Sterling Heights Sculptra doctors

Mark Berkowitz, MD Mark Berkowitz, MD
Sterling Heights Oculoplastic Surgeon
44650 Delco Blvd, Sterling Heights
2 answers
Steven E. Stein, M.D. Steven E. Stein, M.D.
Sterling Heights Plastic Surgeon
1579 W Big Beaver Rd Suite B-7, Troy

Recent Answers

When is It Safe to Receive Juvaderm Injections After Sculptra?

Im interested in getting Juvaderm injections to restore sunken cheeks to obtain fullness/volume. I had one session of Sculptra 6.5 weeks ago. I have not had any adverse effects so far. Still, i am very fearful of undergoing a second session of Sculptra after reading so many complain of delayed side effects (lumps). I have since learned that I can restore volume with Juvaderm, and prefer to augment my one & only session of Sculptra with Juvaderm. Is it safe to do this post sculptra, and if so, when? Thanks in advance. My Sculptra dr. does not offer Juvaderm.

A: Sculptra, Juvederm, Restylane, Radiesse, Evolence; Take Your Pick

Sculptra, Juvederm, Restyalne, Radiesse, Evolence: we are living during a great cosmetic time as there are many choices in the realm of aesthetic fillers. Each cosmetic surgeon will chose their favorite in discussion to your individual complaints. Sculptra works wonderfully for filling and contouring large areas but more than one session is necessary. It also has the added benefit of providing a radiant glow to the skin of many patients.

I understand your concern of bumps but this can occur with any filler. Some of the problems that occurred with Sculptra were related to poor placement of the solution and inadequate dilution (more fluid was necessary).

For those patients who do not want to wait for the results of Sculptra all of the other fillers can be used. Currently I like Radiesse best for this area. I place it through them mouth to fill the cheeks. My patients are very comfortable and have minimal swelling after. There are some excellent physicians in Chicago who should be able to address your concerns or feel free to hop on over to Detroit.

Six weeks post Sculptra injection, you can have another filler placed at this time. Many times I place multiple fillers all at the same time.

Mark Berkowitz, MD
Sterling Heights Oculoplastic Surgeon
Sculptra Complications

Is there a way to remove a delayed side effect of Sculptra that I may be experiencing? It is like a grain of sand or medium size drive-way rocks under the thin skin of my right eye. Easily treatable, for sure, and 'occasionally' will go away on their own but don't, a year later. These little sand like grains are just a wee bit painful 'everyday'. Is an under-eye bag lift by a very qualified surgeon, familiar with PLA the only real solution to this slight problem?

A: There are multiple choices that you can make with your MD to treat these "grains."

I am sorry to learn of the difficulty you are experiencing. If these are effects of Sculptra speak to your physician as there are procedures that can be performed to make you feel more comfortable. Direct massage of the area can have limited success but the sooner it is initiated after the injection the better the chance of success. Injection of Saline by a qualified physician can have the ability to break up granules. "Needling" the granules can break them up as well. Other fillers like Restylane can be used around the granules to camouflage them. Depending upon size the granules can be surgically excised. Lastly I would not use a blepharoplasty alone as a method to remove these grains.

Mark Berkowitz, MD
Sterling Heights Oculoplastic Surgeon
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