Hard Cheek, Aches and Swelling 6 Weeks After Voluma- Should I Be Worried?

Question

I am still experiencing a reaction to voluma, 6 weeks after treatment, in 1 cheek; the other cheek is perfect however! Most days there is mild swelling, hardness, itchiness and the cheek aches, also 2 small lumps at injection site. Symptoms can dissipate for a couple of days, but then return! Is this normal?! At what point should i consider removing the product?. Why am i still getting side effects 6 weeks after? Doctor reassures me to be patient and all will be ok but im losing faith! Help!

Kaveh Alizadeh, MD, MSc, FACS · Answer

I’m sorry to hear you’re having symptoms. At 6 weeks, there should not be any residual swelling, hardness, or discomfort from the injection – Voluma or otherwise. At this point in time it may be related to an allergic reaction which should resolve with prescription of steroids. Also remember that Voluma is hyaluronic acid and can be reversed with hyaluronidase.  I’d recommend promptly following up with the injector or another Board Certified Plastic Surgeon to assess for possible infection or allergic reaction.

Anil R. Shah, MD · Answer

6 weeks after an injection, most fillers should not have much palpability.  If there is any concerns such as pain, discomfort, etc, a revisit with your injector or an expert in facial injections may be indicated to rule out an infection.

Michael A. Persky, MD · Answer

Hi Ruby,If you are experiencing cheek pain, hardness, lumps, and itchiness 6 weeks after Voluma injections you should definitely be treated with more than reassurance.  It is possible that you are having an infection that may respond to antibiotics.  I would advise getting a second opinion from an experienced facial filler injecting physician.  At the Voluma Master Injection Techniques course, we discussed the treatment of these late side effects with antibiotics.  Good luck and be well.Best,Dr. P

Robert W. Sheffield, MD · Answer

Volumais an excellent hyaluronic gel filler that could aid in enhancing cheek volume.After effects such as swelling and bruising are entirely normal and should goaway on their own within 24 hours after injection or a couple of weeks thelatest. In your case, you mentioned experiencing aches, hard cheeks, andswelling that comes and goes as well as 6 weeks post the treatment. With thesesymptoms up, I would suggest that you promptly visit your doctor so he or shecan fully assess your situation. It may be possible that you are experiencingsome kind of infection or a possible allergic reaction that needs to be treatedimmediately. If your doctor still insists for you to be patient, get a secondopinion so you can be entirely sure of your case. Make sure that you find aboard certified plastic surgeon specializing in Voluma treatment. Hope thishelps you out! Best of luck!

Steven F. Weiner, MD · Answer

I'd seek another doctors opinion about your Voluma.  It sounds like there might be an infection.  This should not be passed over.  At this point, you should not have any issues with your treatment.

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Hard Cheek, Aches and Swelling 6 Weeks After Voluma- Should I Be Worried?

Answers (9)

Answer: Voluma and After Effects Six Weeks Post Treatment

Answer: Voluma and After Effects Six Weeks Post Treatment

Answer: Voluma swelling and lumps 6 weeks after injection is not normal

Answer: Voluma swelling and lumps 6 weeks after injection is not normal

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