Is this normal bruising 4 days after Voluma in upper cheeks? (photo)

Hi @zoralov! Bruising and swelling are normal after receiving dermal fillers. Best of luck to you, Dr. Nima!

Thank you for your question. Bruising, redness, and mild swelling are common side effects that can fade within 2 to 4 weeks of surgery. Always consult with a board certified facial plastic surgeon.
Best wishes,

Thank you for sharing your question and photograph.  Dermal fillers typically take between 2-4 weeks to soften and become integrated into the tissues, so hang in there, you should feel the material soften quickly.  Although Voluma is placed deeply into the tissues of the face, leading to less chance of bruising, it can occasionally happen in the thinner tissues of the lower eyelid.  You can clear the bruising faster with warm compresses and the use of bromelain and arnica montana.  Hope this helps.