Would sculptra help fill in the “missing space”? (photos)

Question

Hi. I am 27, workout on regular basis and have tightness all down the left side of my body (shoulder, left side of back and low back, and hamstring) wondering what would be causing this issue on my lower left butt cheek and would sculptra help fill in the “missing space”?

Anna Avaliani, MD · Answer

Thank you for your photos. It is not a simple question and the answer will definitely vary depending on who you ask.Based on your photos as well as the description of your tightness, there is an underlying muscular component causing left butt cheek to stay clenched while the right one is relaxed. Adding anything into a tight muscle will unlikely lead to a satisfactory outcome.Your case is unique and requires a unique approach and a lot of patience from you and trust in your provider.It may sound strange but I would like to suggest micro botox into your left butt cheek first and some LED light therapy to reduce the muscle strain. Then, carefully assess the results or lack of them and proceed to next possible step, which may be Sculptra injection or skin tightening.Have you ever been to a Neurologist and Musculoskeletal expert for this concern? Maybe it's worth visiting them so they can guide you on how to balance your body and your posture and offer some clues to the cause the tightness. Adding daily stretching techniques could also help a lot.
Hope this helps. Have a beautiful day.Best, Dr.Anna Avaliani, NYC

Kenneth R. Francis, MD, FACS · Answer

Dear Sj900,

First understand that asymmetries of body parts from one side to the other are very common and very normal.  Sometimes they can be improved or even completely corrected with plastic surgery procedures.  Although I often hesitate to recommend Sculptra buttock enhancement, of all patients, you would be a good candidate for it.  The left sided body tightness issue is a bit unclear and might require further investigation by your primary care doctor, neurologist or orthopedist.  Good luck!

Darryl J. Blinski, MD · Answer

Great photos!I use a combination of Sculptra/Radeisse mixture to correct these issues. About 10 vials/syringes per session. Each session $4,000. May need 2 sessions about 4-6 weeks apart. Best to virtual consult with...

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