What are the risks for Sculptra butt lift, is it high risk?

Question

Hi doctors, I’m thinking of getting a Sculptra butt lift, but am a bit nervous. What are the risks? Is it a high risk area? Is there a possibility of it being lumpy? Is there possibility of necrosis? Etc Thank you!

Jacob Sedgh, MD · Answer

Sculptra is considered a very low risk augmentation modality. Lumpiness is a risk shared by all types of fillers, necrosis is very unlikely and to my knowledge unheard of with Sculptra. There are other routin risks such as pain, bruising, asymmetry...

Miguel Delgado, MD · Answer

As long as you choose an experienced provider, a Sculptra Butt Lift can add volume, texture and subtle contours to the buttocks. I have many satisfied patients that have had this procedure. Good luck.

Michael A. Zadeh, MD, FACS · Answer

Sculptra butt injections can help add volume and lift the buttocks in those individuals that do not have enough fat for a traditional brazilian butt lift, or do not want to undergo a surgical procedure. Keep in mind that Sculptra butt lifts usually require multiple vials over multiple treatment sessions and results will never be as dramatic as a brazilian butt lift. However, in the appropriate candidates nice improvement can be seen. When performed by an expert physician the treatment is safe. Most common side effects are injection related (Bruising, swelling, etc.) We combine the treatment with our HIFEM butt lifting procedure for optimal results. Make sure you see an experienced physician injector for an in-person consultation and evaluation and to minimize the risks of complications. Best wishes.

Jeffrey H. Spiegel, MD · Answer

Every every surgical procedure or injection has some inherent risks. The type of injection that you are talking about, if done by an experienced person, should have a very low-risk profile. There is certainly a chance of a symmetry or an area that is firmer than another, however in my experience we have not seen these complications. Look at our videos to learn more

Jason Emer, MD · Answer

there is almost no risk with sculptra to the buttock with an experienced provider.  Sculptra with the right dilution doesn't cause nodules in the buttock and is very safe.  It should be  combined with RF treatments to get the sculptra to work even better/stimulate it to produce collagen such as venus legacy / exilis ultra / thermage / inmode forma or contoura.  We often will add bellafill or renuva to certain areas to improve indentations or the buttock roll to get more definition and softening or to improve overall size and shape.  Smooth novathreads do very well to improve laxity of the buttock as well non surgically.  Just know that sculptra takes numerous treatments and vials, its a large expense and must be maintained at least 2 times a year after a series of treatments for the best result.  Dr. Emer.

Hooman Khorasani, MD · Answer

Thank you for the excellent question.
The desire for buttock aesthetics has traditionally been met with a variety of surgical techniques including surgical buttock lifting, alloplastic / silicone implants and autologous fat grafting.  Implant augmentations are still commonly performed, however a systematic review reported a complications rate of 21.6%, including capsular contracture, capsular migration, wound healing complications and implant related infections.  Autologous fat grafting combined with tumescent liposuction to obtain donor fat is a highly popular approach to buttock augmentation.  However, it is not suitable for thin patients without sufficient donor areas or for patients demanding a non-surgical technique with minimal downtime. 
For these reasons there has been a recent increased interest into newer, safer, less invasive approaches for gluteal enhancement.  Biodegradeable fillers such as Sculptra aka poly-L-lactic acid (PLLA) meets this demand. This products provides safe, effective and long lasting results in patients who are not surgical candidates or who do not want the downtime or risk associated with a surgical gluteal augmentation.  
At our center, we regularly perform Sculptra buttock augmentation to improve buttock curve, contour and projection.  This is not a high risk area in our hands.  The risk of lumps forming is low, and these can usually be massaged out without issue.  We have never encountered necrosis and have treated hundreds of patients with our safe and highly effective technique.  There is a video attached which you may find informative.
I would advise you see a board certified cosmetic surgeon who performs a high caseload of Sculptra buttock augmentations.  
I wish you well.

Dmitriy Schwarzburg, MD · Answer

There is very minimal to no risk at all with Sculptra injections if done by an experienced injector. Patients can  return to their normal activities immediately after Sculptra injections. and swelling, bruising, and other side effects are usually mild and subside within a few days. Always contact a board certified provider for your Sculptra treatments.

Leonard Grossman, MD · Answer

You should be worried and somewhat scared and the reasons for that are that you must find yourself a plastic surgeon who is well-versed with the use of Sculptra. We have been using Sculptra in our clinic for the last 22 years with excellent results and no complications to speak of, but there are way too many doctors who are not plastic surgeons that perform this procedure and are hurting many, many patients. they may tell you they're board-certified, but the question is what are they board certified in? Do your research and good luck from New York City

Richard E. Moore, MD · Answer

Thank you for your question. In the hands of an experienced injector, the risks of this procedure are very low. It is possible to get some bruising. Other theoretical possibilities which we have not really seen are lumps or bumps and asymmetry.I hope this was helpful - Dr. Moore.

Kristine Brecht, MD (license suspended) · Answer

Dear LA,Bottom volumizing can be done with Sculptra, and in skilled hands, is safe.Fat Transfer, however, will be a more economical and effective way to get volume for the buttocks.Choose an expert. Best Dr Brecht

What are the risks for Sculptra butt lift, is it high risk?

Answers (10)

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