Voluma Uneven and Bumpy: Will it Improve?

In the vast majority of patients, you should not feel unevenness or bumps a day after your injections of Voluma. You may have mild swelling and some light massage in encouraged. However, if you have market asymmetry, pain or bumps, you need to contact your injector to discuss your issue as this is atypical. In general, Voluma injections are virtually painless (aside from a small prick of the needle entering the skin - and even this is generally numbed with anesthetic cream or ice prior to injection). Additionally, the Juvederm XC is now mixed pre-packaged with lidocaine with help with ease of injection. While some fillers do swell after they are injected, Voluma has low hydrophilic potential, meaning that it does not absorb fluid and does not swell as much as other fillers. So, usually what you see immediately after you are injection is what your result will look like. If you are still having issues, I would suggest following up with your injector and if you are not satisfied, I would seek out a well qualified injector or board certified plastic surgeon.Good Luck.

I am sorry you are dealing with this issue. Voluma is meant to be placed more deeply than the other HA fillers, so it will not typically be apparent where it starts and stops. That being said, this early on, you may be experiencing swelling that will resolve on it's own over the next few days. I find that filler can be tender to the touch and feel swollen to some patients for the first week or so, and typically like to allow two weeks before making adjustments or massaging the area. If you are not feeling more comfortable about what is occurring, please contact your provider so they can take a look and reassure you. I do recommend receiving treatment from a qualified provider with experience in facial esthetics, such as a Board Certified Facial Plastic Surgeon or their staff. Good luck with your healing.

Hi @Me9! I would recommend waiting a full two weeks to allow the product to settle in. If you are unhappy after 2 weeks, I recommend dissolving the product with Hylenex. Best of luck, Dr. Nima!

Thank you for your question.  You are early in your post procedure course. Usually the patient sees the start of the neuromodulators, (Botox Dysport, Xeomin), working at day 4.  The fillers usually see some result early, but some modulation continues.  In our office we have patients come back at 2 weeks for their check on their neuromodulator or filler.  At that point, most of the swelling is usually down, and we have an idea of the result.  This may be delayed if the patient has a bruise.  Often, asymmetry can be improved.  Please make sure your well trained, experienced injector knows your current status.Jeffrey J. Roth, M.D., F.A.C.S.Board Certified Plastic SurgeonLas Vegas Plastic Surgery

Hi there, 
Thank you for your question.
Best to allow a 2 week period after injection to let the product to settle in. At this point if there is any inconsistencies this can often be corrected / or worst case scenario dissolved hyalase. Please ensure follow up with your practitioner. 

Voluma injections in the cheeks may have some mild tenderness and swelling for a few days after injections, but usually this is minimal. The product does tend to smooth out and even out somewhat over time, but significant asymmetries are unusual unless they are due to injection technique. Also, if the area is tender and warm, there is a concern for potential infection, although this would be uncommon after only one day. Specific concerns should be addresses with your injector, and as always, using an expert injector who is fellowship-trained and board-certified is recommended.

When Voluma is injected there may be temporary swelling and certainly soreness. Usually most of my patients in my NYC practice walk out looking smooth. I feel their contour with my gloved hand after I inject so I don't feel obvious lumps. If there are any visible lumps immediately after filling or if I feel one when I examine their skin I will gently but firmly massage with my gloved hand. If after two days there is considerable lumpiness the doctor may be able to inject an enzyme to flatten the lump unless it's a deep swollen bruise which can be addressed in other ways.The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs. 

I would encourage you to call your injecting physician as they would know best based on how they injected the project. Especially if the area is warm to touch.  It is not uncommon to feel the product under the skin after injection, and typically takes 2 weeks for it to fully integrate with your skin tissue.  Please be sure to consult with a board-certified dermatologist when rejuvenating your face with Voluma; it takes a great deal of expertise to create beautiful and natural results.

Voluma results should be immediate. Because it is made with a hyaluronic acid which is a sugar substance found in your skin, the results are reversible with hyaluronidase injections if you don't like them. Give it some time. Other alternatives for enhancing cheek bones and creating a lift is Radiesse, Restylane Lyft, or Sculptra.  To treat lumps and bumps you can also try RF treatments like venus legacy and exilis to break down the swelling.   Best, Dr. Emer

Uneveness after Voluma can be a result of the following factors:-Deep bruise- Not all bruises are at the surface and this localized swelling can take weeks to dissipate-Injection technique- Injections of the product can create depositions which can create lumps if not properly transitioned.  Since Voluma is not hydrophilic (does not tend to absorb water), Voluma tends to be a what you see is what you get type of filler.  Consult your treating physician for the best course of action.  

Given only one day post-injection, lumpy bumpiness can still be massaged to help smooth the area.  Usually the injector should massage out the uneven areas for you without you having to do anything except to leave it alone and let the swelling dissipate. It is difficult to determine without examine you to see if "bumpy" areas are actually the intended filling product or tissue swelling from the product.  Usually the filler is injected retrograde as the cannula is withdrawn from the puncture site and sometimes a little product can be left behind too superficially.  If this is the case, I would see your injector about having it massaged out sooner rather than later.