1 Day Post (the next day) -
Also had Radiesse Removal from the Lips
Treatments are repeated
approximately every 6 weeks for 3 to 4 treatments. You
should begin to notice your first results at about 6 weeks.
If you are going to form nodules, they commonly form within 3 to
6 weeks and should be reported to your doctor. Nodules
that can be felt, but not seen may occur. Read my
I had my second treatment 3
months later. The collagen had formed in the areas where
it was injected but where it was not, you could see little
indentations. Hence the second treatment. Read my
Journal with a photo of the slightly perceptible nodule
under the eye and end results.
Risks & Complications Of Sculptra
The most common complication of Sculptra is palpable nodules.
had a slightly visible nodule for about 7 to 9 months. It was more
easily felt than seen. Other complications or
risks include, blanching of the skin if injected too superficially (white
areas seen under the skin). I had blanching at the nodule only.
I did have thickening of the dermis which caused the darkness under my eyes
and the vascularity to be less visible. Again, Sculptra is not
recommended for under the eyes anymore.
Rare complications include hematoma, seroma, infection,
necrosis, hyperpigmentation from bruising, and , prolonged abnormal
The Average Prices Of
The average cost of Sculptra is approximately $300 to $500 per cc,
and averages $1,500 per treatment which may include about 4cc. The
costs varies significantly so be sure to ask around. Although don't base
your doctor of choice on price alone. Sculptra must be injected by
someone with experience as complications are difficult to correct.
Questions About Sculptra (Interview with Dr. Gail Humble)
Q. How long
do the results from Sculptra last?
A. Your results last up to 24 months.
Q. How many rounds has the average patient without HIV needed for
standard cheek augmentation?
A. Between 2-3 treatments.
Q. What is the % of incidence of serious lumping requiring treatment?
A. 1 to 10% depending on what study. 54% spontaneously resolve
the others respond to the below treatments. Honestly with the new more
dilute injection, even before, I have only seen 2 in four years in my
Q. If there
are lumps, what types of treatments are available?
A. Most of the time they resolve on their own, but if not you can do
steroid injections, physically break it up (if they are new) with a needle or
Q. How many cc of product is contained in one vial of Sculptra once
Q. Is it true it must be reconstituted several hours (how many)
beforehand and is only good for 72 hours?
A. Sculptra should be mixed AT LEAST 30 min prior to procedure.
Once mixed it is good for 72 hours.
Q. About how many ppm (or whatever %) of Sculptra to saline is commonly
A. We mix it with 4cc sterile H2O and 1cc of Lidocaine
Q. How much
do you charge per round of Sculptra?
A. There is a $500 administration fee and $100/cc of Sculptra per
visit. The cost for the product is the same that we have to pay.
There is no up-charge.
Source: Gail Humble, M.D.
Dr. Jonathan Hoenig Answers a Few Questions About
Q. Does Dr. Hoenig use Sculptra in the nasolabial
A. Dr Hoenig likes to inject Juvederm in the lips
and the nasolabial folds.
He uses Sculptra as an alternative to fat transfer - when
someone needs a lot of volume in the cheeks but doesn't want surgery, recovery
time, or doesn't have fat to harvest.
Dr. Hoenig only uses Restylane under the eyes. In his
experience, Juvederm seems to attract too much fluid and gets too puffy.
He doesn't use Sculptra under the eyes because you can't control how much
collagen will build up around the Sculptra and work around the eyes needs to
be very precise. Also, with Radiesse and Sculptra you can get bumps
which can't be dissolved like they can with hyaluronic acid fillers.
Sculptra, in his opinion, is not good for detailed work
(like around the eyes) and definitely not in the lips. It's good as a
large volume filler when 5-25 or more cc's volume are needed. He has
devised his own dilution method to avoid lumps and bumps.
As an aside, he did Sculptra on me for the cheeks and jaw a few years ago.
One drawback is that you have to wait 4-6 weeks before you
start to notice any results.
Danya Hoenig, P.A.
My Personal Opinion: Comparing Sculptra, Fat Grafting, Juvederm and Radiesse
I have had Sculptra, Fat Grafting (Twice), Juvederm, Restylane and Radiesse to
my cheek area and I must say that overall, I prefer the convenience and
immediate satisfaction that I got from Radiesse, as well as the longevity.
Sculptra: In retrospect, I DO like how it thickened
the dermis, filled out lines and decreased the visibility of the under eye vascularity.
It actually made the skin thicker so that the veins did not show through as
well. Unfortunately, Sculptra may not be the best for the under eye area. I feel
that the benefits versus the risk of palpable nodules in the under eye area is
not worth it considering the other products and procedures which are out there
now. I feel that it is nice
for cheeks and the buccal area (lower, sunken in area of the face) however,
but I am very impatient and 6 weeks per treatment with gradual augmentation
just isn't what I want out of a product. This is just my personal
Fat Grafting: I feel that fat grafting, although
nice, smooth and natural (and I LOVED the slight, post-operative swelling I
had even after 6 weeks, it just doesn't last as long. Plus fat transfer
requires a donor site and also I felt that I did have scar tissue from the
placement of the fat. I do realize that today, with the use of your own
stem cells, the fat graft can have a better chance of survival so this is
promising for future endeavors.
Juvederm: I like Juvederm in the cheeks and
nasolabials. I have had Restylane in these areas as well, and feel
that hyaluronic acid fillers are great in that they are soft and reversible.
However, their temporary nature is the one true drawback. But this is
also its benefit if you think about it. You can't have it both ways.
I feel that Juvederm lasts longer in the cheeks and nasolabials than Restylane
but is not best for under the eyes like Restylane is. Although the
Tyndall effect (bluish cast under the eyes, Tyndall scattering) after
sometimes a problem.
Radiesse: I do prefer Radiesse for the cheek area
(not NOT for the under eye or lips). Reason being it is immediate and
affordable and lasts just the right amount of time. Your face can change
as you age and I feel that although 4 months for Juvederm is too short, 2
years for Radiesse is just right. A lot can change in 2 years, and the
dissipation is quite gradual. Nodules are possible, as I have found out,
but injector skill is paramount in the overall end result.
Product and Procedure Comparison Based Upon My Own
Fat Grafting x 2
Temporary Filler Catalyst
||14 months thus
Interview with Gail Humble, M.D.
Interview with Dr. Jonathan Hoenig
Personal Treatment Experiences
How Patients Rate This Procedure