how do i get my face back after Voluma? (photos)

Question

dr injected voluma on one side of my cheek hollow bc he pointed out that my cheek hollow was deeper on one side. resulted in overfilled appearance on one side and asymmetry galore., loss of cheekbone. 5 rounds of hyaluronidase, but he is not putting hyaluronidase where voluma was injected and he is unyieling and says he put it in the back of the hollow, not under the hollow or in the front. pictures are self explanatory. where do i remove to get my face back? dr injected under smas. am i stuck?

Mark Been, MD · Answer

I'm sorry you've had a poor experience with your Voluma injection. To echo some of the previous comments, you may simply need more hyaluronidase injections to help reverse the problem area(s). Additionally, if you feel your current doctor isn't hearing your concerns, you should seek a second opinion to hear another practitioner's opinion. Good luck!

Jason Emer, MD · Answer

It takes a number of treatments to reverse voluma, as this type of cross linking is very tight and needs more hyaluronidase than other fillers. It often takes RF treatment to help improve the results. Please consult with an expert if you do not feel confident with your current physician. Best, Dr. Emer

Nelson Castillo, MD · Answer

Thank you for your question and I am sorry that your results have not been what you anticipated.  If you are unsatisfied with the treatment of your current injector you may wish to seek a second opinion to see what can be done to further dissolve the Voluma.  Voluma does require a number of hyaluronidase treatments to fully resolve, but 5 should have been sufficient by now.

Michele S. Green, MD · Answer

Voluma is one of my favorite products to inject because it gives great results.  Asymmetry from Voluma may need to be dissolved with Hyaluronidase several times since the substance is much thicker than regular Juvederm.  Please consult an expert to correct the Voluma. It will go away but can take time.  Best, Dr. Green

Ernest Robinson, MD · Answer

I understand you have had Voluma followed by hyaluronidase injections.  Asymmetric placement of filler in not uncommon.  In your case pre-injection pictures would be helpful.  Voluma is generally more resistant to hyaluronidase and requires more applications.  In time the results of Voluma will naturally dissipate, it is not permanent.  Some doctors may consider augmenting the opposite side to create more symmetry.

how do i get my face back after Voluma? (photos)

Answers (5)