“Lipoatrophy Due to HIV Meds - Sculptra Does Not Work”

You are right. He is very good. I am still have great confidence in him. It's the product-Sculptra that I have big doubt now.

Lipoatrophy due to HIV meds is a complicated issue. the treatment needs an aesthetic approach but with a caculating angle(estimating how much is required to thicken the skin where the fat loss is), due to the amount of fat loss sub cutaneously. Facial Lipoatrophy fat loss is not just in the obvious areas such as the cheeks and temples, it is global across the face and unless the practitioner is experienced in treating this condition the patient can be disappointed. I treat lipoatrophy and have done for nearly ten years in the UK. In my opinion HIV related facial lipoatrophy treatment needs a minimum treatment of 3-4 sessions using 1-2 ampoules per session. Yes it does take up to 6 months to kick in, that is because the collagen produced/ stimulated in the area treated is only as a result of the breakdown mechanism of the PLLA, everyone has their own pace. On a plus side, it does last for up to 2-3 years depending on how many sessions you have and how much is put in at any one session. Hope this helps.....

I totally agree. If you have severe loss of fat in the face, several treatments are required. I used the same guy in LA beach area and had terrific results with 2 vials. I went back at 5 years ago, 1.5 years ago and just now to keep up the aging process and correcting med problems. Late 40's. I got great results, but you never want to over correct. It may take 3-5 treatments just like the package insert states. I am totally happy with the results. There is a patient assistance program and insurance does cover it on occasion. I had 1 paid for and hopefully the last one. Good luck and keep at it. You will be pleased. Remember a product can only do so much at a time. 2 vials a session is as much correction at one time. Your doc is giving you good advice and you just have to watch and see how each treatment works.