Sculptra For Aging Face. Am I a Candidate With Auto Immune Issues?

I am 62 yrs old with auto immune issues, Chrohns , polymyalgia rehumatica, and reynaulds. These injectibles are the first that have gotten my interest to fill in my aging face since I am small and and thin. I do know that this method has been successful in HIV patients so I was wondering if it would have any adverse actions on my conditions

Doctor Answers 4

Sculptra should only be used in patients with healthy immune systems

SculptraAesthetic was approved by the U.S. FDA for use in people with healthy immune systems. Because of the risk of granulomas (areas of walled-in inflammation), Sculptra is not generally used in people with autoimmune diseases. Since Crohns disease is a disease that causes the body to make too many granulomas in general, it is especially risky in that population. In fact, many of the current Sculptra studies exclude patients with known autoimmune disease from their studies. HIV causes a depleted immune system, which is different than the immune dysregulation seen in autoimmune disease.

Saint Louis Dermatologic Surgeon
5.0 out of 5 stars 6 reviews

Sculptra is not for you

Patients with autoimmune disorders should not have Sculptra injections, as complications can occur, including granuloma like lumps and painful nodules. Another option is Selphyl, a skin rejuvenation process derived from your own blood platelets. 

Harrison C. Putman III, MD
Peoria Facial Plastic Surgeon
4.7 out of 5 stars 13 reviews

Sculptra and Autoimmune disease

I would say you would do fine with sculptra.  Sculptra is poly lactic acid which is an absorbable suture material.  It is suspended in solution and injected under the skin.  Each bit of suture material forms its own scar tissue or collagen around it. 


I am not aware of any data that would suggest that Sculptra is a bad thing for you. Give it a try.

Robert Kearney, MD, FACS
La Jolla Plastic Surgeon
5.0 out of 5 stars 32 reviews

You are NOT a candidate for Sculptra.

Sculptra is not really a filler, it is an imunostimulatory agent which activates your own cells to make collagen. Since your immune system is out of control, it may cause too much inflamation or not enough.


Jeffrey Schiller, MD
Edison Oculoplastic Surgeon
5.0 out of 5 stars 11 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.