I've got a lump on my nasolabial fold - is that normal? (Photo)

Question

I just had my nasal folds done , I was told by my doctor that I had deep folds so he used voluma . first time he said I need two syringes. He will do one now and come back in a month. So I agreed to it . I find it hard and on the folds he only did half of my folds . Is it normal for it to be hard and lumpy ?. Will the lump go away or just cancel my next appointment. Please help ..I'm 41.years old I asked voluma min facelift he said I didn't need it .

Victoria Karlinsky-Bellini, MD · Answer

It is a hard to judge the results without seeing the photo prior to injection to understand the difference.  In my practice, I typically do not use Voluma to naso-labial folds.  My preference is to use Juvederm Ultra Plus for deep folds.  Nontheless, any filler can cause lumps and bumps if injected too superficially.  If the lumps you are referring to are visible then they should be addressed with the HA antidote.  However, if you simply feel them but the contour of the fold had greatly improved then you should just leave it alone.  it will settle over time.

Glow Med Spa - Encino · Answer

Hello!
Thank you for your question. In our practice we do not use Voluma in the nasolabial folds (NLFs) for the reason you just described. This portion of the face needs a product that is more malleable and can move with your facial expressions. Voluma is thick and intended to sit in place on bony structures. If the lumps don't reduce after massaging, you can return to the office and get hyaluronidase to dissolve the product. In your case, Voluma can be placed on the cheekbone to help lift the face which softens the (NLFs) and a softer product like Vollure, Restylane Defyne or Ultra Plus in the folds can follow. Layering on top of the filler with Sculptra (a product used to grow your own collagen) is also an added benefit.
Best of Luck! 
Glow Med Spa Encino

Ronald Kolegraff, MD, FACS · Answer

Your nasolabial folds are quite deep.  Filling them with any filler is not going to flatten out the fold without bunching up the skin if it is put directly into or under the fold.  Injecting the material below your eyes will lift the skin and improve the lines somewhat. A lower face lift with sutures could be the next step and would support your cheeks for perhaps 18 months to 2 years.  An office face lift of the 'Lifestyle' kind would be more aggressive and last longer.  The Company that promotes'Lifestyle Lifts' has closed it's doors however. Lumps like yours improve with time and are more common with larger volume used.

I've got a lump on my nasolabial fold - is that normal? (Photo)

Answers (3)

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I've got a lump on my nasolabial fold - is that normal? (Photo)

Answers (3)

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Everything you need to know about Voluma

Our mission is to create a world where every investment in modern beauty is Worth It.