Are There Other Ways to Deal with the Nodules That Result from Sculptra, Besides Massage?

How often does massage work to reduce the nodules from Sculptra?

Doctor Answers 7

Nodules after Sculptra

If the nodules are very superficical, non ablative fractional lasers (Fraxel) can help to reduce them rapidly.


Sacramento Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Nodules from Sculptra injections

Massaging the area can prevent nodules. In the case of nodule formation, your plastic surgeon or dermatologist can try injecting the nodule with saline, in order to break up what is likely a clump of product. Other options include, injecting steroid or 5-FU into the “nodule”, particularly if it appears inflamed. Make sure you let your plastic surgeon or dermatologist know about the nodule formation as soon as you notice it, because the sooner it Is addressed the easier it will be to resolve it. Hope this helps!

Sarmela Sunder, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 20 reviews

Nodules from Sculptra

Nodules may occur from Sculptra therapy. If they are not visible, they may be left alone. If they are visible various injection formulas have been used from steroid to 5-fu to sterile saline.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Sculptra issues

if done relatively early on, injecting saline into the nodule to get it to break up can be used, but the longer you wait, the harder it will be to break it. It is also difficult to inject directly into the nodule and not around it.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.8 out of 5 stars 27 reviews

Are There Other Ways to Deal with the Nodules That Result from Sculptra, Besides Massage?

I'm sure your injector has tried massage and sterile water injections. If not than try. But sounds like a surgical excision is needed. seek PS to in person advise. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

How to treat nodules from Sculptra injections

The onset of nodule formation from the time of Sculptra injection can vary. Early nodules appear one to three months after treatment and most spontaneously disappear. Sterile water can be injected into these nodules to hasten their resolution. Later nodules can occur from six months to three years and are larger and more inflamed. They usually appear abruptly and are accompanied by swelling and discoloration. These are often referred to as “granulomas”. They can usually be treated by steroid injections. A significant reduction of the frequency of nodules has been achieved with higher reconstitution volume of the injected filler, a longer time between reconstitution and injection (36-48 hours rather than 2-12 hours), injections into the deeper tissue, and post injection massage. In a recent study, 8.5% of patients injected with Sculptra experienced formation of nodules. All nodules could be felt but were not visible.


Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
4.7 out of 5 stars 12 reviews

Treating nodules resulting from Sculptra injections

If Sculptra is reconstituted and injected properly, the incidence of nodules is very low.  We recommend massaging the treated area for several days to prevent nodules.  There are 2 different types of nodules that can occur from Sculptra.  1.  The body can produce an inflammatory (foreign-body) reaction around the Sculptra  or 2.  The Sculptra itself can "clump" - this is more likely to happen if it is not mixed with enough water or is injected too superficially.  If a nodule does form, there are different ways that your physician can minimize or remove it.  The physician will have to evaluate the nodule in order to determine the cause and appropriate treatment.  Treatment may include injections with cortisone, saline, or other surgical treatments. 

Nancy Samolitis, MD
West Hollywood Dermatologic Surgeon
5.0 out of 5 stars 2 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.