Ruby Gill, MD

Typically if you want to be certain about if filler is dissolved you can see a doctor who uses ultrasound at bedside to reverse filler. However , usually when it's done properly you should expect a return of your normal shape. You can easily have it filled to restore shape as well.

Typically we see Mends for a week up to even 2 weeks afterwards. The post care topicals ideally facilitate the wound healing process. Please call and discuss this with your treating provider regarding timing for the results and depth of treatment. You can also get a second opinion from a cosmetic dermatologist near you, as it is hard to assess skin in photography as well as in person. Best of luck.

The best options for forehead lines are Botox and skin resurfacing, such as chemical peels,laser, or microneedling. Filler is not an ideal option for forehead lines. However for smile lines, it can help decrease the look but if the main issue is from a lack of check volume resulting in deeper nasolabial folds, you would ideally need to place filler there first.

It is important to massage after sculptra. The standard post care follows the rule of 5's. Massage for 5 minutes, 5 times a day, for 5 days. The purpose is to prevent nodule formation and allow the chemical to integrate into the tissue.
It is not viscous and thick like HA filler , which has to be placed meticulously right where we need it. For sculptra it's more thin like water and will not cause a similar "migration" effect like HA filler. So to clarify, it's actually a required part of the post care to massage it for better outcomes, and it doesn't migrate. It's also placed in deeper layers of the face.

You are absolutely correct to be concerned about using something that can stimulate your immune system, with your condition. I typically will do a vampire facelift in such cases, this uses your own plasma to stimulate a similar mechanism for collagen production like the sculptra does. It does however take a lot longer to see visible effects (6months+), but it is certainly safer. I have had beautiful outcomes with patients, and in fact sometimes combine PRP with sculptra. Your body will not respond to its own plasma in an immunogenic manner, and it is regarded as a lot safer.