What is the Recovery Time for Voluma in Upper Cheeks?

Hi, I have recently - 3 days ago, had Juvederm Voluma in my upper cheeks to correct quite pronounced flatness. After 3 days they are very tender, & though no bruise is visable, seem quite pronounced and very hard. More so on one side. My Derm has advised they will soften, not to massage, but just leave well enough alone (and take arnica). I am very surprised at the hardness.. & a little worried! Is it possible that the size will indeed subside? Can bruising & swelling cause hardness? Thank you!

Doctor Answers 71

Recovery time after Voluma

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The recovery time after Voluma injection is usually quite short. Voluma is a more viscous hyaluronic acid filler, and In the areas you are describing it is generally injected right on top of the bone. With this depth of injection and proximity to bone, occasionally the firm feeling you are describing with a deeper swelling can be present and bothersome.

The good news is, these deep, firm areas of swelling resolve within about 10 days and should have no effect on your long-term results. Both superficial and deep bruising can occasionally be present as well. These should resolve over a similar time frame, and if the superficial bruising is bothersome and your doctor has the appropriate laser, he or she may be able to erase those bruises quite easily.

It is always best to follow your physician's post operative instructions. If something seems abnormal or bothers you, it should bother then as well, and they should address it in a manner that satisfies you.

To guarantee you're receiving the highest level of care, seek out a dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties.

Voluma tenderness should dissipate quickly

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Juvederm Voluma is a uniquely dense hyaluronic acid filler. That’s why it is ideal for volumizing severely sunken and hollow cheeks. That’s also why Voluma delivers results that last up to two years. Additionally, this density accounts for why cheek areas treated with Voluma may feel swollen and stiff for 3-7 days after the injections. This swelling and tenderness is normal; however, if your symptoms persist and worsen, you may have an infection and you should see your doctor immediately.

Hal Michael Bass, MD
Miami Plastic Surgeon

Recovery for Voluma in the cheeks

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Voluma is a unique filler that is long-lasting and robust enough to achieve a cheek lift.
When injecting voluma in the cheeks, the injection is done just above the level of the bone. This is deeper and different than other filler injection in the face like the lines from the nose to the lips, marionette lines,  eyes or lips.

Because of where Voluma is injected, the cheeks can be sore to touch and feel hard to touch. This usually lasts a week after the injection.  Swelling and mild lumpiness are normal (although they can be a little bit scary). The injection will settle and your cheeks will soften. You can apply ice to help speed the recovery (best for the first 2 days after the injection) and take Tylenol to help with the discomfort.

Unevenness between once side of the face and the other early after the injection is normal. Swelling might be different between both sides of the face. Wait 2 weeks after the injection to determine if you need a touch up.

Signs of concern after a cheek injection would be signs of an infection like fever, feeling hot, pain worsening 3 to 5 days after the injection, or excessive red skin.  Infections are very rare. If you are concerned about an injection, I encourage you to return to your injector for an evaluation in person.

Voluma should settle into the cheeks and feel just like a part of you.
In a few weeks you should not feel the product there.

Hope this helps!

Myriam Loyo, MD
Portland Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

What is the Recovery Time for Voluma in Upper Cheeks?

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Thank you for your question.  Although Voluma results are seen immediately, some of the injection's side effects may persist for a week or more after the injection: soreness, swelling, redness and firmness. As Voluma is a thick gel, it is often placed deeper than other fillers, which can lead to a "deeper" tenderness. Occasionally if the bone is inadvertently hit with either the needle or the cannula, it can lead to more pronounced tenderness on one side of the face than the other.  The important consideration is that you see gradual improvement in your symptoms, without possible signs of an infection, such as spreading redness, increasing swelling, worsening tenderness, or fevers. Be sure to see your physician with any concerns.

Voluma post-care.

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It is not unusual to have firmness or tenderness in the cheeks after a volume injection session. This may be due in part to deeper bleeding/bruising/inflammation which occurs because of the depth of these injections, which are placed usually right above bone. I would even say that this inflammation can sometimes make things look asymmetric as well, until all the inflammation settles. I would ice the area several times a day, and at this point in addition to the arnica you can also take ibuprofen to help reduce swelling and inflammation. You should try to sleep on your back, elevated with several pillows for the next few nights as well.

Tender Cheeks after Juvedrm Voluma Injection

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I tell my patients that it will take a full 10 days to 2 weeks for the tenderness and swelling to subside after Juvederm injection, and for your final results to be apparent.  Tenderness at 3 days after injection is quite normal, as is the "firmness" that you're feeling.  Firmness can be felt with all hyaluronic acid products (Juvederm, Restylane, and Perlane) initially, and Juvederm Voluma is the thickest of these products, so firmness at this stage is expected.  I agree- don't massage, just wait it out.  Incidentally, I also use Juvederm Voluma in the temples- to fill temporal hollowing.  With Voluma injection to the temple, an expected side effect is some initial tenderness when you chew.  

Voluma is a much thicker filler than other HA's

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Juvederm Voluma is a much thicker and more robust filler than other hyaluronic filler products which is why it is so effective for deflated cheeks and mid face rejuvenation. It is not uncommon for the cheeks to feel swollen after treatment and even a hardness in the treated area. The healing can take a few days to a week, so it is not uncommon to have swelling 3 day post-op. The side effects to look out at this point in time would be worsening swelling and redness, worsening tenderness, fever or any other signs of an infection. If your symptoms are getting worse, it is advisable to call your physician and have them evaluate the treated area.

Adam J. Mamelak, MD
Austin Dermatologic Surgeon

What is the Recovery Time for Voluma in Upper Cheeks?

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Depending on the amount of the product injected, swelling and hardness is normal and may take from a few days to a few weeks to resolve.  As long as your symptoms are getting better and not worse, I would wait.

Voluma- plan 2 weeks for recovery

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Voluma is a thick, firm product, and this is how it helps to lift the face. 

The typical technique is to place small drops of voluma on the cheekbone.  Since the product is placed on the bone, you may feel quite tender for several days afterward.  You likely have some deep swelling, and possibly even bruising, which would explain your symptoms. 

Give your cheeks two weeks to recover from the injection, and then return to your dermatologist for a followup. 

It takes two weeks for Voluma to fully settle

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It takes two weeks for Voluma to fully settle.  I generally recommend waiting until after this period before assessing the injection site.  Most people don’t experience pain unless they are applying pressure to the injection site with their fingers.  However, if you are experiencing excessive pain and/or redness right now, I would contact your doctor immediately.  

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.