Had three sessions a month apart of two vials each time. Cost $2400 each time. The Sculptra itself costs about $750 for two vials so it is very profitable for the doctor. I am a male aged 65. It is VERY IMPORTANT to go to a board certified dermatlogist or plastic surgeon who will himself or herself do the injections. In addition the doctor should have several years experience with fillers. I suspect the people who have been dissatisfied did not go to the best doctors. It takes a full three months for the total results to show up or longer. A month after the first injections you may see no change. It really filled out my face in the cheek and under eye area. You have to be careful not to overdo it or your face can look blown up. My results have lasted almost two years and it's time to go back. A good facelift is quite a bit better and lasts much longer and ends up being cheaper, if you have enough hair to cover the scars..which I do not. A combination facelift and Scuptra is considered the ultimate and that's what some fantastic looking stars around the age of 50 have done. Madonna is believed to have had extensive Sculptra treatments by star dermatologist Dr. Fredric Brandt. Updated on 11 Feb 2011: Have found several much better doctors. He is trying to capitalize on his Palm Beach location to give him credibility. Ask for details about his MD degree and his Dermatological residency. Very unimpressive.