I'm 8 weeks post Sculptra. Is it normal to have swelling and puffiness at this stage?

This was my first injection and 1 vial has been injected to cheeks , smile lines and also lower face. But my face looks very puffy on some days and better on others. And the welling makes me look even more tired and old than before.face volume is not even , the lower face is the worst area. My lower face is swelling like I'm just out of dentist office.

Doctor Answers 6

It is not normal to have swelling from Sculptra at 8 weeks.

It is not normal to have swelling from Sculptra at 8 weeks. Sculptra rarely causes much swelling, and any swelling it did cause would resolve after a few days or a week. Sculptra works by gradually building up collagen in the skin. The effect of just one vial would be highly unlikely to cause swelling at this point unless you were allergic to one of the ingredients, which is fortunately very rare. I would suggest you return to your physician for an evaluation to see what is causing the swelling.


San Diego Dermatologic Surgeon
5.0 out of 5 stars 15 reviews

Sculptra And Swelling -- This is Not Normal

I suggest seeing your physician and comparing the initial photos to the standardized after photos and seeing if what you are seeing is just improvement or true swelling.  1 vial to all those areas, rarely causes what you are describing. You need a formal evaluation.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 165 reviews

No, this is not normal

The bottom line is you should return to the doctor. I have been doing Sculptra since 2003, when I was trained in Geneva prior to the US launch and I have never seen this. One vial of Sculptra rarely has any significant visible effect at 8 weeks anyway, much less puffiness. Sculptra is great for gradual, natural collagen enhancement that softens gaunt faces and gives a lift to sunken cheek and jowls, but only after 2-6 vials and several months. You need to take new pictures and compare them with your before pictures to determine what is really going on.

Mary P. Lupo, MD
New Orleans Dermatologist
5.0 out of 5 stars 14 reviews

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Swelling is minimal with Sculptra

I don't consider Sculptra to cause much swelling, particularly after 8 weeks. I would say that what you call swelling is actually the collagen that was created from the Sculptra placement. I would talk to you doc about this. I like to use cannulas with Sculptra.

Steven F. Weiner, MD
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Sculptra and facial swelling

Sculptra works by causing collagen formation after the injection. The collagen formation may take several weeks to appreciate and requires multiple treatments. The swelling you may be experiencing can be due to the product placement. I would consult with your doctor. 

Jose E. Barrera, MD, FACS
San Antonio Facial Plastic Surgeon
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Sculptra and swelling 8 weeks later

I have never seen Sculptra cause swelling 8 weeks later. I would definitely return to your treating physician since it may be that the product was placed too superficially.  Best, Dr. Green

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.