Voluma Complication. One side has swollen, and my jaw muscle hurts. Is it an infection, or something worse?

Thank you for your question -- although Voluma can provide a good result when injected properly, the misplacement and subsequent migration can be significant as well.  Any swelling from the injection or even some bruising that may have occurred, should have subsided by now.  The fact that you still have worsening swelling despite antibiotics and new-onset "jaw muscle" pain is concerning and warrants a comprehensive physical examination by your injecting physician. He/she needs to assess how extensive the swelling is and discuss further therapeutic options -- you will likely need Hyaluronidase to dissolve the Voluma, continued antibiotics, and close follow-up to assess your progress.If you are unhappy with your injecting physician's care, make sure your find another surgeon or dermatologist who has significant experience with Voluma. As Voluma is a new filler manufactured by Allergan, most injectors' experiences are limited. If your injecting physician is unable to provide an adequate examination, I would seek out a plastic surgeon in your area who has extensive experience with injecting cheek fillers and typically performs many facial surgeries, as he/she is thus more likely to be familiar with the anatomy in that area, which can be variable even from one side of the face to the other. I would also ask for a plastic surgeon who took the Allergan Expert Hands-on training course specific for Voluma injection.Good luck.

Thank you for your question. It is beneficial to schedule a follow up with your injector and discuss your concerns. An in person evaluation is best to obtain appropriate treatment. Best,

I would post photos for us to see to make a determination.  Typically this is inflammatory reactions that needs antibiotics and/or oral prednisone.  However, I would suggest going to your phsysician if you are concerned.  Complications from fillers are not common and this sounds concerning and in my opinion should be followed by your doctor.  Best, Dr. Emer.