Sculptra was injected under my eyes July 2008. Multiple pea-sized granulomas, very visible, formed right away. The Doctor says "there's nothing I can do for you." Does anyone have a recommendation on a reputable Colorado Doctor that has experience excising granulomas?
Sculptra Granuloma Excising
Doctor Answers 4
Sculptra granulomas can be excised
Sculptra granulomas can be excised, if necessary, but they often will respond to injection or massage.
Sculptra Under eyes is OK
Actually placing Sculptra under the eyes is a good idea. I have it in my eyes. The small granulomas which can form can be massaged aggressively or just cut out with no problem. These seem to form along the needle path, so it is important to place the product deep and pull out the needle with negative pressure so none of the Sculptra is placed along the needle path. Only small amounts are carefully added with each injection.
Excising granulomas of the lower eyelid skin from Sculptra
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Unfortunately Sculptra is not designed as an undereye product.
When Sculptra Esthetic was released last year , it was with the warning that it not be used in the thin skin under the eyes or in the lips. This was based on experiences like you describe.
However, removing it is usually not difficult and can be done by any experienced plastic surgeon.
The skin over the nodule is usually not involved, so a small incision is made and the Sculptra excised just like a small eye cyst. The incision heals very quickly and there is virtually no sign of the incision after a short time.