3 weeks post Volbella in tear troughs and still bumpy - is this normal? (photos)

Question

Hi! I had Volbella injections to my tear troughs 3 weeks ago and still have slight discolouration and very obvious lumps under the skin. My right eye is worse and I can visibly see where the doctor injected the filler as she has created a puffy under eye that was not previously there. I don't suffer from under eye bags, just hollows troughs so people keep commenting on how tired I look (assuming the filler is puffy eyes from lack of sleep). Should I get vitrase or is this typical of Volbella

Vaishali B. Doolabh, MD, FACS · Answer

Hi mcscottish.  Sorry to hear the injections didn't go as you had planned.  Generally speaking, it is tricky injecting the under eye area.  Volbella does not swell as much as other fillers, so this is more than likely excessive product collection. At three weeks, you should see your injector again about injecting Hyaluronidase/Vitrase.  Best wishes,

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  By three weeks your Volbella results should have matured sufficiently that all lumps and bumps have resolved.  As volbella is a very thin HA filler it is unusual to have lumps and bumps with it and I would confirm that this is what was used.  I would then use Vitrase to dissolve the material to restore your previous appearance.   Hope this helps.

Kouros Azar, MD · Answer

It is not usual to have swelling at 3 weeks post injection. Particularly with Volbella which is a light weight filler and doesn't cause as much swelling as something heavier. I would suggest that you make an appointment to see your injector to be assessed in person. You may even want to get a second in person opinion from another really experienced injector as well.

Alex Eshaghian, MD, PhD · Answer

Thank you for
your question mcscottish. I understand your concern. Volbella
is a hyaluronic acid filler designed to enhance the lips. It can also be used in other areas off-label. It is difficult to make an assessment without before photographs. Lumps are normal for 2 weeks after a treatment. I instruct my patients to massage the area for 5 minutes at a time, 5 times per day, for the first 5 days after a tear trough treatment. If lumps are still apparent at that time further massage may be performed in the office or the product can be dissolved. Please
consult with a doctor for specific recommendations. Good luck!

Michele S. Green, MD · Answer

I am sorry for your problem and at this point I would tell you to have the product dissolved with Hyaluronidase.  When you have wrinkles or skin laxity, often injections in the tear trough make it look worse.  This is an expert injector area and I would consult an expert in eye injections.  Best, Dr. Green

3 weeks post Volbella in tear troughs and still bumpy - is this normal? (photos)

Answers (8)

Answer: Lump after Volbella

Answer: Lump after Volbella

Answer: Tear Trough Injections and Volbella

Answer: Tear Trough Injections and Volbella

Recommended reading

Everything you need to know about Volbella

Our mission is to create a world where every investment in modern beauty is Worth It.

3 weeks post Volbella in tear troughs and still bumpy - is this normal? (photos)

Answers (8)

Answer: Lump after Volbella

Answer: Lump after Volbella

Answer: Tear Trough Injections and Volbella

Answer: Tear Trough Injections and Volbella

Browse related questions

Recommended reading

Everything you need to know about Volbella

Our mission is to create a world where every investment in modern beauty is Worth It.