Is Sculptra Likely to Cause Lumps if Injected in the Temples?

Sculptra can be used effectively in this area.  What you describe is a good indication for the use of Sculptra.  I agree with the other doctors that it should be administered by a well trained and experienced injector.  You may need a few treatments to get the desired result.

Sculptra is a beautiful filler to use in the temples.  However, no matter where you have Sculptra injected it must be done by an expert injector - this will help avoid complications like lumps - which are completely avoidable if performed correctly.

Hello MissSpot,

This is a similar situation you see with Botox Cosmetic.  The FDA has only evaluated Boytox Cosmetic's use for wrinkle reduction between the eyebrows where 'the elevens' exist.  However, it is commonly used it to reduce wrinkles around the eyes (crow's feet) and forehead too.  This is called 'off label use' and does not mean it is ineffective or unsafe, only that it was not evaluated by the FDA.  Sculptra Cosmetic's usage is much broader, and encompasses the entire face and temples, like it's identical sibling, Sculptra Reconstructive.

Lumps and bumps have become a very negative and real side effect of Sculptra that is injected improperly.  That is why the company that distribute it requires that the physician has successfully completed an injection training course.

The temple is an area where Sculptra can be injected both deep (not on the bone but under a layer called fascia) as well as under the skin successfully without lumps.

Be sure the person you go to has had a lot of experience with the product.

Best of luck! 

Sculptra is a volume stimulator. It doesn't occupy space instantly the way a filler does. Sculptra stimulates you to make your own collagen in a gradual process over weeks and months. By doing a series of sessions we can gradually, and very naturally, turn back the clock. I love using it for temple rejuvenation. Dermatologists and other aesthetic physicians have been using Sculptra for softening hollow, sunken faces for nearly a decade and I find it to be an essential part improving the aging face. I love what Sculptra does for my patients, and for myself--I'm a Sculptra patient, too!

The Sculptra DVD doesn't discuss using it for temple areas because of the very specific wording of FDA approval for Sculptra. But, it's important to remember that almost everything we use in medicine is used in an off-label way. Botox is only FDA-approved for frown lines between the eyebrows, yet it's used just as frequently to treat the crow's feet and forehead lines in an off-label use.

As we age, a fat pad in the temples shrinks and makes them depressed.  To fill this area, Sculptra is injected deeply in the temples, along the bone in a series of about 3 sessions.  By injecting at this level, the risk of nodules is very low, and the product spreads out evenly.  It creates the collagen at the periosteal layer (lining of the bone).  It's a very quick and easy procedure.  It cause some skin tightening around the eyes and eyelids too.