Sculptra for Laugh Lines and Hollow Under Eyes?

Sculptra is FDA approved for BOTH HIV facial lipoatrophy AND non-HIV volumization. Sculptra, when injected by an experieinced injector, is one of the most powerful injectables for adding volume to the entire face - including under the eyes. Make sure you ask you doctor how much experience he/she has witht he product, in particular if you are going to be injected under the eyes. Undereye injections should only be done with the most experienced injectors.

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

I would not recommend Sculptra for the laugh lines and for the hollow under eye area.  Instead, a better option would be using a hyaluronic acid filler like Juvederm or Restylane for the under eye area and Botox for the laugh lines. 

If you want to reduce the hollow sunken eye look and improve the smile lines, any filler like Juvederm, Restylane, Radiesse or Sculptra will work.
However, the best results for long term results come with Sculptra. It works slowly and gives a subtly dramatic look.
Please make sure a high dilution of at least 6 cc or better if 10 cc is used. That reduces the risk of nodule formation.
Regards

Sculptra is a suspension and the particles can settle from the liquid. They might tend to move more as a consequence from the muscle movement of the eyelid than Juvederm or Restylane, and therefore may not improve the fine laugh lines around the eyes. You do have to wait for the Sculptra to induce your own body's production of collagen, whereas the Restylane or Juvederm can volumize your tear trough and improve the hollowness of the lower eyelid. These hyaluroinic acids are more homogenous than Sculptra and allow me to do finer work in these areas. When correcting the lower eyelid, there may be a greater chance of developing Sculptra bumps because the skin is so thin in this area and a slight bump elsewhere on the face might not be visible but in the lower eyelid it couild be obvious.

I agree with Dr. Aldea. Sculptra is generally used for large volume filling and not for fine lines. This is injected deep in the tissues and not into the superficial layers where it has the potential to be visible.