Eyelid trouble after Sculptra on cheeks and temples

I had Sculptra done on my cheeks and temples almost three weeks ago. While the doctor was doing the procedure, she hit a nerve under my eye and I could not close my lid. Within an hour it ceased. Now it's bothering me again. I can shut my eyelid, but it feels strange and heavy, like something is pressing on the nerve. What happened, and what can be done about it?

3 answers to “Eyelid trouble after Sculptra on...”

A: Unlikely to have permanent nerve damage

Steven H. Williams, MD

It is unlikely that Sculptura injection would cause permanent nerve damage.  Sculptura does work by causing a local inflammatory reaction and recruiting fluid which occupies space. It would be unusual to have effects lasting longer than the effects from the local anesthesia that may have been used with... more

A: Sculptra and eye movment

Steven Wallach, MD

It is unlikely that the Sculptra itself caused any dysfunction of eye lid movment. More likely, it was the effects of the local anesthetic that was mixed with the Sculptra.  At 3 weeks, if you feel heaviness, it maybe from the product being injected very close to the eyelid, and residual swelling around... more

A: Nerve injury not likely

Kenneth R. Francis, MD

The most likely explanation for the scenario that you describe is that the anesthetic mixed in the Sculptra probably temporarily paralyzed the muscle that closes your eyelid. The fact that you can completely close your eye means that there is no nerve damage. The heaviness that you are feeling may be... more

Comments

kooie
38 posts
8 Feb 2009

Harvard Health The greatest danger is inadvertently injecting a filler into a blood vessel near an eye, causing a lack of circulation that results in blindness in that eye.

Gail M Humble MD
17 posts
6 Nov 2008

Losing the ability to close your eye after Sculptra injection immidiately after treatment is usually due to the diffusion of the lidocain that is mixed with the Sculptra into the Orbicularis Oculi muscle. This si the sphinter like muscle that encircles the eye. This temporary paralysis usually occurs in the office after treatmnet and abates within 30 minutes. This is not due to an infiltration in the nerve. The most common nerve to traumatize with injections under the eye would be the infraorbital nerve. This nerve is very difficult to permanately injur and even if it was injured it would result in a parasthesia below the eye, into the cheek area, not a motor function loss. The Facial nerve is responsible for the motor function of the facial muscles that are responsible for expression. I cannot tell you why your eyelid feels "heavy" now three weeks after injection. I was wondering if you might have had a Botox injection of the forehead at the same time. Gail Humble MD

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