What are Voluma XC risks or side effects?

Can any injector who does Botox competently also do Voluma? What are risks or side effects if done incorrectly?

Doctor Answers 17

Voluma Injections Done By Expert Injectors Only

With Voluma, I recommend that you choose a very experienced injector. It is new on the market, and, while it is made out of hyaluronic acid (like Restylane or Juvederm), the cross-linking makes it much more of a "solid" liquid. This may sound weird, but if you squirt Juvederm or Restylane onto a surface, they make a puddle. If you squirt Voluma, it looks like a Hershey's Kiss.

Voluma is supposed to be very long lasting, and is meant to be placed deep (just above the bone) in the cheek area. It is a great filler, and when done correctly, looks amazing.

Most doctors that inject a lot of Botox, also inject a lot of filler, but:
Botox is not a filler. It is a protein that binds to the junction between the nerve and the muscle and causes the muscle to not respond to the nerve (so it decreases wrinkles because you can't contract the muscles in that area). Botox is always metabolized, and any unwanted outcome will go away.

The major risks of Voluma being injected incorrectly (too superficially, too much in one location, no placed just above bone) would be the development of an unwanted lump or asymmetry. You can use hyaluronidase to dissolve the Voluma, but it still might leave unwanted asymmetry or lumpiness. Again, I would definitely recommend an experienced doctor.

Seattle Dermatologic Surgeon
4.5 out of 5 stars 40 reviews

Voluma treatments

As important as it is that Botox injections are done by skilled providers,  treating with Voluma XC for full-face volume-enhancement  is best done by more  experienced  injectors familiar with facial anatomy and aging patterns .  Having said that--it is as much artistry as it is skill ,so it is important to convey the correction you are seeking!

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 103 reviews

What are Voluma XC risks or side effects?

Voluma side effects are essentially the same as any other filler on the market today.  If your doctor injects Botox, chances are, he or she also injects fillers.  If you are concerned, simply ask your provided about their qualifications to ensure they have ample experience with facial fillers.

Victoria Karlinsky, MD
Manhattan General Surgeon
4.0 out of 5 stars 18 reviews

Voluma injections

Not all injectors feel comfortable with every filler that is on the market. We all have different reasons for using certain fillers. It is important that you go to an injector who you can trust and who has experience using Voluma. It is a great product, but as with all fillers, you can have complications, and an injector with experience will know how to handle these situations. Overall, I would say that there are very few complications that occur with Voluma, except for maybe bruising or swelling, but these are normal for anyone getting injections. Hopefully the bruising is minimal and the swelling goes down quickly. It is important to feel like your injector knows the product, and ask to see their before and after pictures. Most injectors will have plenty of pictures to show you. 

Cheryl Perlis, MD, FACOG
Lake Bluff OB/GYN
5.0 out of 5 stars 5 reviews

Voluma Risks

Botox and Voluma are very different products that require vastly different techniques for injecting. Both require an expert injector with a lot of experience to get optimal results. Just because a physician is great with botox doesn’t mean that he or she will be a good Voluma injector. Voluma has been FDA approved to be injected deep into the cheek hollows to help restore volume. Botox is injected more superficially and in other areas. When considering Voluma injections it’s important to do your research to find an experienced injector who will consult with you to answer any questions that you have before the treatment. Voluma is a very safe product to inject, although there are always risks involved with any injectable product. Most commonly patients experience slight tenderness and swelling at the injection site which usually resolves within a week. One huge benefit for Voluma is that in the rare case that something goes wrong, the results can be reversed because it’s a hyaluronic acid. I use Voluma all the time in my practice, and my patients are very satisfied with their results.

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 5 reviews

Voluma -- Getting the Right Practitioner

Voluma is a different animal from many of the other fillers.
It goes deeper and lasts longer.

You should look for a practitioner who has had some experience and one who will give you the look you want.

The goal of any aesthetic treatment is to make you look refreshed and natural, not artificial.  I suggest to my Voluma patients that if their friends ask who did their filler, I've not done a great job!

So ask around.  Don't be afraid to ask a practitioner who trained them to use Voluma or other fillers and what their philosophy is with regard to aesthetics.  If you feel that it's just bottom line for them and you're being "sold" on either something you really don't want or more than you want, move on to somebody else.

The world is filled with many ethical, wonderful practitioners, dermatologists and plastic surgeons who see this field as art more than business.  Making you happy and giving you the look you want is their goal.

Michael A. Greenberg, MD
Elk Grove Village Dermatologist
5.0 out of 5 stars 15 reviews

Voluma Side Effects

Voluma is a new filler treatment, so not every Botox injector will be familiar with how to administer it properly. I would suggest seeking Voluma injections only from a board-certified dermatologist who has experience successfully treating patients with Voluma. Some patients may experience slight redness or swelling where the Voluma was injected, however the potential side effects are drastically reduced when performed by an expert Voluma injector. 

Karen Beasley, MD
Baltimore Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

Voluma Injections

Botox and Voluma are completely different products that serve different purposes. Being competent with one product does not necessarily make an injector competent with the other product. Definitely find an injector who is well experienced with the product you are looking for. With any injection, you may experience pain, bleeding, bruising, swelling, and redness at the injection sites. Those side effects are temporary. Other side effects that are more serious are vessel occlusion and, very rarely, blindness. Sometimes there may be lumpiness with injection of the product as well. You should have a detailed consultation where your needs can be assessed properly and your questions answered in person. The consultation will also provide you with information as to whether or not you are a good candidate for the treatment or what other options are available to you.

Side effects of Voluma

The side effects of Voluma are the same as with any other filler:
1) discomfort
2) bruising
3) swelling
4) inadequate correction 
5) too much correction
6) uneven correction
7) wrong placement of product

Rarer side effects include infection or blockage of the blood supply, resulting in skin compromise.

The skill set for Botox is different than for Voluma.  A good Botox or Voluma injector is going to have a good eye and be able to assess the patient, but the skill sets are different.  Just as a person who is very talented in painting may not be able to sculpt.   

Risks of Voluma

Generally the same risks that apply to other hyaluronic acid fillers apply to Voluma. It is placed slightly deeper in the face than others so carries a few additional risks. 
I would suggest discussing with a Board Certified Dermatologist with expertise in Voluma.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

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.