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Bumpy Cheeks After Juvederm Voluma? (photo)

I had Juvederm Voluma injected (London, U.K) to augment the submalar region of my cheeks. I really like the volume I received, but the cheeks look bumpy (see photo) - even after 2 months. It looks like I had some walnuts stored in my cheeks. How can I prevent this the next time? What went wrong? I am not that much interested in sculptra because of the different risks that are connected to the material Thank you!

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5 Doctor Answers | Asked by Angela1972 in Toronto, CN

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Bumpy cheeks after Voluma, how can this be prevented?

Voluma is a very dense product and it appears that it was injected in 2 spots instead of spread out more evenly. This may be a problem with the technique used. The other thought is that you might try a softer product which will lay a bit smoother. At this point you can add more product or have some of this dissolved by hyaluronidase.

Sam Naficy, MD

85 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

Juvederm lumps

These lumps can be prevented in future by placing this volume much deeper, deep to muscle. It is possible that this still can be touched up and improved. If that is not what you want and you dislike this, it can be dissolved.

Juvederm filler in cheeks

Thank you for your question. Juvederm is a hyaluronic acid based temporary filler. Degree of crosslinking determines viscoelasticity of this dermal filler and how long the effect of different type of Juvederm will last.Cheek volumes are normally augmented with medium to high viscoelasticity Juvederm. It normally placed in mid -and deep dermal layers and sometimes even deeper. If put as a bolus (nfor more stable volume increase) as opposed to the lattice fashion it might act as an implant... more

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Bumpy Cheeks After Juvederm Voluma?

Aesthetically, either too much Voluma was placed in the sub-malar region or it wasn't smoothed out after the injections. There's no inherent magic in using any of these fillers to shape and contour the cheeks and face. The MD must understand and follow the proper aesthetics of facial beauty when creating Cheek Augmentation. Next time ask the MD to place marks where the filler will be injected and if these marks, in your opinion, will not create a full round... more

Bumpy cheeks after Juvederm Voluma

If you like the overall volume you got, what you don't like are the areas that have pockets of the filler in them. It's harder to assess without pre-photos why this might have occurred - were these areas extra sunken, or needed more volume? Different injectors use different techniques and this could just be a technique difference where your injector put in pockets of filler and then tried to add volume and smooth those areas out rather than injecting smooth lines of filler. The extra pockets... more

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