Sculptra Under Eyes - Any advise for using Sculptra on this area for eye bags and wrinkles?

Sculptra can be used to improve volume loss in certain areas, but its ability to improve the lower eyelid area depends highly on patient anatomy. If there is volume loss in the cheeks and descent of the soft tissues of the cheek away from the orbital rim, then Sculptra may be helpful to restore volume in this area and camouflage the lower eyelid problems. 
Keep in mind that Sculptra will not directly address the lower eyelid bags and will simply be temporarily disguising them. The Sculptra should also not be injected near the eyes or close to the eyelid skin due to risks of complications. Even when performed properly, this is going to be a temporary and unsatisfactory solution in most patients. A similar option (although quicker) would be to use a hyaluronic acid-based product like Restylane to disguise the lower eyelid bags more directly, and then add volume to the cheeks with Sculptra. 
Ultimately, the best option is going to be a lower eyelid blepharoplasty in addition to something (Sculptra, Voluma, fat transfer, cheek implants, etc) to restore volume to the cheek area. Using fat transfer or cheek implants, this results in a permanent solution and the best cosmetic result. Always see an expert physician injector for any injections, and for lower eyelid issues, see a surgeon who specializes in facial aesthetics.
All the best,

Sculptra does well for cheek augmentation and global loss of volume.  However, it should not be used in patients for under eye areas, including the tear trough, as the skin is very thin and the chance of a visible nodule or granuloma is higher.  In addition, the mobile area around the eye is much more likely to clump the product and the use of Sculptra should be avoided.

Sculptra would not be my choice for the thin skin under the eyes.My suggesions include:Use a good eye cream, preferably one with retinolWear sunglasses to prevent further sun damage to this delicate skinConsider an energy-based procedure to tighten the skin (eg Ultherapy, radiofrequency)An HA filler in the tear trough and cheek can help to "camouflage" the bag

Sculptra is good for many things and in the right hands, the areas under the eyes can be treated skillfully.  However, with so many good hyaluronic acid fillers that can be easily reversed, the area around the eye is not recommended as an area of treatment with Sculptra.  Sculptra is a wonderful drug in 'thicker' parts of the face.  

Thank you for your question. There are many fillers can be use for under the eyes (tear trough) area.  I would recommend being treated under the supervision of a Board Certified Dermatologist or Plastic Surgeon for safest and best treatment option. I hope this helps.

I advice against using Sculptra underneath or too close to the eye area.  There is too much risks.  I would consider using a hyaluronic acid filler like Restylane or Juvederm in these areas. 

There have been reports of nodularity when Sculptra injection is performed along lower eyelids and is to be avoided. Experienced physician Sculptra injectors will not go above the orbital rim of the eye sockets. On the other hand, it may be okay to massage the recently injected Sculptra along the upper cheeks close to the orbital rim immediately after the Sculptra injection to conservatively achieve some volume restoration in the area.

Sculptra is a deep injection and I would not inject it under the eyes.
I would stick with hyaluronic acid fillers in this are which is reversible in case of a problem.

We generally do not recommend the use of Sculptra under the eyes, due to a higher risk of nodule formation and its irreversible nature. Instead, a laser resurfacing treatment or hyaluronic acid filler such as Restylane may be a better bet. I recommend visiting a board-certified dermatologist with experience treating the eye area for an in-person consultation to find the best treatment plan for you.

I do not use Scuptra to address eyelid laxity, wrinkles, bagging(festoons). It has no place for use in the soft periorbital skin.   Options to consider would include Belotero injections into the fine lines or using some energy based technology to tighten loose eyelid skin.  Options we consider with our patients include: customized Ultherapy treatments, Genesis treatments, RF treatments such as Pelleve, and skin resurfacing with ablative lasers.  Severe laxity may even require surgical correction.