Best Ways to Get Rid of Lumps Under Eyes from Sculptra?

Question

I have several noticeable lumps under my eyes left from Sculptra. What are the best ways to get rid of these?

Michele S. Green, MD · Answer

Sculptra is one of my favorite products since it is the type of product that can be used anywhere on the face or body with fantastic results. It stimulates your body to produce new collagen and tightens and firms the skin. However, I never inject Sculptra under the eyes. The delicate under eye tissue is very thin and Sculptra is not meant for this area. Sculptra cannot be dissolved once injected. Years ago, there were many problems with lumps and nodules after Sculptra injections. However, the current dilutions and proper injection technique make such problems much less common. If you do have a lump under the eye, it would be difficult to treat. There is some success with injecting diluted cortisone into the lump, or a small excision of the nodule. Over time, the lump should resolve on its own, but in this anatomic location it can take years. It is best to consult with an expert in Sculptra for the best cosmetic results. Best, Dr. Green

Mary P. Lupo, MD · Answer

Lumps from Sculptra can be from over-injection, insufficient post injection massage, inadequate product dilution, and too superficial of injection. Unfortunately, unlike HA fillers, Sculptra cannot be dissolved. They often resolve over time, but can take years. See an expert in Sculptra in your area. I have had some success with diluting with corticosteroid and saline, breaking up the nodule with a large bore needle, excising, and some anti-inflammatory meds. Good luck

Christine Glavey, MD (retired) · Answer

If I meet a patient with this problem I shall first try a gentle injection of Kenalog (costisone in saline) in to the nodule, and I'll ask the patient to please return in 3 weeks. We will try this method three times..if still no improvement, then careful excision of the nodule is performed.

Nathan Mayl, MD (retired) · Answer

The problem with Sculptra becoming visible in the lids and lips has been so well recognized now that Sculptra Esthetic now comes with a warning that it not be used in the lids or lips.
If you have a papule (an area less than 1/2 cm. in size) or a nodule (an area larger than 1 cm in size) that is visible, the most reliable way to improve the area is a tiny incision placed in a wrinkle over the area. This allows the surgeon to usually pop it out through a tiny area that heals very quickly. I do not personally like cortisone injection because the cortisone can create thinning of already thin skin and if the area does not respond make the problem worse.
However, it you can feel but now see the papule, it is best left alone and it will eventually dissolve.

Best Ways to Get Rid of Lumps Under Eyes from Sculptra?

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