What to Do to Fix Persistent Swelling from Sculptra Placed Along Orbital Rim 1 Year Ago?

I understand Sculptra and its effects, that it is different than other fillers. MD who injected Sculptra is board certified plastic surgeon & senior trainer for the product. He tired hyaluronidase, but swelling (NOT nodules) did not resolve. What else can be done? I have never had any other filler injected in that area, this is a reaction to the Sculptra. The Sculptra injected in other areas of my face feel and look fine (lower cheeks). Thank you for any suggestions.

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2 Doctor Answers | Asked by AnMaCi

Doctor Answers (2)
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The question is do you add or subtract in a case like yours?

Your picture is really very informative you have a relatively lean face with little facial fat over the orbital rims you have "premalar edema", one of the most difficult problems to correct. Your injection was with Sculptra, a great product below the infraorbital rim, but tricky above You have tried Hyaluronidase without improvement which would be expected because Scuptra is not a hyalurnidase product Dilute corticosteroid placed in a very small... more

Nathan Mayl, MD

7 reviews

Fort Lauderdale Plastic Surgeon

Persistent swelling from Sculptra

Since Sculptra stimulates new collagen formation and not hyaluronic acid, it is not surprising that hyaluronidase did not work. I would suggest trying an injection of a very dilute corticosteroid such as triamcinolone into the area. At very low concentrations this can be a very safe and effective treatment. Without treatment it should gradually improve but it may take many years.