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What to Do About Sculptra (NewFill) Lumps and Granulomas

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?

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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
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