Sculptra

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Sculptra is a safe, synthetic and biocompatible material that is injected below the surface of the skin. It’s made up of microspheres (a spherical shell that is usually made of biodegradable or resorbable plastic polymer, that has a very small diameter usually in the micrometer or nanometer range, and that is often filled with a substance as a drug or antibiotic, for release as the shell is degraded) of poly-L-lactic acid. Because poly-L-lactic acid is the main ingredient in Sculptra, patients don’t require allergy testing.

INITIAL CONSULTION

Used For Patients With Laxity Or Volume Loss In The Midface Who Want Volume And Improvement In The Appearance Of The Face

Sculptra Treatment Should Only Be Performed After A Complete Discussion Of The Risks Related To The Treatment And Written Informed Consent Obtained. Consultation Includes:

  • Discussion of pretreatment, post treatment, expectation, the MOA, duration, results, post tx instructions, risks, benefits, possible need for more treatment, price and comfort level of the treatment
  • Review pt allergies, infections if they have metal implants, infection, mesh, autoimmune disease, steroid use or other injectables in area. Pt ‘ s do not respond well to Sculptra when on prednisone or on chronic steroid use
  • Review pain level and need for topical anesthesia and that Sculptra is premixed with lidocaine
  • Discuss types of anesthesia used which include: numbing cream & lidocaine embedded in product
  • Based on pt’s pain tolerance and allergies, the above anesthesia may be utilized
  • Ask patient to come in with a clean face, with no infection or open wounds on the face
  • Premix Sculptra with 5- l 0cc of Sterile Water at least 48hrs prior to treatment

Sculptra- Day Of Treatment

  • Review and have patient sign consent form (see below)
  • Take patient Before Photos
  • Mix Sculptra mixture with l cc of l % lido plain prior to injection if pt is not allergic
  • Have sit or lie in designated chair, make sure face is clean and apply appropriate anesthesia
  • Have anesthesia topical sit for 30+ minutes on the treatment area
  • Removed the remainder of the numbing cream and make sure face is clean and dry
  • Inject the product periosteally or intradermally to indicated areas
  • Massage in an upper circular motion towards the ear all along the treated areas with moderate pressure
  • Reach hemostasis with direct pressure and may apply arnica
  • Teach Patient post tx massage and direct to massage for 3 min, 3 x per day for 5 days
  • Erythema, whelping, bruising and swelling is normal
  • Follow Up in 6-8 weeks, taking photos and reviewing. Consult patient on whether to do another vial or not depending on happiness with results

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