Unusual filler complication with Sculptra – gooey nose

I had 2 vials of Sculptra injected in my face very close to my nose. About 4 to 5 weeks later my nose was filled with this gewey substance that I can not blow out. It's always clogged no matter how much saline solution I spray up there, and I have had numerous sinus infections since. Though the Saline solution helps a tiny bit. At times I am able to blow or pick some of this nasty, gewey stuff out. It's the texture of like a rubber band. The next day, it's back to the same routine. I never had an issue like this until after the Sculptra injections. I have been to a ENT because it continues. He believes that the Sculptra settled in my sinus's which is mainly the area where most of the Sculptra was injected. My face still has the same hollowness it has prior to the injections. No improvement at all. Is this theory about Sculptra complication from the ENT possible?

Yikes! This sounds very unpleasant, not a previously reported filler complication to my knowledge, and concerning.

In my opinion, here’s how to proceed with this filler complication:

  1. Contact your doctor who injected the Sculptra and get the actual chart notes and confirm that this was REALLY Sculptra. I cannot tell you the number of times we have requested chart notes for patients with complications only to find what they thought they were injected with was actually something different. Try to confirm beyond a shadow of a doubt what the filler was.   It’s very unusual for Sculptra to be injected close to the nose like that except for a few drops at the top of the nasolabial fold and that certainly wouldn’t be 2 vials.
  2. Second, ask your ENT or get another ENT to order a CT or MRI of your sinuses. If there is filler material of some type in your sinuses, it will show up on the scan and also make it clearer what needs to be done to help you.
  3. Thirdly, fillers can be biopsied or, if there is loose material like this, put on a pathology slide. A good dermatopathologist can often tell under the microscope what the material actually is.   We’ve had to do this occasionally with patients with complications from other offices where we can’t get the records.

Just so you know, this may not be Sculptra in your sinuses but, its is important to find out! It would be very difficult for someone to inject ANY filler into a sinus (we have 8 total in our face) because you would have to go through bone to do it and that is not easy to do.

More about Sculptra in this guide I wrote – A Guide to Scupltra.

Hope this helps,   Dr. I

Dr. Brandith Irwin, MD

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Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skin care advocate.

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