my before & after I airbrushed out the dark circles under my eyes that the swelling is causing because it was so distracting I couldn't tell if my cheeks looked any fuller. Included is the pic with darkness so you can see what I covered up. Do I need more filler becauseI don't see any difference in my cheeks? I know I need to wait a few weeks but what should my expectations be at this point?

Doctor Answers 9

Optimal results haven't appeared yet

Please wait a couple of weeks or so before assessing your results. At the moment, you results are obscured by swelling.

Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews


Thank you for your question.

You may find more of a difference when looking at your profile. The product was placed in the front of your cheeks and therefore when you take a photo straight on it is difficult to see. Wait 2 weeks and assess, schedule an appointment with your injector to view before and after photos. At this time you can determine if additional treatment is required.


Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 474 reviews

Voluma for my cheeks

Two syringes should provide you significant improvement. However, you should allow a week to ten days for the swelling to diminish before attempting to evaluate. Your injector should evaluate you in about a month to evaluate the progress.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.4 out of 5 stars 46 reviews

Voluma Great for Cheek Volume - need to wait to see final result

It is hard to tell with your limited photo angled shots and because some degree of edema and swelling occurs in the days following your injection. You should see a noticeable difference using a vial on each side. Wait a few weeks to determine if more is needed. In general Voluma is not used immediately below the eyes as thinner less viscous fillers have an advantage.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 159 reviews

How much Voluma for my cheeks?

I think you definitely have a nice improvement in your cheeks even though a 3/4 facial view would be better to assess this.  2 syringes of Voluma is a reasonable initial treatment.  You should not try to evaluate the results of your injection too soon; however.  Keep in mind that other fillers are better for the tear troughs (circles under the eyes) like Belotero or Restylane, but I would wait 2-3 weeks before treating that area as the swelling from your Voluma injection needs to subside.  Be sure you see a "core" injector (facial plastic surgeon, plastic surgeon, dermatologist, or occuloplastic surgeon). This is because we all have a keen understanding of facial anatomy and the effects of injecting Botox/ Xeomin/ Dysport and fillers in different regions of the face. I wish you well!

Parker A. Velargo, MD
New Orleans Facial Plastic Surgeon
5.0 out of 5 stars 49 reviews

How much Voluma for my cheeks?

The amount of Voluma depends and two factors: the degree of "hollowness"/volume loss in the area and where the aesthetic endpoint is for the patient (and injector). Remember, Voluma and also Juvederm Ultra syringes contain only 1.0 ml (milliliters) of product, and for reference 1.0 ml = 0.2 teaspoons (in other words 5 ml = one teaspoon).  

Typically, with the degree of volume loss illustrated at least 2 syringes of Voluma is required to achieve what most people would consider an aesthetic result or "significant " difference, although some may feel 2.5 to 3 syringes per side would look better for their facial shape, with some of the product going lower in your cheeks (i.e., submalar or buccal area).  However, spacing the treatments (one syringe each time) over a period of time is always a good option, with the wait time being 2-4 weeks.

I hope this helps

Timothy R. Miller, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 66 reviews

How Much Voluma for Cheeks

There is definitely a noticeable improvement in your cheeks. Whether you require more or not will depend on your goals at this point. If you want your cheeks to be even fuller then I would recommend adding some more Voluma until you reach your desired results. You may also need some filler to your tear troughs and nasolabial folds to make your facial transitions smoother. This can be decided in consultation with your injector.

Michael A. Zadeh, MD, FACS
Sherman Oaks General Surgeon
5.0 out of 5 stars 10 reviews

Difference in cheeks after Voluma

You really can't see any change? I understand you having bruising and swelling, which is quite common after any fillers, but I definitely see a change in your cheeks. If you want your cheeks fuller then yes, you will need more Voluma added. One syringe per cheek is a good starting point, but some people do need more.

"This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."

F. Victor Rueckl, MD
Las Vegas Dermatologist
4.6 out of 5 stars 17 reviews

Voluma and Swelling

Voluma is a great product that is the only FDA approved filler for immediate lifting in the mid face.  Even when injected only in the mid face, the positive effects at eliminating eye wrinkles can be seen.  There can be some swelling after any injections.  I would wait about one week to assess the true results.  For the best cosmetic results please consult a board certified dermatologist with a great deal of experience with Voluma. 

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 78 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.