37-year-old Looking to Add Volume to Mid-face Area - Dix Hills, NY

My photos will follow, but I wanted to post a...

My photos will follow, but I wanted to post a review of my recent experience with Juvederm Voluma at the Romero Clinic in Dix Hills, Long Island (NY). The first time I visited Dr. Romero's pristinely clean and lovely office, it was to ask for advice about parentheses lines around the mouth. I'm 37 and, while the lines aren't deep yet, they bother me and make it seem like my face is longer, thinner, and more tired looking. A different plastic surgeon I had consulted three months prior suggested Boletero, which she injected straight into the lines. The result, as you can probably imagine: the lines were slightly more filled in, but at the expense of it looking as if the area was puffier than normal. Not a good look.

Right away, Dr. Romero told me I would be a good candidate for Juvederm Voluma. He stressed to me that the solution to these lines isn't to fill them in, but to "lift" the face so that some of the volume we naturally lose in our cheeks as we age is replaced. What I love most about him is that he told me he'd use Boltero if I wanted it, but that he feels I'd simply be throwing away my money. To boot, he advised the woman who went in for a consultation before me (with her husband) not to have any work done because she wasn't 100% confident she wanted it. Dr. Romero doesn't need any more business -- he already has a loyal following -- which helped reassure me that he wasn't about to inject me with any old substance just to make a buck.

He quoted me two prices for Voluma ($1,500) and Restylane (which is a bit less expensive). After weeks of research, I finally decided on Voluma because I found several positive reviews about it and like the idea that it might last as long as two years (though, realistically, I'd be thrilled if I got 18 months out of it).

I was extremely nervous on the day of my appointment and nearly canceled it several times. As I waited for him to see me, a woman came out of his office and told me she was 58 and has been seeing Dr. Romero for 10 years. She looked about 40. I felt a lot better.

After viewing several YouTube videos about Voluma, I expected to be poked 5-6 times in each cheek. Nope. Dr. Romero numbed my cheeks and led me to the procedure room 10 minutes later. He injected 1.6 ml of voluma in one cheek and 1.3 ml (I think?) in the other after reassuring me that 3 ml's wasn't as much as I thought (the models you see in Juvederm Voluma ads sometimes receive 6 ml's or more of the product). Here's proof of his skill: he only had to create one injection hole per cheek, right at the bottom of each cheekbone. The needle insertion itself doesn't hurt, but the feeling of the cannula needle moving around under the skin is very strange and a little uncomfortable.

But it was over within minutes -- I'm not even sure it took that long. My cheek wasn't bloody (like some patients I've seen on YouTube vids) and I didn't bruise at all. I actually attended an event a few hours later and, despite looking a bit puffy (I felt like an Eastern European supermodel, so it could be worse) I don't think it was obvious that I had a procedure that morning (a bit of BB cream for red skin probably helped).

I was sore the next day and for about three days after that. My cheeks were also a bit swollen, but not so much that I felt funny going out and living my life. My husband did NOT notice a thing (and, two weeks later, still hasn't noticed), which is a little annoying, but I think that's also the point of this procedure. My parenthesis line on the right side of my face has pretty much disappeared and the one on the left side, which was more prominent, isn't gone completely, but has faded. I think the fact that my face is more balanced, full, and healthy looking may simply distract from the parentheses lines.

Overall, I am super happy with the results and would recommend Dr. Romero 100,000 times over, again and again. He's knowledgeable, highly experienced, truthful, and ethical.

As for Voluma, I admit it's a lot of money to spend and not have a single soul notice you look different, but again, I think that's what makes it magical. I didn't want to look like I had work done, I just wanted to look more rested. Voluma has accomplished that. The scary part is that, once the swelling goes away, you find yourself unsure of whether this is simply your face -- that's how natural it looks. I imagine that's also how some women wind up going overboard and getting more, more, more (though, to each her own).

In the future, depending on how this pans out, I would consider getting a bit more Voluma in each cheek, but I trust Dr. Romero so much that I would probably heed his advice.
Dr. William Romero

Dr. William Romero is extremely professional, skilled, and caring. I'm not sure how to rate him on "Aftercare and follow-up" because I haven't required it.

5 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
4 out of 5 stars After care follow-up
5 out of 5 stars Time spent with me
5 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
5 out of 5 stars Payment process
5 out of 5 stars Wait times
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