I'm considering Sculptra. My dermatologist recommended 2 vials for the first treatment. My face is thin but I don't want to over do it, is it better to start with one vial?
Better to Start with One Vial of Sculptra?
Doctor Answers (8)
Sculptra Dilution Critical
It is more important to have a well diluted (10ml) vial of Sculptra than the number of vials.
Even 2 vials can be safely administered.
There is no set rule
I have been doing Sculptra a long time, and have never had a patient need less than two vials. Most need 3-6, depending on their age, their immune response to the PLLA, and the severity of their photoaging. Even so, I often do one vial at a time, especially in patients under 40. For those over 50, I usually start with two vials. It is always easier to add than subtract with fillers and neuromodulators. I'd go with your doctor's recommendation. After all she/he knows your full case the best.
Follow your dermatologist recommendation for two Sculptra vials
We never do less than two vials and often more at the initial treatment when using Sculptra or Sculptra Aesthetic (same product - different box).
We have used Sculptra since its introduction in the U.S.
We have found that if you do not com mitt to sufficient material, you will not like the result. It is not a product you try a small amount to see if you like it - you will not like a small amount because it does not work in small amounts.
We have never had a patient who has had too much Sculptra and have use as much as five vials at the initial treatment.
Your dermatologist is right in wanting you to start with enough"stuff" that you begin to fill the envelope.
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One or two vials of Sculptra
I fully understand your concern of not "over doing it".
As long as you understand that using one vial may be insufficient for the effect you want, there is NO reason why you should not have the Sculptra administered in 2 stages to allow you to see the intermediate result. Your Dermatologist should not have a problem with this approach.
Sculpta and Vials
More than 1 vial of Sculptra is common
It's common in the first injection, but it's okay to take it slow as well if you're more comfortable with that. 1-2 vials is typically used in the first injection session. Immediate effects from these injections disappear in a day or two after the swelling goes down. The second injection session is usually 6-8 weeks later. You will likely not begin to see the results of Sculptra until after the 2nd session.
Having only one vial in the first treatment session will mean that you're a bit slower getting to the results, but it's perfectly okay to do that if you're more comfortable with it. It really depends on which areas, how many areas, and how much you would like treated.
I would recommend to follow the injectors determination of what you need. But if you are concerned, go see other injectors to get their opinions. Regards.