Should I get Sculptra over another fat transfer session?

I'm going through so much depression and desperation I'm only 23 years old and had a nose job. During the surgery my surgeon acted unethically and removed my bichat fat pads. I didn't end up with a sunken look but I do look older than before and that makes me very sad. We attempted a fat transfer but after only 2 weeks I believe 90% of it has been absorbed. Would 1 vial of Sculptra per year replace the volume I had in my cheeks? My pads were about 6ml in size. Please, help me, I'm desperate.

Doctor Answers 4

Fat or Sculptra for Cheek Hollows

I am sorry to hear about your complication. Without seeing you in person it is difficult to offer advice. Fat transfer takes a series of treatment to reach your desired size. Sculptra is another good alternative. Sculptra works to correct shallow to deep facial wrinkles and folds. Also, it helps to replace lost collagen. Best of Luck!


Summit Emergency Medicine Physician
5.0 out of 5 stars 24 reviews

Improving buccal fat pad area with filler

This is an area that is very hard to fill with filler because it takes alot to create a change. Sculptra or Bellafill will give long lasting results. Fat is an option as well. I can't see how a surgeon would do an operation without consent. 

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.6 out of 5 stars 27 reviews

Fat vs Sculptra for cheek hollows

Dear lu483:

Sorry for your troubles!

Fat grafting vs Sculptra for Bichet Fat Pad replacement is a interesting problem. 

  1. Both need serial sessions
  2. Both need a talented and skilled surgeon.
  3. Fat is considered a filler and is inexpensive to harvest and graft and may last forever once the volume and survival have been reached.
  4. Sculptra will provide firming and some tissue fill but will need yearly upkeep and there is an expense to purchasing product.

Based on this limited consideration, choose your surgeon wisely and I would go with fat grafting. 

All the best!


Dean P. Kane, MD, FACS
Baltimore Plastic Surgeon
4.8 out of 5 stars 70 reviews

Should I get Sculptra over another fat transfer session?

Thank you for sharing your question and I am sorry to hear of your surgical complication.  Unfortunately without an in-person examination it is difficult to offer definite advice.  In general fat transfer takes a series of treatments to ultimately reach a desired size but if you are unwilling to undergo another treatment, Sculptra is a good alternative.  Best wishes. 

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 43 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.