Injection of Voluma into the lower eyelids can sometimes produce an unwanted “balloon” under your eye. The unwanted “balloon” can be treated with Hyaluronidase, and should “dissolve” a significant amount of the unwanted Voluma.

If left untreated, the Voluma effect may last up to 2 years. I recommend against injection of any steroid in that area as that may thin other tissue — an undesired effect in an area where the skin is thin already.

I highly recommend against Voluma injection into the lower eyelid. As the only filler FDA-approved for cheek augmentation, Voluma is a viscous filler and best suited for deeper injection into areas such as the cheek for which it was designed. Belotero and other more diluted fillers, are more ideal for lower eyelid/tear trough injection.

At this writing, Voluma is a new filler manufactured by Allergan and most injectors’ experiences are limited.

Seek a plastic surgeon in your area who typically performs many facial surgeries, and more likely to be familiar with the anatomy of that area, and has extensive experience with cheek injections.

I would also ask for a plastic surgeon who took the Allergan Masters Hands-on training course specific for Voluma injection.