Too much collagen after Sculptra – what now???

Help! I had two rounds of sculptra in may and July of 2013 and looked great. I went in to ask about some lines by my mouth and my doctor recommended one more round of sculptra. I didn't need more volume and now I have a bottom heavy face. My jaw sticks way out and my lower cheeks are extremely puffy. I am beside myself and desperate to reduce. Waiting two years in hopes this dissolves feels devastating. I have reached out to some doctors about a reduction and everyone has a different answer. Collagenase, 5fu and kenalog - will any of these work to reduce this excess collagen? Thank you for your help.

In my opinion, if there is a discreet product bump that is visible, the best remedy is to use a combination of sterile water with a particular needle technique and then cushion around it with an HA filler like Restylane.  Any doctors who would like to know more about this, please call me at my office and leave your contact information.  More on Sculptra.

But …… it sounds like you are saying there is no discreet bump, it’s just generally too full.  In this situation, in my opinion, then the best option is to pull the volume in the upper face “up” to balance it with an HA filler like Perlane or Voluma.  In a sense, you are “fooling” the eye until the volume in the lower face goes down.  I don’t recommend trying to “spot” remove it in some way.  It would probably just end up lumpy.  

Hope this helps, Dr. I

Dr. Brandith Irwin, MD

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