Results of Sculptra and Perlane Cheek Injections Gone After 4 Days

Sculptra works by inducing inflammation and collagen formation. It is completely normal to see the initial volume effect and swelling diminish after several day. Understand tat your result will evolve over the course of several weeks. Generally, you will need to massage the treated areas to minimize firmness and lumps.

Hi there!
Sculptra takes many weeks to fully produce its intended effect, and so I wouldn't worry at this point. Think of Sculptra injections like planting seeds that take time to grow. Give it about a month, and the original effect of the injection will likely return.
1 cc of Perlane is not a large volume to split between the two cheeks, and so its effect, while more immediate than Sculptra, may not be obvious.
In short, I think you will be happier with your treatment next month. Hope this is helpful!

Sculptra naturally "disappears" after about a day, as the diluting fluid is absorbed by your body.Over about 4 weeks, your body will respond to the particles by creating inflammation and  new collagen, and this is how your face "fills in" after sculptra injection. That said, one bottle of sculptra will rarely give a dramatic change and you may need more. Perlane may not be the best choice for cheek augmentation because you want something that works best deeper under the skin or over the bone.

Of course, an examination of the need for volume replacement would need to be assessed.  I have been using Sculptra for about 6-7 years.  There are several issues of concern:

1. In my opinion, one vial of sculptra is usually not nearly enough to fill the cheeks;

2. One syringe of Perlane is not nearly enough for the cheeks either.  The obvious strategy is to have the Perlane give the immediate fill effect and while this dissipates over the next 9 months (normal duration of Perlane), this gives enough time for the Sculptra to take effect;

3.  Sculptra MUST be used in at least 2 if not 3 sessions in fairly large volumes, certainly more than one vial for two cheeks on most occasions.  One must wait about SIX MONTHS (not weeks) after the LAST injection before one can expect any reasonable results.  Waiting four days just means that the sterile water and lidocaine have been reabsorbed and the one syringe (1.0 cc) of Perlane is just not enough to make enough difference.  Patience is required while the Sculptra takes effect.  It is a SLOW and controlled process;

4. Bottom line suggestion (again, need an exam to confirm) - need more Perlane (or Juvederm Ultra Plus), probably another syringe for the short term effect (first 6 months).  As this dissipates, the Sculptra should be beginning to have effect.  Sculptra should be given in session 2 six weeks after session one, usually with more volume, and session 3 six weeks after session 2 with a slight decrease in volume need again.  I would try to buy the Sculptra on a 1cc basis rather than a vial (7cc) basis.  Only get what you need--no more and no less.

I hope this was helpful.

 

Patients should keep in mind that Sculptra works a little differently than the other cheek injections. Sculptra is a chemical that once injected into the cheek will slowly accumulate and attract water. As this does so this chemical will swell and thus create fullness in your area of treatment. For this reason, the immediate results of Sculptra will not be your final results. Patience is necessary as the Sculptra continues to work. You will likely need to return to your doctor in approximately 6 to 9 months for a reevaluation and to inject additional Sculptra.