Can a Sculptra nodule/bump be dissolved or do they have to be surgically removed?

Can nodules that develop with injection of Sculptra be dissolve or do they have to be surgically removed? Can the Dr. that did the injections be liable for any cost in having the nodules removed? Is this considered a lack of expertise on the part of the physician that is conducting the injections?

Unfortunately, there are still a lot of questions and problems out there in the aesthetic universe on this one.    I will be honest here.   In over 10 years of using a lot of Sculptra, I have only had to remove 1 nodule surgically and the scar is not visible.   I’m hoping the below will help all of you.  Understanding Sculptra.

  1. Tiny or very small and invisible Sculptra bumps are normal and shouldn’t be manipulated in my opinion.   They go away gradually on their own and are invisible;
  2. Most smallish Sculptra bumps, if identified early, can just be massaged out by massaging every night for about a minute with  lotion for 2-4 weeks.   After a Sculptra treatment, we have our patients do two weeks of frequent (see the company protocol) massage and then massage once a week  for 2-3 months for about a minute so that any bump formation will be caught early;
  3. If the bump isn’t gone after #2, then I can usually dissolve these slowly over 2-6 months.  Since this is technical, if your board certified doctor wants to call my office, I will talk them through this.   They need to identify themselves as a doctor, and leave a full name and phone number;
  4. Surgical removal should be very rare and a last resort, in my opinion.

Hope this helps, Dr. I


Dr. Brandith Irwin, MD

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