Superficial Sculptra. Is this common? What can be done?

Question

8 months ago I received 1 series of 1 Sculptra in each cheek. One side appears fine but the area still has residual redness 8 months post. This side looks to have been done too superficially. It is raised, puffy, and has a low point in the center of the pocket. It looks like it may have migrated too high to my orbital ridge. Both sides are touch reactive. They become red just by touching them. Is this too superficial? Can it settle? Is this common? What can be done?

Anna Chacon, MD, FAAD · Answer

It sounds like you are experiencing some complications following your Sculptra treatment. While Sculptra is generally injected into the deeper layers of the skin, superficial placement can occasionally occur and may lead to the issues you're describing, such as redness, puffiness, and an uneven appearance.

Here are some considerations and steps you might take:

Consult with Your Provider: It's important to follow up with the healthcare professional who performed the procedure. They can evaluate the area and determine the best course of action.

Massage: Sometimes, gentle massage of the area can help redistribute the product and reduce any nodules or unevenness. However, this should only be done under the guidance of your provider.

Time: Sculptra is designed to gradually stimulate collagen production, and some irregularities may improve with time. However, 8 months is a considerable period, and persistent issues should be evaluated.

Treatment Options: If the product was placed too superficially, options might include laser therapy, injections of corticosteroids, or hyaluronidase (though the latter is more commonly used for hyaluronic acid fillers, not Sculptra).

Consider a Second Opinion: If you're not getting satisfactory answers or results from your initial provider, seeking a second opinion from another experienced dermatologist or plastic surgeon might be beneficial.

While complications can occur, they are not extremely common, and there are often ways to address them effectively. Always ensure that any treatments or interventions are carried out by qualified professionals.

Superficial Sculptra. Is this common? What can be done?

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