At this point it is fairly common knowledge that Sculptra should not be injected under the eyes. The problem with it is that the reaction of the body and the resultant scar formation are unpredictable. You can try to approximate and massage, but in the end the patient might still end up with granulomas.
I've had several patients who had their Sculptra done elsewhere, and who had unsightly granulomas, nodules, and sausage-like lumps that we had to excise. It is not a significantly risky procedure, but most commonly we had to do it combined with lower lid blepharoplasty for access and better overall cosmetic result.
I hope you do well with these injections and never need to have surgery, but if you do, you should know that it can be done safely.
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