Sculptra® is approved by the FDA for restoration and/or correction of the signs of facial fat loss (lipoatrophy) in people with human immunodeficiency virus. It is used "off label" in non-HIV patients. It is my preferred filler for patients like, as you describe, have lost fat in their face and either don't have any fat for transfer or would rather not undergo that procedure.
Fat wasting is mere loss of fat in the face or anywhere else for that matter this can occurs with aging. Sculptra® is a safe product that relies on your body's reaction to it to "fill". It also causes thickening of the skin. It is important to realize that it usually takes a couple of treatments to get to the desired result (which may take 3-6 months). Once the endpoint is reached, it may last up to 2 years.
