Voluma Filler Under Eyes: Addressing Volume Loss with Precision

Medically Reviewed
Medically Reviewed by Dr. Aurora Kalmanson on
Written by Fillers Editorial Team, plastic surgery specialists.

Voluma filler, a hyaluronic acid-based treatment, offers a solution for those experiencing under-eye concerns such as hollows and dark circles. Designed to address age-related volume loss, Voluma can restore a youthful contour to the eye area.

Its effectiveness is not only due to its volumizing properties but also its ability to support mid-cheek structures, indirectly benefiting the under-eye region. With results that can last up to two years, Voluma filler under the eyes is a promising option for individuals seeking to rejuvenate their appearance without resorting to invasive surgery.

The Voluma Filler Injection Procedure Under Eyes

The Voluma filler injection procedure is a meticulous process that begins with a thorough consultation and ends with a transformed under-eye area. The goal is to rejuvenate the eyes while maintaining the natural essence of the patient’s facial features.

Consultation, Candidate Evaluation, and Expectations

Determining Suitability and Setting Realistic Goals: The success of Voluma filler treatments depends on a detailed initial consultation. During this stage, the practitioner assesses the patient’s facial anatomy, skin quality, and the extent of under-eye hollowing to determine if Voluma is the appropriate filler. Setting realistic goals is crucial; while Voluma can significantly improve under-eye concerns, it is not a universal cure for all aging signs. A candid discussion about the expected outcomes, potential risks, and the longevity of the results is essential to ensure patient satisfaction and to align the treatment plan with the individual’s aesthetic aspirations.

Injection Process and Techniques

Preparing the Under Eye Area and Mid-Cheek Support: Prior to the injection of Voluma, the under-eye area is carefully prepared to ensure patient comfort and optimal results. The skin is cleansed, and a topical numbing agent may be applied to minimize discomfort. The practitioner then marks strategic points on the mid-cheek area to serve as guides for the Voluma injections. This preparation is key to providing the necessary support for the under-eye region, as enhancing the mid-cheek volume can indirectly smooth out the tear troughs and create a more youthful and rested appearance.

Tear Troughs, Adjacent Areas, and Comfort Measures: The delicate nature of the tear troughs and close areas requires precise injection techniques to ensure both efficacy and patient comfort. Practitioners often use a fine needle or cannula to administer Voluma with minimal discomfort and precision. Comfort measures, such as applying a cold compress, are taken to reduce any potential swelling or bruising at the injection site. The patient’s comfort and safety are essential, and the injector will often pause to assess the patient’s response, ensuring a comfortable experience throughout the procedure.

The Role of Lidocaine in Voluma XC: Voluma XC incorporates lidocaine, a local anesthetic, to enhance patient comfort during the injection process. The inclusion of lidocaine in the Voluma formula allows for a more pleasant experience, as it numbs the treatment area quickly upon injection. This reduces the sensation of pain, making the procedure tolerable for patients who may have concerns about discomfort. The use of lidocaine is a significant advancement in dermal filler treatments, as it allows for immediate relief from the minor pain associated with needle injections.

Pain Management, Aftercare, and Recovery

Use of Topical Numbing Agents: To further ensure a comfortable experience, topical numbing agents are often applied to the under-eye area before the Voluma injection. These agents typically contain lidocaine or prilocaine, which temporarily desensitize the skin, making the injection process pain-free. The application of these creams or gels is a standard part of the pre-treatment protocol and is factored into the overall procedure time to allow for optimal numbing effect.

Immediate Post-Treatment Care and Activities to Avoid: After receiving Voluma injections, patients are advised to avoid certain activities that could worsen swelling or bruising. These include strenuous exercise, exposure to extreme heat or cold, and consumption of alcohol or blood-thinning medications. Patients are also instructed to avoid touching or applying pressure to the treated areas to allow the filler to settle properly and to prevent the risk of infection.

Managing Common Side Effects and Long-Term Maintenance: Common side effects such as swelling, redness, and bruising are typically mild and resolve within a few days. Patients may be advised to use arnica cream or take oral supplements to help minimize bruising. Long-term maintenance includes routine follow-up appointments to assess the results and determine if additional touch-ups are needed. Practitioners also provide guidance on skincare and lifestyle choices that can prolong the effects of the Voluma treatment.

Benefits and Results

Voluma under-eye treatments are celebrated for their ability to rejuvenate the eye area, resulting in high patient satisfaction due to the significant aesthetic benefits and lasting results.

Expected Outcomes, Longevity, and Addressing Facial Appearance

Immediate and Long-Term Results (Swelling and Final Appearance): Patients can expect to see immediate improvements with Voluma injections, as the filler adds volume and smooths out under-eye hollows. Initial swelling is normal and typically subsides within a few days, revealing the final appearance. Long-term results are one of the key benefits of Voluma, with many patients enjoying a refreshed look for up to two years. The longevity of the results, combined with the minimally invasive nature of the procedure, contributes to its popularity among those seeking under-eye rejuvenation.

Duration of Voluma Under Eyes and Testimonials: The duration of Voluma under the eyes is one of its most compelling attributes, with results lasting up to 24 months. Patient testimonials often highlight the transformative effects on their appearance and self-confidence. Many express satisfaction with the natural-looking outcomes and the convenience of a non-surgical solution to address their under-eye concerns.

Post-Treatment Care and Expectations

Swelling and Bruising Reduction: Post-treatment care is crucial for maximizing the benefits of Voluma injections. Patients are advised to follow specific guidelines to reduce swelling and bruising, such as applying cold compresses, keeping the head raised, and avoiding strenuous activities. Sticking to these recommendations can significantly impact the healing process and the overall success of the treatment.

Long-Term Care and Follow-Up Visits: Long-term care involves protecting the treated area from excessive sun exposure and maintaining a healthy skincare routine. Follow-up visits are essential for monitoring the effects of the filler and planning any necessary touch-ups. These appointments provide an opportunity for the practitioner to ensure that the results align with the patient’s expectations and to make adjustments if needed.

Frequently Asked Questions

Is Voluma the best dermal filler for under eyes?

Voluma is highly effective for under-eye rejuvenation due to its volumizing properties and longevity, but the best filler can vary based on individual needs and anatomy.

How long does Voluma last under the eyes?

Voluma can last up to 24 months under the eyes, but individual results may vary depending on factors like metabolism and lifestyle.

Can Voluma help with dark circles under the eyes?

Voluma can help reduce the appearance of dark circles caused by volume loss, but may not address dark circles due to pigmentation or vascular issues.

What should I avoid after getting Voluma under my eyes?

After Voluma injections, avoid strenuous exercise, heat exposure, and touching the treated area for at least 24 hours to minimize swelling and bruising.

How much does Voluma under eye treatment cost?

The cost of Voluma under-eye treatment varies based on geographic location, practitioner experience, and the amount of product used.

What are the side effects of Voluma under eye treatment?

Common side effects include temporary swelling, bruising, and tenderness at the injection site, which typically resolve within a few days.

Can Voluma under eye treatment be reversed?

Yes, Voluma is a hyaluronic acid-based filler and can be dissolved with an enzyme called hyaluronidase if necessary.

What are the risks associated with Voluma under eye treatment?

While generally safe, risks include infection, allergic reactions, and vascular occlusion; choosing an experienced injector minimizes these risks.


Voluma filler under the eyes is a transformative treatment that offers a non-surgical solution to address volume loss and rejuvenate the eye area. With its ability to provide immediate and long-lasting results, it stands out as a popular choice for those seeking to enhance their facial appearance. While individual experiences may vary, the overall high satisfaction rate and the reversible nature of the treatment make Voluma a compelling option for under-eye rejuvenation.

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Sharad J. (2012). Dermal Fillers for the Treatment of Tear Trough Deformity: A Review of Anatomy, Treatment Techniques, and their Outcomes.

Urdiales-Gálvez, F., & Farollch-Prats, L. (2021). Management of Tear Trough with Hyaluronic Acid Fillers: A Clinical-Practice Dual Approach.

Dr. Aurora Kalmanson

Always Consult a Medical Specialist

The information provided in this blog is for informational and educational purposes only and should not be interpreted as personalized medical advice. It's crucial to understand that while we are medical professionals, the insights and advice we provide are based on general research and studies. They are not tailored to individual health needs or conditions. Thus, it is essential to consult directly with a healthcare provider who can offer personalized medical advice relevant to your specific situation.