The amount of Voluma needed per cheek depends on your age, if you lost weight, your genetics etc. Your dermatologist or plastic surgeon can determine the right amount. For a young person, I would consider starting with 1/2 syringe per cheek. and for an older person 1-2 syringes per cheek. ~ Dr. Benjamin Barankin, Toronto Dermatology Centre.
This question depends...in the study for Voluma, the average patient received a total of almost 7 syringes of Voluma. This is an insane amount but the injectors were receiving the filler for free as part of the trial and the patients weren't paying. For the average patient, I would say at this point I am putting 1 or 2 syringes in for mild volume loss in the central face. The more volume loss you have, the more you will need injected into the three places in the cheek region.
"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."
Some patients require only a small amount of Voluma to amplify and highlight their cheeks. Those patients are generally younger, in their 30's or early 40's, and have good bone structure and only a small amount of fat loss in the area. These younger patients can benefit from as little as 1/2 syringe of Voluma on each side. Most patients, however, require a little more volume to augment cheek projection, fill hollows, and create graceful angles. One syringe of Voluma on each side (one per cheek) is probably the most common volume used. However, elderly patients, patients with advanced fat loss, and patients that have extremely poor bone structure require larger amounts of product. When injecting larger volumes of Voluma, the patient can elect to be injected in a single visit, or have smaller amounts of product injected at more frequently intervals.
Voluma is an excellent and long lasting mid face filler. In the FDA studies, they were using between 6-10 syringes of Voluma at the initial treatment and on average of 4 more at 1 month. This is an extremely high amount of product. This is not what I use at all. I typically use 1 to 1.5 cc per cheek in the first session. I like to see patients back at 1 month to see if they need more. Voluma is very powerful at filling and lifting. After attending the master's course for advance techinques for Voluma given by Dr. De Maio from Brazil, I have learned that the best place to start is lateral on the face, not in the area of the hollowness in the central face. He explained that in the FDA study they started injecting medially (nearer the nose) and worked out laterally (toward the ear). The best support is over the cheek bone. This helps lift up the rest of the cheek tissue. When you put the Voluma directly in the cheek not overlying the cheek bone it tends to make the cheek heavier and requires more product to get the same result.
A thin-faced person in her thirties may see great results with 1 syringe. A heavy-set man in his sixties may need 6+ syringes!
People with skinny faces need less Voluma, as do people with less sagging.
People with heavier faces need more Voluma to counteract the heaviness.
So, the answer is: it depends on the patient's face. However, I would say, on average, 1 syringe per cheek is a great starting point. Most patients will see a difference with that amount, and you and your injector can build upon that foundation until you the results that you want. Part of the consultation is helping to give the patient a good idea of how much product a particular patient will need to see a mild, moderate, or full correction.
I normally use 1cc syringe on each side and the package box comes with two 1cc syringes. For cheekbone enhancement I say 1cc on each side. If the patient needs cheekbone and the hollow underneath filled I have used 2 syringes each side. I have tried using one syringe for both sides but patients almost always come back sooner wanting more.
Thank you for your question. Voluma is a great product to provide more
definition and lift to the cheeks. Every patient will have their own
individual needs and the technique is extremely important to help
maximize amount of lifting and shaping using the least amount of
product. I conduct many train many injectors on some advance techniques
and find that most patients can see a noticeable change with 1-2
syringes of Voluma. Some may need more to get their desired effect. I would recommend visiting with a board certified
plastic surgeon or dermatologist who can help conduct a thorough
assessment and develop an overall treatment plan for you.
The amount of Voluma that needs to be used to correct the volume loss in the cheeks greatly depends on the patient, how much improvement they desire and how much volume they have lost. In my practice, I start with one syringe for my younger patients and typically use two syringes for patients who are in their 50s and on, again taking into account their anatomy and how much volume needs to be replaced. In general, my rule of thumb is "less is more". You can always come back and add another syringe if you feel that you want a more pronounced result.
Thank you for your question. This is a diffcult question to answer, certainly without pictures and without a physical exam. That said, Voluma is a very thick hyaluronic acid (or HA) gel that is placed deeper into the skin than other fillers. With results than can last upwards of two years, patients have been pleased with its results. The added benefit of Voluma is that after the injection is performed, the results are immediate. What you see in the mirror is largely what you are going to have and maintain. Other fillers require some water absorption to take place before final results are seen. As a result, you can have Voluma administered, and if you would like additional correction, then another vial can be opened and used. Always easier to add filler than to take some away.
Every patient is different.
During the initial studies carried out by the company to license the product, the injectors played around with a lot of product as they had a limitless product supply available to them at no cost. In practice, I usually give no more than two 1 cc syringes at a time.