I have AIDS and I have hollow cheeks & eyes. I saw a Dr about getting sculptra as a filler for my cheeks. He "mentioned" we should start with botox and juvederm. Since i was already planning to have that done (via groupon....lol) I said why not, hoping to build a rapport with the Dr, if i would have just stuck to the plan. I dont make a lot or money (student) i just want to look normal (not looking for the fountain of youth) can someone recommend a course of action Or DR that work with HIV
March 4, 2016
Answer: HIV-Associated Facial Lipoatrophy Strategies Good question! Several years ago I was the senior surgeon on research outlining an appropriate treatment and grading system for individuals suffering with mid-facial HIV associated lipoatrophy. Our initial recommendations for Grades 3 and 4 cases included the placement of Terino Malar Cheek Implants and supplement with fillers for non-midfacial areas. Individuals with Grades 1 and 2 cases could often start with fillers first and then modify therapy based on results. Surgical options worked best on patients with T-cells greater than 100 and near undetectable viral load counts. Today, most patients prefer and respond extremely well to various synthetic fillers and soft tissue therapies requiring injections, at almost any T-cell level or viral load. However, the healthier the individual and the better the labs, this is preferred. In my experience, Sculptra provides excellent correction and long term collagen support for mid facial lipoatrophy provided you have full correction. This means that most individuals requires 3 sessions of 2 vials/ session, administered no more that 6-8 weeks apart. Once the beneficial effects of the Sculptra take effect, maintenance therapy, 1 vial, is offered as needed. Full correction can last over 1-2 years following this protocol. With regards to reducing cost, Sculptra (Galderma) offers a Patient Assistance Program for qualified applicants based on need and income. If you apply and are approved, you may qualify to receive Sculptra at a reduced cost. Galderma can direct you to participating providers in the program too. Other fillers, i.e Juvederm Ultra Plus, Volume, Restylane Lyft may also work well for patients and are well tolerated. However, these therapies typically do not last as long. Experienced physician injectors essential for the best results using Sculptra or the gel fillers. I suggest viewing your therapy on a long term basis, budget and map out a strategy to get the correction you desire for the best result.
Helpful
March 4, 2016
Answer: HIV-Associated Facial Lipoatrophy Strategies Good question! Several years ago I was the senior surgeon on research outlining an appropriate treatment and grading system for individuals suffering with mid-facial HIV associated lipoatrophy. Our initial recommendations for Grades 3 and 4 cases included the placement of Terino Malar Cheek Implants and supplement with fillers for non-midfacial areas. Individuals with Grades 1 and 2 cases could often start with fillers first and then modify therapy based on results. Surgical options worked best on patients with T-cells greater than 100 and near undetectable viral load counts. Today, most patients prefer and respond extremely well to various synthetic fillers and soft tissue therapies requiring injections, at almost any T-cell level or viral load. However, the healthier the individual and the better the labs, this is preferred. In my experience, Sculptra provides excellent correction and long term collagen support for mid facial lipoatrophy provided you have full correction. This means that most individuals requires 3 sessions of 2 vials/ session, administered no more that 6-8 weeks apart. Once the beneficial effects of the Sculptra take effect, maintenance therapy, 1 vial, is offered as needed. Full correction can last over 1-2 years following this protocol. With regards to reducing cost, Sculptra (Galderma) offers a Patient Assistance Program for qualified applicants based on need and income. If you apply and are approved, you may qualify to receive Sculptra at a reduced cost. Galderma can direct you to participating providers in the program too. Other fillers, i.e Juvederm Ultra Plus, Volume, Restylane Lyft may also work well for patients and are well tolerated. However, these therapies typically do not last as long. Experienced physician injectors essential for the best results using Sculptra or the gel fillers. I suggest viewing your therapy on a long term basis, budget and map out a strategy to get the correction you desire for the best result.
Helpful
