Sculptra for Malar Grooves at 18?

From the photos, these are tear troughs and as such, the use of an appropriate HA filler injected properly is a routine way of treating this problem. I have personally been treating tear troughs with Fillers for well over three decades. The results are onthespot, the injections in experienced hands, should take no more than about ten minutes to perform, and treatment generally engenders little to no post-treatment downtime. You would be wise to consult with an experienced, board certified cosmetic dermatologist filler expert. Hope this helps and best of luck.

One should never use fillers of any kind in the lower eyelid or the tear trough area. It invariably result in problems down the line. My recommendation to you is have the area treated with your own fat. When fat grafting is performed by an expert fat grafting specialist, the results are natural and practically permanent. After 31 years of performing fat grafting all over the face and body. I can say this with 100% certainty. I hope this helps and good luck from New York City Plastic Surgery.