Concerned- Sculptra Results. Is lower face only over 12 months ever considered appropriate treatment?

Your concerns are valid. While Sculptra is a versatile biostimulatory filler designed to gradually restore volume and improve skin structure, the approach you've described—6 vials over 12 months placed only in the lower face—is not typical and may not align with standard practice, especially for someone with a slim facial structure.
Here's why:
1. Standard Sculptra ProtocolTreatment areas: Sculptra is most commonly placed in the mid-face (cheeks, temples, lateral face) to lift and support the overall facial structure. Starting in the upper face allows gravity to naturally support lower areas.Timing: Sessions are typically spaced 6–8 weeks apart to allow for gradual collagen stimulation and assessment of results.Distribution: Balanced, full-face treatment usually gives more natural results, especially for slim or mature faces.
2. Risks of Lower-Face-Only Approach
* Focusing only on the lower face—especially with high volume—can sometimes create a heaviness or distorted proportions, especially in lean individuals.* Without midface support, placing Sculptra in the jawline may not achieve the lifting effect claimed, and might even accentuate hollowness in the upper face by contrast.
Is it ever appropriate?
In some cases, lower-face Sculptra may be used selectively—for example, to improve jawline contour or address marionette lines—but it’s rarely done exclusively and with that volume in a slim face over a long period. Most experienced injectors prioritize pper face first for a lifting foundation, then refine the lower face if needed.
Summary
Your experience doesn’t reflect the most balanced or widely accepted approach for Sculptra use, particularly for someone with your build and facial structure. A second opinion from a provider experienced in full-face regenerative aesthetics may help assess options for correcting or rebalancing your results.