Sculptra injected yesterday. Noticing small bruises, should I hold off massaging it? Also it is painful too!

Question

I was wondering if it is bad to massage sculptra if there are bruises in the injection areas and pain? What kind of pressure should I give? moderate? Light? It is in my NS folds, is there a technique to massage there? I've been massaging several times a day but not long intervals as it hurts.I tend to just press the ice pack there and move that around to massage it, is that sufficient? Will bruises get bigger massaging too much? Or fade quicker?

Tanveer Janjua, MD · Answer

It is advisable to massage after Sculptra but i can increase the bruising.  The best option is to use a product called Dermend and apply that for moisturizing the skin and use gentle circular massage.  This would minimize the risk of bruising and yet spread the Sculptra in a uniform fashion.RegardsDr. J

Aldo Guerra, MD · Answer

Thank you for your question.
Massaging in the face after Sculptra follows the rule of 5. 5 times a day for 5 minutes for 5 days after injection. Please discuss the details (pressure, direction) with your injector as these instructions are very important for success.
Good luck. Dr. ALDO

Lisa Airan, MD · Answer

It’s completely normal to have mild bruising and tenderness in the areas injected.  You can and should still massage the area.  It could be helpful to take Ibuprofen before massaging to relieve some of the discomfort, but I would recommend calling the office where you were treated to get their formal recommendation.   A moderate amount of pressure is perfectly fine to use while massaging

Anthony J. Wilson, MD · Answer

Thank you for your question. It is normal to have bruising, sometimes significant bruising after sculptra treatment. There are different theories about sculptra massage and each provider will have a different opinion. I personally believe that massaging is very beneficial in preventing lumps. I like my patients to massage 5x a day for 5 days with firm pressure along the areas injected. Using a good slip (cream, lotion, arnica cream) will make the massage easier and will possibly affect how quickly the bruises resolve. Good luck.

Laura A. Sudarsky, MD (retired) · Answer

bruising after injectables is to be expected. Try taking Arnica to reduce the bruising. Massage is important after the Sculptra injections, you should try your best to gently massage your face 3-5 times a day for afew minutes.

Sculptra injected yesterday. Noticing small bruises, should I hold off massaging it? Also it is painful too!

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