I had 4 vials of Sculptra . I see no difference. Do you think its going to work or not?

Hi Cathy,The results of Sculptra do vary from patient to patient, but it does eventually work in most all patients.  The amount of correction from Sculptra is directly related to how many treatment sessions one has.  You should ask your injecting physician to compare your pre-treatment photos with your current photos.  Be patient.  About 50% of patients see a noticeable difference after their first treatment, 85% after their second treatment, and nearly all patients see improvement after their third treatment.  Sculptra results may vary depending upon the injecting physician as well, therefore it is important to choose your injector most carefully.  Good luck and be well.Dr. P

Without seeing before and after pictures it is impossible to comment on your specific case. I have never seen Sculptra result in no improvement. Different patients need different numbers of treatments to see the results they desire. Have a frank conversation with your provider about your concerns before your next treatment.

Sculptra is a biostimulator, which has your body create collagen and volume.  As such there is a variable response with Sculptra and any facial filler where results may not be as dramatic as desired.  In patients who smoke, older than 70, and in some patients Sculptra may not respond with as dramatic a result as desired.  Consult with your injector and see if there are differences on your before and after photographs to help see what changes are present.