How Many Sculptra Treatments and How Often Usually Needed for Thin Cheeks?

i have low body fat and hoolow/thinning cheeks. will patient see any noticeable results after 1st treatment?

Doctor Answers 16

Amount of Sculptra Treatments

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Thank you for your question. The usual dose is one vial per decade of life.  Sometimes, more is needed as this is just a general guideline, and for some, less yields great results.  Everyone is different and this is a slower process, but with the chance of longer lasting results. I hope this helps!

Number of Sculptra vials in cheeks of thin patients is variable

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Each patient is very unique. Sculptra helps to stimulate collagen production 2-6 months after injection, therefore after a one on one consultation we will decide how to approach your cheeks that you feel are hollowing. Often times I can reduce the number of vials needed by having the patient start an aggressive skincare regimen so that your skin looks better but more importantly your skin is actively turning over. This will work synergistic with the collagen growth under the skin from the Sculptra injections.

Laurie A. Casas, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 110 reviews


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Patients typically will need a series of Sculptra treatments to achieve volume correction.  For pts who have low body fat, Sculptra can be a great option to restore volume.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

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Sculptra Excellent for Youthful Contours

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Sculptra occupies a very unique position in the current armament of cosmetic injectables. It stimulates our own collagen production wherever it is injected. Therefore, it is referred to as a "biostimulant". It is not a passive filler, but an active volumizer. One vial of Sculptra is typically injected every 6 weeks until the desired correction has been obtained, but the results might not be seen for up to 6 months after the set of injections. A very rough estimate for assessing how much Sculptra one's face might require is as follows:  3 vials for someone in their 30s, 4 vials for someone in their 40s, 5 in their 50s, etc...  Of course, individual anatomy or patient desires can trump this rough estimate. The results last for about 2-3 years, so this might be the interval at which you might need to repeat the series of treatments. Enjoy!  -Dr. Capone

Randolph Capone, MD, FACS
Baltimore Facial Plastic Surgeon
4.7 out of 5 stars 51 reviews

Thin faces and Sculptra

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Although a thin faced person may get more modest results with Sculptra, it is often the best option, if there is no fatty body tissue to transfer.  I have found that thin patients often need a larger number of treatments as well, and get satisfaction with the procedure and are pleased with their results.

Deborah Ekstrom, MD
Worcester Plastic Surgeon
4.7 out of 5 stars 39 reviews


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Typically you will need 3 to 4 treatments with the first 3 treatments being 4-6 weeks apart (on average) and the 4th being 3 to 6 months after the 3rd treatment. 

Dr. Grant Stevens         Marina Plastic Surgery Associates            Marina del Rey, CA The Institute



Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 152 reviews

Amount of Sculptra Aesthetic needed

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The number of Sculptra Aesthetic vials is determined on a case by case basis because everyone ages differently.  The ideal candidate for Sculptra Aesthetic is someone who has hollowness in their face and thin aging skin.  Sculptra Aesthetic promotes the growth of collagen which helps to volumize the face and smooth out wrinkles and folds.  The best results typically occur when patients maintain treatments and receive one vial every 4-6 weeks for a total of four vials.  However, sometimes more than 4 vials are needed.  I hope this information helps. 

Paul L. Leong, MD, FACS
Pittsburgh Facial Plastic Surgeon
4.8 out of 5 stars 50 reviews

Appropriate treatment for restoring volume with Sculptra

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For significantly thin/hollow cheeks, often 2 vials of Sculptra will be necessary for the initial treatment to give your skin a little "jump" start to start produce new collagen.  You will certainly have a discernible difference, but probably not a "significant" one.  2-3 treatments spaced 4-6 results will give you noticeable and significant volume enhancement.  One of the big advantages of Sculptra is that the volume gain is gradual, so people around you will have a hard time figuring out how you are looking younger with fuller cheeks.  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 64 reviews

Results After Sculptra Treatment

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Although I love Sculptra as a facial volumizer, it requires a different mindset than the average filler in terms of expectations. One of the most critical aspects about this product (L-poly Lactic Acid) is patient education and understanding the product.  Most patient require 2-3 treatment sessions spaced by 4 weeks, which generally correlates with 4-6 vials.  In circumstances of severe volume loss, this may require additional treatment sessions.  The degree of correction after the 1st treatment session will disappoint the uneducated patient.  Most patients see appreciable results 4-6 weeks after the 2nd or 3rd treatment.  Sculptra requires more finesse and knowledge of facial anatomy than standard fillers, so choose your injector wisely.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.9 out of 5 stars 103 reviews

Sculptra treatments

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The amount of Sculptra and the number of treatments required depends on the individual patient.  Typically, 1 to 2 bottles every 6 to 8 weeks for 2 to 3 treatments are necessary.  Results are usually seen after the second treatment and it can take 6 to 9 months to see the full effect.  One bottle once a year for maintenance may be enough for some patients.

Martie Gidon, MD, FRCPC
Toronto Dermatologist

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.