Sculptra for Lips

i want perma improvment in my lips.  can i do lip enhancement with sculpta?

Doctor Answers 33

Do not use Sculptra in lips

Sculptra Aesthetic should never be used in the lips.  As a very experienced physician injector and trainer, I instruct other physicians to avoid using Sculptra in areas of the face where the skin is thin or where facial muscles are very active.  The lips are very dynamic, moving frequently with our day to day activities.  Sculptra is thus not appropriate for this area.  Hyaluronic acid fillers are a much better and safer choice.

San Diego Dermatologic Surgeon
4.9 out of 5 stars 23 reviews

Sculptra is not appropriate for lips, eyelids and hypermobile areas with thin skin

Think about how the lips move and eyelids blink incessantly, during the day. The sphincter or puckering action is postulated to cause nodules or lumps, which are either visible and/or palpable. The manufacturer also discourages its use in the neck, where the skin is thin.

Better options in these areas are the hyaluronic acids, Restylane, Juvederm, which will build volume without as high a risk of lumpiness. LKC

Lavinia K. Chong, MD
Orange County Plastic Surgeon
4.8 out of 5 stars 58 reviews

Sculptra is best for cheeks

Sculptra is FDA approved for treatment of lipo-dystrophy of the face (facial fat wasting) due to HIV disease. It can be used off-label for those wanting to add fullness to their face, even if they don't have HIV, but is better suited for deeper areas such as the cheeks.

It is not suggested for the lips. Better options for injectable filler for the lips (lip augmentation) would be Perlane or Juvederm Ultra Plus. If you just want the border of the lips (lip line) more defined, then Restylane or Juvederm are good options.

Jonathan Hoenig, MD
Beverly Hills Oculoplastic Surgeon
5.0 out of 5 stars 40 reviews

Sculptra should not be used in the lips

You should absolutely NOT use Sculptra in the lips. Sculptra in the lips can cause significant problems, including nodules and granulomas.  Hyaluronic acid products such as Restylane and Juvederm perform very well in the lips, although they are not permanent fillers. Hope this helps. 

Sarmela Sunder, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 18 reviews

Sculptra works well for many areas of the face, but not the lips

Sculptra is an excellent facial filler for restoring or increasing volume in a multitude of areas of the face. I commonly use it for the upper and lower portions of the cheeks, the temples, the jawline, the nasolabial folds, and the marionette lines. However, Sculptra should not be used in the lips, as the risk of lumps or bumps would be quite high. You should also avoid permanent fillers such as silicone in the lips. 

For lip augmentation, there are a number of better alternative fillers, such as Juvederm, Restylane, and Perlane. These fillers can be used much closer to the surface of the skin and have the additional of being dissolvable, if you don't like the effect or develop a lump or irregularity.

Overall, the lips are a very rewarding area to inject as patient satisfaction is typically very high. The key is to inject a conservative amount of filler in the right places, to avoid that overdone, "ducky" look.  


Dr. Mehta

Umang Mehta, MD
Bay Area Facial Plastic Surgeon
4.6 out of 5 stars 46 reviews

Sculptra and Lips

Sculptra is a wonderful and provides excellent results in the mid face, jowls, and temples.  Sculptra is not meant for the under eye area or lips where the skin is think and hypermobile.  It is most important to find an experienced board certified dermatologist with excellent injection technique for the best cosmetic result.

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 71 reviews

Hyaluronic acid fillers the best option for lip augmentation

You will run into problems if you have Sculptra injected into your lips.  The best option for lip augmentation is with a hyaluronic acid such as Juvederm, Restylane or Belotero.  They can give you a very natural look, though they are temporary.  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 56 reviews

Sculptra is not appropriate for the lips

Sculptra is not appropriate for the lips.  The best places to use Sculptra is in the cheeks and the temples.  Hyaluronic acid fillers like Juvederm and Restylane can give a nice, natural enhancement to the lips when injected skillfully.  Also, if the hyaluronic acid filler is no longer wanted in the area, hyaluronidase can be used to remove the product. 

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 218 reviews

Sculptra not for lips

Hyaluronic acid fillers such as restylane and juvederm work best in the lips.  Treatments touted as permanent often do not look good five years later. Hyaluronic fillers can last a long time and look natural.

Rebecca L. Euwer, MD
Dallas Dermatologic Surgeon

Sculptra works beautifully, but not in the lips

Sculptra was originally designed to regain volume in the cheek, and temples in people losing a lot of facial volume, such as those with HIV.   It has since become approved as a cosmetic enhancer for the general population.

Still the best areas of use are in the cheeks and temples.  Areas with very thin skin, such as under the eyes, and areas with a lot of movement, such as the lips, are not good candidates. Other products such as restylane, or juvederm can possibly be considered.  

Christopher J. Peers, MD
South Bend Facial Plastic Surgeon
4.6 out of 5 stars 5 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.