Immediate nodule/lump after Sculptra injection, do I continue massaging hard the nodule area?

A lump 12 hours after injection could be inflammation or a sign on infection.  I would return immediately to consult with your treating physician.  With the right dilution there is little risk of nodules and you should not have them develop this quickly.  For the best cosmetic results please consult an expert in Sculptra.  Best, Dr. Green

Dear chisp79:

It takes 10-14 days before injury or Sculptra will actually start the collagen making process and cellulitis within 12 hours would be life threatening so this could be other things:

·        Sculptra or the methylcellulose clumping within the product

·        Most probably a small hematoma due to the needle striking a small vessel

·        It could also have stimulated a parotid gland cyst and should be followed or aspirated

It is most important for your injector to know what has happened and provide the support you need.

Discuss the following options with him / her as it pertains to you:

1.   Aspiration to determine what the lump is

2.   Injection of a local anesthetic if it is the Sculptra mixture to further dilute, numb and allow for deep and firm massage to break up the lump

3.   Non-steroidals such as ibuprofen or naproxen

4.   Warm compresses.

5.   If it does become a granule or nodule, consider the tiniest dose of Kenalog to reduce / stop the inflammatory response and  collagen formation.

I hope this helps. All the best!

Thank you for your question. The most likely cause of your lump is a small hematoma given the time of onset. I would recommend following up with your injector so that they can better assess what is going on and to rule out something more serious.I hope this was helpful - Dr. Moore.