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

Mark Berkowitz, MD answers: How can I prevent the delayed side effects of Sculptra?

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?


Mark Berkowitz, MD
13 months ago

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.

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