Sculptra Under the Eyes - a Very Bad Idea?
daileyr on 31 Aug 2010 at 12:00am
Sculptra is a popular cosmetic injectable that is FDA approved for use in patients with facial hollowness due to treatment for HIV infection. It is commonly used off label for adding volume to many areas of the face, such as in the cheeks. Some patients love the results, and see long-lasting improvement. Others encounter side effects that could possibly have been avoided.
Sculptra must be administered by a highly trained physician who understands facial anatomy and expression AND knows how much material to inject with the proper dilution and preparation. Certain areas of the face such as the eyelids, lips, and forehead can be tricky and excellent results without problems can be elusive.
Lumps, bumps, raised areas
Sculptra administered inappropriately can lead to lumps and bumps that are visible to the patient and others. The good news is that Sculptra side effects may be reversible, however, it often requires surgery. While Sculptra is called a "semi-permanent" filler, it can take years for the substance to naturally attenuate (if at all). Unlike hyaluronic acid fillers such as Restylane or Juvederm, Sculptra cannot be readily dissolved. If you don’t like the effect from a hyaluronic acid filler, the substance can be easily removed with an injection of hyaluronidase which dissolves it typically within the hour.
Sculptra removal case study
Highlighted in the slides is a 64 -year old patient I recently treated for Sculptra- related lumps beneath her eyes. She had received Sculptra injections in the tear trough region of both lower eyelids over 2 sessions, once in October 2007, and again in January 2008.
At first she was very happy with her post-treatment appearance. But then in April 2009 she developed large, hard bumps under eyes due to the Sculptra. After undergoing surgery to remove the material, the patient was happy to see the lumps gone.
Before Surgery to Remove Sculptra
The slides indicate the means by which the product is removed and an analysis of it following extraction. The important thing here is that she was able to get her function back as well as an improved aesthetic appearance with correction of the lid problems she got the Sculptra for in the first place.
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|Roger Dailey, MD|
|Dr. Dailey is an Oculoplastic Surgeon Oregon Health & Science University in Portland, Oregon. More about Dr. Dailey|
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