I'm a 48 year old male. I got Sculptra 4 wks ago for sunken cheeks due to HIV related wasting. I have minimal results. (photo)

Question

The last year the dimple area & cheeks started to sink in. After the initial Sculptra I was swollen but as that wore down the sunken came back! Should I have results at 4 weeks? I I got 5 shots each side. added before and current picture. It seems my left side is more sunk in then the right side. Other than that I see no difference! The sunk in look still exits. Is it too soon? I can go back as I have more. Also, can my Dr use my Sculptra for my crows feet as they bother me! Please help!!!

Michael I. Echavez, MD · Answer

Sculptra is a stimulating agent, and when it is injected it will cause some temporary improvement.  After a week or so, this temporary improvement goes away as the water which was injected to deliver the Sculptra is absorbed.  It can take several Sculptra treatments until a noticeable change is seen.  In reality, there probably is some minor improvement but because it happens so gradually, it may be measurable but not noticeable.  It's possible that you might not notice a change until after a third treatment.  It is not unusual to have one side be more sunken than the other, and this can be evened out with the treatments.  Sculptra should not be used around the eyes, as the skin is very thin there and visible lumps can develop.  So, I would not recommend using it to treat crow's feet.  Botox or some other fillers may help with crow's feet.

Stephen Prendiville, MD · Answer

The simple answer to your question is that a patient with HIV associated lipodystrophy is going to require 2-3 more sessions to gain a satisfactory result.  I always inform my patients that they will be underwhelmed after the 1st treatment session, and be much happier 4 weeks after the 2nd or 3rd treatment.   Try to be patient and follow through and you are likely to be much more pleased.

Sheryl D. Clark, MD, FAAD · Answer

Sculptra is designed to give a significant response only after several sessions. It has been said that one may expect a small response after the first treatment, but it may not be noticeable to the patient. After the second treatment, a much greater response is seen, and after the third, and even greater response to the same volume injected as previously will be seen. It may take 3 to 6 months to see the final response. While this can be frustrating, there is a big upside:  these volumetric enhancement is typically evenly distributed about the face, very natural in effect, and very long-lasting, two years or more of enhanced volume to the face.

Darryl J. Blinski, MD · Answer

It is obvious you and maybe your doctor injector do not fully understand the collagen stimulation effect from "sculptra". It takes months and many, up to 4 to 6 visits to obtain a satisfactory results. Thus with ONLY 1 injection session I would expect minimal responses.

Rachel Pritzker, MD · Answer

Sculptra is a different product that the hyaluronic acid products which cause immediate changes.  Sculptra is a wonderful product, but takes several injections and a natural buildup of your collagen in response to these treatments to see the great changes.  The earilest from the first treatment is usually minimium of 6 weeks. It is a natural change that occurs slowly, but it also breaks down more slowly than other products, giving you more long lasting effects! From your photo, Sculptra would be a great match for you!  Unfortunately it cannot be used around the eyes as this is very thin skin and could cause small lumps and bumps under the skin.

I'm a 48 year old male. I got Sculptra 4 wks ago for sunken cheeks due to HIV related wasting. I have minimal results. (photo)

Answers (7)

Answer: I'm a 48 year old male. I got Sculptra 4 wks ago for sunken cheeks due to HIV related wasting. I have minimal results. (photo)

Answer: I'm a 48 year old male. I got Sculptra 4 wks ago for sunken cheeks due to HIV related wasting. I have minimal results. (photo)

Answer: Sculptra Takes Patience

Answer: Sculptra Takes Patience

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I'm a 48 year old male. I got Sculptra 4 wks ago for sunken cheeks due to HIV related wasting. I have minimal results. (photo)

Answers (7)

Answer: I'm a 48 year old male. I got Sculptra 4 wks ago for sunken cheeks due to HIV related wasting. I have minimal results. (photo)

Answer: I'm a 48 year old male. I got Sculptra 4 wks ago for sunken cheeks due to HIV related wasting. I have minimal results. (photo)

Answer: Sculptra Takes Patience

Answer: Sculptra Takes Patience

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Recommended reading

Everything you need to know about Sculptra

Our mission is to create a world where every investment in modern beauty is Worth It.