Can Sculptura Cause Autoimmune Diseases?

There have been no reports that Sculptra causes autoimmune diseases, but I generally don't recommend Sculptra in patients who may have a connective tissue disease (which Vitiligo is not) or are on immunosuppressant medications (as they may interfere with the collagen production Sculptra induces). 

Thank you for your question. For small focused areas, this is not the product I use first.  I like to use HA or Radiesse and in some cases Artefill for this type of problem. I hope this helps!

In general, Sculptra will not cause any autoimmune disease or worsening of Vitiligo. Typical side effects of Sculptra may include the following:

1) Lumps, or "nodules."
2) Redness or swelling at the injection site
3) Bruising

If you wish to have Sculptra in the submalar region and have no other issues, it would not be necessary to dilute it. The amount of vials you need can be determined by a board certified and experienced provider following an examination. I hope this helps, and I wish you the best of luck.