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?

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6 answers to “How to avoid Sculptra bumps?”

A: Avoiding bumps from Sculptra under eyes

Joel B. Singer, MD

Hi, I have been performing Sculptra injections for more than three years and the trickiest area to get good results is the area under the eyes.  In this area the Sculptra has to be diluted at least 1:10 and the injection has to be from a distance and has to be carefully placed beneath the orbicularis... more

A: Sculptra under eyes is not safe

Stella Desyatnikova, MD

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... more

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

Raffy Karamanoukian, MD

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... more

A: Treatment solutions for chronic and persistent infraorbital surface irregularities

Jeffrey D. Hoefflin, MD

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... more

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

Steven Wallach, MD

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. more

A: Sculptra is risky under the eyes

Jonathan Hoenig, MD

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... more

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Comments

Michelle P
91 posts
29 Jan 2009

I have been to now 'six' surgeons in a big city re: Sculptra removal. Five where reputable doctors who weren't in this business for the quick buck. Please stop already, the problem with this junk is that it is junk, there is no magic trick for the severe inflammation under the skin which doesn't magically disappear with some under eye bag lift. More ways to make $$$ off a patient who already trusted an md, surgeon, dermo who has already been harmed enough. Just be honest or 'read' the trail studies by the company. Please. I am so disgusted and now broke and not for long.

SmartLipoMD
100 posts
17 Jul 2008

I have not had any "bumps" from Sculptra injections. If the injections are performed at the appropriate level, granulomas (what most people are calling bumps) do not usually form. If the injections are too superficial, the risk of having "bumps" goes WAY up. Follow the directions from your provider and look for any other tips from the manufacturer and on sites like this! Massage often for the first 5-10 days (5-10 minutes 5 times daily. . .whatever your doctor says). If you have injections below your eyes. . .it's always best to err on the "deep" side from an injector standpoint. This will go a long way in reducing complications. If you do experience "bumps", you can try to mask them with a filler or try to address by other means (more aggressive. . .and with additional risks). Sculptra has been used safely throughout the entire face, including below the eyes. It's not my favorite choice in this area for the same reasons that others have quoted. . .but it does work. The key ingredient to having a successful Scupltra results is at the plunger end of the syringe! The injector makes the biggest difference - without question! I, also, dilute the mixture with more liquid than the originally recommended volume (but now seems to have become the recommended amount) and prepare one day prior to the scheduled injection date (as Scupltra trainers advocate and were recommending in the past. . .but are stronger about it now. . .). This has always worked for me and for the "successful" injectors I have spoken to. As with any cosmetic procedure, do your research, find the most qualified provider in your area (or travel to someone you trust), follow the pre- and post-treatment guidelines. . .and enjoy your results!

Michael Sinclair MD
141 posts
4 Jul 2008

Treating the area underneath the eyes with Sculptra is difficult because the skin is so thin. Even so, your best best is to massage vigorously and frequently, at least 5 minutes, 5 times per day. Sculptra comes as a powder. The doctor adds the solution and he can add anywhere from 3-10 cc of fluid into the vial. The more fluid that is injected, the easier it is to spread out the powder, which helps to reduce the chance of forming lumps. Now that it has been injected, you need to massage the areas as much as you can to try to keep the Sculptra powder from forming clumps which can lead to lumps in the skin. So... start massaging!  Keep it up for 1 month. That should really help.

Paul
23 posts
26 Apr 2009

Thank goodness there is a new generation of stimulatory fillers coming out within the next couple of years. These are cell-based and truly revolutionary. Instead of injecting an artificial substance like Sculptra or Juvederm into your skin, we'll be injecting the actual fibroblasts themselves into the facial skin. Intercytex's Vavelta is a solution of super-potent fibroblasts derived from the foreskins of newborn babies, and kept in a near embryonic state. The super-charged solution is injected into hollow areas of the face. The fibroblasts multiply and produce collagen thus filling in folds and hollows for "total facial rejuvenation." Vavelta is already commerically available in the U.K., and is pending FDA approval here in the States. This will revolutionize the filler industry. Other biotech companies (like Isolagen and Histogen) are also developing similar technologies.

Ellienor151
11 posts
3 Jul 2009

cant wait for Vavelta to be approved!

Arleen M Womack
1 post
22 Jul 2009

I went to a plastic surgeon today to get an estimate on the cost of a lower mini face lift. He also suggested using Sculptra- to fill in my hollow cheek area- a month after my surgury. He suggested 3 appliications. After reading all these reviews I think I will just first see how well the surgery looks. I will be starting Bioidentical hormone therapy soon to alleviate Menopausal symptoms. Thank you for sharing your testimonies. I am very sensitve to foreign things in my skin so I do not think I am a good candidate for artificial substances, even if this surgeon is well qualified. Thank you!!!!!

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