Reaction to Voluma: What Can I Do about Side Effects?

Question

Hi Had Juvederm Voluma put in my cheeks (2ml) . I started having palpitations, extreme muscle fatigue, shortness of breath and horrible headache. I went too 2 hospital emergencies they couldnt help me out! I contacted the doctor he said its never happened before( offcourse he would say that, it would affect his business!) I went to see my doctor, he's put me on Prednisolone 5 tablets a day for 3 days and Cetirizine Hydrochloride for 2 weeks!... I wanted to know that since its suppose ot last for 18 months max, could I continue to have the allergic reactions? or what shall I do to avoid having any? should I get it dissolved? I have no sign of it being injected though one cheeks more plump then other, is it possible ot get lumps while it lasts in my cheeks?

Anil R. Shah, MD · Answer

Allergan has an extensive database of patient and patient outcomes.  It is unlikely but not impossible that Voluma would cause palpitations, muscle fatigue and headaches.  If there is concern about an allergy patients can take a small amount of Voluma to an allergist and test for reactivity to either the product or lidocaine component.  Voluma can be dissolved as well.

Dmitriy Schwarzburg, MD · Answer

Bruising, swelling, sometimes discoloration, lumps, and bumps are normal side effects. They will be gone in a matter of days. Relatively extreme reactions like yours are rare. They might be due to the filler or totally unrelated. Please contact a qualified provider or a board-certified physician with extensive experience in these procedures. Consult a specialist for the allergy.

Robert W. Sheffield, MD · Answer

Volumais an FDA-approved hyaluronic gel filler used to bring back volume in thecheeks particularly. It has lasting effects that could be observed for 18 to 24months making it an excellent filler for cheek enhancement. The systemicreactions that you felt may or may not possibly be due to your Volumatreatment. It is highly implausible but not totally impossible. To know thisfor sure, I would suggest going to a specialist that could help you better. Inthis case, you may want to go to an allergist for full assessment. Bring asmall amount of Voluma as well, so they can examine it for reactivity. Thiswill help them pinpoint the cause of the symptoms that you have or areexperiencing. If Voluma is truly the reason, you can always visit your injectorto have it dissolved since that is a possibility with Voluma as well as anyother filler made with hyaluronic acid.

Michele S. Green, MD · Answer

Voluma is FDA approved for restoring facial volume in the mid face.  With long lasting results, up to two years in duration, it is a great choice for facial rejuvenation.  The systemic symptoms that you are describing may not related to Voluma.  I would definitely consult an internist/allergist for examination to determine the cause of your symptoms.  Voluma can always be dissolved like any other hyaluronic acid filler.

Martie Gidon, MD, FRCPC, FAAD · Answer

Your symptoms may have nothing to do with your injections, or may be related to the lidocaine anesthetic in Juvederm Voluma.  Ask your injector if the Voluma contained lidocaine and if so, you should be tested for lidocaine allergy with an allergist. If you have a lidocaine allergy, you would need to tell your dentist and dermatologist in case they need to use a local anesthetic for you.  

	Voluma is also available without lidocaine.  You could have a small patch test to Juvederm to reassure yourself that you are not allergic to it, which is very rare.  If negative, you could still continue to enjoy the benefits of Juvederm fillers without lidocaine.

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