Are there any solutions for restoring deeply creased, loose-skinned, and puffy under eye area after Sculptra? The nodules have decreased a bit over the year, but the thin eye area is now so badly altered from the visible nodules.
Solutions to Deep Eye Undereye Creases and Puffiness from Sculptra?
Doctor Answers 2
Remove the nodules
For the same reason that Sculptra shows through in the lower lids, the skin is very thin. Sculptra can often be easily removed by a tiny incision over the nodule.
Sculptra Esthetic which is the FDA approved product for cosmetic use has not been approved for use in the lids or lips.
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Sculptra nodule prevention and treatment
Prevention would be preferable to minimize risk of Sculptra nodules in the first place, i.e. extensive massaging 5 minutes each time, 5x/day for at least 5 days; avoidance of injecting Sculptra above the orbital rim. Subcision, intralesional Kenalog injection, and actual surgical removals are possible remediative steps that can be taken.