6 year's with Voluma: March 1st, 2016 - June 23rd, 2022 Male Transformation. 18 to 25 year's old. (73 syringes of filler)

Nearly 10 years after I first began documenting my aesthetic journey on RealSelf, I wanted to add a long-term update.

Since 2016, I have received approximately 275 mL of cumulative dermal filler, along with thousands of units of neuromodulators and other aesthetic treatments. These photos show different points in that journey from age 18 through age 28.

I want to be clear that the differences between these photographs cannot be attributed to filler alone. Aging, changes in body weight, stress, skincare, neuromodulators, previous filler dissolution, treatment timing, lighting, and normal changes in facial soft tissue all affect appearance.

The purpose of this update is to document what long-term, repeated aesthetic treatment has looked like for me personally rather than to suggest that anyone else should receive the same amount of product. My original review has always been a chronological record of my own experience, and I plan to continue documenting it transparently.

Day 3,562 — Nearly 10 Years of Aesthetic Treatment: 2016–2025

This update documents almost a decade of aesthetic treatment, beginning in March 2016 and continuing through December 2025.

Over that period, I received approximately 200 syringes of hyaluronic-acid filler, totaling more than 204 mL cumulatively. Juvederm represented the majority of the HA filler used and Voluma remains my personal favorite filler.

Approximate HA filler distribution by product family:

Juvederm — 80%
Restylane — 15%
RHA Collection — 3%
Belotero — 1.5%
Other HA fillers — 0.5%, including Neauvia Organic Stimulate and HYAcorp Face after attending an aesthetic conference in Italy where these products were presented.

In addition to HA filler, my treatment history includes approximately 9 syringes of Radiesse in 2025 and Sculptra treatment in 2025, as well as a number of skin-quality and regenerative injectable treatments.

Those have included SKINVIVE treatment courses in 2023 and 2024, four RHA Redensity treatments between 2023 and 2024, approximately 12 syringes of Ejal40 between 2023 and 2025, and two syringes of Nucleofill Soft in 2023.

My broader aesthetic history has also included regular neuromodulator treatment beginning with Botox on March 12, 2016, approximately 10 vials of Kybella used over time in the submental and jawline areas, laser hair removal, Nd:YAG treatment for visible periocular veins, IPL treatment, tattoo removal, mesotherapy, collagen-based injectable treatments, and two minor eyelid procedures: a lateral canthopexy and non-incisional double-eyelid procedure.

One of the most important parts of this story is that this transformation was not created by one product, one practitioner, or one period of treatment.

Alice Tung, NP, now at Esthetique MD in Foster City, was responsible for a major portion of my earlier treatment history, including filler, neuromodulators, Kybella, and laser procedures. She was the practitioner who initially started my aesthetic-treatment journey. Her work had an enormous effect on me personally and ultimately influenced my own decision to enter aesthetic medicine.

From approximately March 2023 onward, a substantial amount of my current facial work has been performed by me, Tanner Ayoob (@injectortanner). That period involved considerably more treatment and refinement than the relatively stagnant period I experienced between approximately 2021 and early 2023.

Other practitioners who have contributed to my treatment history include @beautynursenia and Dr. Robert Lowen.

Looking back, the earlier phase of treatment changed much more than my appearance. It affected my confidence, my social life, my education, and eventually my career choice. The later phase became much more technically deliberate as I developed my own understanding of facial anatomy, proportion, filler rheology, tissue behavior, and aesthetic planning.

I also want to be very clear about what these photographs do and do not demonstrate. My appearance across nearly ten years cannot be attributed simply to the cumulative number of syringes injected. Aging, changes in body weight, stress, skincare, neuromodulators, dissolution of previous filler, biostimulatory treatments, procedures, lighting, photography, and natural changes in facial soft tissue all contribute.

The 200-syringe figure is cumulative treatment history, not a claim that 200 syringes of product remain in my face today.

This is an unusually high-volume personal treatment history and should not be interpreted as a treatment recommendation or a standard aesthetic plan. I am documenting it because this RealSelf review began when I was 18, and I want the record to remain as transparent and complete as possible almost ten years later.

If I were recommending another practitioner based purely on my own personal treatment experience, Alice Tung, NP would remain one of my first recommendations. Her early work had a major influence on both my appearance and the practitioner I later became.

6 Years Later.... Voluma is so worth it. I have augmented my entire face. I am turning 25 next month so this has been over 6 years since I started doing plastic surgery. I have 0 wrinkles. I use Trenitoin, Botox, and my favorite Voluma. Laser Hair Removal is very permanent. I also had tattoo removal and have 0 signs of ever having a Tattoo.

I have only used Hyaluronic Acid Filler. I have tried all 4 brands of FDA approved botulism toxin. Botox is the best favorite and my Long Term Filler wise Voluma, and Vollure are hands down the best. They last far longer than 18 months. Hyaluronic Acid has been great to me you can see my before photos and my most recent photos. I think its quite a transformation. I have tried all FDA Hyaluronic Acid fillers except Belotoro. So all Juvederm products I have and as well as Restylane products. 95% is Juvederm products... over 60 syringes of Voluma for sure over the last 6 years, and more as I mentioned I have tried all of Restylane and Juvederm products. I also had Kybella done twice, a special method just like with Voluma. It worked and was worth it.

Hello everyone I just wanted to update from my last post as I felt I looked extremely bulky in the face. I’ve lost some weight and I had my masseter muscles injected as I had mentioned. That was the first time I ever took such a long time getting those injections in my masseter because I was trying to save money. I didn’t know it would come back. Because I am with a new practitioner Dr. Judge. I’ve been going to her for well over a year. She fixed everything I hated and I really am so grateful that I met her there are not a lot of doctors like her, not good doctors are way more common. I’m serious this whole experience has really changed my mind on doctors and all that and I used to look up to some of them like gods. Dr. Judge has not only helped me physically but mentally too. I even had a surgery with her. NO SCAR! It’s shocking. She deserves so much more recognition. Here are updated photos of me. I am going to get Botox and Filler in two weeks from her.