What is the Equivalent of the Effect of 2 Vials of Sculptra in Hyaluronic Acid Filler? 2cc, 4cc or More?

By definition the indications of Sculptra and hyaluronic acid fillers are quite different. Since fillers such as Sculptra requires your body collagen response to have a full benefit, there is variability from one individual to another. In addition it is impractical to consider the volume equivalent of hyaluronic acid filler since you cannot get the same type of result with hyaluronic acid that you would with Sculptra. In my practice I generally use Sculptra to restore volume in wide areas where even volume replacement is necessary such as the cheeks and the temples. Hyaluronic acid fillers are best applied to areas such as the tear trough, the under eye area, the nasal labial falls lips, etc.

Hi,

Sculptra is used as a general deep volumizer that is placed within the cheeks and temples primarily.  Depending on how thin your face is, it can take multiple sessions of Sculptra to acheive the desired effect.  In general, if the vial is diluted with about 10cc of water/lidocaine, the results afterwards would happen after 3 treatement sessions because most of it goes away.

I would encourage you to see a plastic surgeon or dermatologist to go over your options.  If you need under eye rejuvenation, then the HA fillers are better.  If you need quite a bit of volume, then fat transfer is amazing with permanent results that look and feel natural.  On top of that, we can harvest enough fat that we wouldn't run out.

Best,

Nima Shemirani

This is a very hard question. one cc of hyaluronic acid should give you that much augmentation more or less. With sculptra, you are not getting the one to one and this is also dependent on how much you dilute the sculptra. The sculptra actually incites collage formation and this is highly variable.