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

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.

Thank you for your question. Voluma is the
newest filler to last two years instantly restoring volume to the mid-face
area. If you have lumps I recommend a follow up appointment with your doctor to
make sure you are healing properly.

It is normal to have some mild swelling for a few days following any type of filler injection, including Juvederm Voluma. However, within 7-10 days, I would expect most of the swelling to subside. It is also possible to get some lumps depending on how the product was injected or if it was not molded after injection. These can likely be addressed with massage or with an injection of hyaluronidase, if needed. I would recommend contacting your injector with any questions or concerns and for a follow-up evaluation.

Some swelling after filler injection is normal. Lumps are often to product that is not adequately smoothed. I warn patients that if they feel lumps, they can either gently massage them of return to my office for me to work on it.  Always good to ask your doctor.

At 4 days, up to 20% of people experience swelling or firm lumps from swelling in the areas of injection. If the lumps feel warm or are red then you should see your doctor to rule out infection. Otherwise, the firmness and lumps should start to resolve and your cheeks should feel normal.