What can be done to achieve a slimmer appearance 3 months after Sculptra? (photos)

Question

I had 2 vials of sculptra 12wks ago. I lost 100lbs naturally 3yrs ago which resulted in more prominent nasolabial folds, however, I still had a full face. Just more definition. Sculptra has made my face so chubby, folds actually look worse, and my cheek definition is gone. I’m 5’4” and 140lbs I don’t think I could lose much more weight to fix this. My face looks like it did when I was 240lbs. I’m so depressed. I know sculptra is not reversible, but is there anything I can do to slim my face?

Anna Chacon, MD, FAAD · Answer

Sculptra works by stimulating collagen production gradually over months, and while it is effective for restoring volume and softening folds, in some cases it can create an appearance of excess fullness if too much product was used or if your facial structure responds strongly. Unlike fillers made of hyaluronic acid, Sculptra is not dissolvable.

At this point, a few considerations may help:

Time: Sculptra results can continue to evolve for up to 18–24 months. In some cases, the fullness softens as collagen remodeling stabilizes.

Fat-dissolving injections (Kybella / deoxycholic acid): These can be used in selected areas, such as the jowls or submental region, to refine and slim the face.

Energy-based treatments: Devices such as Ultherapy, Morpheus8, or radiofrequency microneedling can help tighten tissue and improve contour.

Careful use of dermal fillers: Strategic placement of hyaluronic acid fillers in areas like the cheeks or jawline may restore definition and balance, even if overall volume feels increased.

While Sculptra itself cannot be reversed, supportive treatments and time can often improve facial harmony and help you regain a slimmer, more contoured look.

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Achieving a slimmer appearance three months after Sculptra treatment, which focuses on volumizing and stimulating collagen production, may involve a combination of additional treatments, lifestyle adjustments, and skincare practices. I hope this helps and best of luck!

What can be done to achieve a slimmer appearance 3 months after Sculptra? (photos)

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What can be done to achieve a slimmer appearance 3 months after Sculptra? (photos)

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Everything you need to know about Sculptra

Our mission is to create a world where every investment in modern beauty is Worth It.