What are the worst possible side effects of voluma or fillers in general?

am 31 old and i lost small amount of volume and i need a slightly cheeks lift..with minimum injections as possible as my skin is great. However, I have a bad experience with rhinoplasty that left me traumatized ! what the possible effects of voluma or fillers., does it cause nerve damage ? irritation ? facial swelling? blindness if it got injected wrong around the eyes ? Please I want to be informed with every tiny possible effect that would happen temporary or permanent.

Doctor Answers 10

Voluma and Dermal Fillers are Generally Safe

So sorry for your traumatic experience with rhinoplasty! Juvederm Voluma, Restylane Lyft and other hyaluronic-acid based dermal fillers tend to be extremely safe, with very little downtime or side effects. If you are unhappy with the results, they can be dissolved with hyaluronidase.

Because Voluma is an injection-based therapy, it is very likely that you will have some soreness, bruising, swelling and redness directly after therapy. These effects should subside within a day or two. As with any procedure, if performed improperly there could be some more damaging results, such as asymmetry and nerve damage. However, these can be avoided by seeking a board-certified dermatologist with expertise in injection techniques. Other more serious side effects are exceedingly rare. Please speak with a board-certified dermatologist so you can have your concerns addressed in more depth.

San Diego Dermatologic Surgeon
5.0 out of 5 stars 67 reviews

Voluma Side Effects

The most common side effects of any injectable filler including Voluma is swelling and a bit of bruising. It is paramount to see a board certified plastic surgeon or cosmetic dermatologist with a lot of experience using fillers as both skill and expertise will greatly reduce your risk.


Kouros Azar

Kouros Azar, MD
Thousand Oaks Plastic Surgeon
4.8 out of 5 stars 21 reviews


The most common side effects of hyaluronic acid fillers, such as Voluma, include bruising, swelling, soreness, redness, and inflammation.  Other more serious side effects are reactivation of herpes, allergic reaction, lumps/nodules, pain, blindness, stroke, tissue necrosis, discoloration, infection, and asymmetry.  Always seek treatment form a qualified professional!

Jennifer Trent, MD, FAAD
Sarasota Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Getting all the facts

The potential risks and complications of Voluma are the same as those for other fillers.  The most common of these are swelling, bruising, and unsatisfactory cosmetic result.  There are more severe complications that are extremely rare. I recommend seeing an expert in facial fillers to allay your fears and get the best results. Best, Dr. Emer

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 159 reviews


There are rare, but potentially devastating, complications of blindness, stroke, and tissue necrosis reported with all fillers.  Most surgeons have never seen these complications in person. We do all see some bruising and swelling from time to time. If the filler is injected safely, the risks are minimal.

Connie Hiers, MD
San Antonio Plastic Surgeon
4.6 out of 5 stars 13 reviews

Worst filler complications possible

Although rare, you must be informed of the possible risks with all procedures. The worst complication would be blindness. There are about 90 reported cases and only a few at most got vision back. The next worst complication would be vascular occlusion, leading to skin necrosis. This has potential for scarring and disfigurement. Other complications include infection, nodules, granuloma, prolonged edema, and poor cosmetic result. Most of these problems can be treated by an experienced injector with hyaluronidase, antibiotics, steroids, or 5FU. As the number of providers increases, the number of these problems will also increase. It is very important to research the most experienced physician for this. I also think that cannulas, which I have used for the last 5 years, are much safer than using needles in most areas of the face. 

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.6 out of 5 stars 26 reviews

How Can Fillers Be Harmful?

You ask a very good question. Patients are occasionally unhappy with the treatment.

The worst case scenario is when the filler is inadvertently injected into a vessel and stops the flow of blood AND THE INJECTOR DOES NOT RECOGNIZE THAT THIS IS HAPPENING. This leads to scarring and or disfigurement when the situation goes unrecognized. For this reason, patients need to find the wisest injector ( ie board certified dermatologist or plastic surgeon ) to treat them.

Other problems with fillers tend to be less importantly because they are temporary and resolve in weeks to months, if not sooner.

Beverly Johnson, MD
Silver Spring Dermatologic Surgeon
4.9 out of 5 stars 7 reviews

What are the worst possible side effects of Voluma or fillers in general?

Thank you for sharing your excellent question and I can understand your apprehension.  Voluma sounds like an ideal filler to improve your areas of concern, but as with all fillers it comes with risks.  Common "risks" includes pain/soreness/swelling/bruising/redness at the injection sites.  Other "risks" include asymmetry of results, poor cosmetic results, and an allergic reaction to the filler or anesthetic.  Very rare complications include occlusion of an artery which may impair blood supply to the skin and blindness.  Because of the myriad risks best to see an ASPS board certified plastic surgeon in consultation.

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 38 reviews

Side effects of injectables

Thank you for your question.

The side effects most commonly seen with fillers is bruising and swelling. I would recommend having a board certified plastic surgeon do your filler. They are trained properly and know the anatomy very well, so you will not have to worry about any problems. I strongly suggest avoid any place that has a groupon or sale, usually that is to get you in the door and it is not always the most experienced person doing the injections.

Francis Johns, MD
Greensburg Plastic Surgeon
4.8 out of 5 stars 53 reviews

Risks and side effects of Voluma or other fillers

The most common side effects of fillers including Voluma is a bit of swelling, and potential to bruise (typically lasting around 1 week). In experienced hands, the risk of side effects is minimized. Uncommonly in some cases, there can be a lack of symmetry or what seems like too much filler to the patient ; if this is the case, fortunately the hyaluronic acid-based fillers can be partially or entirely removed with hyaluronidase injections by your dermatologist.

Benjamin Barankin, MD
Toronto Dermatologic Surgeon
4.9 out of 5 stars 42 reviews

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.