Used voluma in cheeks. Does it look uneven?

Question

I had 1 syringe of voluma injected into each cheek, and I think it looks a bit uneven. Is it noticeable and worth adding more to one side?

Nima Shemirani, MD · Answer

Hi @Kathleen6565!  I would wait two weeks to allow swelling to subside. If you still notice asymmetry after two weeks, you can add more to one side. Best of luck to you, Dr. Nima!

Jason Emer, MD · Answer

Often people need touch ups after the first treatment as it takes a step wise approach to getting optimal correction.  Please see an expert for a facial sculpting evaluation.  Best, Dr. Emer.

Michael A. Zadeh, MD, FACS · Answer

Hi Kathleen. You do seem to have some asymmetry after your Voluma injections. Some things to keep in mind though: 1. It may still be some swelling after your injection, which is common. The swelling can take up to 2 weeks to fully resolve. 2. Most people have some noticeable asymmetry to their faces. If it has been more than 2 weeks and you still have some asymmetry then a little more Voluma can be added to improve things. Just remember though that perfect symmetry is pretty much impossible to attain. Hope this helps answer your question!

Kouros Azar, MD · Answer

Has it been 2 weeks since your injections? If not then wait because you could still be swollen. Otherwise, see your surgeon to be assessed in person.Kindly,Kouros Azar

Tal T. Roudner, MD, FACS · Answer

Depending on how long ago you got the injection. Wait at least two weeks and evaluate if the asymmetry persists either add or remove product were needed.Good luck!

Brian Arslanian, MD · Answer

HiThanks for the question.  Its hard to say until you are a couple weeks out since you may still have some swelling.  I do agree the left side of your face looks like you might need a little more filler and placed a little higher up on the cheek.  Having a before picture would help as well since you may have had some underlying asymmetry prior to the procedure.  Go back to your injector and see what they think and whether a touch up would be worthwhile.  Overall I think your result looks good, but if the asymmetry bothers you then I would discuss this furtherGood Luck"The above answer has been given without seeing this
patient and cannot be substituted for actual in-person examination and medical
advice,; it is only opinion. Seek in-person treatment with a trained medical
professional for appropriate care."

Katrinka L. Heher, MD · Answer

I always recommend waiting for two weeks to judge the results.  Often there can be more swelling on one side that will even out.  I usually try to save some residual voluma to use for a touch up to help even it out if need be.  As your results will last a long time it's worth trying to get it as best matched as possible. Good luck.

Nicole Hayre, MD · Answer

Voluma, as any filler, can cause temporary swelling and bruising.  This can cause cheeks to look uneven.  I would give it a couple of weeks after the filler was placed and then re-evaluate.  If there is still asymmetry, return to your injector who might be able to manipulate the filler or add more to even things out.

Victoria Karlinsky-Bellini, MD · Answer

It is a bit difficult to see if there is significant asymmetry because you are smiling in the photo.  Remember that our faces are asymmetrical to start with and when you have something injected, you start to look more carefully and that's when you start to see some differences between two sides.  The best thing to do, is to see your doctor and look at the photos taken prior to injection.  It will give you a good idea of the asymmetry you see was there before the treatment.

Marla M. Klein, MD · Answer

Almost everyone has an asymmetrical face to begin with. If this is just the next day, it could be swelling. If it has been at least one week, I'd recommend you return to your doctor for an evaluation and to express your concerns.  Your right cheek is higher than your left cheek.

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