Sculptra for Breast Implant Rippling

Thanks for your question -

In our San Francisco area practice we would not typically use Sculptura or other injectables in this "off label" manner.  There are several issues:


Typically rippling is a consequence of thin tissue over the implant - this can cause damage to the implants when injections are applied.

Multiple injections in the area increase the risk of implant infection.

The volume of the injections that must be used can be very expensive.


Instead consider using acellular dermal matrix to provide an additional layer of tissue between your skin and the implant.  This techique has multiple advantages but does require a trip back to the operating room.

You should also consider silicone implants which tend to ripple much less than saline.

I hope this helps!

I would avoid Sculptra for the breast region as the skin is thin and nodules may develop and then show. I also wonder if there would be any concern with Radiologist's interpretation of mammograms in the futurre.