Hard Pronounced Cheeks After Juvederm Voluma? (photo)

I had Juvederm Voluma in my cheeks today and I'm worried by the results. The area of my cheek that was sunken and I thought would be treated was the mid/side area, but the Voluma was put in the top of the cheeks, on the side (so I still have a 'hollow' appearance when I turn to the side, one side looks worse than other). Where the Juvederm has been injected it is very hard and looks like two big bumps. Is it likely to subside or stay this way? Please help - panicking slightly!

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5 Doctor Answers | Asked by Gillian London in London, United Kingdom

Doctor Answers (5)
Community Comments (1)

Hard cheeks after Juvederm Voluma ?

Your cheeks do look a little full, but I see other areas that if addressed would blend and create a more harmonious correction. So rather than having it removed I would encourage you to give it another week or so and consider adding another softer product to this.

Sam Naficy, MD

80 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

Hard areas after Juvederm Voluma

It takes a week or so for the filler to settle and the swelling to subside after filler treatment. Best is to have a follow-up appointment ~ 2 weeks after treatment to assess the results and discuss possibility of touch-up/further treatment.

Anatoli Freiman, MD

4 reviews

Toronto Dermatologist

Juvederm Voluma for cheeks

Please don't panic. It can take 2 weeks for Voluma to settle. Judging from your photos, you will require several more syringes, probably Juvederm Ultra Plus, for your midcheek area, nasolabial folds and marionette lines. You may also benefit from Sculptra to thicken your skin. Make sure you are being treated by an experienced dermatologist or plastic surgeon who can assess your face and treat appropriately.

Lumps one day after Juvederm

It is fairly common to have some hardnes and bumps up to two weeks after Juvederm. It will likely settle in and be fine. Try not to panic, because it takes a few days for the Juvederm to settle in and swelling to resolve. I like to look at my filler patients in 2 weeks, as this will likely be close to the final result. If more filler is needed to even things out, it can be discussed at this time. I would continue to place ice on the area , as this can help... more

Cheeks after Juvederm Voluma

I can see that the Juvederm was place high and along the upper cheekbone, which is resulting in a more sunken look in your central cheeks. This is harder to comment on without before pics, but let me say this. While it can be good to inject higher so that the cheeks are raised, I most likely would have suggested you get more filler - like 2 syringes. One to place higher and around your mouth area a bit, and one for the central cheeks and jawline too. Overall I think it would have filled your... more

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Comments (1)

Gillian London 3 Nov 2012

I thought I would post an update, as my original post was 3 months ago now. As most doctors commented, my cheeks did settle dramatically, although I would say it took a good month for the final result. I don't think I had really been warned of how it would look at first, and expected it to be like fillers I've had in other ears such as nose-to-mouth where it generally didn't change or swell much. I want to thank all of the doctors who took the time to comment as it was very helpful and reassuring. I would say that the finished look, although fine, hasn't really treated the problem I originally visited the doctor for which is the hollowness of the LOWER cheek, highlighted by the fact I have sagging skin at the corners of my mouth (on one side is a mole, making it look slightly worse). I would be grateful for any recommendations of what to do to address this issue - I had been recommended that Thermage might be the best treatment, and would appreciate any thoughts on this. I also noticed that my nose-to-mouth lines seemed, almost from the first day of having juvederm in my cheeks, look noticably worse, and have continued to do so - is this a known side effect from plumping this area? Again, thank you for all your comments!

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