Will Collagen Production Formed After Sculptra Injections Eventually Breakdown?

It is true that the neo collagenesis that occurs as a result of Sculptra injection will eventually succumb to the natural aging process of collagen degradation. Typically this takes place over a 2 year period.

Theoretically, new collagen is your collagen meaning the collagen you grow is yours to keep.  The Sculptra (poly-L-lactic acid) is a small particle which stimulates your body's fibroblasts (cells which make collagen) to make new collagen, thus leading to more volume.  However, patients are still aging.  So over time, volume loss may become apparent again.

Unfortunately, we all continue to age despite all of the new techniques we have to reduce the signs of aging.  The advantage of Sculptra is that it causes us to make our own collagen which will degrade slowly over time as a part of the natural aging process.  Other fillers, such as hyaluronic acid (Juvederm, Restylane) are broken down more quickly by an enzymatic process in our skin requiring more frequent treatments to maintain the same cosmetic result.

Sculptra is in a unique class of tissue fillers, called collagen stimulators. As the Sculptra breaks down in the tissues, it stimulates new collagen production, and the collagen is identical to you own. After the age of 30, your body produces enzymes called metalloproteinases. These enzymes are responsible for breaking down the collagen in your tissues which provides structure & support. Although the collagen stimulated by Sculptra adds much needed volume to the face, the same enzymes act on the newly formed collagen.The good news is that Sculptra continue to stimulate collagen for up to 2 years.

My treatment plan begins with subtracting 30 from your present age, and that is how long the enzymes have been  acting on your own collagen. If you are 48, (48-30= 18), then you have 18 years of weakening of your own collagen, which Sculptra can help. After a full correction, I see my patients once a year to maintain their result.

Sculptra works differently than most other dermal fillers.  Instead of the material in the syringe creating the aesthetic improvement, Sculptra induces new collagen production which leads to the volume enhancement.  A very frequent question for patients is; what happens to this new collagen?

The answer is a bit complex.  The body does not 'see' this new collagen as different than the collagen that existed prior to Sculptra treatment. What does change is the balance of repair and degradation.  There is a constant process of creation of new collagen and breakdown of existing collagen occurring daily.  For most people, somewhere in their mid 20's, this balance shifts towards more degradation and they start to see volume loss.  But here's the lousy thing, the more volume loss you have, the more the balance shifts towards degradation.  Think of it like this; once the process heads down hill, it picks up speed. 

The whole process slows when you add a filler.  The added volume shifts this balance back towards the creation of new collagen.  The more volume that is added, the more it slows the degradation process.  Why this is important when we talk about the effects of Sculptra is that the closer you get to full correction of the volume loss, the longer the effects of the Sculptra will last.  So, the effect of two vials of Sculptra will last more than twice as long as the effect of one vial, the effect of four vials will last more than twice as long as two.  As I said, the answer is a bit complex.  The bottom line: for the longest lasting results, it is best to aim for a full correction right from the start.