Can Thermage Help Get Rid of Too Much Sculptra?

Question

I had most of my sculptra inject about 2-3 years ago. I had facial wasting after a rhinoplasty and endoscopic brow lift. But, my face continues to grow. I hate it, my face is way too fat. I wish I never had sculptra. I had thermage once about a month and a half ago. But, I dont see any help from it yet, in fact, I think my face is growing even more. What do I do, should I get another rhinoplasty, the trauma seems to get rid of the collagen?

Sam Naficy, MD, FACS · Answer

Thermage is a skin tightening process and will not help to diminish the effects of Sculptra. If the Sculptra was injected 2-3 years ago, I find it questionable that you would still have increasing volume from this.

Ron Shelton, MD · Answer

I am puzzled by your condition. I have not heard of any patient whose Sculptra continues to produce new volume after a year. I don't think Thermage will help reduce new collagen from your Sculptra.

Otto Joseph Placik, MD · Answer

At this point I would do nothing but allow time to elapse for the Sculptra effect to dissipate. Any additional interventions could result in complications that are worse than your current problem. In this instance, leave well enough alone, in my opinion.

Michele S. Green, MD · Answer

Sculptra lasts up to two years.  After 2 to 3 years it will be completely gone.  Thermage is excellent for skin tightening but should not be making your face "grow'.  I suggest you consult a board certified Dermatologist to have a consultation to examine the situation.

Cameron Rokhsar, MD, FAAD · Answer

Thermage is a skin tightening process....it will not do anything for reducing facial volume. I can't imagine that the Sculptra is still causing facial volume change this far out. Is it possible that you have gained a small amount of weight and it's appearing in your face?

Darryl J. Blinski, MD · Answer

No there is no medical indication for the use of Thermage to dissipate fillers/stimulators injections. You spent more $'s for nothing - Sorry. The injections you had are most likely gone during this time frame. See another opinions.

	From MIAMI Dr. B

Richard P. Rand, MD, FACS (retired) · Answer

As Dr. Placik has suggested, you need to leave this situation alone rather than doing unproven treatments that might even make things worse.  Let the Sculptra dissipate over time.

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