Can Sculptra form into a nodule within 24 hrs of the injection? What are other possible causes? Can plugged cannula be culprit?

Question

Received two vials of Sculptra three weeks ago, some of which was injected along my jawline. The following day I noticed a fixed, hard 4-6 mm oblong lump on my right jawline, palpable but not visible, at the site of the cannula insertion. I notified my dermatologist and was instructed to keep massaging the area. No improvement, I followed up again and was offered a variety of non-reassuring explanations such as, "it could have been there all along." Now it's tender and I have a swollen node.

Jason Emer, MD · Answer

Based on your description, I recommend following up with your Doctor for a formal evaluation to rule out infection. Cannulas usually help reduce bruising and swelling, so you'll want to rule out other causes. See an expert. Best, Dr. Emer

Monika Soni, MD · Answer

Thank you for your question! Nodules are one of the side effects accompanied with Sculptra injections but they do not form that quickly after injection. They are minimized with experienced injector and adequate aftercare treatments. You are supposed to massage the area frequently to prevent nodule formation. Still, it is not normal to experience nodule formation after 24 hours. I would advise you to have a follow up appointment with your provider or any other doctor. Best of luck!

Hardik Soni, MD · Answer

Nodules are one of the side effects accompanied with Sculptra injections but they do not form that quickly after injection. The chance to get nodules is minimized with experienced injector and adequate aftercare treatments. You are supposed to massage the area frequently to prevent nodule formation. Still, it is not normal to experience nodule formation after 24 hours. I would advise you to have a follow up appointment with your provider or any other doctor. Good luck!

Steven F. Weiner, MD · Answer

This is not normal and needs evaluation. A nodule doesn't form that quickly. It could be a bruise or infection. Cannulas generally give less bruising and swelling than needles. With the lymph node swelling, infection would be top of my list. Sterile technique needs to be used for this and it is possible a break in technique caused it.

Can Sculptra form into a nodule within 24 hrs of the injection? What are other possible causes? Can plugged cannula be culprit?

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