Hi and thank you for sharing your question here! In some unusual cases, Voluma or other hyaluronic acid fillers may absorb some additional fluids once injected, and this can cause some fluctuating swelling throughout the day. If the condition has not been improved after at least two weeks following the initial injection, I recommend to remove it by injecting hyaluronidase (preferably the recombinant form, e.g. Hylenex). Hylenex is not expected to have any long-term effects on your own tissue. I hope it helps and good luck!
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