Bruising and swelling in lower face after Voluma in upper cheeks. (photos)

 Thank you for your question. Voluma may cause bruising in your cheeks, even lower than the injection site. Some patients are more sensitive than others, but most often, the bruising will fade within 2-4 weeks of the procedure. I suggest that you consult with the board certified facial plastic surgeon who performed your procedure during your check-in appointment.Best wishes,

It is quite common after Voluma or other fillers are injected into the upper cheeks and/or zygomatic area to have both bruising and swelling drift down towards the mandible.  This process is usually attributed to lymphatic drainage that goes from upper cheek and zygomatic area to lymph nodes in the lower face and mandibular area.  I am pretty sure gravity has something to do with this process also.If you were my patient, I would place you on DMSO, a product that opens choke vessels, therefore increasing the number of white blood cells that can leave the bloodstream, enter the tissue, eat up the free heme in the tissue, and then carry it away.  Also, DMSO is the world's best anti inflammatory, therefore decreasing swelling by its interaction with the prostaglandin system.    

Fillers can cause bruising and swelling and you should give this 2-3 weeks to subside.  If it doesn't please consider reversal.  Best, Dr. Emer.