I chose to do Sculptra because I have always been very "on top" of looking my best, now that I am older the sagging in my cheeks and chin are making me hate the way I look. I am in excellent shape and only my face is a great disappointment to me. I would have gone for a face lift but the 3 week down time is a impossibility in my life so after much research I chose Sculptra. My only real concern is if it will give me results I can be content with. Yesterday I had my first treatment, they applied a numbing cream 30 minutes before. I must say it was still very uncomfortable. Much worse than a root canal or crown. So be prepared for some pain. I had no bruising and some swelling, several small red needle marks, and slightly tender when I massage. I read some comments about nodule formation around the eyes, my doctor did inject directly below the eye socket area or in the high cheek bone area, I asked about nodule formation in those areas and he said they happen if the Sculptra is not injected deep enough into the dermis. I have a second treatment scheduled in 6 weeks, he said i might be a candidate for 3 treatments however most of his patients are satisfied with 2. So now the waiting game begins, I think this is the hardest part!