How long after having Juvederm Voluma can a doctor manipulate to dissipate?

I had voluma in cheeks 4 days ago. On one side the top of marrionette line where it meets the nose is a lot more pronounced due to more filler, not swelling. I prefer the other side. I don't want to have more filler to balance as I don't like overfilled side and I am worried about the accuracy and possible side effects of hyaluronidase. I understand that the doctor may not be able to control how much of the filler he dissolves with hyaluronidase. Should I go back now instead of in 2 weeks?

Doctor Answers 7

Voluma and Dissolving the Product

I would wait two weeks before having he filler dissolved since there can be swelling that makes it look asymmetric.  Best, Dr. Green

Fillers

I would recommend waiting for 2 weeks until all the swelling goes down. There are multiple options available for correction of your issue if it persists.

Voluma results

It can take a few weeks for your Voluma results to fully appear so I would first advise you to wait and see how things turn out. If, at that point, you are still unhappy then yes, go back to your surgeon to have the fuller side dissolved.

Kindly,

Kouros Azar

Kouros Azar, MD
Thousand Oaks Plastic Surgeon
4.8 out of 5 stars 21 reviews

How long after Voluma can a doctor manipulate to dissipate?

Thank you for sharing your question and I am sorry that your current results have not been what you anticipated.  Without photographs it is difficult to offer definite advice, but I would first allow your results to mature for 2-3 weeks before assessing your long-term appearance.  Voluma needs time to incorporate itself into your tissues, whereby it softens and becomes less noticeable.  If you do not like the look at that time I would then have your injector dissolve the filler with hyaluronidase, which only dissolves the filler and not any of your body's natural HA.  Hope this helps.

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 43 reviews

4 days after Voluma, I don't like the results

I would wait for about 2 weeks before I make a final opinion of the results. The filler can integrate with the tissues in the times and look different. If you still don't like it, hyaluronidase is the best answer to remove the excess filler. It is a very safe procedure and has no side effects other than it what you describe as difficulty in controlling how much is removed. In my experience, too little removal is more common than too much.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.6 out of 5 stars 27 reviews

Balancing out cheek volumization

To balance out the filler on the side its more pronounced massage it daily and vigorously for at least 5 min 3 times a day for a few days. If that doesn't help ameliorate the problem you doctor can inject a small amount of hyaluronidase superficially to breakdown the filler. 

Neil Sadick, MD
New York Dermatologic Surgeon
4.0 out of 5 stars 4 reviews

Hyaluronidase

Hyaluronidase can be dose in minimal, small, medium, or greater doses.

Each dose has increasing effect due to the amount injected.

You can do firm massage to bring it down or start with a minimal hyaluronidase injection.

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.