Had Voluma injected to mid cheeks. Now my cheeks look deformed when I smile. What are my options? (photos)

I agree with the other physicians that hyaluronidase injection is the most reliable solution.  However, hyaluronidase has some downsides:Nobody enjoys getting injections (at least nobody I know).You already paid for the Voluma--and now you're paying again to get rid of it.  That's no fun.Although it would be nice to sculpt out only the excess Voluma, hyaluronidase injections are simply not that precise.                                                                                                                                        Before you consider hyaluronidase, I would ask your plastic surgeon (or another plastic surgeon, if you're not feeling good about your injector) to forcefully massage the area, attempting to reduce the projection of your cheek.  This will not get rid of the Voluma, but it may reduce the prominence, making you more comfortable with your results.  Remember that all Voluma (and Restylane, and Perlane, and Juvederm) results, whether good or bad, are temporary.

Your only answer is to dissolve with hyaluronidase.  The Voluma was placed in the wrong plane, too superficially, and perhaps the wrong area.  I would seek another injector in future.