In the vast majority of patients, you should not feel unevenness or bumps a day after your injections of Voluma. You may have mild swelling and some light massage in encouraged. However, if you have market asymmetry, pain or bumps, you need to contact your injector to discuss your issue as this is atypical. In general, Voluma injections are virtually painless (aside from a small prick of the needle entering the skin - and even this is generally numbed with anesthetic cream or ice prior to injection). Additionally, the Juvederm XC is now mixed pre-packaged with lidocaine with help with ease of injection. While some fillers do swell after they are injected, Voluma has low hydrophilic potential, meaning that it does not absorb fluid and does not swell as much as other fillers. So, usually what you see immediately after you are injection is what your result will look like. If you are still having issues, I would suggest following up with your injector and if you are not satisfied, I would seek out a well qualified injector or board certified plastic surgeon.
If you have concerns of bumpiness and irregularity, as well as soreness, I would recommend that you contact your physician regarding your concerns. Occasionally, one can see some minor bumps a day after the injection if there is some post-injection swelling. However, it is more prudent to seek out the advice of your particular injector to ensure that there is nothing more concerning going on. The use of a cannula should not be cause for concern about scar formation one day after treatment. Hope this helps!
Unevenness is not uncommon immediately after filler injections whether it is done with the traditional technique or with a microcannula. This should improve over the next several days but definitely consult with your injecting doctor to assure that you are not having any problems / complications. Some doctors advocate massages to help even out the area but definitely check with your doctor to see what she / he recommends.
Voluma injections can cause some temporary bumpiness in the cheeks. If you are only one day out from your treatment it can also be some swelling or bruising. Light massage and ice will definitely help. You should check with your physician to make sure there is nothing else going on. Voluma has been a great product to add to our options for filling the cheek area and smooths over 1-2 weeks in most patients.
your injection was only yesterday, it is possible to see some initial lumpiness
for the first day or two, and the tenderness you mentioned is also very normal.
If either of these symptoms seems to get worse or continues longer than a few
days, definitely call your surgeon for a follow-up. Normally, one of the prime
benefits of using JUVÉDERM VOLUMA™ is that it’s a very smooth filler that
delivers impressive results. If that’s not your experience, then there may be
another concern that should be considered. If the unevenness isn’t resolving on
its own, the HA formulation means that the effects can be quickly reversed with
a hyaluronidase injection.
The unevenness or bumpiness should resolve over the next several days. Most likely, the tissues under the skin probably have a bruise which is making the swelling uneven and making the area sore. It is difficult to tell without a photo but Voluma is expected to be smooth and even when injected. Because of its soft nature when injected, it is difficult to have a bumpy injection, though results can differ between injections. A Blunt cannula is similar to a needle and serves to inject the product under the skin. The use of the cannula should not result in scar tissue.
The thing that makes Voluma unique is that it is very firm and produces very strong increase in volume with just a little bit of filler. This is why the technique of injecting it is very important. There could be a number of reasons why your result is uneven right now. First and foremost, there may simply be some swelling of the tissues around where the filler was injected. This is very often the case, and it should resolve within several days to a week. If it is not resolved by one week, then it is safe to conclude that the filler has been distributed unsatisfactorily, and it should be addressed with either hyaluronidase or the addition of more filler to even out the results. I would also suggest some firm, but gentle massage over the uneven areas and ice for the next couple of days as this will help with swelling and hopefully redistribute any unevenly placed filler. The use of the cannula is a great technique, and one that I employ myself for most injections, including these, but even that does not guarantee that the filler will be placed accurately. My best advice is to be patient and do as I suggest for the next few days, and if there is no improvement, return to your injector for follow up evaluation.
The best thing for you to do is contact your injecting physician. At the time that Voluma is injected, and before a patient leaves our office, we massage the areas of injection to insure that there are no lumps or bumps, and that there is smooth transition between areas of injection and those not injected. There can be some swelling and possible bruising that can contribute to unevenness for the first few days, but usually patients look great immediately after the injections. Scar tissue should not be an issue from your cannulae injection. Hopefully by now your concerns have resolved. Good luck and be well.
Injecting Voluma should be performed in a deep plane. The use of a cannula further ensures minimal risks to patients of intravascular injection. If you can see the filler edge than perhaps it was not placed deep enough. You should consult your injector as they will / should know how and where they placed the product. Some lumpiness may be expected for up to 2 weeks but anything unusual should be reported to your injector for immediate evaluation.
Since it has only been 1 day, I'm fairly certain you will see significant improvement in the next week or so. Uneven swelling, and bruising can be normal but should improve in time. Avoid massaging while still bruised and swollen, but you should plan to return to your provider for recheck and adjustments when the swelling has resolved. Normally you should not form scar tissue from the cannula technique if done correctly. Deep placement in the tissue typically results in smoother results. Lastly, remember that because Voluma is an HA it is temporary and can always be dissolved if necessary.