Hi, I have recently - 3 days ago, had Juvederm Voluma in my upper cheeks to correct quite pronounced flatness. After 3 days they are very tender, & though no bruise is visable, seem quite pronounced and very hard. More so on one side. My Derm has advised they will soften, not to massage, but just leave well enough alone (and take arnica). I am very surprised at the hardness.. & a little worried! Is it possible that the size will indeed subside? Can bruising & swelling cause hardness? Thank you!
Healing Process After Juvederm Voluma in Upper Cheeks?
Doctor Answers (18)
Voluma is a much thicker filler than other HA's
Healing Process After Juvederm Voluma
Voluma for cheek lifting
Voluma is a great product for lifting deflated cheeks. It gives lift because it is quite viscous. The great news is that cheek correction can last for 2-3 years in certain cases. The product can feel stiff under the skin for up to a week or more, and some tenderness is not uncommon - lasting from a few days to a week. If you are experiencing an increase in pain, associated with tenderness, redness or swelling, then you may have an infection and should contact your doctor.
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Tender Cheeks after Juvedrm Voluma Injection
Early swelling and hardness in the cheeks can occur 3 days post-op following Voluma injection
Voluma Healing Process
Asymmetrical hardness and tenderness three days after Voluma injections may indicate a deep hematoma (collection of blood) that may manifest as a delayed bruise. Voluma is injected deep under the facial muscles just over bone. The size of the swelling should resolve as the hematoma resolves. We usually recommend cold compresses for the first 48 hours after Voluma injections if there is any bruising. After 48 for bruises we then recommend warm compresses. It is best to have your injecting physician evaluate you for any concerns that you may have. Good luck and be well.
Swelling after Voluma Injection
Voluma in upper cheeks
Juvederm Voluma is a terrific product for cheekbones for the majority of patients, although patient selection and physician experience and injection technique are critical. Be patient, the firmness should settle down within a week or so. Arnica or fresh pineapple can be helpful to minimize bruising; there may be a deep bruise that you don't see on the surface. Your dermatologist can, ideally after waiting 2 weeks or so, dissolve any Voluma if there should still be a problem using hyaluronidase. Although patients worry about this or that after injections, I find by 2 weeks, 99% of issues have resolved, so its worth being patient ~ Dr. Benjamin Barankin, Toronto Dermatology Centre
If you think your healing or response to treatment is unusual...
Always go back to the doctor who did the treatment. If at that time you don't feel satisfied, and the doctor has looked at you---did not just talk to you on the phone-- then I would recommend getting a second opinion. You want a board certified dermatologist ( at least this is what is recommended in the United States, or plastic surgeon. The greatest advantage of Voluma is that it can be reversed with hyaluronidase (an injectable) which any experienced physician will have on hand.
Hope this helps you!
Discomfort after Voluma
As with all fillers Voluma can feel a little tender afterwards for a few days. If you feel that something is abnormal it is critical you contact your injector to be sure that things are as expected. The beauty of Voluma is that it can be reversed in a matter of seconds if needed . This is rare to require reversal but it is nice to know especially for inexperienced injectors or patients who do not like their results. The key to good success is to start with the best injectors in your area.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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