What to Do About Sculptra (NewFill) Lumps and Granulomas Doctor Answers, Tips
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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?

4 Doctor Answers | Asked by anon
+16

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
+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
+1

Best Treatment for Sculptra Lumps, Bumps, and Nodules

Hi Anon, Sorry to hear about your adverse events following your Sculptra injections. The best current treatment to help dissolve the nodules is injection of them with a mixture of 5 FU (off label use), Kenalog 10, and lidocaine. We have seen marked improvement in patients from other practitioners who developed nodules. Good luck and be well. Dr. P

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+1

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Steroid injections may help, although there are risks associated with multiple steroid injections such as possible fat atrophy. I would encourage you to discuss with your physician the use of 5-FU as a possible treatment.
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