Does Voluma cause orbital cellulitis or swelling so bad the eye closes?

Fillers can cause swelling, its very rare to cause cellulitis but it is possible to get infections and inflammation.  Please see an expert and antibiotics/antihistamines/prednisone should help.  Best, Dr. Emer.

Voluma or any filler can cause an infection if sterile injection technique is not used.  I would consult a board certified dermatologist at once to treat you as well as an ophthalmologist to evaluate the eye area itself.  Please keep us posted.  Best, Dr. Green

Voluma wouldn't be the cause of this but it is related to the injections probably. This is an infection potential caused by poor sterile technique during the injection. Treatment needs to consist of antibiotics and dissolution of the Voluma with hyaluronidase. I would make sure you see an Ophthalmologist to evaluate the eye completely. This needs immediate treatment. I suspect you meant periorbital cellulitis, but if you really meant orbital cellulitis, this is potentially a problem which could affect your vision.

Based on temporal relationship between the Voluma treatment and the cellulitis, the treatment was most likely the cause.  That's not to say that Voluma itself causes cellulitis but the procedure likely did.  Orbital cellulitis is inflammation of the soft tissues of the periorbital area, most commonly caused by bacterial infection.  Bacteria that normally resides on the skin surface can be introduced into the periorbital soft tissues under the skin when a needle pierces the skin in that area.  It's possible also that the needle itself, which is packaged sterilely, might have become contaminated while it was being handled by the injector.  It's important that your injector cleanses the skin thoroughly to remove any skin bacteria prior to the injections and is careful not to contaminate the needle during the procedure.  That's why I recommend injections to be done by a physician who understands periorbital anatomy and infectious disease processes better than a nurse injector or PA.  If you do indeed have bacterial periorbital cellulitis, it's imperative that you be treated immediately with antibiotics, so I'm glad the PA sent you to get treatment (although, a board certified plastic surgeon would be able treat periorbital cellulitis without having to send you to the ER). If treated appropriately, it should resolve without any harmful effects and you should still be able to get fillers in the future without much worry. Good luck.