Can Voluma move or shift?

Question

I had injections into the Buccal area and now I have lump on side of my mouth? Also the injections under my eyes are like rocks?

Sonia Badreshia-Bansal, MD · Answer

Thank you for your question. If Voluma is placed correctly, it shouldn't shift or move. Voluma is indicated for cheek fat loss. If placed in any other area, it may be too thick especially for under eye area. Fortunately, it can be dissolve with a hyaluronidase. I would recommend following up with your provider to help assess the area. I hope this helps!

Martin Jugenburg, MD · Answer

Thank you for your question. Swelling to the injection site is common and can last approx 2 weeks. If you have any lumps, you can schedule a follow up with your injector to have the area massaged. At 2 weeks the product should be settled and swelling resolved. Voluma is a dense filler used primarily in the cheek area, where you want to add larger amounts of volume. For the under eyes, Juvederm makes a product called Refine or Teosyl Redensity ll which is softer. Speak to your injector and be assessed. Best,

Timothy R. Miller, MD · Answer

It would be very unusual for Voluma to shift or move.  Voluma should be placed deep into the tissues to add lift and volume to areas such as the cheeks and midface.  If you are having issues you should call the office where you had the procedure performed and have the areas evaluated.The attached link provides more information on Voluma.I hope this helps.

Brian M. Harmych, MD, FACS · Answer

It's very unlikely that the Voluma moved.  Although, it would be helpful to know how long ago your surgery was performed.  Swelling can persist for 10 to 14 days, and in some cases slightly longer.  However, if you're concerned, I would consult with the surgeon who performed the procedure.

Ryan Greene, MD, PhD · Answer

When Voluma is properly placed onto the cheekbones for midface augmentation, it should not shift or move. I have no experience in placing Voluma in the buccal area, so I am not sure if it would move. Based on your description of a lump and 'rocks,' I would return to your injecting physician as soon as possible for an evaluation. I always recommend that patients see a very experienced injector for their treatment with Voluma. Good luck!

Suzanne Kilmer, MD · Answer

It is unusual to put Voluma in the
buccal area and there is a lot of movement there so it could have shifted –
same with under the eyes. Voluma is typically placed onto the cheekbone or chin
area and after a day or so it is fairly “set” but shifting is possible. It can
be dissolved by a dermatologist experienced in filler injections using
hyaluronidase.

Michael H. Gold, MD · Answer

Voluma is a great
filler for volume correction in the mid-face areas. Lumps and hardness are not
very common when it is injected correctly and the post-injection process of
massage done correctly. We recommend strongly that the injection be given in
the offices of a board-certified dermatologist or plastic surgeon as they are
the ones who understand the anatomy of the areas treated the best and where to
optimally inject Voluma.

Injections in the
buccal area are not very common so I wonder what is going on there and if it is
related to the Voluma you had injected. I also worry that under your eye the
area feels like a rock – I would use some hyaluronidase here to make the
product go away. And I also would want to know if you truly received Voluma –
there are “fake” products out there that some people still use, even though
they should not. This is a serious problem, as you always do not know what you
are injecting into people, which can then create problems that, on occasion,
are difficult to correct. Find the right provider and get these concerns taken
care of.

R. Scott Yarish, MD · Answer

Thank you for your question.  Voluma can be molded by the injector during the injection process.  It is not typical for the product to shift after injected.  Set up an appointment with your injector if you have lumps or questions regarding your treatment.  Your injector may be able to massage and correct the areas of concern.

Michele S. Green, MD · Answer

Voluma has become my new favorite filler for the mid-face.  I have had beautiful results and have never seen the product shift or move.  However, Volume is not meant to be injected in the buccal area.  If placed in that area it is possible that you are having a side effect from the injection.  Please consult a board certified dermatologist in the area who has experience with these injections since the product may need to be removed.

Reza Momeni, MD, FACS · Answer

Our office was one of the first in the area to start making Volume available to our patients, so we have a great deal of experience with it.  In my experience, I have not yet seen Volume shift or move around.  I usually avoid the buccal area, since in my opinion Sculptra has better results in that area, but of course, this is a patient-dependent question and every patient needs individualized consultation and decision making about where, how much, and what to inject for improving aging of the face.Your best bet is to see the board-certified plastic surgeon that injected you, and ask for advice.

Can Voluma move or shift?

Answers (13)

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