How Soon After Sculptra Can I Have Fat Injections?

I have had a total of 3 vials of Sculptra injected 3 months ago, but the restored volume I obtained was minimal. I need 2 more vials of Sculptra to obtain sufficient volume correction, in addition to having an Hyaluronic Acid in the hollow areas under my eyes. I regret spending such a large sum of money for such a small gain. Cost-wise, a fat transfer makes more sense. Is it possible to obtain optimum results from a fat transfer following Sculptra, and if so, how long must I wait between the Sculptra injections and the fat transfer?

Doctor Answers 4

Sculptra and Subsequent Fat Injections

Hi Camile,

Given that you have already had 3 sessions, and have one more for full correction with Sculptra, you should have your treatment and then wait for at least 6 months before having fat injections.

Good luck and be well.

Dr. P

Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Dissatisfaction with Sculptra

The results from Sculptra are dependent upon a variable response triggering collagenesis. This process can take several months and you should be patient. However, even if they are achieved, there remains the question of how long it will last. Fat injections can be administered in large volumes with immediate results and the potential for long term solution. In my opinion, 3-4 months is sufficient time to assess the results.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Wait 6 months before fat transfer

Sculptra is an immune stimulator and you may still get further improvement from it.

If after six months you feel you need further improvement, you can go ahead and have fat transfer.  Fat transfer will give you a more immediate result. 

Lenore Sikorski, MD
Orange County Dermatologist
4.3 out of 5 stars 24 reviews

Give more time for Sculptra to work before fat injections

Sculptra is a seed. You are awaiting the body's response to develop collagen below the skin to lift the epidermis. This can take up to six months to develop. I have seen patients without a response suddenly develop lifting when seen at the six month followup after seeing not much improvement at three months. If you get fat injections, which are a graft, and not guaranteed to live, you might add too much volume so that if the Sculptra shows its effect you might be overcorrected after the fat injections.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 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.