![]() The most important consideration when choosing sculptra as a filler, is to receive the product from an experienced injector and not just an injector of typical dermal fillers, but a physician who has used Sculptra in his or her practice for some time and can show you good results from previous patient treatments. The most common side effects after initial treatment include injection site swelling, tenderness, redness, pain, bruising, bleeding, itching and lumps. Occasionally, with the newer techniques, a granuloma or inflamed bump, can occur, but treatment is available and resolution usually occurs in a short time. Most commonly, side effects include those similar to dermal fillers such as temporary lumps and bumps, bruising, redness, swelling, etc. Subsequently, techniques were developed by experienced injectors which minimized the development of these side effects. Its early use required placement similar to that of dermal fillers which led to many of the problems you have read, including granuloma formation, commonly described as bumps under the skin, which could occur shortly after treatment or even months later. It wasn't until 2009 that Sculptra received approval for its use as a cosmetic filler and at that time only for use in the nasolabial folds and lines on the face. Sculptra was initial approved by the FDA in 2004 for the treatment of lipoatrophy associated with HIV patients. Sculptra, in general, is a safe product to increase facial volume however, unlike most dermal fillers, extra care, skill and expertise is required to achieve optimal results with few side effects. What are the side effects of Sculptra Bruising and swelling at the injection site Minor skin irritation or itching Redness or discoloration Lumps or bumps. I instruct all my patients to firmly massage the injected areas for five minutes, five times a day, for five days. Subcutaneous nodules can form for a variety of reasons which include injecting too superficially, insufficient time for reconstitution, inadequate dilution, over correction, increased concentration of Sculptra caused by muscle movement, or allergic or inflammatory host responses. Massaging the area after Sculptra injections should decrease the risk of nodules by more evenly dispersing the particles. They can usually be treated by steroid injections. These are often referred to as “granulomas”. They usually appear abruptly and are accompanied by swelling and discoloration. Later nodules can occur from six months to three years and are larger and more inflamed. These symptoms usually only last for 2 days to up to 2 weeks. It can occur as redness, itching, pain, swelling, bruising, bleeding or tenderness. You can experience this irritation in many forms. Early nodules appear one to three months after treatment and most spontaneously disappear. The most common side effect that patients of Sculptra are affected by is an irritation of the skin at the area where the treatment was administered. The onset of nodule formation from the time of injection can vary. All nodules could be felt but were not visible. In a recent study, 8.5% of patients injected with Sculptra experienced formation of nodules.
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