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Wednesday, October 5, 2011

Q: I came across your posting after reading on-line about Sculptra lumps.What causes this?

A: I did the FDA study on Sculptra and the only complication ever seen was the occurrence of small nodules. Usually there are three types. The first you see in the first few months and is due to a collection of the product in one area. Usually daily massage for the first two weeks after treatment twice a day will help prevent these. The second and classic nodule occurs at six months. This is usually a bit of a granulomatous reaction. This needs to be treated with subscision, kenalog and 5 FU..  A qualified doctor comfortable with this treatment can do this. The third is a delayed reaction that occurs at a year and a half. This is T cell mediated and needs to be treated with oral prednisone and doxycycline.

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