I made a huge mistake and had 1 cc of Sculptra injected in the under eye hollow! I went to a new dermatologist who assured me...

Question

that it wasn't a filler, so I wouldn't get lumps. I shouldn't have agreed! Only afterward did I read that it's not approved for use there. I'm visiting a country where there's no Belotero, and have not had good results with Restylane. Obviously I won't return there again! I massaged 5 minutes today, and will daily for 5 days. Should I use a lot of pressure, or a little? Are lumps likely to form, and when would they form? It looks fine now, although I've read this is just temporary swelling.

Jason Emer, MD · Answer

I use scuptra here all the time. no fillers are approved for the under eye area.  many people use scuptra with the right dilution here to increase collagen, and often combine this with PRP or an HA filler such a belotero or restylane silk. I suggest you trust your physiican or go to someone who you do trust.  Best, Dr. Emer.

Anna Petropoulos, MD, FRCS · Answer

Hello, thank you for your question. Sculptra, like any filler, can produce lumps. Many products are used for the under eye, despite not technically being "approved" for this area, with good result. Firm massage (5 x/day, 5 min, 5 days) is the appropriate post-care for Sculptra. Due to the delicate nature of the undereye skin, it is important to use firm pressure but be cautious not to pull on or stretch the skin while doing so. Sometimes bumps can be felt but cannot be seen- this is okay. In the future, consult with a provider experienced in medical aesthetics, and particularly with experience treating under the eyes. Best of luck! Genie Alexander, RN BSN for Dr. Anna Petropoulos, MD FRCS at Center for Classic Beauty, Danvers & Boston, MA.

Raffy Karamanoukian, MD, FACS · Answer

This is an excellent area for dilute injections of Sculptra. In my practice, i have seen excellent longterm results in the undereyes. I would massage the area with Plato's Scar Serum. Best, Dr. Karamanoukian Los Angeles

Sheila S. Nazarian, MD · Answer

As you can see, many respected Doctors use Sculptra under the eye so don't panic. However, massage at this point isn't going to make any difference so you can stop. Best, Dr. Nazarian

Gerald Minniti, MD, FACS · Answer

Hello,There is what is known as off-label usage of drugs and medical products that are not only perfectly legitimate and effective, but also very commonly performed.  Sculptra is a product that has unfortunately developed a bad reputation, and many doctors no longer use it. When done properly, Sculptra has many applications, including the tear troughs.  Gentle massage for a few minutes a few times per day is very good, and will encourage a smooth, even result.Sculptra is technically not a filler. It is a crystalline polymer that promotes collagen production, which in turn causes volume increases and wrinkle reduction.You should be fine.

Mark T. Boschert, MD · Answer

Sculptra, like any filler can produce lumps. There are no fillers that are approved for this area, and yet all of them are use there. I think you should continue to massage with firm pressure and the bump should not be visible. If you can feel it, that is OK as long as the contours are good.Good luck!

Michele S. Green, MD · Answer

I love Sculptra and use it routinely on the face to build collagen and promote a more youthful appearance.  I don't typically use Sculptra under the eyes since Restylane and Belotero work so well.  If you are concerned you should consult a board certified dermatologist who is an expert in this delicate under eye area.  eMatrix also is fabulous at tightening the skin under the eyes.  Best, Dr. Green

I made a huge mistake and had 1 cc of Sculptra injected in the under eye hollow! I went to a new dermatologist who assured me...

Answers (7)

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