It's understandable to be concerned about the potential link between your recent Sculptra treatment and your diagnosis of celiac disease. While it is true that autoimmune conditions can sometimes increase the risk of complications with certain cosmetic treatments, the relationship isn't always straightforward. Celiac disease is an autoimmune disorder where the ingestion of gluten leads to damage in the small intestine. Autoimmune diseases can sometimes affect how the body responds to foreign substances, including injectable fillers like Sculptra. However, the formation of nodules or lumps after Sculptra can be influenced by various factors including the technique of the injector, the amount of product used, and individual patient responses, which can vary over time. Given your new diagnosis, it's possible that your immune system's altered state may have contributed to the formation of these lumps, but it's not definitively the most likely explanation. Your provider's advice to avoid further Sculptra treatments is prudent, especially considering your recent adverse reaction. As for alternatives to Sculptra for volume restoration, there are several options you might consider: Hyaluronic Acid Fillers: Products like Juvederm or Restylane are commonly used for facial volume restoration and have a good safety profile. They are also reversible, which can be reassuring. Fat Transfer: This involves harvesting fat from another part of your body and injecting it into the areas needing volume. It’s a more involved procedure but can provide natural and lasting results. Radiesse: This is another injectable filler that provides volume and stimulates collagen production. However, it’s important to discuss with your provider whether this is suitable given your medical history. Collagen Stimulators: Treatments like Radiesse or Bellafill can also be considered, but they should be discussed thoroughly with your provider to ensure they are appropriate for you. Always discuss these options with a board-certified provider who can evaluate your specific situation and medical history to recommend the best and safest alternative for your needs.