41 years old, 135 pounds, After 3 vials of Voluma to cheeks not difference after 6 months, it doesn't last , any other option?

Thank you for sharing your question and I am sorry that your results have not been what you anticipated.  If your body quickly metabolizes hyaluronic acid fillers like Voluma, I would try a filler with different composition like Bellafill, Sculptra, or Radiesse.  These are semi-permanent implants that stimulate your own tissues to thicken.  Hope this helps.

Hi and thank you for your question! While it is possible that fillers do not last as long as expected, I highly recommend that you do a follow up with your doctor and ask for comparison of pictures taken before the fillers and now. Since changes occur gradually and we look at our face many times a day, it is possible that the improvements are not clearly visible now, but if you put the pictures side by side, it would be easier to spot the improvements. Another issue is that even if the results are not clearly visible, the treatments weren't necessarily a waste as the fillers most likely replenished some deep volume loss and they will help with the results of future fillers. It's like a pool that it is too empty and it might just take a bit more water to fill it up. If you are looking for other options that might last long, Sculptra could be an option but since it's a stimulatory filler that doesn't add any volume per se and it takes a while for the body to make the collagen around it, you must be patient. Bellafill is also an option to consider. Please don't give up hope! I hope it helps and good luck!   

Cheeks can also be augmented with Radiesse, Bellafill and Sculptra. Fat or implants are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer