Why didn't Sculptra work? (Photos)

Hello! Sculptra injections are less predictable than other injectables such as Voluma with regards to how many will be required to see a change. Honestly, your lower face is quite ptotic/droopy and you would best benefit from a lift of some sort, which would reposition quite a bit of volume into the midface region. Over time that may be more cost effective for you. I would recommend talking with another injector (preferable a facial plastic surgeon) who can discuss in more depth your options. I seldom use Sculptra anymore as Voluma gives instant results and often is less expensive for patients seeking long lasting midface volume. Good luck!

It is very hard to comment without understanding the goals of your treatment.  Sculptra is not and should not be used to fill tear troughs, but is instead a facial volumizer.  Based on the photos shown, you would probably have been better considering a surgical approach (lower lid blepharoplasty) for the upper third of your face. If Sculptra is used for the wrong purpose or in a situation where another treatment would be preferable, the outcome is not likely to be satisfying. 

Sculptra injectable works by stimulating one’s innate soft tissue to produce collagen over a period of weeks and months.  It is a technical procedure and must be precisely injected at the proper level and proper amounts and care is taken to stay away from certain parts of the face where problems are more likely to occur. But even when performed expertly, the effects are not the same in everyone. Some patients received an excellent response with just a few sessions. There are some who don’t seem to respond as well, sometimes due to immunologic conditions as an example. 

Thank you for sharing your question and I am sorry that your results have not been what you anticipated.  Sculptra is designed to help stimulate the body's development of collagen and has a delayed onset compared to hyaluronic acid based fillers.  Sculptra is excellent at restoring volume in the temples, cheeks, and jaw lines but it is not indicated for use in the area around the eyes.  I would voice your concerns to your injector and assess your results by examining your "before" pictures.  Your injector should then be able to provide you with treatment plans or reassurance.

It is unclear where the Sculptra was injected. Sculptra works by correcting shallow to deep facial wrinkles and folds. It also helps to replace lost collagen. Sculptra is great to use to add volume to the temples, cheeks and jaw lines. Sculptra is not indicated for use in the tear troughs. I recommend having this evaluated by an expert injector.