My doctor said I would benefit from using Sculptra for the little criss cross wrinkles and bagging under my eyes. I haven't read much on Sculptra being used in this area. She tried Botox, but it doesn't really do too much in that area. I just turned 44 years old and am fair-skinned. I am also concerned about excessive bruising in that area. Any advise for using Sculptra on this area for eye bags and wrinkles? Thanks!
Sculptra Under Eyes
Doctor Answers 23
Sculptra can reduce the appearance of eyelid hollows
Sculptra can actually reduce the hollows under your eyes. It is important to realize that sculptra achieves this effect indirectly in a manner very different from other fillers. Where fillers such as restylane or juvederm. Can be injected above or at the inferior orbital rim (the lower rim of your eyelids)to improve the tear trough area, sculptra should not be injected above or right at the margin of inferior orbital rim. I inject sculptra just under the inferior orbital rim over the upper cheek bone to reduce the size of the lower eyelid hollow. This technique can be very effective in reducing the appoearance of sunken eyes.
Sculptra injection to be avoided along under eyes
There have been reports of nodularity when Sculptra injection is performed along lower eyelids and is to be avoided. Experienced physician Sculptra injectors will not go above the orbital rim of the eye sockets. On the other hand, it may be okay to massage the recently injected Sculptra along the upper cheeks close to the orbital rim immediately after the Sculptra injection to conservatively achieve some volume restoration in the area.
Do not use Sculptra under eyes.
Hi! Sculptra was designed to fill in hollow cheeks, requires more than one treatment, and is irreversible (if you get a lump, there is no way to dissolve it).
1) Lower eyelid bags can be improved with injections, depending on your anatomy. The best filler for this area (also the one we have the most experience with) is Restylane, injected DEEPLY. It lasts a long time in this area (over 9 months), and it is potentially reversible if necessary.
2) The very fine lower eyelid criss cross lines don't respond well to fillers of any kind. For these, you need some combination of Botox, resurfacing with a dual modality erbium laser, or lid surgery.
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Sculptra under eyes
There have been several reports of nodules under the eyes following Sculptra injections.
When Sculptra first came into use in the US, about 8 years ago, injecting (off label) under the eyes was common, but due to the nodules, this area is no longer injected with Sculptra.
Injecting Sculptra over the cheek bone will pull slightly some skin from the lower cheek upwards and some of the lower lid downwards, thus tightening the lower lid skin slightly.
Injecting Restylane or Juvederm over the bone of the tear trough will further tighten the eyelid skin.
If all this still isn't enough, CO2 Laser resurfacing, or Thermage can be very helpful.
Always make sure that you are being treated by an experienced, Board Certified Dermatologist or Plastic Surgeon.
Sculptra training specifically recommends that it not be used in the eyelids or lips
Sculptra was just released for cosmetic use.
I have just taken the new training module. As most trainers have recommended, it should not be used in the lips or eyelids.
Sculptra under the eyes
Sculptra can be used to improve volume loss in certain areas, but its ability to improve the lower eyelid area depends highly on patient anatomy. If there is volume loss in the cheeks and descent of the soft tissues of the cheek away from the orbital rim, then Sculptra may be helpful to restore volume in this area and camouflage the lower eyelid problems.
Keep in mind that Sculptra will not directly address the lower eyelid bags and will simply be temporarily disguising them. The Sculptra should also not be injected near the eyes or close to the eyelid skin due to risks of complications. Even when performed properly, this is going to be a temporary and unsatisfactory solution in most patients. A similar option (although quicker) would be to use a hyaluronic acid-based product like Restylane to disguise the lower eyelid bags more directly, and then add volume to the cheeks with Sculptra.
Ultimately, the best option is going to be a lower eyelid blepharoplasty in addition to something (Sculptra, Voluma, fat transfer, cheek implants, etc) to restore volume to the cheek area. Using fat transfer or cheek implants, this results in a permanent solution and the best cosmetic result. Always see an expert physician injector for any injections, and for lower eyelid issues, see a surgeon who specializes in facial aesthetics.
All the best,
Sculptra For Under the Eyes or Tear Trough?
Sculptra does well for cheek augmentation and global loss of volume. However, it should not be used in patients for under eye areas, including the tear trough, as the skin is very thin and the chance of a visible nodule or granuloma is higher. In addition, the mobile area around the eye is much more likely to clump the product and the use of Sculptra should be avoided.
Sculptra is not recommended for use under eyes
Sculptra around eyes
Sculptra prone to complications under the eyes
My suggesions include:
Use a good eye cream, preferably one with retinol
Wear sunglasses to prevent further sun damage to this delicate skin
Consider an energy-based procedure to tighten the skin (eg Ultherapy, radiofrequency)
An HA filler in the tear trough and cheek can help to "camouflage" the bag
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.