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

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!

Doctor Answers 6

Voluma and swelling

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.

New York Dermatologist
5.0 out of 5 stars 78 reviews

Late Swelling, Lumps, and Aches After Voluma Injections May Be 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.


Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Voluma reaction

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.

Douglas J. Key, MD
Portland Dermatologic Surgeon
4.5 out of 5 stars 15 reviews

Long term side effects of fillers like Voluma

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

Shawn Allen, MD
Boulder Dermatologist
5.0 out of 5 stars 1 review

Cheek aches and swelling after Juvederm Voluma

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.

Jordana S. Gilman, MD
Washington Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

Voluma swelling and lumps 6 weeks after injection is not normal

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.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.7 out of 5 stars 41 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.