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Since it has been a while, since you have received your Sculptra treatment, the tissues must have vascularized well, and fat grafting should be quite successful, as long as it’s performed by someone with a great deal of experience in fat grafting techniques. I hope this helps and good luck from New York City Plastic Surgery.
Since there are not clinical studies or findings to review, it is not possible to give you a concrete answer. I encourage you to continue with regularly scheduled visits with your OB/Gyn and to report any concerns or changes.
For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest...
I'm sorry to hear of the issues you are experiencing. I encourage you to speak to your provider who is prescribing the minocycline about your symptoms. She/He will decide what is best from a treatment standpoint going forward.