Can Voluma in the temple area be uneven and sore the day after? Is this normal? Can it cause a migraine?

Question

I'm just really concerned this isn't normal because I have n vet done filler before. I had voluma put in the hollows of my temples yesterday, one syringe on each side. I had a lot of volume loss. Today I have a bad migraine and the area is uneven, lumpy and sore. Is this normal? And will it smooth out on its own? I know my skin is thin there, is it possibly be to feel the voluma even if it was injected deep?

Jason Emer, MD · Answer

I love voluma into this area and yes it can be swollen and uneven for a few weeks.  I suggest speaking to your physician if you are concerned.  Cannula injections limit complications long term.  Best. Dr. Emer.

Jeffrey J. Roth, MD, FACS · Answer

Thank you for your question.  You are early in your post procedure course. Usually the patient sees the start of the neuromodulators, (Botox Dysport, Xeomin), working at day 4.  The fillers usually see some result early, but some modulation continues.  In our office we have patients come back at 2 weeks for their check on their neuromodulator or filler.  At that point, most of the swelling is usually down, and we have an idea of the result.  This may be delayed if the patient has a bruise.  Often, asymmetry can be improved.  Please make sure your well trained, experienced injector knows your current status.Jeffrey J. Roth, M.D., F.A.C.S.Board Certified Plastic SurgeonLas Vegas Plastic Surgery

Josh Olson, MD · Answer

The answer to your question depends on what level the filler was placed. I typically place volume on the bone deep to the muscle and I have had patients claim the muscle was sore for days and sometimes a headache can accompany this. The lumps can smooth over the next week but without seeing the degree of lumpiness and how the filler was injected I cannot say what will happen in your case. Discuss your concerns with your injector. Best of luck

Michael A. Greenberg, MD · Answer

I have had Voluma injected in my face and it was sore for a few days, especially as it was injected deep.As to the migraine, it probably was more stress related than being caused by the filler or the discomfort.Hold tight and the soreness will go away and you, hopefully, will be as happy with your "Voluma-ed" face as I am with mine.

F. Victor Rueckl, MD (in memoriam) · Answer

It is possible and likely! to be sore after injections. If you were stressed or stained about the procedure, then sometimes a migraine can be triggered. Not by the product at all, but just because of your nervousness and muscle strain. Keep your hands away from the area and don't press on it. If things don't smooth out as the swelling resolves in the coming week or so, then return to your injector for an evaluation."This
answer has been solicited without seeing this patient and cannot be
held as true medical advice, but only opinion. Seek in-person treatment
with a trained medical professional for appropriate care."

Can Voluma in the temple area be uneven and sore the day after? Is this normal? Can it cause a migraine?

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