What can be done for large noticeable nodules due to Sculptra injections gone wrong?

Question

I had injections of Sculptra several years ago. The plastic surgeon told me that the instructions on the product were incorrect. Now I have nodules - large and noticeable. He said these would diminish with time. They have not. My question is what, if anything can be done to correct this? I am wary of returning to this surgeon for advice.

Jonathan Kulbersh, MD · Answer

Hello, and sorry to hear about the issue you are experiencing. In general, the nodules should disappear with time. Aside from time, other things that may improve the appearance of the nodules are the following:1) Massage2) Steroid injectionsI would recommend following up with your surgeon regarding these options. I hope this helps, and best of luck.

Michael I. Echavez, MD · Answer

In my experience with Sculptra, if visible nodules do develop, they normally do go completely away over time.  This can take 2-4 years to occur though.  If it has not been 2-4 years since your last Sculptra treatment, then it is possible that an injection of a steroid into the nodules can take them away.

Sheryl D. Clark, MD, FAAD · Answer

Now that we have changed the way we dilute Sculptra, nodules have become extremely rare, thank goodness! --but that doesn't help you.They can be broken up with a needle, injected with triamcinolone or filler of another tyoe. An be injectd around them to make them les noticeable. lastly, 5-FU has been effeted when injected into the nodules.They will go away on their own, also.

Daniel Shapiro, MD · Answer

These nodules resulting from Sculptra do typically resolve on their own over time, though this can take quite some time. Some other fillers can help to resolve the problem. I recommend visiting a dermatologist or board-certified plastic surgeon for the best options.

Michele S. Green, MD · Answer

Nodules from Sculptra can sometimes be resolved with intralesional kenalog injections.  The nodules will go away on their own but can sometimes take up to two years.  Please find a board certified dermatologist in your area with a great deal of experience in cosmetic dermatology for the best results.

Jody Comstock, MD · Answer

Hi there. I'm sorry to
hear about your results with Sculptra® Aesthetic. Your surgeon is correct in
saying these nodules will likely diminish over time. However, the process can
take months to years. Your reluctance to return to the same surgeon for help is
understandable. I recommend a consultation with another doctor such as facial
surgery specialist who has experience with Sculptra. Often the company that
represents the product will have recommendations of experts or instructors on
their website to find a physician close to you for a second opinion. He or she
can recommend a treatment to reduce or even eliminate these nodules. Best of
luck!

Marilyn Pelias, MD · Answer

An injection into the nodule of a low dose of steroids can get rid of a residual Sculptra nodule(s).  This has been quite successful for me in the past with troubling nodules in thin skinned areas.  Good luck!

What can be done for large noticeable nodules due to Sculptra injections gone wrong?

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