Voluma Fillers Side Effects: What to Expect After Treatment

Medically Reviewed
Medically Reviewed by Dr. Aurora Kalmanson on
Written by Fillers Editorial Team, plastic surgery specialists.

Voluma fillers, known for their efficacy in restoring facial volume, come with a range of potential side effects. While most are mild and transient, such as tenderness, swelling, and firmness at the injection site, others may include lumps, bumps, and less commonly, bruising and discoloration.

Understanding these side effects is crucial for anyone considering Voluma treatments, as they are part of the body’s normal response to the filler and typically resolve within a few days to a couple of weeks.

Common Side Effects and Injection Site Reactions

Voluma fillers are generally well-tolerated, but like any cosmetic procedure, they can cause certain reactions. These are usually localized to the injection site and are the body’s natural response to the treatment.


Post-treatment tenderness is a common sensation experienced by patients after receiving Voluma injections. This discomfort is typically mild to moderate and arises as the skin and underlying tissues react to the introduction of the filler. The area may feel sensitive to touch, and this sensitivity can last from a few days up to a week or more. Over-the-counter pain relief or cold compresses can often reduce these symptoms, which are usually not a cause for concern unless they persist or worsen over time.


Swelling is another frequent side effect following Voluma filler injections, resulting from the body’s natural inflammatory response to the treatment. The extent of swelling can vary based on the injection technique, the volume of filler used, and individual patient factors. While it can be noticeable, swelling typically subsides within a few days. Patients are advised to avoid strenuous activities and exposure to heat, as these can exacerbate swelling. If discomfort arises, applying a cold compress can provide relief and help reduce the swelling more quickly.


Bruising is a common side effect associated with Voluma injections and can vary from light discoloration to more noticeable purple or blue marks on the skin. These marks are caused by blood from the tiny vessels that may have been disrupted during the injection process. The severity of bruising depends on factors such as the injection technique, the site of injection, and the patient’s tendency to bruise. While it can be a cosmetic concern, bruising is generally harmless and resolves without intervention within a week to ten days. To minimize bruising, patients are often advised to avoid blood-thinning medications and supplements before the procedure, if medically permissible.


Pain is a potential side effect following Voluma filler injections, though it is typically mild and short-lived. The discomfort may be immediate, during, or shortly after the injection, and can last for a few days. The intensity of pain can vary based on individual pain tollerance and the area treated. Over-the-counter pain relievers and cold compresses can help manage any discomfort. If pain persists or becomes severe, it is important to consult with the healthcare provider, as this could indicate a more serious issue.

Severity, Duration, and Management of Side Effects

The side effects of Voluma fillers can range from mild to more pronounced and typically resolve within a short period. Understanding their severity, duration, and management is key to a comfortable recovery.

Short-Term Effects (1-3 Days)

Immediately following Voluma injections, patients can expect short-term effects that generally last from one to three days. These include redness, tenderness, and swelling at the injection sites. Bruising may also appear and can be more noticeable in patients with sensitive skin or those taking certain medications. These reactions are the body’s normal response to the injections and are usually self-limiting. Cold compresses and elevation can help reduce swelling, while pain and discomfort can be managed with over-the-counter analgesics, as long as they are not contraindicated.

Moderate-Term Effects (4-14 Days)

After the initial few days post-injection, some patients may still experience moderate-term effects such as persistent swelling, bruising, or firmness, which can last up to two weeks. Lumps or bumps may also be felt or seen, which can often be massaged gently. It is important for patients to monitor their progress and consult with their healthcare provider if any of these effects increase in severity or do not gradually improve, as this could indicate a need for further medical assessment or intervention.

Long-Term Effects (15-30 Days)

Long-term effects following Voluma injections are uncommon but can occur, persisting for 15 to 30 days. These may include prolonged swelling, firmness, or lumps that have not resolved. In rare cases, more serious complications like infection or vascular occlusion could manifest. If long-term effects are observed, it is crucial to seek medical advice. Aesthetic practitioners can provide treatments such as hyaluronidase injections to dissolve the filler if necessary, or antibiotics if an infection is suspected.

Managing Discomfort (Ice Packs, Over-the-Counter Pain Relief)

Managing discomfort after Voluma injections is crucial for a smooth recovery. Ice packs can be applied to reduce swelling and alleviate pain, but should be used with a protective layer between the skin and the ice to prevent frostbite. Over-the-counter pain relief medications like acetaminophen can be taken to manage pain; however, non-steroidal anti-inflammatory drugs (NSAIDs) should be used with caution as they may increase the risk of bruising. If discomfort persists or escalates, patients should contact their healthcare provider for further guidance.

Frequently Asked Questions

How long should I expect swelling and bruising to last after Voluma injections?

Swelling and bruising typically resolve within 1 to 2 weeks after Voluma injections, with the most noticeable symptoms subsiding within the first few days.

How often can I safely receive Voluma treatments?

Voluma treatments can be safely repeated, but it's generally recommended to wait until the effects of the previous treatment have diminished, which can be up to 2 years.

Can Voluma fillers cause long-term complications?

While rare, long-term complications can occur with any dermal filler, including Voluma. It's important to discuss potential risks with your healthcare provider.

What should I avoid after receiving Voluma fillers?

After Voluma injections, avoid strenuous exercise, sun and heat exposure, and alcohol consumption for at least 24 hours to minimize swelling and bruising.

Is it safe to use Voluma fillers if I am on immunosuppressive therapy?

Voluma fillers should be used with caution if you are on immunosuppressive therapy. Consult with your healthcare provider to evaluate the risks.

How does Voluma compare to other dermal fillers in terms of side effects?

Voluma has a similar side effect profile to other hyaluronic acid-based fillers, but its effects may last longer, potentially reducing the frequency of side effects associated with repeat treatments.


Voluma fillers offer a non-surgical solution for enhancing facial volume, with a side effect profile that is generally manageable and temporary. While most side effects like swelling and bruising subside within days to weeks, it's crucial to be aware of and promptly address any severe or persistent issues. Sticking to post-treatment care guidelines and understanding the potential risks and how they compare to other fillers can help ensure a safe and satisfying outcome. Always consult with a qualified healthcare provider to adapt the treatment to your individual needs and to navigate any concerns that may arise.

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Colon, J., Mirkin, S., Hardigan, P., Elias, M. J., & Jacobs, R. J. (2023). Adverse Events Reported From Hyaluronic Acid Dermal Filler Injections to the Facial Region: A Systematic Review and Meta-Analysis.!/

Ho, D., & Jagdeo, J. (2015). Voluma: A Systematic Review of Clinical Experience.

Dr. Aurora Kalmanson

Always Consult a Medical Specialist

The information provided in this blog is for informational and educational purposes only and should not be interpreted as personalized medical advice. It's crucial to understand that while we are medical professionals, the insights and advice we provide are based on general research and studies. They are not tailored to individual health needs or conditions. Thus, it is essential to consult directly with a healthcare provider who can offer personalized medical advice relevant to your specific situation.