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POSTED UNDER Voluma REVIEWS

Excessively Loose Skin Under Eyes for a 43 Year Old Female - Draper, UT

ORIGINAL POST

I can't select multiple choices for the procedure...

SOSwithSkin
WORTH IT$3,000
I can't select multiple choices for the procedure type and don't want to mislead anyone, but I had Botox, Juvaderm, and Voluma injected this past summer. The $3000 (approximate) represents two visits that included Botox, Juvaderm, and Voluma as well as a small, experimental peel on a sun spot.

I was seriously considering a fat transfer to my face and/or a peel for incredibly loose skin under my eyes and because I also have a very thin face. But then decided in a spur-of-the-moment decision to see if the Voluma would show how a fat transfer could look -- without the long downtime. I was surprised at the instant effects!!! But it still didn't address the really crepey, loose skin as much as I had hoped, so went back for second round a month later because it didn't seem like $1000 (approximate) worth of product under my eyes. At this stage, it wasn't really worth it.

The second time around we added some Juvederm to the mix because it was on special. WOW! For someone with my issues (loose skin under eyes and super thin face), the combo treatment really did wonders, plus it gives me an idea of how a fat transfer will look if I go that route in the future. Note though: It's amazingly effective, but it doesn't completely cure the issues. It plumps out the cheeks to make the skin more taut, but it's not perfect -- just wanted to make sure anyone who reads this understands that perfection isn't possible at this stage.

I've also started using Botox this past year, which is something I NEVER thought I'd do. It's funny how that all changes, though, as the skin starts to deteriorate and age sets in.

Suffice it to say: I love the combo products but it's VERY expensive, and forking over so much money isn't sustainable on my budget. Granted, Voluma is supposed to last for awhile and there wasn't any down time, but really -- who has that kind of money to spend every few years?!?!?!

SOSwithSkin's provider

Scott K. Thompson, MD

Scott K. Thompson, MD

Board Certified Facial Plastic Surgeon

4.8 | 193 Reviews
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Replies (15)

October 31, 2014
Your results are amazing!
November 2, 2014
Thank you!
November 1, 2014
Do NOT do fat undet the eyes. Nothing but problems in that area. I have researched this for years and even the best of the best occuloplastic surgeons are afraid to put fat there due to the thinnness of the skin. Research this carefully and I repeat, do not risk doing fat. Stick with Juvederm, Belotero or Restylane. I would even be afraid of Voluma due to the thickness but if it works for you, you are lucky. I have done all of the HA products under the eyes and have had the best luck with Restylane. I have had fat injected in my upper cheeks which I am happy with and I am glad that my PS talked me out of putting it under my eyes.
November 2, 2014
Thanks so much for your reply and feedback about the fat transfer. Any thoughts on a chemical peel? That's what I'm scheduled for next but I'm very concerned about it.
November 2, 2014
I have had a 35% tca peel twice now. I think it does help smooth the skin a bit but it takes weeks for the redness to go away. Nice result for us pale skinned people. I had it under my eyes and sort of feathered down which blended after it healed. Nothing dramatic but some improvement in texture. I had a lot of sun in my youth and this helped that crinkly area. No tightening though, just a little smoothing.
April 4, 2015
I missed this comment when you posted it awhile back. Thanks so much for your feedback. I back out each time I decide to do it, so hearing from you is helpful! Thank you!
April 2, 2015
i am interested in trying voluma---but it's really expensive. would you say that it has held up pretty well? i have done radiesse in the past, which i love, but in truth, it only lasts about 2 months. would you do the voluma again?? thank you! ;-)
April 4, 2015
It feels like my body metabolizes all of these products ridiculously quickly. I'm now using Voluma, Juvaderm, and Botox (even under the eyes) on a routine basis. They make big difference but it's expensive and sometimes the Juvaderm gets a little lumpy. (NEVER wear ski goggles by the way! LOL.. That was a disaster!) Unfortunately, I have zero fat for a fat transfer and my doc agrees that it wouldn't last because of my running. So options are limited. So to answer your question: I'd recommend trying it because it's so helpful. You'll definitely get more than 2 months out of it and many more if you metabolize this stuff at a slower rate.
April 6, 2015
i metabolize fillers quickly due to diet and exercise, too. we try to be healthy. . . and then we can't keep our fillers long enough! thanks for the reply. i appreciate it. :-)
April 11, 2015
Always happy to try to help others, kvagalatos. :)
April 5, 2015
You look amazing! I think you were very fortunate to have this done for less than $3k and get these results because it had to be an instant boost to your self esteem. And if you have to consider only follow-up injections in 2 yrs, you probably won't spend that much as I hear you need less of it over more time. All the best to you!
April 11, 2015
Thanks, Scrappy! It actually has been more than 3K. I've now added Juvederm to the mix and it doesn't last very long. Already headed back for more Voluma at the end of this month--not even a year into the first injections. It will be interesting to see if that pace really does slow down.
April 11, 2015
Clarification: more than 3k for 2 years. :)
May 18, 2015
Wow u look amazing! Expensive is right but what a difference!!!!
UPDATED FROM SOSwithSkin

Photos of Botox around eyes and tear trough treatment with Juvederm and Voluma

SOSwithSkin
I took the before and after shots in a way as to show how awful the skin is: right after waking up, looking down with gravity pulling, and with bright sunlight. I wanted to show how it's not perfect but with makeup on, it's better and a fat transfer may be the end result after this wears off... Sigh... Vanity is so expensive. :)

Replies (5)

March 16, 2015
Did they use Juvederm under the eye
April 4, 2015
Yes. And now it's a mixture of Juvederm, Voluma, and Botox under the eyes that does the trick for the most part. The Juvederm does end up getting a little lumpy at times but it's better than the saggy skin. I'm also sold on a tiny amount of Botox in the loose area. It softens it a bit.
April 6, 2015
My PS (plastic surgeon) uses a medical type device - it is similar to an electric nail dremmel with buffer attachment, if you will. Places it over a spread out washcloth of sorts, and smooths out ALL the area(s) under my eyes. Does this in order to avoid the lumpy look(s) post injections. it does the trick EVERY TIME!!!! NO lumps, bumps, et al...
April 11, 2015
Awesome! Going to look into this. Thank YOU, jthole!
January 23, 2018
Looks incredible!
UPDATED FROM SOSwithSkin

More Before and After Photos

SOSwithSkin
Just 2 more before and after shots

Replies (9)

September 22, 2014
Wow, looks great! I'm going in for a fat transfer to breast and hae considered adding the face as well (I'd save big bucks because I'm already paying for the lipo.) I also have lose skin under the eyes and a very thin, and beginning to droop face. Did you think the fillers made you look too "done." I too never thought I'd be heading down this road, but after nursing and mothering, I'm ready to look a little more fit again! But I definitely don't want to end up looking plastic...
September 22, 2014
Thank you! I worried about looking "too done" also, but after the first round, the difference was so subtle, I wanted more "bank for my buck" so to speak. Fortunately, Dr. Thompson is an artist and understood my concerns, so we didn't go overboard. At least, it doesn't seem like it. I really just want to look like others my age and I don't see anyone with this kind of loose skin. I also looked into a lower bleph but don't have enough fat for one. If I were to put on weight, that would help, but I'm a runner and it keeps me sane. Do you have any photos? Also make sure you go to lots and lots of board-certified surgeons before you make a decision. Their responses vary so much it can be confusing. And read reviews about them! Good luck with whatever you do and feel free to check back in if you decide to get it done. I'd love to see the outcome!!
October 8, 2014
I also had a problem with deep circles and cheek fillers seem to help that, Sculptra is my go too and it lasts 2 years. I had a fat transfer. Total WASTE OF $$! That too dissolves over time and I have a few lumpy nodules under my eyes I can feel on touch. A doctor told me it always dissolves so do not waste your $$. What may do the trick permanently is a lower eye lift! That was my solution but the surgeon left me with terrible scars on my eye corners so make sure you find out if that will be taken care of in the procedure. I had that 9 years ago and it held up so far so the cost of 3200 was worth it.
November 2, 2014
Thank you for the suggestion and feedback! Apparently I don't have enough fat for the lower bleph otherwise I'd get it in a heart beat. I'm sorry you were left with scars. Can other surgeon fix them?
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April 5, 2015
I was going to suggest a lower blepharoplasty too. I didn't know you had to have a certain amount of fat there for that. Have you asked more then one surgeon about it? I had upper and lower done.... I now have fillers and Botox to upper cheeks/crows feet and my current ps thought I was 10 years younger than I am. If I hadn't had it all done I would have really deep and huge, hereditary eye bags. Perhaps worth u asking for a second opinion? You have beautiful eyes. :) [RS bleep]
April 11, 2015
Thanks for your comment, KewpieDoll! I've consulted with several PSs about the lower bleph. The ONLY one who recommended it was an ocular plastic surgeon. I don't know whether or not to trust him because three other "regular" PSs have said not to do it because I would look more haggard. It's very frustrating. Thank you for your sweet comment also. :)
May 18, 2015
Did you have a lot of Bruising and swelling, If so how long did the bruising and swelling last?
June 13, 2015
I seem to get bruising on one side of my face each time I get the Voluma injected. Not sure why because the other side of the face is fine. Makeup doesn't hide it all but it helps. I also get the Tyndall effect in the tear trough area. It seems like the bruising lasted about a month the first time. This time around, I'm not sure because I'm also dealing with a black eye from a horse riding injury and the injections are adding extra puffiness to an already bruised area.
June 15, 2015
I see. If they use Cannula as they inject and you use ICE right after it helps a lot. Also no aspirin, fish oil etc....for a few days BEFORE and after, but LOTS of Arnica pills and cream. :)