Sculptra® is a biodegradable product that is made of poly-l-lactic acid (PLLA).Many patients have facial fat atrophy which translates into lost facial volume. When Sculptra® is injected beneath the skin it helps to restore this lost volume by stimulating the production of dermal collagen. Sculptra® is especially useful in adding volume to the cheeks and temples.PLLA is not a true filler like hyaluronic gels like Restylane® or Juvederm®.
Q: What makes Sculptra® different from other facial fillers?
A: Sculptra® is used to add volume to the lower cheeks and temples.Because Sculptra® is mixed with water it can be massaged smoothly over a large area compared with thicker more viscous hyaluronic fillers like Juvederm® or Restylane® therefore Sculptra® will appear smoother over large surface areas. It is easily massaged into hollow areas of the face to restore facial volume.
Q: Will I see an immediate response to Sculptra® like I see with other facial filers?
A: Immediately following treatment with Sculptra® you will experience some swelling in the areas that were treated . After a day or so the swelling will subside and facial volume will be restored gradually over several weeks to months.Therefore, Sculptra® is not a true filler like Restylane® or Juvederm® because Sculptra® stimulates the facial soft tissue to produce more collagen compared with just filling in areas with hyaluronic gel found in Restylane® or Juvederm®. Many people consider this gradual improvement as a positive feature of this product.
Q: How long does the improvement from Sculptra® last?
A: The improvement from Sculptra® is long lasting (around two years) in most patients.
Q: Is there any special preparation prior to a Sculptra® injection?
A: Dr. Kopelman recommends that patients stay off of Vitamin E, fish oil, Motrin and aspirin for at least 7 to 10 days prior to treatment to minimize bruising. Other than that there is no special prep.
Q: How is Sculptra® injected?
A: Dr. Kopelman applies cold compresses to your cheeks prior to injection and he uses micro-cannulas (rather than sharp needles) to inject Sculptra®.This allows him to use fewer entry points which decrease the incidence of bruising. Sculptra is injected deep so that the volume builds gradually from the the deepest layer outward.
Q: How much Sculptra® will I require?
A: The number of vials of Sculptra® varies with each patient. Most patients need initially between 1 to 2 vials depending upon how many areas need to be treated. Patients greater than 70 tend to require more because they have a lesser response to the injection. Most patients return after 4 to 6 weeks for a second series of injections. This regimen will usually restore facial volume for two years.
Q: Can Sculptra® injections precipitate complications?
A: Yes, if Sculptra® is not reconstituted properly or injected around the mouth or injected too superficially then nodules can appear because the PLLA may become concentrated from muscle contractions. Rarely, some patients are allergic to the PLLA.
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