Practicing in Washington, DC I am extremely familiar with the care of the HIV positive patient. The introduction of the retro viral and antiviral medications have enables those who have been infected with the AIDS virus to lead relatively healthy and normal lives. Unfortunately, the price that many of these patients pay for being treated by these extremely powerful medications is fat wasting and lipodystrophy.
Lipostructure or liposculpting is extremely safe in the healthy HIV patient, however, the relative lack of fat as a source for fat transplantation poses a bit of a problem. Longer acting fillers such as Radiesse and Sculptra have become popular alternatives to fat. They are both safe and effective.