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What to Do About Sculptra (NewFill) Lumps and Granulomas

asked 4 years ago by anon
Latest answer by Larry S. Nichter, MD, MS
Question viewed 18,437 times
Tags: granuloma, lumps, side effects

Some 5 years ago I had NewFill (Sculptra) for smile lines and hyaluronic for my lip line. Some 2 months after, I started to get hard painful lumps, which I have been told are granulomas. I went back to the person who did the injections and he gave me 3 steroid injections. They broke the lumps down but seem to be more little ones and they seem to be worse again, almost like they're growing as I can notice them under the skin. Can I get IPL or heat treatment Thermage to break them down? If I have steroid injections, what strength do I have and how many can have?

2 answers to What to Do About Sculptra (NewFill) Lumps and Granulomas

+14

What to do about Sculptra (NewFill) lumps

What you describe indeed sounds like a foreign body granuloma, which can occur at any time following the injection of synthetic or non-biologic agents. I am not a proponent of synthetic agents such as Sculptra, Artefill, Radiesse or silicone for this very reason. In the medical literature, there are many reports of delayed foreign body granulomas; in one report with PMMA (Artefill/Artecoll, which is Plexiglas!), up to 12 or 13 years following the injections! The reasons this can occur is... more
Arnold W. Klein, MD

Beverly Hills Dermatologic Surgeon
+3

Sculptra Lumps, Granulomas and nodules

Five years following this treatment and you still have nodules means that it is most likely either a foreign body granuloma or deep scar. Steroid injections sometimes help but there can be some side effects especially with multiple injections (fat atrophy, hypopigmentation, etc). Although FDA off-label usage you might want to ask your doctor and research the use of 5-FU - I have used it effectively for these problems and have not seen complications thus far even after multiple injections... more
Larry S. Nichter, MD, MS

Orange County Plastic Surgeon

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