Post-op: Is it normal to have lumps from Juvederm Voluma four days after getting the procedure?

I recommend that you do not massage the filler as you do not want to press too hard and/or move the filler into the wrong place. Lumps and bumps usually resolve on their own, once the filler starts to get incorporated with your own skin tissue. It would be best if you book a follow up appointment with your injector in 1-2 weeks, and he/she can massage any residual lumps or bumps at that time.

Hard to say much about your result without the photos.  Sometimes there may be some contour irregularities after injection.  This can be due to the product placement, bruising, or other issues.  You are very early in your post procedure course.  In our office, we usually wait 10 to 14 days before seeing a patient back as we know there will be swelling.  Swelling can be present for a while, even longer if there was any bruising.  Often contour irregularities can be smoothed out.  Please let your well trained, experienced injector know about your concerns.                     

After two weeks, if you still have these lumps and firmness please see your injector. They can treat the lumps with massage or remove it with hyaluronidase.

Voluma is a great filler for adding volume to the cheek and jawline.  It is very normal to have swelling and tenderness for up 2 two weeks after injections.  After a week,if you are still feeling lumps i would recommend returning to your injector to have the product massaged and smoothed out.  

Hi TD,Voluma is a great product and our practice has been very pleased with the natural results.  Unfortunately there may be side effects with any injectable filler.  One of the nice aspects of Voluma is that it can be molded after injection.  Best to contact your injecting physician for advice.  We are not aware of any oral supplements that would help.  Good luck and be well.Dr. P