Voluma injections in cheeks resulting in angular, gaunt looking face. Is this just swelling?

Post injection swelling is completely normal and something to be expected. Results will continue to get better and it takes around two weeks for the filler to be settled in. If you're having concerns, call the office you visited and ask for a follow up in about a week. The injector can give you a massage and either add more to even it out or take out some if you feel it is bothering you. Juvederm brand is a great filler, it was a good choice. I wouldn't get discouraged just yet. Best of Luck. 
Dr. Rosy Sandhu

Unfortunately, it is too early to make an accurate assessment.  I usually tell patients to wait 2-4 weeks before deciding how to proceed.  That being said, you should express your concerns to your injector.  He/she will be able to tell you if they think it is normal swelling.  

There normally is some degree of swelling after a Voluma injection and this will affect the appearance. It can take 1-2 weeks to get a better idea of what your true results will be.  If you are not satisfied with your treatment after this time, you should discuss this issue with the physician who treated you.

It can take up to two weeks to see your final results from your filler treatment. After this time swelling will have resolved and the filler will have settled. You may want to try arnica and bromelain to help with swelling. If after two weeks you are still unhappy return to your injector for an evaluation.

Swelling and asymmetry immediately after injections are common. You need to wait until the filler fully settles before taking any further actions. However, if you experience severe pain, numbness, etc you should contact your provider right away. Please contact a qualified provider or a board-certified physician with extensive experience in these procedures.

It is too soon to judge the results from your treatment. It usually takes 2-4 weeks for the Voluma to settle and the swelling to resolve. Give it some time. If you are still unhappy with the results at that time you can have it dissolved with hyaluronidase. Good Luck!

Hello there! This can be very typical post-injectable. Patients typically swell and bruise for several days, with peek swelling within 1-3 days of treatment. I would recommend icing, taking anti-inflammatories/histamines, sleeping elevated, and avoiding exercise for the next several days. If this does not resolve in the next 2 weeks or so, I would recommend following up with your injector. Good luck! Sarah RN BSN

Give it time. Voluma is a fantastic, unique filler and gives beautiful, long lasting improvement but, just like every other filler, results can't be judged for at least a couple of weeks. Even if product wasn't being placed, the needle injections alone would tell the body to sends fluids to the area to heal the trauma. Swelling is part of the process. Gently icing in the first two days can help. After 3 days, I tell my patients they can begin massaging the areas (nightly, since it can cause swelling). Don't be afraid to use pressure- you can't shift the Voluma and you want to break that fluid accumulation up. Imagine you're 'pushing' the fluid out. Well done massage will help smooth everything out. In my experience it takes Voluma about a month to truly settle in.

We love using voluma! It is very early to judge the final results of the filler that was placed. Ice the areas  and give it a week or two. This allows for swelling to subside and the product to settle. If at that time you are still unhappy with the results, you should discuss options with the physician or nurse who did your initial injections.

It is very difficult to assess your concern without photos. In general, you should expect some degree of swelling for few days after the injection. Some suggest up to 2 weeks but in my opinion, including my own experience with fillers injected in my face, 1 week is enough to decide the effect. It all depends on your initial request, your injector's suggestions and type of filler. Voluma is recommended for volume enhancement, however, the longevity of 2 years, as advertised, , is rather deceptive for many reasons. There are other fillers with equal longevity but lower price. If you face was full to begin with therefore, one could imagine that your need for volume were rather low. From purely aesthetic point of view, the nasolabial folds require filler in only occasional patients, yet, it is the most commonly injected area. Again, without your photos, the above are only a speculative comment. For the future, before you have injections, look at your face and try to decide what would you do to achieve your goal? Think of it as a sculpting exercise with your face already sculpted but with some adjustments to be made. Look at the images of several classical sculptures and discover what features you like in your face. If you get familiar with the concept, you will be more informed during your next visit. Never assume that your injector's idea is better than yours if you can not understand why specific course is recommended. The injectors do not have aesthetic courses during their training, whether the doctors or nurses. Aesthetics, as a form and part of art, is an innate property that some of us have and some do not. Therefore, your ideas do not have to agree with anyone's recommendations.In addition, no matter what adjustments are needed, start slowly. You can always add or adjust. Good luck!