Sculptra nodules? Can they be dissolved? (Photo)

Question

I had Sculptra in my jawline 2 weeks ago (2nd session). I was very swollen for a week, and now the swelling is mostly down, but my jaw still looks prominent. I have sore, movable lumps on each side above the jaw, about 3-4cm long. Could these be swelling or nodules? I'm feeling self-conscious about my appearance. What can I do to resolve this issue and how long might it take? Any advice would be greatly appreciated. Thank you

Anna Petropoulos, MD, FRCS · Answer

Hello Kind597688! The lumps you’re experiencing after your Sculptra session could be residual swelling or early nodules, which are often firm and movable under the skin and may feel tender initially. Gentle massage, such as the "5-5-5" method (5 minutes, 5 times a day, for 5 days), can aid integration, and warm compresses may relieve soreness and encourage blood flow. Most lumps soften naturally within weeks to a few months as collagen forms gradually. However, if they persist or worsen, it’s best to consult your injector for additional guidance. Best of luck! Genie Alexander, RN BSN for Anna Petropoulos, MD FRCS at Center for Classic Beauty, Boston and Danvers, MA

Anna Chacon, MD, FAAD · Answer

It's not uncommon to experience swelling or the development of nodules following Sculptra injections, especially after a second session. The lumps you're describing could be either residual swelling or nodules, which are a known potential side effect of Sculptra. These nodules are typically benign and can sometimes be felt under the skin.

Here are a few steps you can take to address this issue:

Massage: Regularly massaging the area as instructed by your provider can help distribute the product more evenly and may assist in reducing nodules.

Time: Often, these nodules will resolve on their own over time. It can take several weeks to a few months for them to diminish significantly.

Consultation with Your Provider: It's important to follow up with the healthcare provider who performed the injections. They can assess the area to determine whether the lumps are nodules or persistent swelling and may recommend specific treatments.

Hyaluronidase: While Sculptra is not a hyaluronic acid filler and cannot be dissolved with hyaluronidase, if the nodules are causing significant discomfort or cosmetic concern, your provider might discuss other treatment options, such as corticosteroid injections or other interventions.

Patience and Monitoring: Keep monitoring the area for any changes. If you notice increased redness, pain, or any signs of infection, contact your provider immediately.

Remember, it's essential to maintain open communication with your healthcare provider to ensure proper management and follow-up care.

Leonard Grossman, MD · Answer

I have been using Sculptra for nearly 30 years and I’m surprised that you were swollen for a week after your treatment because if a cannula was used to administer the product, you should have absolutely no swelling whatsoever. The lumps you’re feeling are not from Sculptra, since the product does not manifest itself for at least six weeks. I think you can relax and simply let your body do the work with the filler. I hope this helps and good luck from Leonard Grossman MD, New York City Plastic Surgery.

Sculptra nodules? Can they be dissolved? (Photo)

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Sculptra nodules? Can they be dissolved? (Photo)

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Everything you need to know about Sculptra

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