The swelling of the vein following close injection of a filler is most likely due to compression of the vein either by swelling post filler or extrinsic compression of the area above the draining site of the vein. I would just allow time for this to resolve on its own. If it is due...
Thank you for your question. It is not common to experience zero results after 4 syringes of Voluma to your cheeks. Perhaps consider scheduling a follow up with your injector to assess before and after photos. Best,