Sculptra dilution ratio

Question

I am preparing to get a sculptra treatment and the doctor mentioned he uses a 1:3 dilution ratio. I went in for the consult, but I know standard dilution is 8ml bacteriostatic water and 1ml Lidocaine. Does another doctor know what this might mean? He recommended 4 vials of sculptra- I’m 35. I said that 18ml of fluid in my face he said it would only be 6. Is there literature on only reconstituting with 3ml with positive results?

Anna Chacon, MD, FAAD · Answer

Hello,

When it comes to Sculptra (poly-L-lactic acid) treatments, the dilution ratio can vary based on the practitioner's technique and the specific aesthetic goals for the patient. The standard dilution often involves mixing each vial with 8-10 ml of sterile water and sometimes adding lidocaine for patient comfort. However, some practitioners may use a lower dilution ratio, such as 3 ml, to achieve different results or to provide more concentrated treatment in specific areas.

The key to successful Sculptra treatment is not just the dilution ratio but also the technique and experience of the injector. Lower dilution ratios can result in a thicker consistency, which may be used for more targeted volumization, but it requires careful injection to ensure even distribution and avoid nodules or irregularities.

There is some flexibility in reconstitution practices, and different methods can yield positive results. However, it's important that your provider is experienced with their chosen method and can explain why they prefer it over others. If you have concerns, it's perfectly reasonable to ask your doctor for more details about their technique and any supporting literature or clinical experience they can share.

Always ensure you're comfortable with the treatment plan and feel free to seek a second opinion if you have any doubts.

Best regards,

DoctoraVital Med Spa - Cooper City · Answer

Hello,
I understand your concerns about the recommended dilution of 8cc plus 1 cc of lidocaine to prevent nodule formation. 
Historically, dilutions began at only 2 cc and have evolved over time to the current recommendation due to side effects, particularly nodule formation. However, it's important to note that only a small percentage of patients experienced these issues.
For a 35-year-old patient, using four vials in one session might seem excessive since the current recommendation is no more than two syringes per face, per session. However, I'm not familiar with your medical history, and your doctor might have substantial experience with these quantities and dilutions. Always ensure that your treatment plans are tailored to your specific needs by a qualified medical professional.

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