Can Sculptra be injected into the butt and hips? Is it safe to do so?

Question

I am considering sculptra injections for my Butt. I considered getting a bbl but I was unsure since I am known to have keloid skin. Also because my lifestyle is so busy I do not have time for the healing process and definitely do not like surgery. i really just want hips. I wanted to know what is sculptra? Can I apply it to my butt and hips? Is it long lasting? Do I have to be careful like people have to be with silicone? Is it worth it?

Ran Y. Rubinstein, MD · Answer

You have two part question.1. Yes, Sculptra is an excellent option for both hip and buttock augmentation especially if you dont want the downtime, risk, don't have enough fat for BBL or feaful of an over filled buttock which is so typical of BBL.2. Your keloid history.  A keloid history is a contra indication to having both surgery and Sculptra injections.  Although HA fillers are a treatment option, this can become quite costly and is not a practical option.  I would want to see the scars that you are calling "keloids" as these are frequently not keloid and more hypertrophic and in part due to the lcoation of the scars.Please feel free to contact my office, and email me a picture of the "keloid scars".  My practice is located within 45 min to Jersey City in Newburgh, New York.

Kimberly Butterwick, MD · Answer

Sculptra
is made of poly-l-lactic acid microspheres, which are injected deeply
into the skin to stimulate it to produce new collagen. The new
collagen gradually replaces the microspheres as they are absorbed by
the body, creating more volume and resilience in the skin. Sculptra
can be used to reshape and contour many different areas of the body,
including the buttocks and hips. Results last about two years. If you
are looking for a drastic change, Sculptra may not deliver what you
want. But if you simply wish to add volume and shape to your hips and
buttocks without surgery, Sculptra can do a really wonderful job of
creating a curvier figure. Unfortunately, I have bad news. If you
have a history of keloids, then you are not a candidate for Sculptra.
 It is one of the contraindications to using Sculptra because you may
actually produce too much collagen in response to it and have an
unnatural response. You can achieve volume with hyaluronic acid
fillers; this is a safer but more expensive option for you. Please
find a board-certified dermatologist who has experience sculpting the
body with dermal fillers to help you look more feminine and curvy.

Nelson Castillo, MD · Answer

Thank you for sharing your question and yes Sculptra can be safely injected into the buttocks and hips in order to augment their shape and size.  It has become a routine injection in my practice for women in your situation or those with insufficient fat for a transfer procedure.  Sculptra is a dermal filler that stimulates the body's own tissues to thicken slowly over time.  It can be tailored to your individual goals and can last upwards of 2 years.  It is a much safer product and procedure than silicone injections (which are illegal). Hope this helps.

Usha Rajagopal, MD · Answer

Sculptra is a nice alternative for fat augmentation to buttock areas. Sculptra is a bio-stimulatory filler, which means that it makes your own body lay down new collagen. So if you are slim with narrow hips and don’t have enough fatty tissue for fat transfer, or don’t want to go through buttock augmentation with an implant or not a candidate for this, Sculptra can be a good alternative. It can be injected into the buttocks and will give you some fullness to the area. So if you have the atrophic depression along the lateral part of the buttock, to give you a more softness to the hips or give you a more projection, you can use Sculptra and it will help improve some fullness of the buttock area. Once injections are done, it will last approximately 2 years.

Faiyaaz Kalimullah, MD, FAAD · Answer

Thank you for your question.  Sculptra is a dermal filler made of small particles of poly l-lactic acid (PLLA).  After a Sculptra treatment, your body encapsulates each PLLA particle with your own collagen, slowly building volume over the course of several weeks.  Most patients opt to have 2-3 injection sessions for best results, and then periodically undergo maintenance treatments to keep up their results.  Sculptra is primarily indicated for injection into the face, but can be used safely in other parts of the body as well.  Sculptra injections in the buttocks are a popular treatment, particularly for patients who do not have sufficient fat to undergo a BBL.
That said, your history of keloid scarring is a little concerning.  Depending on how severe your keloids have been, this may be a contraindication to Sculptra treatments.  I would recommend discussing your cosmetic goals and medical history with your cosmetic dermatologist or plastic surgeon, to determine the best treatment plan for you.  Best of luck!

Can Sculptra be injected into the butt and hips? Is it safe to do so?

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