Sculptra for Sunken Cheeks

I am 70 years old and I've had two facelifts previously. My cheeks are sunken, as my skin is very thin. I am very healthy, but my cheeks look damaged. Is Sculptra for me? How many injections does it usually take, and how much does it cost?

Doctor Answers 29

Sculptra ideal for natural cheek augmentation

I have found that Sculptra offers my patients equivalent and more consistent results for cheek augmentation when compared to fat injections even for patients in their 70's.

Without seeing photos its difficult to judge how much Sculptra is needed.  Most patients in their 70's require two vial treatments x 3 spaced 8 weeks apart.  Results will last 2 plus years.  Touch up usually 2 vials every 2 years is recommended.  I have had patients come back 5 years later who failed to touch up their treatments who still had significant residual effects. 

Ran Y. Rubinstein, MD
200 Stony Brook Court, Newburgh, New York

Board Certified Facial Plastic Surgeon (ABFPRS)
Fellow American Society forLaser Medicine & Surgery (ASLMS)
Clinical Professor New York Presbyterian Hospital
National Education Faculty (physician trainer) for:
Allergan (Botox, Juvederm, Voluma), Galderma (Scultpra, Restylane, Silk),
Cynosure (Cellulaze, Precision Laser Lift) & Solta (Fraxel, Thermage)
Zeltiq( CoolSculpting)

Manhattan Facial Plastic Surgeon
4.8 out of 5 stars 153 reviews

Sculptra is excellent for revolumizing cheeks but caution advised in thin skin

Sculptra (poly-L-lactic acid) is derived from alpha hydroxy acids and is similar in composition to minute particles of suture material.  When those particles are injected under the skin, they start what is essentially a foreign body reaction around which the skin deposits new collagen.  For global facial volume loss, this is an ideal product with whichi to correct.  The results are gradual and natural, gently supplying more volume over a period of time.

Usually three injection sessions are needed approximately 6 weeks apart.  Results begin to be apparent about 1 month after the second injection session.  For moderate to severe volume loss, usually 2 vials are needed per injection session.  Depending on your geographic area, a vial of Sculptra is between $700 and $1200.  The results last 2 - 2 1/2 years after the injections.

Here is a word of caution, though. With newer techniques and dilutions nodules that result from Sculptra injections are much more rare, however not unheard of.  Usually those small nodules are just felt but not seen.  In people with very thin, transparent skin, they may be visible, if they form.  Most of the time, the risk of nodule formation can be significantly decreased by increasing the dilution of Sculptra and by strict adherence to the massage schedule after each injection of 5 minutes 5 times a day for 5 days.

Emily Altman, MD
Short Hills Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Sculptra for sunken cheeks...

Sculptra is a great procedure if you have sunken cheeks.  Sculptra is long lasting but not a quick fix.  It provides results that get better over time, replacing lost collagen, and giving you a more natural looking apperance.  The treatment is an average of three sessions over a few months, and the results can last up to two years.  Sculptra is about $800 per session.  Fat injection is another option to explore as well.  Be sure to see a board certified facial plastic or plastic surgeon who has a lot of experience in this area.




Andrew Miller, MD
Edison Facial Plastic Surgeon
4.8 out of 5 stars 204 reviews

Sculptra excellent filler & better than cheek implants

Sculptra is a superior choice to build cheek volume. Sculptra is not only superior to most other injectable fillers on the market today also a better choice, I believe, than cheek implants which not only requires surgery but cheek implants cannot be sculpted to account for the asymmetries of your cheeks. I have found nearly all cheeks to be asymmetric and sculptra allow your plastic surgeon to more easily even out the cheek asymmetries. The cheek is 3 dimensional and has various sections including the malar area, submalar area, lateral upper cheek, pre-auricular area. To acheive a good cosmetic result, your surgeon must have be able to identify and treat the aspects of the cheek require enhancement.

Anita Mandal, MD
Palm Beach Facial Plastic Surgeon
5.0 out of 5 stars 2 reviews

Sculptra was made for sunken cheeks

I have tried almost every filler on the market for sunken cheeks and none compare to Sculptra. Montreal, where my clinic is located, has many experienced injectors but only a few have a lot of experience with Sculptra as it is not as easy to use as other fillers. When properly injected in sunken cheeks, Sculptra will give a gradual, natural-looking filling that makes it look as though the patient has put on weight, but only on the facial areas that needed it. It also has the benefit of lasting two years or more, far longer than the HA fillers (Restylane, Juvederm etc.)

My usual protocol for sunken cheeks is to inject one vial per cheek at the first session and then half a vial per cheek at the second session, two months later. Some patients may need more than this or a third session, depending on how severe their case is. We charge $800.00 per vial. Every patient I have injected so far has been pleased with their result.

Arie Benchetrit, MD
Montreal Plastic Surgeon
3.3 out of 5 stars 13 reviews

Sculptra excellent to achieve volume restoration in sunken cheeks

Sculptra injection stimulates production of collagen and can achieve volume restoration in sunken cheeks. However, I find the clinical results to be more consistent among younger patients (e.g. 65 years and younger) vs. older patients (e.g. older than 70 years old), presumably due to greater innate potential for stimulation of collagen production. For this reason, I recommend consideration of Sculptra injection sooner than later, particularly when sagging along cheeks is recognized and restoration of volume becomes a priority.

William Ting, MD
Bay Area Dermatologic Surgeon
4.8 out of 5 stars 12 reviews

Sculptra is great for sunken cheeks

Sculptra would be a great choice for your sunken cheeks.  Another option that you may want to consider is fat grafting.  We are having great success with both in restoring a more youthful looking cheek.

Suresh Koneru, MD
San Antonio Plastic Surgeon
4.5 out of 5 stars 19 reviews

Sculptra is My First Choice for Sunken Cheeks

For sunken cheeks with thin skin I believe Sculptra to be the absolute best choice. I recommend using one vial per treatment and it usually takes from three to five treatments, four to six weeks apart. We charge $650 per vial and I do all the injections in my office. Please remember, your results depend upon the skill and experience of your physician injector.

I do not recommend using a hyaluronic acid filler for sunken cheeks. i have seen too many patients who have been injected by a different physician and are quite unhappy that the hyaluronic acid filler did not last longer than a few months.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
4.7 out of 5 stars 12 reviews

Yes to Sculptra for sunken cheeks


I would recommend Sculptra for sunken cheeks because this product stimulates your own collagen to naturally fill in the volume. The effect is gradual and requires 3-4 treatment sessions spaced about 5-6 weeks apart. The HAs are not as effective for this problem and are not as long lasting.

I have been injecting Sculptra for the past three years and have many patients returning at this point for a touch up. Even thought the initial costs is higher than the HAs the overall cost over time is much less.

Joel B. Singer, MD
New York Plastic Surgeon
3.4 out of 5 stars 34 reviews

Sculptra for cheeks

Sunken cheeks is the original indication for Sculptra. It works very well for this indication and lasts for several years. It's hard to tell how much you would need without seeing you, but most patients require two vials for at least 2 and usually 3 sessions (4-6 weeks between sessions). Sculptra is more expensive than the other fillers but again, it lasts for several years so the overall cost is probably cheaper. It all depends on the amount of product you require as well as what part of the country you live in. The price range is probably $2000-3000 for two vials. Good luck!

Dr. Singer

Elan B. Singer, MD
Manhattan Plastic Surgeon
4.8 out of 5 stars 25 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.