Ryan S. Owsley, MD

I think that Sculptra is a good choice for you.  Sculptra addresses the underlying fat and bone loss in the upper face which is what causes prominent nasal labial folds and marionette lines.   The downside to Sculptra, is that it is not as instant as some of the HA fillers, but in the long run is longer lasting and addresses more directly the undelrying cause.  After completing your initial Sculptra injections, you may still need some HA fillers in the area, but it will be significantly less.   

In our practice we recommend for someone your age to get a vial every 1 to 2 years.  Someone in their 40's to 50's we recommend a maintenence schedule 2 vials every 1 to 2 years.