Will Sculptra scarring cause complications to future facelift results?

Thank you for your question. Sculptra is indeed a treatment for volumizing the face that is less affected by weight fluctuations and has similarities with fat transfer more than hyaluronic acid filler injections. However, it can lead to more significant scar tissue formation in the deeper layers. When used in the midface, it may create some difficulties with deep plane facelift interventions in the future.

It might be preferable to have the facelift procedure earlier and then decide how much additional volume you wish to achieve. Sculptra can increase the longevity of your facelift intervention through its mechanisms of volumization and increased collagen production in the tissues.

Sculptra is an amazing product for generating facial volume incrementally. The only problem that I have with this plan is that 1 vial of Sculptra may not produce much or a result. You should have no problem with a future facelift. Threadlifts, and Energy devices like Ultherapy and RF microneedling devices can cause issues with a future facelift.

Just the action of passing a needle through your skin and then underneath your skin to place fillers in, whether they are Sculptra or Hyaluronic acid fillers, gives slight injury to the skin and the underlying tissues and your body will heal that with a fine scar. At all of the plastic surgery meetings that I have attended over the last several years, there is always comments by the surgeons who are lecturing on facelifts, that their patients who request facial rejuvenation after years of fillers or prior treatment with noninvasive energy base systems that the surgeries are always slightly more difficult because of these prior treatments. This does not mean that you can’t get an excellent result after prior treatments with filling agents, but it is something that your surgeon should be aware of. I am not aware of any literature that says that Sculptra is worse than the Hyaluronidase acid fillers. Best wishes.