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I was one of the first to adopt Sculptra quite a number of years ago when it first came to market. Despite its expense and the fact that about three treatment sessions are usually necessary to achieve optimal results, it offered, at the time, the benefit of longer-lasting results as compared to the much shorterlasting results that could be obtained with the HA fillers that were available at the time. It possessed, however, another significant downside insofar as there was (and still is) no enzyme that could dissolve the Sculptra should there be adverse reactions.Since then, however, quite a few more robust HA fillers have been approved by the FDA that yield immediate results after only one treatment and produce results that may last up to two years. And lastly, these HA fillers have the additional, significant advantage that a natural enzyme, hylauronidase, can be used to dissolve the filler should the need ever arise. You would be wise to make sure to consult with an experienced, board certified cosmetic dermatologist filler expert to discuss these issues. Hope this helps and best of luck.