I am 64. I have had conflicting recommendations. An ocular plastic surgeon recommended sculptra instead of fillers. An aesthetician said she uses sculptra but not on patients older than 60, as they do not have sufficient collagen to stimulate. Instead, she would use radiesse at temples and mid cheeks and belotero in upper lip and tear troughs. A dermatologist said she would do the same as the aesthetician bc she found sculptra to be unreliable. Why the conflicting recommendations re age?
Is Sculptra's Success Related to Patient's Age? (photo)
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Sculptra and age
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Sculptra and Age limit
Differential collagen stimulation and production relative to patient's age
Clinically there has been an observed inverse correlation between a patient's age and the amount of collagen generation, meaning as a patient becomes more advanced in age, the more vials of Sculptra are needed to achieve the same effect. Younger skin has a greater amount of collagen and the cells that produce collagen, so does create a more brisk response to injected Sculptra. There is no age limit for Sculptra, and sometimes even in patients undergoing facelift Sculptra is sometimes used to replace some of the lost volume.
A quick comment about the tear troughs - the eyelid skin is very thin, and Sculptra should not be injected in this area because of the risk of irregularities. For this area, Belotero and Restylane are the best options.