Atlanta Sculptra doctors

Carmen Kavali, MD Carmen Kavali, MD
Atlanta Plastic Surgeon
5505 Peachtree Dunwoody Road Suite 410, Atlanta
5 answers
John Philip Connors III, MD John Philip Connors III, MD
Atlanta Plastic Surgeon
755 Mt. Vernon Highway Suite 250, Atlanta
1 answer
Louis M. DeJoseph, MD Louis M. DeJoseph, MD
Atlanta Facial Plastic Surgeon
4553 Shallowford Rd. Suite 20-B, Atlanta
1 answer
Pradeep K. Sinha, MD Pradeep K. Sinha, MD
Atlanta Facial Plastic Surgeon
980 Johnson Ferry Rd NE Suite 110, Atlanta
1 answer
Vincent N. Zubowicz, MD Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
365 East Paces Ferry Road, NE, Atlanta
1 answer

Recent Answers

Will Ulthera Interfere with Recent Sculptra Treatment?

I had my second Sculptra treatment yesterday. In 8 days I am scheduled for a Ulthera treatment. Is this too soon? Will the Ulthera have an adverse effect on the Sculptra? My doctor insists it will not, however, I would appreciate another opinion.

A: Ulthera after Sculptra: is it okay?

Sculptra is a collagen stimulator, composed of poly-l-lactic particles.  Once it's injected, your body starts to react to it by forming new collagen, which "fills" the facial areas that have been treated.

Ulthera is an ultrasound-based facial skin treatment advertised to promote skin lifting.  While you may not see much result from an Ulthera treatment, it would be okay to do it 8 days after having your Sculptra treatment.

Carmen Kavali, MD
Atlanta Plastic Surgeon
Sculptra for Breast Implant Rippling

A cosmetic surgeon suggested Sculptra or Artefill for breast implant rippling. I am 4 wks post op with revision surgery. Subglandular saline implants replaced with Silicone high profile implants. There is already noticeable rippling. I am very thin so submuscular placement may not help much. I also have considerable sagging so would need a lift with submuscular placement. I would like to avoid a lift since I have had problems in the past with scarring. Any advice greatly appreciated.

A: What to do for breast implant rippling?

1.  Make sure you're seeing a surgeon who is specifically certified by the American Board of Plastic Surgery (NOT "cosmetic" surgery).  And find out whether the surgeon does a lot of breast revision work.

2.  Sculptra is NOT the answer here.  Completely off-label, unpredictable in the breast (I would imagine), and cost-prohibitive for the amount you likely need.  Plus, it's not permanent.  Same goes for Artefill, except that it is considered permanent (lasting longer than 5 years).

3.  Consider moving the implants to the subpectoral position. Even in thin women, the muscle at least provides additional implant coverage.

4.  Talk to your plastic surgeon (not 'cosmetic' surgeon) about using Strattice or Surgimend or Alloderm--some form of acellular dermal matrix, to thicken the tissue coverage. 

5.  Talk to your surgeon about fat transfer. Fat grafting is a great adjunct to many breast surgeries.

I often have to use more than one of the above options to get a good resolution to the problem of implant rippling in a thin woman.  Good luck!

Carmen Kavali, MD
Atlanta Plastic Surgeon
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