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

 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.

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.

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

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!

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.

Voluma is a fabulous injection for the mid face to restore facial volume and rejuvenate the face.  If you are experiencing side effects six week laster I would immediately return to your physician for evaluation.  It is possible that you have an infection or allergy that needs to be treated.

Voluma is just another hyaluronic acid filler, just like Restylane, or
Juvederm, but it is special in that it has more memory, it holds its shape better and
lasts longer, but all in a special place, the malar cheeks. Like all injectable
fillers it still needs to be injected, and whenever 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.

It is highly unusual for someone to have side effects 6 weeks post injection of Voluma or any of the hyaluronic acid fillers. If this is the case for any patient and one seeks the advice of their injector and they feel it is normal then a second opinion from an experienced injector may be very helpful. In my patients, if they are lumpy with redness 6 weeks after a filler then I would likely suggest dissolving the product which breaks down quickly and easily to carbon dioxide and water. Fortunately, I have not had this problem

I suggest that you have this checked again, perhaps have a second opinion.  Your skin should feel soft and you should not have any pain, itch, tenderness, etc.