What type of fillers under my eyes and cheeks? Also just wondering how many syringes do you think it would take? (photo)

I am 35, and noticed the dark circles under my eyes are getting worse and the volume in my cheeks has gone down.. sigh . I work out a lot and would say my body fat is between 14-15% right now and will stay that way as I am a athlete... Do you think Voluma and Volift a good choice? My Dermatologist recommend this for me.. 

Doctor Answers 12

Under-Eye and Cheek Fillers

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Thank you for your question and your photos.  Under-eye dark circles are a common complaint!  Often in younger patients (including yourself), they are a result of a combination of under-eye pigmentation and shadows created by contour differences in the "tear trough" region.  Expertly placed fillers can even out the transition between your lower lid and cheek to help brighten the eyes as well as bring volume back into your cheeks.  Voluma and Volift are great choices when used in conjunction for these goals.  In terms of number of syringes, if it is your first time, you may prefer to start conservative and add more in a staged fashion, but it is best to consult with your injecting physician to determine your specific goals.  Hope that helps, best of luck!


Columbus Facial Plastic Surgeon
5.0 out of 5 stars 12 reviews

What type of fillers under my eyes and cheeks? Also just wondering how many syringes do you think it would take?

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Thank you for sharing your question and photographs.  I think Voluma is an excellent choice for mid face volume and for lifting of the tissues.  You can further refine your results by adding a thinner filler like Volbella to the undereye area to better fill in the dark circles.  Hope this helps.

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 80 reviews

Fillers

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Hello,

Thank you for your question. It appears that Voluma would be a good choice for your cheeks, however you may want to consider something softer around the eyes. Such as Resytlane ReFyne. This is a gentle filler that will move with your natural facial movements. As always, it is best to consult with a local physician for the best course of action. Good luck!

Janet Allenby, DO
Delray Beach Dermatologic Surgeon
5.0 out of 5 stars 14 reviews

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Filler & Under Eye Trough

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While filler can be a good way to alleviate the dreaded under eye trough, Voluma is not a good choice for under the eyes. It is too thick. In terms of your cheeks, it's hard to say since you are smiling in your photos. I would suggest that you schedule a consultation with a board certified plastic surgeon to be assessed in person. 

Kouros Azar, MD
Thousand Oaks Plastic Surgeon
4.9 out of 5 stars 38 reviews

Voluma

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Thank you for your question. After the consultation with your dermatologist, I suggest that you move forward and consult with a board certified facial plastic surgeon. It is always helpful to build your knowledge, and consultations do just that. Voluma is better suited for refining the cheek region and it lasts much longer than some of its filler counterparts, delivering results for up to two years.

Best wishes,

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 124 reviews

Improving dark circles around eyes

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I agree that filler in the periorbital area and upper cheek will improve the aging you see around your eyes. I always use cannulas for this because it is safer and leads to less bruising. I use Restylane for this area. Lyft for the cheeks. 

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.9 out of 5 stars 75 reviews

Voluma

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Hi There 

Thank you for your question and photographs.

I am not sure I would jump in with anything very much here and really one would have a thought that the first 3 points of the 8 point lift would lift the cheeks. One could then add in Redensity II or Volbella in tear trough.

Bear in mind that as an athlete you will be quite likely to find the filler does not last as well.

Good Luck 

Kind Regards 

Dr Dinesh Maini 

Zenith Cosmetic Clinics 

Dinesh Maini, MBChB
London Physician

Choice of fillers

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The Juvederm Voluma is best used for the cheeks and midface. The tear trough needs a thinner product such as Volbella. 

Reza Nassab, FRCS (Plast)
Manchester Plastic Surgeon
5.0 out of 5 stars 22 reviews

Facial Rejuvenation Treatment Plan -- Lasers, RF treatments (Thermage, Exilis), Sculptra, Botox, Fillers Like Belotero, Voluma

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I tend to favor sculptra as a panfacial base for collagen production then voluma or radiesse to cheeks and temples, restylane lyft to chin and eyebrows, belotero to under eyes and upper lips, and volbella to lips.  Please see an expert for facial contouring.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

What type of fillers under my eyes and cheeks? Also just wondering how many syringes do you think it would take?

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Hello Happylife.

I like Lyft or Voluma in the cheeks. You will need 1 to 2 syringes.

I like Juvederm, Refyne or Defyne in the laugh lines. You will need 1 to 2 syringes.

Under the eyes, I like Restylane, Silk and Belotero. You will need 1 to 2 syringes. 

Your injector can help you to choose between these products. Best wishes, Dr. ALDO :)

Aldo Guerra, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 216 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.