We only inject Juvederm Voluma into the cheek, through both cannula (plastic tube) and sharp needle. Juvederm Voluma has long been considered the gold standard when augmenting cheeks, in both longevity (18-24 months) and texture. Over the 18 months, the hyaluronic acid gel slowly degrades. From our experience, other cheek filler brands do not exhibit the same longevity or texture as Voluma. The procedure itself is not painful, however topical anasthesia can be applied beforehand. Dr Sarwar performs all cheek augmentations at Skin Science Clinic.