We do perform massage after voluma and instruct patients how to do so. In your case, I would recommend that you consult your injector.
If you have a result you are unhappy with I would suggest you discuss this with your dermatologist as they are some options to attempt to correct.
Lumpiness or unevenness after Voluma injection can occur. This is especially true in thin patients. Voluma is a somewhat tricky product to inject as it is less forgiving than some other products. However, it can be smoothed with vigorous massage (if necessary, not as a matter of routine) and, as you noted, can be dissolved using hyaluronidase. The best way to obtain excellent results is to be treated by an expert injector who is extremely experienced in the use of this product.
We do a facial massage after all mid facial Voluma and Sculptra filler treatments - our results are smoother and patients are happy !
Voluma, made from hyaluronic acid, is cross-linked to be thick.
For this reason, it always has to be felt after injection and smoothed with light pressure if needed.
Cannula injection helps greatly with injections around the eyes and where bruising is likely.
Doctors and others doing injections may not understand how to do injections properly.
Having lumps aftrr Voluma is caused by the injector. Don't blame the product. Sometimes massaging will help but not always. I always use cannulas for this and don't get lumps.
Technically, any filler can produce lumps depending on how and where it's injected, and more importantly, based on the experience of the injector. Massaging will not always help because it can move filler into undesired locations, so no, that's not necessarily what you want done. An experienced injector will know how and where and what technique to use for proper injection.
"This answer has been solicited without seeing this patient and
cannot be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."
Juvederm Voluma is FDA approved for volumization and enhancement of the cheek area. It is injected deep into the tissues, just on top of the bone. When injected correctly in this area it should not cause any lumps. It is possible that you had the filler either placed too superficially, or in an incorrect area. This is why it's important to choose an experienced injector when deciding to get these treatments.