SculptraŽ is different than other fillers in that it is felt to recruit your own tissue buildup over months. A minimum of three treatments is usually recommended to fill areas where the skin has thinned and fat has been lost. Where the fillers above are good for deep creases like the folds on the sides of your nose and mouth, Sculptra is best for sunken cheeks, building cheekbones and larger area hollows.
SculptraŽ is poly-L-lactic acid, a synthetic substance. It is not made from human or animal sources and does not have a significant degree of allergy associated with it so a skin test is not required. Poly-L-lactic acid (PLLA) is a biocompatible (does not harm the body), biodegradable (able to be broken down by the body) material that has been widely used for many years in surgical products. The effects were shown in a clinical study to last for up to 2 years after the first treatment. These treatments are usually done once a month for three months and then once a year thereafter.
While SculptraŽ is long lasting, a small negative is that in some people small bumps can be felt under the skin. Most people, however, appreciate its ability to restore areas where skin thinning and fat loss are unsightly such as the backs of the hands.
General Filler FAQ’s
While sometimes patients feel that their fillers did not last, we have found that the cause of this is almost always due to under-treatment to start with.
If a patient says that he or she would like 1cc and would like to treat their lips and nasolabial folds, they will unquestionably complain that the effect lasted for only a few weeks. In fact, the “effect” they saw was slight swelling from the injection, not adequate correction with fillers.
I find that to treat the lips adequately usually requires 1-1.5cc and each deep nasolabial fold requires 1cc. If treated properly, the results can be dramatic and last several months.
Subsequent treatments require less because some of the initial treatment usually remains.
Topical anesthetic creams can be used but require hours to work so they need to be put on long before your injection. This procedure can be done on a lunch break and requires no anesthesia or recovery.