Poly l lactic acid removal from breast, would hyaluronic acid do it?

Question

After injection of high amount of poly l lactic acid in breast .. how to remove it from body ??? Is there something like hyalurindase for hyaluronic acid as example???

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question.  As opposed to the hyaluronic acid dermal fillers that can be dissolved away with hyaluronidase, Sculptra does not have a similar "antidote."  Only time will eventually reverse it.  That said depending on any complications, such as granuloma formation, there may be other options for treatment.  Hope this helps.

Aldo Guerra, MD · Answer

Thanks for this question. There is no medication which can dissolve the PLLA. With time, your body can naturally dissolve it. However, you should have a formal evaluation with an experienced since you say you had a high amount injected and could be having granulomas - which can be treated.Best wishes, Dr. ALDO :)

Inessa Fishman, MD · Answer

There is no reversing agent for Sculptra, or poly-L-lactic acid.  This medication produces collagen stimulation upon injection, and works gradually to add volume to treated areas.  Are you experiencing lumps, nodules, or painful areas?  Please consult with a Plastic Surgeon or Dermatologist to discuss your concerns and undergo a thorough exam.  Depending on your physical exam findings, you may do well to meet with a Breast Surgeon and undergo imaging.  Good luck!

Faiyaaz Kalimullah, MD, FAAD · Answer

Thank you for your question.  I'm sorry to hear that you're unhappy with the results of your Sculptra/PLLA injections.  While I love to use Sculptra to stimulate collagen production in the skin, one of it's drawbacks is that there is no way to reliably reverse it's effects once it has been injected.  If you have individual lumps or nodules that you are noticing, these can sometimes be treated with injections of steroids +/- 5-fluorouracil, however there is no way to completely remove all of the Sculptra that has been injected into an area.  Please follow-up with a cosmetic dermatologist or plastic surgeon to discuss your concerns.  Best of luck.

Poly l lactic acid removal from breast, would hyaluronic acid do it?

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