This can be very normal. Some people just have a narrow sunken cheek structure and they may need more than 4 syringes of Perlane, Radiesse, Evolence to improve the appearance. Sculptra is a volumizer as well, and works by stimulating your body to make more collagen. It is done differently than the above fillers. Rather than getting an immediate effect, the Sculptra is delivered every six weeks or so. The volume, which is mostly a liquid used to dilute the product, vanishes within a day or so, and the volume that you see immediately after the procedure is gone quickly. Then the body builds up the collagen and you see a gradual improvement.

