Actual RealSelf Patient Comment: At 63 I had 1.5 vials of lanluma 4 months ago and loved it. I had another 1.5 vials two days ago and am definitely over-filled. My lovely shaped face is round, chubby and I have chipmunk cheeks. I know this will be the end result as the swelling accurately showed the end result last time. I am so depressed I can’t face a future with my face like this. Is there anything that can be done to prevent the further production of collagen? Steroids? I can’t live like this. Please help.

Dr. Persky’s Answer: Please speak with you injector regarding your swelling. It is possible that during the injection process a deep blood vessel was punctured which could result in excess swelling during the first few days. Steroid injections may decrease inflammatory response, but I would not recommend unless your injector believes it best. Good luck and be well.