One Lumpy Cheek after Juvaderm Voluma

Thank you for your question.  You are early in your post procedure course. Usually the patient sees the start of the neuromodulators, (Botox Dysport, Xeomin), working at day 4.  The fillers usually see some result early, but some modulation continues.  In our office we have patients come back at 2 weeks for their check on their neuromodulator or filler.  At that point, most of the swelling is usually down, and we have an idea of the result.  This may be delayed if the patient has a bruise.  Often, asymmetry can be improved.  Please make sure your well trained, experienced injector knows your current status.Jeffrey J. Roth, M.D., F.A.C.S.Board Certified Plastic SurgeonLas Vegas Plastic Surgery

Injections with Voluma can cause swelling, bruising, tenderness, lumpiness, and asymmetry initially. Normally all of that settles down by 2-3 weeks post injection. If there is something you are concerned about, you should definitely consult with your injector. Voluma can be dissolved if you are not satisfied with it, but the product used to dissolve Voluma should be used by someone with experience with it. There are always risks with everything you do, so it's a good idea to talk things through with your injector.

Hi C,This question is very similar to your previous question.  I will repeat my answer to that question.As with any aesthetic treatment it is essential to choose your injecting physician most carefully, one with skill and experience. As a trained Master Voluma injector, we have been trained to place Voluma in the proper places for natural beautiful results in our patients. Patients having facial volume replacement should trust their face to physicians who perform an in depth facial analysis, followed by a plan for revolumization, and then skillful placement of Voluma with an artistic vision. Without artistic vision, there can be technical success, yet aesthetic failure…which seems to have occurred to you. Without seeing you, it is difficult to say whether your best course at this time is to dissolve the Voluma that is in excess, or add more filler to bring your face back to symmetry. Usually we prefer to maintain volume in the face. It is best to wait for at least 7 to 14 days for all swelling and bruising to resolve prior to further treatment. Good luck and be well.Dr. P

Voluma is a fabulous injection but the most important aspect about getting a facial injection is the experience of the injector.  I have been injecting for over 20 years and there truly is an art to injecting properly.  Cannulas for Voluma are not part of the training.  I am sorry for your experience but the good thing about Voluma is that it can be dissolved if the injections are done improperly.  Please consult a board certified dermatologist with experience in Voluma and facial injections for the best cosmetic results.

Voluma is a hyaluronic acid filler, just like Restylane® or Juvederm®, but special in that it has more memory, it holds its shape better, and lasts longer, but in a special place, the malar cheeks. But like all injectable fillers it still needs to be injected, and when ever you inject, whatever the choice of filler, there is that small but possible risk of bacteria and infection. Ask your doctor about the possibility of infection and whether you should consider a course of antibiotics. I would still encourage gentle message and “baby bottle warm” wet compresses to help reduce swelling and speed up healing as well.

follow the dr instructions, if u did not get any call and get them asap.

 

go to the mfg web site also for instructions after service

Fillers in cheeks can be a great adjunct to facial rejuvenation. I often massage the area after treatment to blend in the product.  If you feel lumps, you should talk to your treating physician.

Having injected Voluma numerous times, I have been very impressed with this products ability to fill cheeks. Voluma is a much more robust filler wih a greater longevity compared to some of the other products out there. This filler is often injected deeper than other products as well, and can sometimes look a bit lumpy at first. This typically settles down after a week or so. However, if you feel you are. It getting the results you expected, I would definitely call your physician before doing anything on your own. They may ask you to come in for a quick evaluation or you might require a touch up. 

Thank you for your question. I'm sorry that you have not had a great experience (so far) with Voluma but don't fret. This is not permanent. Voluma is perhaps the most "sculptural" of all of the hyaluronic acid fillers because it is thicker and more elastic than all of the others. Because of this it is a little less forgiving and can be lumpy unless injected skillfully. It is very important that your injector be very experienced with this product and make sure that it is injected properly. It sounds like one side is just fine. At just one day following injection, the lumpiness could represent swelling or a deep bruise. These will resolve in time and a little gentle massage might help move the process along. If, after two weeks or so, the lumps are still there it may be necessary to "erase" the Voluma with hyaluronidase. If the lumpiness represents and infection or inflammatory reaction (unlikely at this early time following injection) antibiotics or steroid injections might be necessary. Return to your injector and express your concerns. Good luck.