Sculptra has more disadvantages then advantages

In my opinion Sculptra is a great product for certain situations. It doesn't require surgery to harvest fat.

However it is expensive, can cause granuloma formation, and is unpredictable in my opinion of how much delayed collagen formation you would expect to see.

Fat also has some problems with more swelling and bruising after the procedure, variable resorption rate, and the possibility of lumpiness.

In my hands at least, I prefer fat augmentation over Sculptra, as I feel I have more control and in most cases, it's less expensive.