Sculptra Under Eyes

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!

Doctor Answers 21

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.

Palm Beach Facial Plastic Surgeon

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.

William Ting, MD
Bay Area Dermatologic Surgeon
5.0 out of 5 stars 11 reviews

Do not use Sculptra under eyes.

To Specka,

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.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

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. 

Enough said.

Nathan Mayl, MD
Fort Lauderdale Plastic Surgeon
4.5 out of 5 stars 7 reviews

Sculptra is not recommended for use under eyes

We generally do not recommend the use of Sculptra under the eyes, due to a higher risk of nodule formation and its irreversible nature. Instead, a laser resurfacing treatment or hyaluronic acid filler such as Restylane may be a better bet. I recommend visiting a board-certified dermatologist with experience treating the eye area for an in-person consultation to find the best treatment plan for you.

Karen Beasley, MD
Baltimore Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

Sculptra around eyes

I do not use Scuptra to address eyelid laxity, wrinkles, bagging(festoons). It has no place for use in the soft periorbital skin.   Options to consider would include Belotero injections into the fine lines or using some energy based technology to tighten loose eyelid skin.  Options we consider with our patients include: customized Ultherapy treatments, Genesis treatments, RF treatments such as Pelleve, and skin resurfacing with ablative lasers.  Severe laxity may even require surgical correction.

Steven Swengel, MD
Los Gatos Dermatologic Surgeon
5.0 out of 5 stars 11 reviews

Sculptra prone to complications under the eyes

Sculptra would not be my choice for the thin skin 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

Sculptra under the eyes

Sculptra is good for many things and in the right hands, the areas under the eyes can be treated skillfully.  However, with so many good hyaluronic acid fillers that can be easily reversed, the area around the eye is not recommended as an area of treatment with Sculptra.  

Sculptra is a wonderful drug in 'thicker' parts of the face.  

Mike Majmundar, MD
Atlanta Facial Plastic Surgeon
4.5 out of 5 stars 38 reviews

Sculptra Under Eyes

Thank you for your question. There are many fillers can be use for under the eyes (tear trough) area.  I would recommend being treated under the supervision of a Board Certified Dermatologist or Plastic Surgeon for safest and best treatment option. I hope this helps.

Sculptra is wonderful, but not under the eyes

Sculptra is a collagen (read: volume) stimulator. It is a wonderful product and one of my favorites. But it is not recommended for use in the thin under eye area. It's not really a good treatment for fine wrinkles at all. It is ideal for stimulating collagen production in the hollow areas of the face and can improve the quality of the skin in the cheeks when placed with the right technique. It's an ideal way to restore balance to the aging face. Be sure to see a physician who routinely uses a lot of Sculptra. This is a product where experience is important.

Kimberly Finder, MD
San Antonio Dermatologic Surgeon
4.5 out of 5 stars 45 reviews

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.