Voluma Facial Filler

The midface — the structural foundation of the cheeks and the area beneath the eyes — is one of the first regions of the face to show the effects of age. As subcutaneous fat compartments thin and the underlying support structures weaken, the once-rounded cheek contour gradually flattens, the lower lid begins to lengthen, and the jowls become more visible because the midface no longer holds them up. Juvederm Voluma XC is engineered specifically for this anatomical challenge. As the thickest, most cohesive filler in the Juvederm collection, Voluma uses Allergan’s proprietary VYCROSS™ cross-linking technology to deliver durable midface lift with results that can last up to two years — significantly longer than most other hyaluronic acid fillers. Voluma is one of several injectables and fillers offered at Dr. Khosh’s Manhattan practice.

Voluma is placed at the deep tissue level — over the cheekbone itself — and getting that placement right requires intimate familiarity with the periosteal and supra-periosteal layers of the midface. Few facial plastic surgeons bring the depth of structural midface expertise Dr. Maurice Khosh offers. Dual board-certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology–Head and Neck Surgery, Dr. Khosh is a Fellow of the American College of Surgeons (FACS) and a past president of the New York Facial Plastic Surgery Society. He has authored a published reference on implant-based facial contouring through eMedicine — work that reflects depth in the same midface anatomy Voluma engages. In 2023, Dr. Khosh was an invited lecturer on non-surgical techniques at the Minimally Invasive ENT/Open Forum, reflecting his standing in the rapidly evolving field of injectable facial rejuvenation. He has been recognized by New York Magazine as a Best Doctor in Facial Plastic Surgery.

What Voluma Best Addresses

Voluma is most effective for restoring structural midface volume and re-elevating descended facial tissues. Dr. Khosh uses Voluma to address a range of midface and lower-face concerns:

• Cheek Volume Restoration: Re-establishing the youthful midface contour by adding deep volume over the cheekbone
• Midface Lift: Subtle elevation of descended cheek tissue, reducing the appearance of nasolabial folds and jowls
• Tear Trough Smoothing: Improving the transition between the lower lid and cheek where age has produced hollowing
• Cheekbone Definition: Enhancing the projection and contour of naturally flat or under-projected cheekbones
• Chin Augmentation: FDA-approved for chin augmentation to improve projection and definition
• Jawline Refinement: Sharpening the lower-face contour with deeper-tissue placement

How Voluma Compares to Other Fillers

Voluma is engineered for deep, structural midface volume — a different application than fillers designed for finer lines or surface refinement. Its VYCROSS technology combines high- and low-molecular-weight hyaluronic acid molecules into a thicker, more cohesive gel that holds its shape against gravity and the constant pressure of facial movement. The trade-off for this durability is that Voluma is placed deeper than most other HA fillers, requiring precise anatomical knowledge of the periosteal layer and the underlying neurovascular structures. For patients with mild volume loss, a lighter HA filler may be more appropriate; for those with substantial midface descent and flattening, Voluma’s combination of lift, longevity, and natural integration is often the best non-surgical option. Like all hyaluronic acid fillers, Voluma can be dissolved with hyaluronidase if the result needs to be adjusted.

“Voluma is unusual among HA fillers in that it functions almost like a structural implant — it holds the cheek up rather than simply filling a depression. Placed correctly, it can produce an effect close to a non-surgical cheek lift. Placed incorrectly, it migrates or projects in ways that look unnatural. The anatomy matters.” — Dr. Maurice Khosh

Schedule Your Consultation in Manhattan

Voluma may be the right choice for patients with midface volume loss, descended cheeks, or under-projected cheekbones who want long-lasting, structural restoration. The right outcome depends on accurate evaluation of midface anatomy, the appropriate placement depth, and the right Juvederm formulation for your individual goals. To schedule a consultation at Dr. Khosh’s Park Avenue office in New York City, call (212) 339-9988 or contact us online to request an appointment.