Why Do my Cheeks Feel Hard After Perlane?

Hi @MissKathy! Bruising and swelling is expected after dermal fillers which can last up to two weeks. I recommend wearing sunscreen with an SPF of at least 30. Best of luck, Dr. Nima!

The hardness you’re feeling could be swelling, most of which should subside in a few days. If you have excessive swelling and bruising, it’s best to stay out of the sun and avoid touching the treated areas, as it could make it worse.

It's not uncommon for you to have some swelling, tenderness, firmness post dermal filler treatment. It can last two weeks and sometimes longer. Follow up with your provider if your symptoms don't subside by then.

Any hardness within 1-2 days of Perlane is most likely due to swelling, which is an intrinsic humectant property of hyaluronic acid fillers such as Perlane, Restylane, or Juvederm. Ice compress, oral Benadryl can be helpful. If the hardness persists beyond 2 weeks, one may consider hyaluronidase to reverse the effect of Perlane.

The hardness may be from swelling after the injections.  If it doesn't resolve in a few days or if you start getting a fever, call your plastic surgeon.  Barring any major problems, you should be able to go out into the sun several hours after Perlane treatments.