Your photograph and history suggest that you may have developed a granulomatous reaction to the Voluma.
These can be difficult to treat and typically are not dissolved with Vitrase.
I suggest you see a Board Certified Plastic Surgeon, Ophthalmologist or Facial Plastic Surgeon with experience with filler eye injections to be fully assessed. best wishes.
In medicine anything is possible, but the probability of this being a Voluma reaction very low. Where a restylane tinsel effect appears as a more likely occurrence. Best to seek ONLY IN PERSON opinions NOT over internet where NO examination can take place///
I would seek another cosmetic dermatologists opinion. It appears this may be due to your filler injection and I would have it reversed with injectable hyaluronidase and considering giving you a oral steroid taper to calmn down the swelling. It may take more time to reverse the voluma, but it can be reversed. I wish you the best of luck, Dr. Emer.
The fullness in your tear trough areas/cheeks may be due to "too much filler" or filler blocking lymphatic drainage in the area. Consider hyaluronidase treatment to dissolve the filler; this works very quickly too.
There is fullness of the lower eyelids ("swelling"). It may be fluid retention from the filler, too much filler, allergic reaction to it, etc. It might be best to try to dissolve the filler, which should be effective.
True allergic reactions to hyaluronic acid fillers are very rare but do happen. I have a patient that was receiving different hyaluronic acid fillers for years and then developed redness and swelling at one site and then subsequently at multiple previous sites. All sites cleared with the injection of hyaluronidase and they had no permanent sequela. I would suggest that you inject one of the areas of swelling with hyaluronidase and see if the swelling clears. If it does then I would consider injecting the other areas as well.
Hi 4 halex,
Sorry to hear about your reaction. In some cases there can be a delayed reaction to Restylane under the eyes. It may be an infection. When this occurs it is good to treat with antibiotics for two weeks. We also will use hyaluronidase to dissolve the Restylane that is present. Fortunately, the problem does resolve with time and treatment. Good luck and be well.
Do you have any associated pain or heat, or just the redness? Very rarely, but I have seen cellulitis develop many months after injections around the eyes. Before dissolving filler there I always suggest a round of antibiotics because of this. Every time but one it's cleared it up. In the one case it didn't, I dissolved a bit of the Restylane (Voluma wasn't around then) with a bit of hyaluronidase and everything resolved. So first I'd recommend antibiotics, and then dissolving some filler if needed. I haven't found it harder to get Voluma out - it's still a hyaluronic acid filler.
"This answer has been solicited without seeing this patient and
cannot be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."