Could I have become allergic to Voluma?

Question

had voluma injected in hands almost 2 weeks ago. i had terrible swelling and heat in my hands. after almost a week doctor put me on 6 day steroid. it helped a little, but i still had a lot of swelling. yesterday i had her remove the filler. still some swelling and itching. i had voluma injected in my cheeks 7 months ago with a different doctor and had no problems.

Stephen Giordano, DO · Answer

If you had Voluma in your cheeks with no reaction, it probably isn't that you're allergic to it, but had a localized reaction to the filler. The skin of the hands is much thinner than the face, which makes the choice of filler more important, and Voluma is not my first choice in that area.   Hyaluronic acid fillers like Juvederm, Restylane and also  a non hyaluronic acid filler, Radiesse  are all better choices in that area,  combined with laser treatments for tightening and improvement of brown spots.Best of luck.Dr G

Jason Emer, MD · Answer

This is difficult to answer without an in-person evaluation. An allergy to Voluma is extremely rare. The fact that you successfully had Voluma in the cheeks indicates you don't have an allergy. Keep in mind, it can take a series of treatments with hyaluronidase. Hands can be improved with fillers very easily, and I love combining this with fraxel laser to tighten and improve texture. Belotero and Radiesse give natural looking results. See an expert. Best, Dr. Emer

Mitesh Kapadia, MD, PhD · Answer

If you were really allergic to Voluma, I would expect the filler in your cheeks to get swollen at the same time as the filler in your hands. If you are thinking about trying the filler again, I would recommend having your doctor place a very small amount of Voluma (0.1cc or less) in an easily dissolved location as a test. If it swells the same way then you are obviously allergic. If not, you are probably not allergic and just had a localized reaction to the injection in your hands.

Nelson Castillo, MD · Answer

Thank you for sharing your question and I am sorry to hear of your hand issues after Voluma.  Without photographs or an in-person examination it is difficult to offer definite advice as an infection is the worst case scenario while some swelling is anticipated, especially in the thinner skin of the back of the hands.  Voluma does take more hyaluronidase to dissolve than most HA fillers so return to your injector and have continued treatments until the product has been fully dissolved.  Best wishes.

Usha Rajagopal, MD · Answer

Yes it rare to become allergic to a product, but it sounds like with the prolonged swelling and itching you may have developed an allergy. The next time for any voluma or any hyaluronic acid product you inject I would have the doctor do a skin test on your forearm to see if you have any sort of reaction before it is applied onto your face.

Bruce E. Katz, MD · Answer

Thank you for your question. It’s unlikely that you have an allergic reaction to Voluma if it was injected in your cheeks without a reaction. It is difficult to assess without a formal evaluation. For more information, I recommend seeking treatment from a board-certified dermatologist.

Gabriel Chiu, DO · Answer

Thank you for your question. Sorry that you are having problems with your Voluma treatment. You are most likely not allergic to the Voluma. The product is made of hyaluronic acid, something that we naturally have in our skin and body. We don't do allergy testing before injecting this product because patients are generally not allergic to it. What you are experiencing is related to the location of treatment and to the injector's technique.

Could I have become allergic to Voluma?

Answers (7)

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