AnMaCi

Thank you for your responses. The swelling is soft, not hard, so it is definitely not granulomas. The skin is just thicker and soft right were the Sculptra was injected. Good news is I have now had three cortisone/FU5 injections spaced 4-6 weeks apart and the swelling is resolving. It has also been two years this month since the Sculptra was injected there. Maybe one more touch up with the cortisone/FU5 should do it. I would then think about maybe some filler to plump my upper cheeks (they are a bit flat and make my under eyes look more hollow).

Hello all, Well, I am going to throw a wrench into the discussion. I had Sculptra treatments in my lower cheek area (3-4 trmnts) and was very happy with the results. Three years later, as the effect was starting to wear out, I offered to be a model at a RN training session for Sculptra. The doctor who did the demo is a very highly regarded, qualified practitioner with years of experience. After injecting in my cheeks, he wanted to inject Sculptra around my eyes, mostly along the lower orbital bone (I did have some very minor deficiency/sunken look there). I hesitated and asked, is that appropriate being that Sculptra is not indicated for use there (due to possible nodules forming). He reassured me, stating he has done this many times, with many patients with good results, so I acquiesced. Well, after some initial swelling and bruising (as could be expected), a small pocket of swelling refused to subside under both eyes (below the fat pad, from midline to about half way to the outer corner of eye). It has been 11 months and it has only slightly reduced. I went to see this doctor at his own office and he offered hyaluronidase to ease the swelling, stating this pocket of swelling seemed to be "stuck" in the tissue and obviously was not dissipating on its own. He kept asking and asking, are you sure you haven't had anyone inject another (hyaluronic acid) filler around your eye? He couldn't understand why this would happen. I assured him I had not. He was the only one who treated that area and it was with Sculptra. I don't know how familiar you all are with Sculptra, but it is injected deeper, into the dermis and stimulates the skin (fibroblasts) to grow and actually "thickens" the skin. It takes several treatments and time for the effect to develop, so it is a completely different action than other fillers which work immediately. Anyway, 72 hours post treatment and the swelling is slightly better, but still there. The creepy skin was terrible at first, but seems to be a bit better today. Some discoloration (light bruising), which will likely go away. After reading this thread, I am so worried now about what to do if the swelling doesn't completely resolve. Sounds like more hyaluronidase is a scary proposition, but if the swelling doesn't go away I look worse than prior to the Sculptra. I am 47, with good skin quality. Any thoughts?