How can I determine if I had an allergic reaction or have an infection from dermal fillers with lidocaine?

Question

I received Voluma/Volbella (w/ lidocaine) dermal fillers to the nasolabial folds and under the eyes with canula. I have done this treatment before but first time with this doctor. About 48-72 hrs post procedure, I developed a 1 inch small patch of red, slightly itchy and bumpy skin on my cheekbone (adjacent to filler site). After 5 days, the redness and slightly raised skin persist. Is this is an allergic reaction or an infection, and what are recommended at-home or doctor provided treatments?

Camille Cash, MD · Answer

I encourage you to visit with your injector for an evaluation.  In the future you can consider a patch test to determine if you have an allergy.  In the meantime your injector can treat you if you have developed an infection at the injection site.

Mitchel Goldman, MD · Answer

I cannot provide a formal assessment without seeing you as a patient in my clinic. I suggest scheduling a follow-up appointment with your provider as soon as possible to rule out any chance of infection, although it is unlikely. Swelling and discomfort can last for up to 2 weeks after your injections. I recommend waiting 2 weeks to see your results after the swelling subsides. I also recommend scheduling a consultation, and having all injections with, a board-certified cosmetic dermatologist who is an expert in facial rejuvenation techniques. They will evaluate if if the filler you have needs to be dissolved. In my practice, we have over 45 lasers that we use in combination with other treatment modalities to customize treatment plans for each of our patients.

Nelson Castillo, MD · Answer

Thank you for sharing your question and I am sorry to hear of your recovery issues.  Unfortunately without an in-person examination or full series of photographs it is difficult to offer advice.  The bump may be due to filler placement technique, continued irritation from the cannula placement, a small bruise, etc.  I would recommend speaking to your injector for the best advice, treatment, and reassurance.

How can I determine if I had an allergic reaction or have an infection from dermal fillers with lidocaine?

Answers (3)

Recommended reading

Everything you need to know about Voluma

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

How can I determine if I had an allergic reaction or have an infection from dermal fillers with lidocaine?

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about Voluma

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