I had 4 vials of Sculptra . I see no difference. Do you think its going to work or not?

Hi Cathy,The results of Sculptra do vary from patient to patient, but it does eventually work in most all patients.  The amount of correction from Sculptra is directly related to how many treatment sessions one has.  You should ask your injecting physician to compare your pre-treatment photos with your current photos.  Be patient.  About 50% of patients see a noticeable difference after their first treatment, 85% after their second treatment, and nearly all patients see improvement after their third treatment.  Sculptra results may vary depending upon the injecting physician as well, therefore it is important to choose your injector most carefully.  Good luck and be well.Dr. P

Sculptra is a biostimulator, which has your body create collagen and volume.  As such there is a variable response with Sculptra and any facial filler where results may not be as dramatic as desired.  In patients who smoke, older than 70, and in some patients Sculptra may not respond with as dramatic a result as desired.  Consult with your injector and see if there are differences on your before and after photographs to help see what changes are present.

sculptra works fantastically if you do enough vials and you are patient.  I suggest doing them more frequently and in combination with other procedures such as thermage or sublative to stimulate the sculptra and improve your skins texture and lifting ability.  But without photos, we cannot know if you are a great candidate for sculptra at all.  So I suggest posting photos or an in office consultation.  Best, Dr. Emer.

Because Sculptra is a stimulating agent, it normally does take a series of treatments to obtain the best result.  Without seeing you or pictures of you before your treatments, it is difficult to know if you might have been a good candidate for Sculptra or not.  For patients that do not need drastic improvement, it can still take 2-4 treatments to get the desired result.  If a patient's starting point is more severe, it could take 3-6 sessions to get to the final result.  It also will take 1-2 months after a Sculptra treatment to see the effect of that particular treatment session.  I would encourage you to discuss your concerns with the physician who treated you.  

Sculptra works by stimulating collagen production around the areas of injection.  This buildup causes an increase in volume in the area which then helps lift the skin and minimize wrinkles.  This buildup takes time however and it is gradual.  You should see full results by 3 months after the injection.  My best advice to you would be to look at your presculptra photos and compare them to the way you look today.  Oftentimes, becuase the results are gradual over a lond period of time, it is difficult to see the results without the comparison.  If you still don't see any difference, discuss your results with your physician.