Was Voluma injections done incorrectly my left cheekbone looks bigger than the right (photos)

I received one syringe of Voluma in my cheekbones and a small amount in the lat tear trough. Now my left cheekbone is a lot larger, protrudes a lot more than my right cheekbone. it feels like there is more filler on the left. after the Voluma injections, the doctor took a small amount of Juvaderm XC Ultra for my lips and put some in my right cheekbone? he said the right side still needed more. he said my left cheek now looks bigger because my face is asymmetrical,it's higher than the right side.

Doctor Answers 9


{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

You didn't say when you had the injections. It is quite common for swelling to be asymmetrical and to last for up to 2 weeks so this may resolve in time. However, if it's been that long and you aren't happy then speak with your injector.

Thousand Oaks Plastic Surgeon
4.9 out of 5 stars 38 reviews


{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
I am not sure how long ago you had the injections, but swelling is normal after Voluma injections.  It can last an average of 2 weeks.  I always tell my patients to wait 2 weeks then we can evaluate the results to see if more fillers are needed.  Good luck!

Jennifer Trent, MD, FAAD
Sarasota Dermatologic Surgeon
5.0 out of 5 stars 5 reviews

My left cheekbone looks bigger than the right after voluma = very likely swelling #voluma #cheekbones #swelling

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Cheek augmentation with voluma is usually associated with post injection swelling that could last from few days to few weeks. Usually the swelling is ASYMMETRIC. Therefore, patients are concerned. 

In my practice, when a patient is concerned about asymmetry after voluma injections, I remind them that they swelling could take about 2 to 3 weeks to resolve. Once it is resolve, those "asymmetries" are usually resolved.

John Mesa, MD
New York Plastic Surgeon
4.9 out of 5 stars 140 reviews

Asymmetry After Voluma

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Thank you for your question and for sharing your postprocedure photographs.  Sorry that you are having some concerns about your postprocedure appearance.  Please keep in mind that it will take 2 weeks to see your final appearance after Voluma injection due to the presence of normal postprocedure swelling and possibly bruising.  Sometimes it can take longer for things to fully settle in.  My best advice would be to give it a full 2 weeks to see your final result.  At that point, if you continue to have any concerns, please see your injector for an in-person reevaluation to review your before and after photographs, to best address your concerns and to determine the best course of action.  Best wishes! 

Asymmetries after filler

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
It is best to wait about 10 days after filler to make a final assessment. Almost everyone is no the same on both sides and it often only becomes apparent after filler. This is because we now are looking critically at ourselves when we didn't before. If still concerned, go back to your provider and look at before and after pictures.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.9 out of 5 stars 75 reviews

Voluma and Asymmetry

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Yes I do see the asymmetry in your photo but there is no before photo to compare.  Please wait two weeks and if it is still asymmetric return to your treating physician to correct.  Best, Dr. Green

Voluma Injections and Asymmetry

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Depending on how long ago your injections were done, you could still have some swelling. Let this settle for at least 2 to 3 weeks before you judge your results. If you had some asymmetry to begin with, it can be difficult to correct during the first session, but can probably get better with a follow up injection.

Sumit Bapna, MD
Columbus Facial Plastic Surgeon
4.9 out of 5 stars 52 reviews

Asymmetries after injections

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Thank you for your question. I do see the asymmetry that you are talking about. However, without seeing your before photos, it's impossible to know if this asymmetry existed prior to the injections. Overall, when I inject someone I will point out asymmetries prior to injecting - this helps to let the patient know that no one has perfect symmetry, and also is a verbal cue to remind me to inject more on the less full side, for example. There are two fixes to this problem - one is to see if your injector will put more Voluma in the less full side (which will likely cost you); or, attempt to dissolve the filler that is in the left side (however, this can be somewhat unpredictable). If you like how your left cheek looks, then I would opt to have more voluma injected in the right; Juvederm is not the same as Voluma, and will not last as long or give enough lift, so I'm not sure why he was adding more in the right cheek bone. Best of luck! 

Anthony J. Taglienti, MD
Norristown Plastic Surgeon

Asymmetry Post Voluma?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Thank you for your question and photos. It does appear that you do have some asymmetry. Without pre treatment photos its difficult to know whether or not you had some mild differences prior to treatment. Most patients do have asymmetry as this is normal but they are often mild and patients are not even aware. If present and noticed its best to discuss this prior to treatment. That said if all of your swelling has resolved and you are still asymmetric it is best you follow up with your doctor. At that point you will need to decide if you prefer the fuller side which has the simple solution of adding more to the right or if you feel the left is too full then you may want o remove product with Vitrase. Either way you should be able to improve your symmetry and get a great result
Best of Luck

Lee A. Gibstein, MD
Miami Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.