First sculptra treatment - should I have my entire face done or just the upper face first?

Thank you for sharing your concerns — it’s completely normal to get different recommendations from different providers, as Sculptra can be used in a few ways depending on your goals and anatomy.

Sculptra works by stimulating collagen over time, so the approach is often individualized:

Upper face first (cheeks and midface): Many providers start here if the goal is a subtle lift or volume restoration in the areas that support the lower face. This method allows the natural support structures to improve before adding volume elsewhere.

Full-face approach: Injecting the entire face in one session can help create even overall volumization, which may be beneficial if your goal is harmonious, global facial rejuvenation.

Both approaches can be correct — it really depends on:

Your primary aesthetic goals (lift vs overall volume)

The amount of Sculptra recommended for your face

How conservative or gradual you want the results to be

Starting with the upper face first is often a safer, more gradual way to see how your skin responds, especially for a first treatment. Full-face injections can be done safely too, but may require careful planning to avoid overfilling or unevenness.

Ultimately, either strategy can work; the key is a customized plan based on your face, desired results, and comfort with a gradual vs full approach.

If you would like to look more useful, I would recommend using bad grafting as it will produce the most natural and permanent results. I have been using sculptra Since 1997 and still prefer a fact. Sculptra I only use in patients who have absolutely no fat available. Sculptra should not be injected anywhere near the eyes and the lower eyelids. If the person injecting, it is knowledgeable, it can otherwise be used pretty much everywhere on the face. I hope this helps and good luck from New York City Plastic Surgery