Sculptra lumps, what should I do? (Photo)

Question

I had sculptra for volume loss 11 months ago. There were two injectors working on me, one on each side. My left injector was done in half the time as my right injector and the results are quite different. I have lumps on both sides, but larger and more on the left. My right side has much more volume and is even overfilled in my smile line creating a bubble of skin above my jawline. I have a second treatment planned to address the unevenness, but what about the lumps?

Nelson Lee Novick, MD · Answer

I'm sorry this has happened to you. I stopped using Sculptra quite a few years ago, once more robust HA fillers ca(me on the scene whose result can last almost as long as those from Sculptra, are less expensive, require only one treatment session to achieve (Sculptra usually requires three treatment sessions) and can be reversed with hyaluronidase should the need arise. Sculptra has no enzyme equivalent to hyaluronidase with which to dissolve it if there are adverse reactions or undesirable results. Fortunately, I have developed an algorithm to treat persistent problems created by the use of semipermanent and permanent fillers, which consists of an algorithm of varyiing combinations, concentrations and amounts of intralesional anti-inflammatory agents. You would be wise to consult with an experienced, board certified cosmetic dermatologist filler injector and best of luck.

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