Collagen is a protein that creates a supporting scaffold for skin, muscle and bone. Gram for gram, the collagen fibrils found in skin are even stronger than steel. Collagen, like all biological material, eventually degrades and decomposes. This process can take up to 7 years in a living creature. When you are injected with Sculptra or undergo another procedure that stimulates the production of new collagen, such as Fraxel laser therapy, the new collagen that is produced will last just as long as your naturally-produced collagen. The reason you will need to re-do your Sculptra treatments every two years is that as we age, we continually lose more collagen. So, while the collagen that the Sculptra created may still be in your skin, supporting and strengthening it, older collagen has degraded and must be replaced. Thanks to Sculptra and other collagen stimulators, many of the patients I've had for 10 years now look younger than they did when they first came to me. I emphasize to patients the importance of maintenance treatments, such as yearly Sculptra to keep that volume up. However, keeping your skin plump and volumized with Sculptra is not a complete fountain of youth. While it can help you to produce more collagen for years or decades to come, aging is a multifactorial process. In addition to the loss of collagen and elastin, we also lose bone and muscle. Thanks to bone loss, our faces actually get smaller over time. Nevertheless, using lasers, Sculptra and other dermal fillers can help us look younger, like the best version of ourselves at that age, and keep our skin functioning in a more youthful manner. Please find a board-certified dermatologist to help you design a killer anti-aging regimen so you can look even better in 10 years than you do now.