Visible big bumps after voluma in nasolabial folds. Will the filler eventually settle? (Photo)

Hi @Amsterdam26! I recommend waiting a full two weeks to see how the product settles in. If at that point the irregularity is still present, I recommend dissolving the product with Hylenex. Best of luck, Dr. Nima!

All injectable treatments come with the risk of side effects; however VOLUMA has been approved by the FDA to provide volume and a natural lift to the face. Typical side effects may include minor itching, redness, swelling, and bruising around the treatment area. These side effects should not last longer than a few days, however if they last for more than one week you should contact your physician.

Although Voluma is FDA approved for the malar (cheek) areas, experienced injectors will use it for other areas off-label.  Since Voluma is thick in consistency, many people will find in their smile lines that it will have a lumpy feel.  Thankfully, in my experience, this improves and resolves with time, massage, and patience, but Vitrase enzyme can be used to dissolve it more fully and more quickly if a patient does not wish to wait.

Try massaging the area for a week or two.  If the bumps are still there after that, have your practitioner inject the enzyme to dissolve the product.

I suggest reversing the filler with hyaluronidase.  It may take a few treatments and would be best combined with venus legacy treatments.  Best, Dr. Emer.