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.....
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Posted to Lipoatrophy Due to HIV Meds - Sculptra Does Not Work on 20 Mar 2010