We believe patients should understand their treatment before making a decision.
Dr Adam Tan
Founder

Sculptra Has an Established Clinical Safety Profile — But It Is Not Risk-Free
Sculptra is a medical device containing poly-L-lactic acid (PLLA).
In Malaysia, Sculptra is registered with the Medical Device Authority (MDA) under Galderma Malaysia. The current MDA record identifies Sculptra as a non-active soft-tissue implant and describes its intended use for correction of facial depressions, wrinkles, folds, scars, skin ageing and larger-volume facial fat-loss correction.
However, "registered" does not mean that every patient is suitable or that complications cannot occur.
diode laser
Most injection-related reactions are temporary.
Depending on the individual patient, common reactions may include:
Redness
Swelling
Bruising
Tenderness
Discomfort
Itching
Injection-site sensitivity
These reactions can occur after injectable aesthetic treatments and generally improve as the treated area settles.
The duration and severity can vary from person to person.
Important:
A normal short-term reaction should not be confused with a complication.
If a reaction is severe, worsening, persistent or unusual, the patient should contact the treating medical practitioner for assessment.
Mild swelling around injection sites can occur following Sculptra treatment.
The amount of swelling varies depending on:
Treatment area
Injection technique
Individual sensitivity
Amount of product used
Patient characteristics
Temporary swelling does not necessarily mean that something has gone wrong.
Patients should follow the specific aftercare instructions provided by their treating doctor.
If swelling becomes unusually severe, progressively worse or associated with other concerning symptoms, medical assessment should be sought.

Because Sculptra is administered through injections, small blood vessels can occasionally be affected.
This can result in:
Bruising
Discolouration
Tenderness
The likelihood can vary according to the treatment area, individual anatomy, medications and other factors.
Patients taking medications or supplements that may increase bleeding or bruising should discuss these with their doctor before treatment.
One of the Most Important Risks to Understand
Patients sometimes worry about lumps after Sculptra.
Small palpable areas or nodules can occur following treatment.
Some may be related to the treatment process and may resolve over time, while persistent or clinically significant nodules require assessment by the treating doctor.
This is one reason why:
Appropriate injection technique and correct product preparation matter.
Patients should not attempt to massage, manipulate or treat persistent lumps themselves unless instructed to do so by their treating doctor.
Like other medical treatments, Sculptra can cause hypersensitivity reactions in susceptible individuals.
Galderma's instructions for use list hypersensitivity to product constituents and certain histories of severe allergy as contraindications.
Patients should tell their doctor about:
Previous allergic reactions
Severe allergies
Previous reactions to injectable treatments
Known allergies to relevant ingredients
Previous reactions to local anaesthetics where applicable
A complete medical history is an important part of treatment planning.
Sculptra Is Not Simply About the Product
Two patients can receive the same product but have very different treatment plans.
Treatment planning can involve consideration of:
Facial anatomy
Facial proportions
Skin quality
Facial volume
Previous procedures
Treatment areas
Patient expectations
Medical history
The MDA's registered-device information itself indicates that injection depth and quantity depend on the treatment area and expected result.
The product is only one part of the treatment.
The medical assessment and treatment plan matter too.
Assess First. Treat Second.
Dr Adam's approach begins with patient assessment rather than automatically assuming that Sculptra is appropriate.
The consultation considers:
1. Medical history
Previous procedures, allergies, medications and relevant medical conditions.
2. Facial anatomy
The patient's individual facial structure and proportions.
3. Skin condition
Skin quality and any active skin problems.
4. Previous aesthetic treatments
Previous fillers, threads, energy treatments or other procedures may be relevant.
5. Treatment objectives
What the patient actually wants to improve.
6. Suitability
Whether Sculptra is an appropriate treatment option.
7. Long-term planning
How the treatment should be reviewed over time.
Is Sculptra completely safe?
No medical treatment is completely risk-free. Sculptra has an established clinical safety profile, but side effects and complications can occur.
What are the most common Sculptra side effects?
Common injection-related reactions can include swelling, redness, bruising, tenderness and discomfort.
Can Sculptra cause lumps?
Yes. Palpable lumps or nodules can occur and should be assessed if they persist, worsen or are concerning.
Can Sculptra cause granulomas?
Inflammatory granulomatous reactions are possible but uncommon. Persistent or unusual nodules should be medically assessed.
Can Sculptra cause swelling?
Yes. Temporary swelling can occur after injection.
Can Sculptra cause bruising?
Yes. Bruising is possible with injectable treatments.
Who should not have Sculptra?
Suitability depends on the individual. Relevant contraindications and precautions include certain hypersensitivity or severe-allergy histories, and the cited Galderma IFU lists a history of or susceptibility to keloid/hypertrophic scarring as a contraindication. Active disease or infection at or near the treatment site is also a reason to defer treatment until controlled.
Can someone with a history of keloids have Sculptra?
This requires particular caution. The cited Galderma Sculptra US IFU lists a known history of or susceptibility to keloid formation or hypertrophic scarring as a contraindication. Patients should disclose any history of abnormal scarring before treatment.
Can I have Sculptra if I have an infection?
Treatment should be postponed when there is an active infection or inflammatory disease in or near the intended treatment area until the underlying condition is controlled.
Does more Sculptra mean better results?
No. More product does not automatically mean a better result. The MDA information specifically states that the quantity and injection depth depend on the treatment area and expected result and that over-correction should be avoided.
Is Sculptra suitable for mature skin?
Some mature patients may be suitable, but age alone does not determine suitability. The face, skin, medical history and treatment goals should be assessed individually.
Can I have Sculptra after filler?
Possibly, depending on your previous treatment, product, injection sites and current facial condition. Your doctor should know about all previous aesthetic procedures.
What should I do if I develop a lump?
Contact your treating doctor for assessment. Do not attempt to inject, dissolve, massage aggressively or otherwise treat a persistent lump yourself unless specifically instructed.
What if I am worried about my Sculptra result?
Contact the doctor who performed the treatment. An in-person assessment is preferable to attempting to diagnose the problem through photographs or internet information.
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Tropicana Branch
PG-13 Ground Floor, Tropicana Avenue, 47410 Petaling Jaya.
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No.16 Ground Floor, Jalan Telawi 3, 59100 Bangsar.
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