After years of evaluating Sculptra, “I’m a believer”.

Sculptra, Dr. Weiner, Destin

Patient had volume loss from weight loss and age. She was treated with 6 vials of Sculptra.  Right side of picture is 1 year after treatment.


Dr. Weiner answers questions about Sculptra


Sculptra is a unique facial filler. It uses the body’s own collagen to create volume to the aging face. It is made up of Poly L Lactic acid, which is broken down to lactic acid, a natural occurring substance in the body. It comes as a powder to the physician, and is mixed with lidocaine and saline in the office days before the procedure. A series of 2-4 injection sessions is needed to get the full results, with at least a 6 week interval (because it takes 6 weeks to see the complete result of the prior treatment). After the treatment, your face will appear filled, but only for a day or two, and then the saline is absorbed. Gradually over the next 6 weeks, the Sculptra will stimulate the collagen, and create the volumization. Results are said to last 2-3 years. Touch ups are recommended at 12-18 month intervals.

Sculptra was initially FDA approved in 2004 for HIV associated facial atrophy, however it was used off label for cosmetic use soon after that. In 2009, it was formally FDA approved for cosmetic use. So what took me so long to get on board? There were problems with people developing nodules (bumps). Although, these were usually minor and not visible in most cases, they were a problem for some. I’m finally comfortable that this problem has been addressed and minimized. The steps take have been:

  • Make the Sculptra more dilute by adding more saline and lidocaine when mixing
  • Inject deeper in the areas where it is possible
  • Mix the Sculptra up days ahead of time instead of the night before
  • Have the patient massage the area
  • Do not inject too close to the mouth, lip, or eye area, the areas where most of the nodules were noted
  • Do not inject patients with autoimmune disease

Following these guidelines, the formation of nodules is now <1%, and comparable to the risk of developing these with Restylane and Juvederm.

Sculptra is unique in that it can volumize the entire face (except close to the eye, mouth, and lips) for a long duration. Considering its longevity, it is a cost effective solution when compared to Restylane and Juvederm. When comparing to fat grafting, its advantages are:

  • No need to harvest fat (a minor surgical procedure)
  • More predictable results than fat grafting
  • Less post-procedure swelling and downtime
  • Less discomfort

So if you have age or exercise related facial atrophy, Sculptra is a great choice for a long lasting correction.

Call The Aesthetic Clinique to learn more. 850.622.1214

Dr. Steven Weiner is a Board Certified Facial Plastic Surgeon practicing in Santa Rosa Beach, Florida, between Destin and Panama City Beach, Florida. After laying down his scalpel in 2005 he has devoted his practice to Lasers and Injectables.





  1. Steve, I have created a review for Sculptra at I would be more than happy if you could have a chance to come and visit my blog post about this filler and let me know if there need to be any modifications. I also welcome you to post articles about dermal fillers in my blog as it is recently getting some attention from search engines.


  2. Thank you for your time checking the blog. I just sent you an email.


  3. dermalfillersreview

    Steve, it was a long time ago we spoke (actually emailed) together. I would be so grateful if you could publish your contents on my blog.


  4. Jenny

    I love sculptra. Since I don’t like getting 2 treatments a year, this works out great because of its longevity. It has been about 3 years since my last treatment, but I’ve hesitated to do follow-up because of two reasons 1) in the last year it seems one area is mildly itchy and 2) I had one problem bump that kept erupting. It wasn’t a big problem because it just looked like a pimple – I would see it, squeeze it and eventually after about 3 eruptions, it healed.
    So my question is – is sculptra it worth trying again? Does this issue seem like an autoimmune issue or just one area that was fussy (maybe injected too shallow, etc). I really want to try it again.



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