I don't think a week goes by that I am not asked the question by a young person in her/his twenties and thirties (or by their parents), "When is too young for fillers?". The answer is "When there is totally no need or desire for them." So, what does that mean. Well, on a practical level, a good time to start can be at the appearance of the earliest fine lines and wrinkles--a time before those lines can progress to leave deep, etched-in lines that will then be harder to treat. It is at that point, in fact, that I started to use them for my several of my sons and daughters-in-law. We have learned that fillers and volumizers composed of hyaluronic acid, a completely natural material found in many sites in the body, including the skin, like Sculptra, stimulate the production of new collagen and elastic fibers (neocollagenesis, neoelastogenesis). So, if there are already fine lines and wrinkles, these kinds of fillers can both yield immediate improvement in the appearance of the wrinkles, as well as serve to maintain the skin.If no significant wrinkling is evident, a form of mesotherapy is also a possibility that may be used to improve hydration of the skin and help in maintenance There is no product currently FDA approved for this purpose in the U.S., but when necessary, in my Upper East Side Manhattan practice I have used Restylane Silk for this purpose. In my Israel practice, where a far greater number of regulatory agency approved fillers are available, I use Restylane Skin Boosters, which is expressly produced for this indication. In general, I am not much of a fan of Sculptra, which I gave up using it about six years ago. It is relatively expensive, produces no immediate results, and characteristically requires a series of treatments to realize any benefits, as opposed to traditional fillers that also stimulate new collagen synthesis, are less expensive, and do yield immediate results in the case of handling fine lines and wrinkles.