Distorted facial shape after jawline Sculptra injections

I had my first (and last) experience with Sculptra 48 hours ago. Despite my very specific, repeated, clear, request for the plastic surgeon to please only inject just under my cheeks (where I was bothered by the sunken appearance), he injected into my jaw line, around my chin and jowls as well. I specifically said I had no issues with my chin, and only wanted my sunken cheeks filled in.

After a series of injections consisting of 2 vials (1 vial each side) I looked in the mirror and was horrified to have the "acorn in my mouth" look. Is there anything that he did wrong, or is it standard practice to inject in the chin or jaw line area as well? My face shape has gone from oval to square, and all I can see is the bottom half of my face looking like I walked out of a dentist office. To make matters worse, the left face appears far more injected the right (very puffy/post-dental Novacaine look), so the assymetry makes it even more noticable than it may have been otherwise.

I'm concerned that long after the Sculptra is gone, the new collagen will just replace the same area and will continue to distort the shape of my face completely. How can I get this fixed? Please help.

5 answers to “Distorted facial shape after jawline...”

A: Sculptura will reduce in profile with time

By Steven H. Williams, MD - Bay Area Plastic Surgeon

Thanks for the question. There really isn't any "standard injection" pattern for Sculptura (or any other filler for that matter). The injection areas and volume has to be specifically tailored for each patient's particular facial shape and for each patient's concern. Sculptura will reduce in... more

A: Massage areas with Sculptra and be patient

By Nathan Mayl, MD - Ft. Lauderdale Plastic Surgeon

What you see now has little relation to the final effect. Sculptra is unique in that it is a "stimulatory" filler that creates its effect by causing your tissues to rebuild collagen. The initial swelling and any distortion diappears within several days. However it should be massaged for five... more

A: Sculptra results will resolve in a few days

By Kenneth R. Francis, MD - Manhattan Plastic Surgeon

Dear Live, Your face will return to your pre-injection state within the next two days as the water from the solution is absorbed. Then, over the next 8-10 weeks, you will form collagen in response to the Sculptra particles that are left behind. This collagen response is almost never to the full volume... more

A: Sculptra results not permanent

By Kamran Khoobehi, MD - New Orleans Plastic Surgeon

The description of the results are not consistant with the amount used and I believe that you have a lot of swelling and may be you had bleeding in the deep tissue .Do not worry and let the swelling to resolve and then discuss your concerns with your doctor.

A: Sculptra injections

By Steven Wallach, MD - Manhattan Plastic Surgeon

Be patient. It is way too early to see anything. Often, a series of treatments would be needed to get the desired effect from Sculptra. I don't understand why the jawline was injected if that is not what you wanted. Perhaps it is just dependent swelling after the procedure? Give it some... more