34 Year Old, Lost 35lbs and Needed to Replace Volume in Cheeks - London, GB
9 months of constant pain
I was very excited about getting Juvederm Voluma....
I got Botox 4 weeks ago and it and looks great! No complications. I researched fillers for over a year and so I decided to pay the extra and go to a reputable fully-qualified Ear, Nose and Throat (ENT) surgeon who now works in beauty, facial plastics and aesthetics. She informed me that Juvederm Voluma had fewer complications than Botox as it was a product naturally found in our bodies. She showed how it could benefit me and reassured me that in her 9 years injecting she saw no infections. I went ahead with the procedure last week and got 1 sringe, half each cheek. The Dr. used a candula to minimise needle insertions to 1 on each cheek, minimising the risk of infection. I found the treatment uncomfortable and especially traumatic on my left cheek as she struggled to get the product in. It was a very different experience to Botox. My cheeks haven't been the same since, over the past week I have been to the doctor 3 times and A&E once. My cheeks felt like they were on fire and very red for days, I was icing and using arnica cooling gel. The doctor gave me antibiotics and I took antihistamines also. They are not sure if I was allergic to the lidocaine anaesthetic or the hyaluronic acid.The redness has now gone but my left cheek is still very sore and bruised. The doctor says its "deep skin trauma" and will take time to heal. I was so upset and full of anxiety about the possibility of infection all week. Hopefully I will recover completely soon. There is no way of knowing the outcome of any treatment, no matter how careful or well researched one is.
Replies (5)

How are you feeling? From your photos, the bruising doesn't look bad at all. I did look at the Juvederm Voluma Q&A in our Questions section and all the doctors say that Voluma can take up to 2 weeks to settle and bruising and swelling usually improve in about a week.
I know the Voluma thicker, but did the doctor say why she had so much trouble getting the filler in your left cheek? I'm curious since you didn't say you had any issues with our right cheek.
Please keep us posted and please post an updated photo in a few days so we can see how you're doing!


Generally, I would have no problem going to an ENT for rhinoplasty or a cosmetic procedure relative to the ears or eyes. But for injectables, I prefer doctors who are certified by the American Board of Plastic Surgery, but board certified dermatologists should be fine. Due diligence is important. Lots of people want to perform plastic surgery because they don't have to deal with insurance companies (or Medicare/Medicaid) for elective procedures and they're very profitable. And in the US, all sorts of medical specialists are administering injectables, including doctors with widely varying specialties totally unrelated to the face; and dentists, who assert that their knowledge of facial muscles makes them expert in injectables; and, as another reviewer noted, nurses. Many of these people have taken a weekend course at an ocean-side resort to learn how to inject fillers. So, their training is *vastly* different from the training that I would want my own doctor to have. The downside, of course, could be price charged by the better qualified (i.e., well credentialed and well trained) injectors. For instance, I see dentists and internists in my area charging $399 per vial of Juvederm XC, compared to my American Board of Plastic Surgery certified doctor who has 25 years of experience, charging $700/vial. But I trust him.
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