1 year after pilonidal cyst removal - Can I have a sculptra butt augmentation done?

Question

So I had a small pilonidal cyst that I had to have Surgical excision On a year and half ago. It’s never come back and I’ve had no problems but the surgery was an open excision so I do have a scar in the top of my butt crease near the tailbone. I am interested in having sculptra butt augmentation and am wondering if this should be safe at this time? Would the injections be ok to have in my butt even though I have the small surgical scar and had that cyst?

Ryan A. Stanton, MD · Answer

I have unfortunately had many patients come to me after having their high hopes for buttock/hip augmentation crushed by measly Sculptra results or other "fillers" such as Radiesse, Renuva and Juvederm, etc. Other than the fact that these are not FDA approved for buttock/hip injections, here are some critical points of awareness: 1) they all are temporary, lasting 1.5 - 2 years at very most, 2) if done correctly dermal fillers like Sculptra or Renuva are cost prohibitive for 99% of potential buttock/hip augmentation patients. In order to create a significant/noticeable result with a dermal filler, at least 200 mls of active product (not just “total ccs of fluid injected” of which contains mostly saline not Sculptra) must be injected into each buttock cheek for a total of 400 mls. At $1000 per ml, this equates to a minimum price of $400,000.00. Thus if your doctor is recommending to put in ONLY 20 or 40 mls of these fillers you will pay $20,000-$40,000 and get an insignificant miniscule result! (eg. like a “drop in the ocean” effect), 3) Do not let anybody tell you that the product is so special that it's going to magically grow over the following months or years...this just does not happen to any noticeable degree!, 4) dermal fillers, when injected in large quantities, have a relatively high infection rate, guaranteed tendency to migrate away from the original area they were injected into, and almost always stimulate a lot of inflammation with a subsequent and disastrous amount of scar tissue/hardening, and 5) the one very serious complication that can rarely ( less than 1%) happen is "embolism" in which some of the filler gets into the blood stream and travels up into the lungs, heart, and/or brain causing serious problems, including death.

As well, fat transfer to the outer butt and hip dips, especially on lean patients, has a poor survival rate and thus often slighted results.

The only relatively safe, reliable, and permanent option for buttock and hip dip augmentation is with implants.

Hope this all helps you make a better informed decision and saves you a lot of your otherwise hard earned money.

Kenneth R. Francis, MD, FACS · Answer

Dear Sincere,
There is no contraindication to having a buttock augmentation with Sculptra this long after your pilonidal cyst removal.  You may proceed with impunity.  Good luck!

Mats Hagstrom, MD (license on probation) · Answer

If you’re well, healed up from the excision of your pilonidal cyst, then you should be OK to have gluteal augmentation.
Sculptra cans to be expensive and given small changes making it not good value for most people.
Most plastic surgeons would probably exterior towards fat transfer as a better option.
I suggest having a few in person, consultations with local board-certified plastic surgeons.Best,
Mats Hagstrom, MD

1 year after pilonidal cyst removal - Can I have a sculptra butt augmentation done?

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1 year after pilonidal cyst removal - Can I have a sculptra butt augmentation done?

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Recommended reading

Everything you need to know about Butt Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.