Sculptra Under Eyes

Sculptra was just released for cosmetic use. I have just taken the new training module. As most trainers have recommended, it should not be used in the lips or eyelids.  Enough said.

Sculptra can actually reduce the hollows under your eyes. It is important to realize that sculptra achieves this effect indirectly in a manner very different from other fillers. Where fillers such as restylane or juvederm. Can be injected above or at the inferior orbital rim (the lower rim of your eyelids)to improve the tear trough area, sculptra should not be injected above or right at the margin of inferior orbital rim. I inject sculptra just under the inferior orbital rim over the upper... more

There have been reports of nodularity when Sculptra injection is performed along lower eyelids and is to be avoided. Experienced physician Sculptra injectors will not go above the orbital rim of the eye sockets. On the other hand, it may be okay to massage the recently injected Sculptra along the upper cheeks close to the orbital rim immediately after the Sculptra injection to conservatively achieve some volume restoration in the area.

Sculptra is not recommended in the under eye area or any area where the skin is very thin. There is a low but real risk of bumps that can last for years.  Best to keep the Sculptra in the cheek where it produces a nice restoration of volume.  Actually when the cheeks are full the under eye area can look better.  I will generally advise fillers such as Juvederm or Restylane for the immediate under eye region.

I would avoid Scupltra near your eyes. All the patients that have been referred to me with scupltra bumps have had it near the eyes. I don't think the benefit  is worth the risk.

Sculptra under the eyes is not a good idea because it is an area that forms nodules. I have personally had Sculptra treatments and unfortunately have gotten nodules under the eye. These nodules can be very irritating to the eye, in my case stimulating an itching and aching feeling in my lower eye area. This reaction sunsided in a few months but I wouldn't want my patients to experience this so I don't inject in this area. There are many other fillers that wrok well in this area... more

To Specka, Hi! Sculptra was designed to fill in hollow cheeks, requires more than one treatment, and is irreversible (if you get a lump, there is no way to dissolve it). 1) Lower eyelid bags can be improved with injections, depending on your anatomy. The best filler for this area (also the one we have the most experience with) is Restylane, injected DEEPLY. It lasts a long time in this area (over 9 months), and it is potentially reversible if necessary. 2) The very fine lower eyelid criss... more

There have been several reports of nodules under the eyes following Sculptra injections. When Sculptra first came into use in the US, about 8 years ago, injecting (off label) under the eyes was common, but due to the nodules, this area is no longer injected with Sculptra. Injecting Sculptra over the cheek bone will pull slightly some skin from the lower cheek upwards and some of the lower lid downwards, thus tightening the lower lid skin slightly. Injecting Restylane... more

If additional product is then still needed just below the eyes, restylane might be a good choice. Each product has its advantages and disadvantages. Sculptra is great, but not really designed for the lips or under the eyes.

The maker of Sculptra specifically says not to use Sculptra for superficial wrinkles like the eyelid because of the high chance of lumps. I would never inject Sculptra there.

It sounds like you have fine lines directly under your eyes in the lower eyelid.  The best treatment for these very superficial lines is laser resurfacing, either Erbium or fractionated CO2.  Sculptra should never be used under the eyes and fillers are typically used to volumize the the lower eyelids along the lower eyelid crease for people who have a deep tear trough which makes them look hollowed out and tired.  The filler is placed deep along the bone to eliminate the... more

It sounds like you have fine lines of the lower eyelids as well as lower eyelid bags. Sculptra (and Botox) are not indicated for this type of problem. Sculptra injection, when injected superficially, can leave lumps and uneven contour. Sculptra should be injected deeply to prevent this type of problem and be injected by a plastic surgeon or a dermatologist.