Cath had noted over recent years that she had some progressive sagging of the cheek tissues with dark circles and hollows below her eyes.

Twelve months previously she had undergone tear trough injections to both sides but had recently noted a recurrent hollowing and deep crease below her left eye.

Cath was keen to see if some improvement could be made in the shape and volume of her cheeks and also requested further tear trough rejuvenation on the left side.

Cath’s experience of the change in shape and appearance of her mid-face is a very common one.

 A characteristic sign of ageing is volume loss in the cheeks.

Descent of the cheek fat can produce a heavier look to the lower face as well as a tired appearance by revealing dark circles and hollows below the eyes (tear trough or periorbital hollows).

Dermal filler before

Before:

Cheek volume loss & asymmetric tear trough appearances


Dermal filler after

​Immediately after:

VolumaTM to both cheeks and RestylaneTM to left tear trough

The lost volume in the cheeks can be replenished with Juvéderm Voluma™ or SubQ™. 

This restores a more youthful shape to the face by filling the inner and outer part of the upper cheeks. This creates a subtle but pleasing enhancement of the volume and shape of the cheekbone area in addition to addressing the volume loss of the inner cheek. The treatment also tends to lessen the effect of the downward pull of gravity on the facial skin.

VolumaTM or SubQ™ cheek volume enhancement is an ideal treatment to combine with tear trough rejuvenation.

The treatment is performed either with some topical anaesthetic cream or with a local anaesthetic injection to numb the cheek skin.

Cath had a total of 2ml of VolumaTM injected into the cheeks (1ml on each side) via a single entry point on each outer lower cheek. From this entry point the filler can be carefully placed into the inner and outer upper cheek area. The treated area can be moulded immediately after placement of Voluma to achieve the desired shape.

In addition to VolumaTM to the left cheek Cath also had 0.5ml of RestylaneTM placed in the left tear trough to improve hollowing on this side.

Then VolumaTM  was injected into the right cheek  to complete the treatment. As can be seen in the photos below the results are immediate and usually with minimal bruising and swelling.

  • Left cheek injection
  • Before cheek volume enhancement using Juvéderm Voluma
  • After left cheek injection
  • After cheek volume enhancement using Juvéderm Voluma
  • Before cheek volume enhancement using Juvéderm Voluma
  • After cheek volume enhancement using Juvéderm Voluma
It is just wonderful to be able to see properly and to take everything in without looking and feeling permanently tired
John Moehle
The whole experience at Face & Eye was excellent. All the staff from the receptionists, nurses and anesthetist and of course yourself were very caring
Julian Rhodes
The whole experience was very professional and caring and has given me the confidence to seek treatment and surgery if needed at any time in the future
David Hickson
This procedure is a huge success and my GP is most impressed! Needless to say I am equally thrilled so I must take this opportunity to thank you for all your care and skill
Lady Cockshaw
Thank you for performing the orbital decompression on me...I am very delighted with the result as I had an exceptionally quick recovery with little pain
Miss Christine
I would not hesitate to recommend Mr Saj Ataullah and his staff at the Face and Eye Clinic to anyone seeking top professional help
Mr Allan Merten