Sculptra Treatment Caused Puffiness on Upper Cheek Under Eyes, Now What?

I had my third sculptra treatment in my temples and cheeks 3 weeks ago. Started in April, ended in August. I was very pleased with the results until after the third treatment. I now have puffy, fluid looking filled sacs on the top part of my cheek under my eyes. It looks like I have been bit by a bug and has created swelling and bags. I went to my doctor and he would not acknowledge the problem. Numerous people have asked me if I got hit in the eyes. What can I do? I look terrible:(

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6 Doctor Answers | Asked by dar1 in San Jose, CA

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Puffiness under the eyes after Sculptra treatment

Usually the edema from Scultra treatment lasts about 3-7 days but can potentially last longer. Sculptra can be injected into the top of the cheeks but does not do well when injected around the eyes. Dermal volumizers like Sculptra and Radiesse should not be injected into muscle, particularly circular muscles like the ones around the eyes (orbicularis oculi) and mouth (orbicularis oris). The circular muscles act like a pump and when irritated by the particles of filler... more

Sculptra Under Eyes

Because of the way Sculptra works, great care has to be taken around the eyes. Remember that Sculptra stimulates a tissue response and the body makes new collagen. What you are describing sounds very much like a tissue response to the Sculptra in the lower eyelid. The swelling should get better, but it may take some time. Go back to your doctor and if you don't get an appropriate response get a second opinion.

Sculptra - unexpected puffiness under the eyes after treatment - what to do?

Any filler injected into the cheeks can cause some puffiness under the eyes in certain individuals. There are a variety of reasons. Gel fillers such as Restylane/Perlane and Juvederm retain water. Radiesse and Sculptra stimulate collagen formation which may interfere with subtle flow of fluid under the eyes. Some things to consider: Check your thyroid levels to be sure they are fully corrected into the high range of normal Until this problem resolves, watch the amount... more

Swelling after Sculptra treatment

Persistent swelling 3 weeks after Sculptra injections is unusual but not impossible. You most likely have either much more swelling due to sensitivity from the injections or possibly some extra bruising underneath the skin leading to excess swelling. A good anti-inflammatory dose of ibuprofen 2 to 3 times daily is worth trying. As with all fillers, Sculptra can cause local short-term, injection-related adverse events such as inflammation, bruising, swelling, pain, and itching, which... more

Sculptra Solutions: Swelling Under Eyes, Cheeks

Fluid in this area can be caused by several factors such as sinus and allergy. What you're describing appears to be "malar edema" or "malar festoons". Assuming the Sculptra is no longer creating significant inflammation, it may be beneficial to check if sinus or allergy problems are contributing to the swelling in your upper cheek area below eyes. In our practice we have had success with treatment of some cases of malar swelling with nonsurgical treatment such as... more