Inexperienced medical student injected Sculptra under the eyes and now huge bumps.
Thank you for writing Gary. My heart goes out to you on this one and I know if you could have a “do over” on that day, you would take it. Here are some thoughts for options in a situation like this. Just so it’s clear, the current (they have changed over time) clinical guidelines on use of Sculptra do NOT recommend using Sculptra around the eye area for this reason.
- You and others out there with a similar problem could choose to find the closest Sculptra expert to you and get a second opinion. I would recommend that you see Dr. Danny Vleggar who is Swiss and currently (double check this) has a clinic in France and one in Amsterdam. At the very least, his office may be able to recommend someone closer to you.
- Steroid injections don’t work with these nodules usually…. and often make the area look worse because they tend to thin the already thin skin around the eyes even more and can cause redness. Experts only with any steroid injections around the eyes PLEASE!
- In our experience, and this is NOT published data, the only thing that helps – besides surgery – is for a nurse or doctor to numb the area with injectible lidocaine, and then take a 25, 27 or sometimes 30 gauge needle and use the needle tip to physically chip away (gently) at the nodule which injecting sterile water (the same that is used for reconstituting it in the first place). Then repeating that every 3-4 weeks. These are NOT in general inflammatory nodules which is why steroid injections don’t work. These are collections of too much Sculptra material in one spot. Hope that makes sense.
- You have the option of having these surgically excised by a good plastic surgeon.
- Another option is for the doctor to “cushion” around these nodules with some hyaluronic acid filler done carefully to make the area look better while the bump is being addressed.
- THE EYE MUST BE PROTECTED AT ALL TIMES WITH THE ABOVE – EXPERTS ONLY PLEASE.
I hope this helps, Dr. I