Are There People for Whom Sculptra Simply Does Not Work? (photo)

Hello R and B,

In a perfect world, fat transfer is a permanent and natural way of volumizing face. It is not without potential uncertainties or problems, most commonly partial resorption and the need for revision grafting.

For persons interested in a long term temporary volumizing agent, Sculptra is an excellent alternative.  The most common issue people have after receiving Sculptra from me is lack of effect.  This is because people are either fearful or financially unwilling to get the correct amount of product for their volume deficit.  In addition, the volumizing effect of Sculptra is not from the actual product but from your body's response in making collagen around the crystals, which varies from person to person, and decreases with increasing age of the patient.

You never received enough Sculptra, either in your first visit, or on the subsequent visit three years later.  Looking at your photos, I would put a whole vial in each temple, and another whole vial in each cheek, for a total of four vials.  I would also plan a second visit in one and a half months for another one to two more vials, for a possible grand total of six vials.  If this was done well, you would be very happy with the filling and softening of your facial features.

Best of luck!

Thank you for your question, In the right hands, well-placed Sculptra will give you great results. Keep in mind, it takes 3-6 months to see results with Sculptra. Sculptra is a great product for improving facial volume and collagen building, but for best results, I recommend using it in a combination depending on desired results. I combine Sculptra with other fillers, lasers, toxins and skin care to give immediate results.

Sculptra can produce some very nice results.  Since the main concerns are under filling and overfilling, the treatment process is performed gradually in order to achieve adequate volume and avoid overdoing it.  For most patients with appropriate indications, this takes 4-6 vials.