Sculptra treatment one week ago in cheeks, now my jaw line is extremely puffy and square. (Photo)

Question

I had sculptra one week ago in my cheeks where I had hollows near my ears, only one vile. I did have another treatment one month prior in the same area and also in my temples. This time only in my cheeks. I took a selfie yesterday and my face looks distorted. The skin around my smile is puffy and now when I smile it’s so thick looking making me look square and making my mouth area project more than my cheeks! I’m incredibly terrified. It’s weird because I don’t believe my injector Put anything there

Michael I. Echavez, MD · Answer

Normally, when a Sculptra treatment is done, there is some associated swelling.  This swelling may not be in the areas that were actually treated, as the swelling tends to move downward with gravity.  It may take 1-2 weeks for this issue to resolve.  I would guess that your appearance will still change in the next week or two so I would not be too concerned 1 week after the injection.

Gerald Minniti, MD, FACS · Answer

Hello,The two photos you post are an example of why nothing can be gleaned from selfies. Differences in camera (phone!) position, angle, distance, and differences in facial expression, head position, and head angle make comparative assessment impossible, especially with the tiny lens found in all phone cameras. Sculptra have very little volume on its own, and takes 10 weeks for your body to produce collagen around the crystals, so any perceived changes are either non-existent or due to internal bruising and swelling from the injection. Best of luck!

Jason Emer, MD · Answer

There may be some swelling for 1-2 weeks. Also, it will take several weeks for results with Sculptra. Sculptra is a great product for improving facial volume and collagen building, but for best results, I recommend using it in a combination depending on desired results. I combine Sculptra with other fillers, lasers, toxins and skin care to give immediate results. See an expert. Best, Dr. Emer

Michele S. Green, MD · Answer

Sculptra is a great product for long lasting results.  You can't judge the results of Sculptra immediately after injections since the large amount of saline used will definitely distort your appearance until the results settle in.  It takes about four weeks from the injections to see the full results.  Best, Dr. Green

Adam Goodwin, MBBS, FRCS(Plast) · Answer

so what you describe is completely normal. i know this first hand as my wife chin looked really swollen for 2 weeks after sculptra then it settled down. If there is a lot of heat or pain the see your doctor, otherwise, this is what we always see. Hope that helps. Adam Goodwin

Justin Harper, MD - Account Suspended · Answer

Hi SavannaMarie,The recent injection of Sculptra resulted in swelling making you look disfigured. Fortunately, this swelling has no bearing on the final results of your Sculptra treatment. Please give it two weeks to stabilize. You'll be seeing the effects in the next few months.All the best, Justin Harper, M.D.

Sculptra treatment one week ago in cheeks, now my jaw line is extremely puffy and square. (Photo)

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