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Aftercare guide

Sculptra Aftercare

Sculptra aftercare, including the 5-5-5 massage routine, what to avoid in the first 48 hours, what’s normal and when to call.

The 5-5-5 massage rule

Massage is the single most important thing you can do for a smooth result. It spreads the product evenly and reduces the risk of lumps forming.

  • Massage the treated areas for five minutes, five times a day, for five days.
  • Use a gentle but firm touch, and follow the technique John shows you.
  • Apart from your massages, try not to touch or press on the treated areas.

Straight after treatment

  • Apply an ice pack wrapped in a clean cloth for 10–15 minutes at a time, a few times on the day of treatment.
  • For discomfort, take paracetamol. Avoid ibuprofen and aspirin unless John advises otherwise, as they can increase bruising.

The first few days

  • Avoid strenuous exercise, saunas, hot showers, sunbeds and alcohol for 48 hours.
  • Sleep with your head raised on an extra pillow for the first few nights to reduce swelling.
  • Drink plenty of water.
  • Keep the skin clean and use SPF daily.

What’s normal

  • Mild swelling for two to three days, and redness that settles within a day.
  • Tenderness and possible bruising, which fades within a week.
  • The initial fullness goes down as the swelling settles. Collagen then builds gradually over the following weeks and months.

Longer term

  • Attend all your follow-up appointments. These are when John assesses progress and decides whether further sessions are needed.
  • Check with John before having any other facial treatments, such as laser or chemical peels.
  • Protect your skin from the sun and keep up a healthy routine.
  • Unlike hyaluronic acid filler, Sculptra can’t be dissolved — which is why following the massage routine matters.

Contact the clinic if…

  • Unusual or increasing pain, or skin that looks white, blotchy, mottled or dusky — call the clinic immediately on 07912 600127.
  • Blistering, or redness that is spreading — call immediately.
  • Any change in your vision, such as blurring or loss of sight — call immediately. If you can’t reach us, go to A&E.
  • A lump or nodule that’s growing, or doesn’t settle with massage.
  • Swelling or bruising that’s persistent or getting worse.
  • Severe pain, or signs of infection such as heat, redness or discharge at the injection points.
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