Too much Voluma in the upper cheek area causing problems!

Hi Dr Irwin, I had Voluma injected into my cheeks just below the orbital bone 7 months ago. I had a ml in each cheek. Since the injections I get a roll ("banana roll" or sausage) under one of my eyes when I smile. In your opinion, do you think this will go away as the filler dissolves? Or will I have it forever? In the last 7 months there has been no improvement. I have been to a few cosmetic Drs in my area but they are all conflicting in the information they give me. Any information you could give me would be great. I'm so upset and depressed because I had the procedure done to make my eyes look better :(

Yikes –  that sounds very unpleasant!  I’m assuming that the “sausage” problem is clearly visible when you smile and that the doctors can see it also.   Here are some things that may help and to think about:

  • Did you show the problem to the dermatologist who placed the Voluma?  I do know that sometimes when confidence is lost, you may not want to go back;
  • Since Voluma may last up to two years, at 7 months it may only be about 30ish% gone.  I’m wondering why none of the doctors you saw suggested reducing the volume there with an enzyme – hyaluronidase???   Most experienced board certified derms know how to use this effectively and not over use it;
  • You definately won’t have this forever but……..another 17 months or so is a long time to wait ……please seek out treatment for this.   Resources to consider.

Hope this helps,  Dr. I

Dr. Brandith Irwin, MD

Ask me your skincare question!

Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skin care advocate.

  • All our content is written and researched by myself.
  • My medical office in Seattle has treated thousands of patients for 15+ years.
  • This site is not affiliated or financially tied to any product, treatment or device.
Ask Me Something
SkinTour Skincare
One of the best investments in your skin is your daily skincare. Why? Because you can prevent many problems with blotchy skin color, lack of glow, texture, some types of acne, and fine lines with good skincare products. You can also correct some of these problems with effective skincare products. Great skincare is often more expensive because quality ingredients are expensive. Some companies spend on research/development which benefits all of us and adds to the cost. Are they worth it? In general - yes! I have handpicked some of what I consider to be the best skin care products, and offer them for sale on SkinTour's shop. This is based on my team and I's testing and research at our clinic. Many of the products are in my own regimen. What could be better than using skin care products a dermatologist uses?!