Would Sculptra help with my nasolabial folds and under eyes?

Thank you for sharing your concerns—these are very common and thoughtful questions, especially at your age when you’re being proactive about long-term facial balance.

Sculptra can be helpful for nasolabial folds, but it’s important to understand how it works and where it works best. Sculptra is a collagen stimulator, not a traditional filler. Rather than adding immediate volume, it gradually encourages your body to produce its own collagen over several months. For patients like you who have naturally fuller cheeks contributing to visible nasolabial folds even at rest, Sculptra can be used strategically in the midface to improve overall structural support and soften folds indirectly—without overfilling or changing your natural facial shape.

However, Sculptra is not appropriate for the under-eye area. The skin there is very thin and delicate, and Sculptra carries a higher risk of nodules or irregular texture in that region. Volume loss under the eyes after isotretinoin (Accutane) is something I see frequently, but it requires a very targeted and conservative approach. Typically, this area responds better to treatments specifically designed for the tear trough, and sometimes non-filler options that improve skin quality rather than volume alone.

At 30, your biggest advantage is that your skin still has strong regenerative potential. The goal is not to “fill” but to restore support and improve collagen in a way that looks natural over time. When done thoughtfully, this can soften nasolabial folds and improve under-eye hollowing without making the face look heavy or overtreated.

In summary:
• Sculptra may help soften nasolabial folds indirectly when placed correctly in the midface
• Sculptra should not be used under the eyes
• A conservative, collagen-focused approach is ideal at your age

You’re asking the right questions, and prioritizing subtle, long-term improvement is exactly the right mindset.