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How to Avoid Sculptra Bumps?

I had Sculptra injected under my eyes yesterday. Is there anything I can do to ensure no bumps will form? If they do, is therea way to get rid of them?

Asked 43 months ago by sue17 in colorado, usa

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under eyes bumps side effects

Avoiding granulomas, lumps with facial fillers. Sculptra - polylactic acid.

Facial fillers have become quite popular in the cosmetic market. The objective of facial filler use is to restore volume to the face in an anatomically and physiologically correct manner to improve aesthetic outcome. The risks to fillers are twofold: Distortion of anatomic subunits Granulomas or lumps under the skin Avoiding complications is relatively easy with facial fillers. Recommendations are to avoid undergoing procedures with inexperienced physicians or practitioners; being... more

Raffy Karamanoukian, MD

Los Angeles Plastic Surgeon

Treatment solutions for chronic and persistent infraorbital surface irregularities

Previous authors have adequately explained the common approaches in avoiding surface irregularities that may result from injecting Sculptra (or other materials) too superficially in the periocular regions. I would like to add several solutions and “pearls” by discussing surgical alternatives (usually as a last result) that may be beneficial in treating chronic or long-lasting irregularities. To review: Sculptra, or Poly-L-lactic acid, has traditionally been reserved for the... more

Jeffrey D. Hoefflin, MD

Los Angeles Plastic Surgeon

Sculptra is risky under the eyes

When preparing Sculptra for injection, I reconstitute the powder with more liquid than the manufacturer's guidelines and I do this at least 24 hours before injecting it, rather than the recommended 2 hours. Once it has been injected, there's not much you can do as a patient to prevent bumps. As a rule, I do not inject Sculptra under the eyes because of its tendency to form bumps. Due to the thin eyelid skin, the bumps may be visible. If they do form, there's not too much you can do,... more

Jonathan Hoenig, MD

Beverly Hills Oculoplastic Surgeon

Post Sculptra Massage is Vital

The best thing you can do to avoid bumps or irregularities from Sculptra is to massage the injected area for 5 minutes, 5 times a day, for 5 days. Now, this recommendation is the minimum. Don't limit yourself to this regimen if you are able to massage longer or more often. My patients have found that using the backside of a Clarisonic brush is an ideal massage tool.

Daniel J. Leeman, MD

Austin Facial Plastic Surgeon

Avoiding Sculptra bumps

Don't ever let anyone inject Sculptra into your face.In 2000, at the World Congress of Dermatology in Paris, Pierre Andre reported cystic, nodular, and granulomatous lesions when this agent was used in individuals with normal immune functioning (non-HIV+ patients). Additionally, long-term allergic reactions have since been described, which are very difficult to manage. In another report concerning its aesthetic use in 100 patients with normal immune functioning, 20% of the treated... more

Arnold W. Klein, MD

Beverly Hills Dermatologic Surgeon

Sculptra under eyes is not safe

At this point it is fairly common knowledge that Sculptra should not be injected under the eyes. The problem with it is that the reaction of the body and the resultant scar formation are unpredictable. You can try to approximate and massage, but in the end the patient might still end up with granulomas. I've had several patients who had their Sculptra done elsewhere, and who had unsightly granulomas, nodules, and sausage-like lumps that we had to excise. It is not a significantly risky... more

Stella Desyatnikova, MD

Seattle Facial Plastic Surgeon

Sculptra bumps

Sculptra is a good filler. Bumps are related to many things, some with how the doctor dilutes the sculptra, some with when the dilution is mixed, and some with how it is placed. It is also very important to massage your face where the sculptra was injected. This massage should be done well, by you, for 5 days after the injection was done.

Lauren Greenberg, MD

Palo Alto Plastic Surgeon

ASPS

Sculptra should not be injected above the orbital rims

Sculptra should not be injected above the orbital rims. Advanced Sculptra board-certified physician injectors may place Sculptra near the orbital rim and massage the material into the tear trough portion of the lower eyelids

William Ting, MD

Bay Area Dermatologic Surgeon

I don't place Sculptra underneath the eyes. But if it...

I don't place Sculptra underneath the eyes. But if it was placed there, I would massage, massage, massage... for the first few days to help minimize the risk.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Avoiding Sculptra bumps - before, during, and after treatment

Before treatment, it is good if the Sculptra is well mixed, and thin enough to reduce the possibility of small bumps and lumps. During treatment- selection of location is significant. I would place it deeper , such as in the cheek and temple area, rather than where the skin is very thin. After treatment, it is important to continue to massage. The minimum is the rule of 5's. Five minutes, five times a day for five days.

Christopher J. Peers, MD

South Bend Facial Plastic Surgeon

Good luck!

First of all, make sure you choose a doctor who has been trained to perform Sculptra. Experienced injectors place the Sculptra well below the surface of the skin. When placed deeply, a visible nodule very rarely will occur. In addition if it has not been properly diluted, or is placed into areas that are not ideal for this product you may also see bumps. After you are injected by the right professional, they will tell you to massage for 5 minutes, 5 times a day for 5 days to help... more

Yael Halaas, MD

Manhattan Facial Plastic Surgeon

How to Avoid Sculptra Bumps

Subcutaneous nodules can form for a variety of reasons which include injecting too superficially, insufficient time for reconstitution, inadequate dilution, over correction, increased concentration of Sculptra caused by muscle movement, or allergic or inflammatory host responses. Massaging the area after Sculptra injections should decrease the risk of nodules by more evenly dispersing the particles. I instruct all my patients to firmly massage the injected areas for five minutes, five... more

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Mitchell Schwartz, MD

South Burlington Dermatologic Surgeon

Tricks to avoiding Sculptra nodules and bumps

Below is a list of "do's and don'ts" in dealing with sculptra -use and experienced injector who understands proper preparation, dilution and injection methods -avoid injecting sculptra into areas of the eyelids, lips and superficial hypermobile wrinkle areas -massage treated areas consistently 5 minutes a day, 5 times a day and for 5 days -notify your doctor immediately if you feel a bump or firm area on your face -be sure to keep your followup appointments - more

Anita Mandal, MD

Palm Beach Facial Plastic Surgeon

Post-treatment regimen for Sculptra

I do not inject Sculptra Aesthetic in certain areas of the face including above the orbital rims on the cheeks (lower eyelid area), the upper lip, the face or forehead. Areas where the skin are very thin or where facial muscles move often (lips, eyes) are more prone to the rare event of collagen bump formation (collagen papules/nodules). I instruct patients on the 5/5/5 rule following injection--they are to massage the treated areas 5 times a day, for five minutes, for the 5 days... more

Melanie D. Palm, MD

San Diego Dermatologic Surgeon

Massage

I would massage the face and area which was injected 5 minutes, 5 times a day for five days.Most patients massage for a solid two weeks. It reduces the risk of a bump in my experience.