Edema or Product?

I had a sculptra touch up 2 days ago. The morning after my treatment I woke up with a 2 cm circular pocket of edema or product under my L eye medial to center of eye. When I pressed it it slowly deflated. I pressed against the orbital rim and downward. It made the crepitus sound as i pressed. My doctor does say he did work close to the orbital rim when I called and asked did I blow my nose? (No). It did not reoccur this morning so not edema ?? What can I expect and what is worse case scenario.

Doctor Answers 5

Edema or Product?

Thank you for your question. This type of edema should resolve over a week or two.  I would sleep with head elevated, apply some cool packs over the area.  Follow up with your Dr. and have the area monitored and make it is healing as anticipated. I hope this helps!

Bay Area Dermatologist
3.9 out of 5 stars 12 reviews

Sculptra is injected with water

Sculptra is injected with a lot of water. The swelling that you are seeing is related to that water and probably some swelling from the needle injections. The fluid can sometimes pool around the eyes but will resolve over time as your body absorbs the fluid. While this is initially frustrating, it should not cause any permanent problems with edema.

Joseph A. Eviatar, MD, FACS
New York Oculoplastic Surgeon
4.7 out of 5 stars 66 reviews

Crepitus after injection with Sculptra

While it's normal to have swelling 2 days after an injection with Sculptra, it's unusual to have any crepitus.  I would follow up with your physician for an in person exam to rule out potential pathogenic causes such as infection.  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 58 reviews

Sculptra and Edema

Sculptra is diluted in liquid and the amount of liquid injected varies from physician to physician.  It would be typical to have early swelling after the injections due to the liquid.  With time the swelling will resolve.

Craig Mezrow, MS, MD, FACS
Philadelphia Plastic Surgeon
5.0 out of 5 stars 17 reviews


It is normal to have some swelling after Sculptra treatment, however it is unusual to have the crepitus sound.  I would highly recommend that you consult with your physician regarding your concerns. 

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

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.