It's almost 9 weeks after my first Sculptra injection, I don't have lumps or nodules but just very depressed with too much volume added.(just got 1 vial for cheeks, smile lines and also lower face. ) I wento to my injector he refused to help because he thought I "need" that much volume which I don't like. But I went to other doctors they all admitted that I was overfilled for the lower face. Is it a good time to get collagenase injection to get back my face before sculptra? Please Advice!
Answer: Collagenase Collagenase injections are approved for use in contractions of dupuytren's. These injection are not predictable for use in the face and should be avoided; likely the result would be worse than present. Some patients have a vigorous response to sculptra creating volume with as little as 1-2 treatments. Most patients require 3-4 vials for full correction. I would advise patience as all volume with decrease over time. Seek out an expert injector in your area to follow up with periodically.
Helpful 1 person found this helpful
Answer: Collagenase Collagenase injections are approved for use in contractions of dupuytren's. These injection are not predictable for use in the face and should be avoided; likely the result would be worse than present. Some patients have a vigorous response to sculptra creating volume with as little as 1-2 treatments. Most patients require 3-4 vials for full correction. I would advise patience as all volume with decrease over time. Seek out an expert injector in your area to follow up with periodically.
Helpful 1 person found this helpful
February 8, 2016
Answer: Sculptra Lumps and Bumps Its very rare for a single vial to cause this much irritation/lumps. Sculptra results for a first time treatment are not typically evident for 6-8 weeks. Sculptra is subtle and takes many treatments to change facial shape/contour. Please review your before and after photos with your physician to decide on the best next step. There are very few treatments that work to reverse these nodules. Best, Dr. Emer.
Helpful 1 person found this helpful
February 8, 2016
Answer: Sculptra Lumps and Bumps Its very rare for a single vial to cause this much irritation/lumps. Sculptra results for a first time treatment are not typically evident for 6-8 weeks. Sculptra is subtle and takes many treatments to change facial shape/contour. Please review your before and after photos with your physician to decide on the best next step. There are very few treatments that work to reverse these nodules. Best, Dr. Emer.
Helpful 1 person found this helpful
Answer: Collagenase should NOT be injected into the face or neck Collagenase should not be injected into the face as it can destroy the integrity of vascular structures, i.e. arteries, arteriles, capillaries, veins, venules and capillaries. It is FDA approved for Depuytren's contractures. Dr Karamanoukian
Helpful
Answer: Collagenase should NOT be injected into the face or neck Collagenase should not be injected into the face as it can destroy the integrity of vascular structures, i.e. arteries, arteriles, capillaries, veins, venules and capillaries. It is FDA approved for Depuytren's contractures. Dr Karamanoukian
Helpful
February 17, 2016
Answer: Sculptra results and balance I've been injecting Sculptra for years since its first FDA approval for HIV positive patients, before the approval for cosmetic volume enhancement. It's unusual to get too much volume from one vial of Sculptra. I suspect that you may have an imbalance in your facial volume. Placing Sculptra in the "cheeks, smile lines and also lower face," may not be what you need. Most people lose volume in the mid-face and that's where the volume needs to be replenished, not the lower face, which often looks relatively too full compared with the loss of volume of the mid-face. Smile lines are best address with fillers, not Sculptra, or the correct placement of Sculptra in the mid-face or outer cheeks to give the appearance of lifting. Mid-face Sculptra can achieve better balance and harmony to the face overall, and the appearance of a lifting. I would not attempt any type of collegenase, because I think you'll get unintended consequences. See someone with a lot of Sculptra experience who will discuss your facial balance and harmony, which might mean Sculptra placed in a different location, or fillers, such as Juvéderm Voluma for mid-face balance with the rest of the face.
Helpful 2 people found this helpful
February 17, 2016
Answer: Sculptra results and balance I've been injecting Sculptra for years since its first FDA approval for HIV positive patients, before the approval for cosmetic volume enhancement. It's unusual to get too much volume from one vial of Sculptra. I suspect that you may have an imbalance in your facial volume. Placing Sculptra in the "cheeks, smile lines and also lower face," may not be what you need. Most people lose volume in the mid-face and that's where the volume needs to be replenished, not the lower face, which often looks relatively too full compared with the loss of volume of the mid-face. Smile lines are best address with fillers, not Sculptra, or the correct placement of Sculptra in the mid-face or outer cheeks to give the appearance of lifting. Mid-face Sculptra can achieve better balance and harmony to the face overall, and the appearance of a lifting. I would not attempt any type of collegenase, because I think you'll get unintended consequences. See someone with a lot of Sculptra experience who will discuss your facial balance and harmony, which might mean Sculptra placed in a different location, or fillers, such as Juvéderm Voluma for mid-face balance with the rest of the face.
Helpful 2 people found this helpful
February 7, 2016
Answer: 1 Vial of Sculptra has caused too much volume? This is a bit unusual. One vial usually can't cause that much volume. I suspect more that the proportions of the filling are not correct. I have no experience with collagenase but it would work, but I suspect that you would be trading in one problem for another. It will probably destroy collagen you want to. Give it time is the best advice at this point. Then consider filling around the face to bring things into proportion. I lecture and train doctors on Sculptra and in good hands, it shouldn't lead to over filling.
Helpful 1 person found this helpful
February 7, 2016
Answer: 1 Vial of Sculptra has caused too much volume? This is a bit unusual. One vial usually can't cause that much volume. I suspect more that the proportions of the filling are not correct. I have no experience with collagenase but it would work, but I suspect that you would be trading in one problem for another. It will probably destroy collagen you want to. Give it time is the best advice at this point. Then consider filling around the face to bring things into proportion. I lecture and train doctors on Sculptra and in good hands, it shouldn't lead to over filling.
Helpful 1 person found this helpful
