Will uneven cheek after Juvederm Volift cheek filler go away?

Question

I am uneven on one side 6 hours after appointment. I had Juvederm Volift in my cheeks today. One is very smooth and you can't tell that there's anything inside (it looks very natural), the other has what feels like an uneven solid lump in it. It isn't very noticeable but it catches the light and casts a shadow that makes my skin look really uneven. Should I be worried or will this go away? I'm worried it's not just swelling because of how solid it feels :(. Thanks

Kyle Coleman, MD · Answer

Swelling after filler is can often create the appearance of asymmetry.  Don't judge the filler by the first few days.  Swelling can make things look more full or asymmetric.   Thankfully, with hyaluronic acid fillers, if the asymmetry persists, the product can be reduced with simple injections of hyaluronidase.   Ice the areas and give it a little time.  Best of luck.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Sach Mohan, MBBS · Answer

Thank you for your question. 
At this stage it could be swelling, let it settle for a couple of weeks. Cold compress can help with the swelling. 
If at two weeks you are still concerned the contact your treating practitioner for a face to face review. The good thing is that hyaluronic acid can be dissolved with an enzyme called hyalase. 
All the best.

Martin Nimmo, BDS, MFDS, RCS(Ed) · Answer

It is not uncommon to experience a small degree of asymmetry immediately post-treatment due to the potential for swelling and bruising. Juvederm can take up to 4 weeks to integrate, so it is best to wait and review in 2-4 weeks with your Injector at which point you will have a better idea of the final result. If there is a residual degree of asymmetry you could consider further Juvederm treatment to address this, or alternatively dissolving the filler.

Monika Soni, MD · Answer

Swelling and the ability to feel the filler is not uncommon for the first 2 weeks after treatment. Let everything have time to settle and for the swelling and bruising to resolve. Then follow up with the treating physician.

Michelle Ellern, DO · Answer

Swelling and the ability to feel the filler is not uncommon for the first 2 weeks after treatment. Let everything have time to settle and for the swelling and bruising to resolve. Then follow up with the treating physician.

Shawn Tassone, MD, PhD, FACOG · Answer

japstott- 
There can be the appearance of some initial asymmetry following filler due to swelling. I would recommend waiting 2 weeks and if you still believe there is asymmetry, I would return to the practice where you had the filler placed and have them add filler to even the cheeks or have the filler removed using Hylauronidase. 
Good luck!

Sabika Karim, MBBS · Answer

Hello Japstott,
Thank you for your question. Please be reassured that it is normal to have some asymmetry after treatment as the face can swell in different areas. You could try cold compress over the area and this may help with the swelling. If at two weeks It has not settled then you should book to see your treating practitioner. 
The good news is that the product which has been used is a fairly soft product and distributes into tissues well. If however it does not settle it can be dissolved with a product called hyalase. 
Wishing you all the best and hoping you will love your results when everything settles down
All the best.

Will uneven cheek after Juvederm Volift cheek filler go away?

Answers (8)

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