Treatment options for Sculptra nodules on hands and face? (photos)

Question

Hello, I had sculptra injected in my lower face and hands. 2 vials total. Prob 1.5 on my face and .5 divided between my hands. I have large nodules all over my hands, including on my knuckles. It is painful to move the fingers. Please advise anything to treat these nodules. I have tried saline injection once and microneedling RF 3 times with no improvement at all. I need help as I am in pain.

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Afternoon! Nodules can definitely be a problem with Sculptra. If you haven't tried steroid injections and massaging, that may be an option. It also depends on how long it's been. Some nodules will resolve but may take well past a year. A last resort is excision of the nodule if all else has failed. Hope you find resolution.

Darryl J. Blinski, MD · Answer

Thanks for posting the photos, very impressive. I have never seen granulomas from Sculptra previously, only more likely from under diluted Radeisse. My first question, of many, is who injected you? a MD or NP or nurdse or non medical??? Are you sure you had Sculptra injected? Did you see the vial or box it came in? Was it USA bought or from out of USA? As for correction of nodules, I recommend excisional biopsy with pathology dx for 1 nodule ASAP. Let's see exactly what is the pathologic diagnosis.

Treatment options for Sculptra nodules on hands and face? (photos)

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Treatment options for Sculptra nodules on hands and face? (photos)

Answers (2)

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Everything you need to know about Sculptra

Our mission is to create a world where every investment in modern beauty is Worth It.