Are there deep collagen stimulating alternatives to Sculptra for people prone to hypertrophic scarring and granulomas?

Question

I have experiences with hyaluronic acid fillers forming granulomas - specifically volbella. I have hypertrophic scarring from childhood injuries. I like the idea of Sculptra stimulating collagen and has long term benefits. But I believe I am a poor candidate. Is there anything that is safe for people like me who want to ease the first signs of aging?

Michael I. Echavez, MD · Answer

I have not had any issues using Sculptra on patients with a history of hypertrophic scarring.  Sculptra is a completely different product than hyaluronic acid fillers, so I would see no problem using it in someone who had a history of granulomas from hyaluronic acid fillers.

Luis Mario Salazar, MD · Answer

Poli lactic acid is a different substance than hyaluronic acid. There’s still chances of granuloma with Sculptra with the wrong dilution or technique. But not affects hypertrophic scarring. So go for it and good luck.

Dr Luis Salazar
Aesthetic Solutions

Dr Luis Salazar
Aesthetic Solutions

Jesse E. Smith, MD, FACS · Answer

Sculptra is poly-L-lactic acid which is a completely different compound than hyaluronic acid. Additionally, we use a small gauged needle to inject Sculptra therefore there is minimal risk of hypertrophic scarring. A possible side effect of Sculptra is a hard nodule called a Sculptoma. These can be avoided with frequent massaging of the injected area (typically 5 times a day for 5 minutes) for the first 5 days following the injections.

Leonard Grossman, MD · Answer

You have to be more specific as to what it is that you're trying to achieve, for any one of us to be able to answer your question. I hope this helps and good luck from New York City

Are there deep collagen stimulating alternatives to Sculptra for people prone to hypertrophic scarring and granulomas?

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