Throbbing in one cheek after Voluma - is this normal?

Question

Hi - soon after (few hours) i had voluma in my mid cheeks - one side is really throbbing deeply and looks slightly swollen and hard (not red). The other cheek is perfect with no problems at all! I know swelling and hardness can be normal and take about 2 weeks to settle - but the throbbing pain is really intense almost like a drill on the bone. Im pretty sure its not an infection. Please can someone advise what this throbbing pain could be please and whats best to do as I'm in pain! Many Thanks

Falguni Patel, MD, FACOG · Answer

Hello, you can have discomfort and even soreness immediately after an injection.  But throbbing pain is not one of the symptoms you should have.  Numbness yes; throbbing pain, no.  Please return to your injector ASAP for evaluation.  You need to be examined.

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. The throbbing pain you are experiencing is most likely a common side effect. Bruising and swelling are common minor side effects that tend to fade within 2-4 weeks and the only noticeable results will be enviably youthful cheeks. I suggest that you discuss your recovery process with your board certified facial plastic surgeon.
Best wishes,

Nelson Castillo, MD · Answer

Thank you for sharing your question and I am sorry to hear of your recovery issues.  Without an in-person examination or full series of photographs it is difficult to offer definite advice but your injector may have inadvertently hit the covering of your cheekbone, called the periosteum, which can lead to prolonged tenderness.  Additionally greater than expected bleeding/bruising may have occurred following the injections leading to the swollen look.  Best to see your injector for an in-person evaluation and discussion.

Alex Eshaghian, MD, PhD · Answer

Thank you for
your question audrey99. I understand your concern. Voluma is a
filler used to enhance the appearance of the face. Redness and swelling are common after a Voluma treatment. I tell my patients that if they have severe pain at rest to call the office immediately so I can examine the skin and make any necessary interventions. Please
consult with a doctor for specific recommendations.  Good luck!

Kouros Azar, MD · Answer

No. This doesn't sound normal. Which doesn't mean that it is critical, but it is something that needs to be checked out in person so contact your surgeon as soon as you can.

Dinesh Maini, MBChB · Answer

Thank you for your question. Unfortunately this sounds like a haematoma. This is caused when a needle is used to inject and it caused a little blood to be trapped under the skin. Thankfully rare but can happen even in the best hands.Arnica tablets 30C are my favourite standby. In case of fever I would immediately dissolve the filler and start antibiotics.Critical to know would be whether the pain started suddenly with injection or gradually.I wish you all the best Kind Regards Dr Dinesh Maini

Reza Momeni, MD, FACS · Answer

It's not a typical problem, but it's best to go back to your doctor and have them check the area.  Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons.

Marla M. Klein, MD · Answer

I think you should call your doctor's office and see if they want you to come in so they can examine the area.

Glenn Messina, MD · Answer

I would tell your doctor about this and have them evaluate you. I have not had any patients complain of throbbing but some swelling maybe a bit of tenderness but thats about it. I am thinking of several possibilities one is there was some slight bleeding which is common with injections that is causing the swelling and throbbing feeling. I would also make sure the area does not become hot or reddened but remember touching it , pressing it etc will make it redder and more tender. 
I believe this will just resolve in a few days but please speak with the injector because I always like to see any patient that is having any type of concern regarding their treatment.

Throbbing in one cheek after Voluma - is this normal?

Answers (9)

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