Distorted Facial Shape After Jawline Sculptra Injections

Thanks for the question.
There really isn't any "standard injection" pattern for Sculptura (or any other filler for that matter). The injection areas and volume has to be specifically tailored for each patient's particular facial shape and for each patient's concern.
Sculptura will reduce in profile with time. You may be seeing post-injection swelling right now, and will likely have a better idea of your post-injection contour in about a week. The effects of Sculptura itself will fade over the next 6 months to year.
Express your concerns to your plastic surgeon.
I hope this helps.

The most important thing to remember after Sculptra injections is that what you see immediately post-injection is not the same result that you will see over time. Yes, the same areas will see an increase in volume, but not to the extent that was seen with the initial injections. The final result will be more subtle. Over the first few days, the body will absorb the extra fluid that was used to dilute the product and the local anesthetic. Patience is key with Sculptra.
Be sure to discuss any post-injection concerns with your injector, and always see an expert physician injector.
All the best,

Early on, since Sculptra is a large volume of injectable product, it can create dramatic swelling for some patients.  It is difficult to determine which areas are swelling and which areas are Sculptra.  Patients should continue to massage the products afterwards and keep close tabs with their injector.  Sculptra was originally used for patients with HIV lipodystrophy and is made up of poly-L-lactic acid.  Sculptra has the potential for lasting longer than some other fillers, but it has some significant side effect

-Nodules and Granulomas- Can occur with use of Sculptra.  Knowledge of Sculptra and facial anatomy as well as mixing constitution have resulted in decreased incidence of nodules occurring.  

-Infection- Since Sculptra is replaced ultimately by your body's response to it its incidence of infection is very low

-Overly filled appearance- In some patients the response to Sculptra can be vigorous and patients can note an overly full look to the area injected.  Since Sculptra is not reversible, patients must wait for this product to dissipate which can be years.

Overall, in properly trained hands with an experienced injector, Sculptra can add significant amounts of volume to patients and is a useful filler.

Hopefully, your physician Sculptra injector would have performed vigorous massaging right after Sculptra injection and also provided explicit instruction for you to do the same at home, e.g. rules of 5's (massage for at least 5 minutes, 5x/day for 5 days). There should not be nodularity 48 hours after Sculptra injection with good Sculptra injection techniques and consistent massaging.

Well over 90% of the Sculptra emulsion injected into your skin is sterile water, so the results immediately after injections look very puffy.  What is important for even collagen production after Sculptra injections is regular massaging of the treated areas to disperse particles out evenly into the dermal tissues to create smooth collagen response throughout the treated area.  We stress the 5-5-5 rule to ensure even predictable results.

Sculptra takes weeks to show its effect. 

When it is initially injected, the sculptra is mixed with sterile water.  The fullness you see immediately after injection is this fluid, which gets absorbed, and swelling.

Sculptra is a little malleable when first injected.  You and your doctor decide where to address.  Then you must massage 5 minutes, 5 times a day, for 5 days.

If you see fullness in an area you don't want, it could be swelling or it could be product.  I would urge you to see your doctor, as they know how much they injected and where. Usually though it is swelling.

 

I would give it a tincture of time for the swelling to go down. The change from two vials of sculptra is subtle so I think that it would create a small change. Going forward your surgeon can alter the treatment and what you need.

Dear Live,
Your face will return to your pre-injection state within the next two days as the water from the solution is absorbed. Then, over the next 8-10 weeks, you will form collagen in response to the Sculptra particles that are left behind. This collagen response is almost never to the full volume that was injected with the water. So, expect a much more subtle effect when all is said and done.
Sometimes injection, toward the jawline is done to "feather" the treatment. I don't know if this is the case for you or not. Consider a visit to a another plastic surgeon that injects Sculptra if you feel that your prior injector did not listen to your concerns. Good luck!

The description of the results are not consistant with the amount used and I believe that you have a lot of swelling and may be you had bleeding in the deep tissue .Do not worry and let the swelling to resolve and then discuss your concerns with your doctor.

Be patient. It is way too early to see anything. Often, a series of treatments would be needed to get the desired effect from Sculptra. I don't understand why the jawline was injected if that is not what you wanted. Perhaps it is just dependent swelling after the procedure? Give it some time to resolve.