Voluma injected too deep. Cannot dissolve it?

Question

i am at witt's ends and very upset. 2 ml voluma two months ago, dr injected it in pockets p between mucle and bone. i look loopsided and my friends are making comments. Dr seems condescending and denies injecting where you can clearly see it. did 4 round of hyaluronidase, no results. i feel stuck bc voluma was not injected in the skin or fat, but deep, near the bone and feel that no other dr will know to dissolve that far. i feel i am stuck living like this. im considering liposuctioning it.

Mark Been, MD · Answer

I'm sorry that you are upset about your recent injection experience. It is possible that the hyaluronidase is simply not being injected in the correct location, but Voluma tends to require multiple rounds of injection to dissolve the product. Deep injection of Voluma over the bone is relatively common, in my experience, so if you feel uncomfortable with your current injector, I would seek a second opinion from an experienced practitioner who may suggest an alternative approach. And keep in mind, that no matter what, the Voluma will eventually dissipate. Best wishes.

Jason Emer, MD · Answer

Voluma often takes a number of sessions to reverse.  Please see an expert fi 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.  Voluma is designed to be placed deep within the face, just above a patient's bone and is highly cross linked making it difficult to dissolve with hyaluronidase.  That said Voluma can be removed but often requires intimate knowledge of where the filler was placed as well as repeated treatments of Vitrase.  See a board certified plastic surgeon in consultation, they should be able to help return you to your pre injection appearance.

Samuel Baharestani, MD, FACS · Answer

Thank you for sharing your case.  I'm sorry that you have had a bad experience.  Sometimes we can be our own worst critic.  Are you able to share a photo of the area that bothers you?

Ernest Robinson, MD · Answer

Voluma should respond to hyaluronidase, but it may take additional treatments.  Voluma is more resistant to hyaluronidase, but it should respond.  It's still only two months post injection and since the area has been treated with both Voluma and hyaluronidase you may also be experiencing swelling and edema.  If this is the case try icing the area.  In some instances patients respond to a very dilute steroid injection into the swelling and/or a very small amount of oral diuretic.  Over time the Voluma will decrease and your face will go back to normal.

Voluma injected too deep. Cannot dissolve it?

Answers (5)

Answer: Voluma

Answer: Voluma

Answer: Try additional hyaluronidase and massage

Answer: Try additional hyaluronidase and massage

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Everything you need to know about Voluma

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Voluma injected too deep. Cannot dissolve it?

Answers (5)

Answer: Voluma

Answer: Voluma

Answer: Try additional hyaluronidase and massage

Answer: Try additional hyaluronidase and massage

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Recommended reading

Everything you need to know about Voluma

Our mission is to create a world where every investment in modern beauty is Worth It.