I have a large granuloma under my skin from Sculptra, the doctor is considering chemotherapy, is this a good option?

Question

I have had two large granulomas appear a couple of months after injection. He has injected an enzyme to remove the sculptra and has injected both granulomas - but I'm not sure what with. He used a canula the last time. He mentioned last time that if nothing helps he might inject them with a small amount of chemotherapy (?) This sounds very scary to me. I can live with these if I don't think they will keep "spreading" around my face and will eventually fade. Also I am now on antibiotics.

Jason Emer, MD · Answer

I recommend following up with your Doctor about your concerns with treatment recommendations.  Venus legacy and 5/FU steroids can give improvement. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Steven F. Weiner, MD · Answer

It is not clear to me whether these are nodules or granulomas and I think there is even confusion among doctors. Nodules are collections of filler which are neither tender or red. They are usually due to injection error - too much in the area. Granulomas are inflammatory nodules - red, tender. They need antibiotics such as Biaxin an removal of the filler if possible. 5FU can be used to improve nodules and fillers. It has and anti-inflammatory and antibiotic quality. Sculptra nodules might need excision, collagenase, 5FU, or Ulthera to reduce.

Richard E. Moore, MD · Answer

Thank you for your question. What your doctor is probably proposing is injecting them with is Kenalog + 5FU. This is quite commonly used for Bellafill nodules. If you are very concerned and these are not bothering you, they will usually resolve on their own over time.I hope this was helpful - Dr. Moore.

I have a large granuloma under my skin from Sculptra, the doctor is considering chemotherapy, is this a good option?

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