I’ve worked the front desk at a medspa for years and love sculptra! Im 61 and clients are constantly telling the injectors, “I want what she’s having.” I’m thin and workout a lot which ages your face. I use sculptra in the jawline, temples and cheek hallows and HAs in cheeks, chin and nasal folds. Perfect combo.
Great advice. I see so many practitioners teccomendimg a vial of Sculptra per decade and as you state most people dont need that much. I got great results with just 2.
@@annaswiatowska1800 both. Half a vial in each cheek and the other went in the jaw line, marionettes and nasolabial areas with a tiny bit in the chin too
Thank you. Excellent. My skin has aged similarly to yours with what looks like a few dips and dents in my face from volume loss. My question is why have you not used Sculptra if you advise it for others?
I went into a consultation ready to discuss Sculptra but he said he didn’t believe I would see much benefit since my skin quality is still quite good. I am 55 so I was surprised because all the videos I’m seeing say Sculptra is magic for everyone. He suggested conservative use of filler to front of cheeks and temples . Worried that filler approach may lead to disappointing results.
@@drkopelman I had a consultation for sculptra to help lift jowls and jaw area but was also told that it only improves the skin tone and will do nothing for lifting. is it possible to get rid of jowls by injecting in the hollow area which you had specified in your video?
@@designstudio6695I too, have seen videos that lead me to believe sculptra can give appearance of lifted jowls. Why else would Dr's continue to describe it as a facelft alternative🤷🏽♀️
Sculptra reverses aging over time , just like we age over time. I kind of like to think of it as a way to prevent aging. I use four vials a month every month. The treatment itself is painless. There is swelling postop, but that’s a good thing because that lets you know that the product is working the bio stimulator causes a reaction That builds tiny scar tissue and collagen so the more reaction you have probably the more results you will have. because it works overtime you won’t notice the dramatic change. You will just look good and no one will know it really does stop facial aging in its tracks. There really is a Sculptra glow.
I’m 39 and have recently been speaking to my aesthetician about Sculptra, they have suggested 1 vial for each side of the face monthly for 3 months so 6 vials total, does this seem like a reasonable protocol? I have good skin for my age, and have been on a skin plan of Profilho / micro-needling with PRP or exosomes and Botox quarterly for the past 4 years. I use Tretinion and Vitmin C daily as part of my skincare too. They have advised that if I go with Sculptra I can stop the Profilho. Thanks ❤
Amazing this Dr being so generous in sharing all knowledge and information for our well being and obsession with saying as young as possible Yet he accepts to age gracefully 👍
I am following you !!! Thank you so much Dr. !!! This is so helpful , my new favorite Doctor in UA-cam , so professional and serious. Thank you for making this video and share your knowledge with us. A very good impact to the world.
I had Sculptra done yesterday and after the lidocaine wore off, I had the worst jaw pain ever! I couldn’t eat anything all day and into the night. I think that this side effect should be mentioned because it’s not in any video I’ve watched. I finally found after numerous Google searches that it is a “thing” that some patients get and it can last awhile.
@@coredadventure1 … it’s hard to tell. I wish I would have taken weekly photos of myself without makeup to gauge the results. I ended up with 4 vials in all, and I definitely can tell it’s made my face fuller but probably because I’m my own worst critic about my fine lines and wrinkles, so that’s one of those things I think I’ll always see a problem with.
@@bonnie_batten-johnson thank you for the response! I hear you we are our worst critic! I'm not sure I got any results either but I just did it again recently . I could not believe how bruised I got this time! I mean covered in bruises! And I didn't do anything like blood thinners or any of that. I had a new girl do it because the old girl had quit. I don't know if that had anything to do with it but I could not believe how badly bruised i got this time! But I do believe I did notice some difference last time and it is best to take some pictures . Where I go they take pictures . They didn't take pictures where you went? The results are pretty subtle. That's what I like about them . They're so natural but they're hard to catch! And it takes several months to notice
I saw the misinformation about being re-injected as early as 3 weeks and thought the same! I'm young (29) so will personally give it 4-6 months before getting another vial, but I agree that I would prefer to just go with one vial if possible. Thank you for your honesty!!
Hi Dr Kopelman. I have been getting Sculptra for the past 3 years and have been getting 2 vials of maintenance annually after initially getting 7 vials over a 6 month period. I'm 59 years old with a narrow oval face. I have been happy with the results but I have developed a heavy droopy right eye lid 2 months post my last maintenance vials and was wondering if this is connected to migration from the temple area on my right side. I always do the 555 massage technique and would like to know if Sculptra could be the reason because my injector told me this isn't possible. I'm now dealing with heavy dense tissue touching my lash line and am worried I may have to have it surgically corrected. My left eye is normal. I would appreciate your opinion. Many thanks from Australia
Thank you for that detailed explanation. I learned so much about sculptra. I have sculptra injections done by an expert nurse injector. It makes all the difference.
How long after I had Sculptra should I wait for a face lift. Will the scaffolding structure of Sculptra completely be gone in a certain length of time. Should I NOT get Sculptra if I MIGHT have a face lift in 3-6 years?
I’d like to keep the option open of a future facelift but I’m at least a decade away from that. It sounds like you don’t recommend sculptra for those who may one day have a facelift? Is there else that can provide sculptra results but is safe for those who may want a facelift?
Very well explained. I have a question. How long it will last underneath the skin little tiny scar tissue? I heard about risks of having nodules. Can people can get rid of those nodules?
@@Claudia-yn4pz Yes -nodules are possible particularly if Sculptra is injected around the mouth and most importantly if the Sculptra is not diluted with sterile water properly
hello doctor. you said do not inject around the mouth, is that mean is not good for Nasolabial Folds? If so what would you recommend. Thank you for your advice
Benefits of Sculptra can last between 1-2 years. I’m not particularly worried about any long term side effects because Sculptra works by stimulating your own body to increase collagen production in the area it is injected and then your own body over time will naturally break it down. And in case you didn’t realize Sculptra is another type of cosmetic injection that would be separate from hyaluronic fillers.
Dr., i had polynucleotides injected in the subcutaneous layer. How long after this procedure should I wait to get sculptra? Im worried about any complications
A non-invasive, less painful treatment that works as well and is more permanent is doing multi peptide collagen and keratin with a growth factor. I use the Skinlyte soap that is loaded not only with collagen but also keratin peptides. It is called Hair & Whole Body Bar. It is fast absorbed because it has an enhanced peptide binding enhancement technology which produces water molecules in a condensation reaction that hydrates skin and hair naturally. It repairs, grows hair, naturally moisturizes, rebuilds and strengthens hair and skin. I got it at Amazon and I am impressed with new benefits I discover every time I use it. I noticed many improvements in my hair, skin and nails. What I like best about it is that it's all natural and without harmful chemicals such as synthetic dyes, fragrance, SLS or preservatives.
Hi I’ve been getting sculptra for 25 years and it stopped working for me. I’ve done it 4 x hoping I could get results. Why did sculptra stopped working? I loved my results did it stop working because of scar tissue?
I got sculptra in December and the injector did twice as much on one side. I feel like my face is ruined. I used to get looked at everywhere I went. My face us completely crooked. Will this last for 5 plus years.? It's been 8 months since I had it. Will it ever go away? I'm devastated.
@@drkopelman Thank you for sharing your knowledge as well as this kind of caution. I hope doctors like the one who altered my appearance negatively will watch your content.
I had a facelift deep plane when I was nearlly 59 Im.60 now its been like one and a half years....I would like to do sculptra Ive watched many videos and so few Drs say its only for certain areas only you and another well known Dr....also where I live many copies so you have to check the box,the dates on bottle and box...is it true some Drs prepare the scultra one day beforehand ? If so why?
great information...I having been getting Sculptra treatments... I had abit of fat loss due to non surgical procedure..i was wondering if having PRP would be beneficial in adding with my sculptra treatments...? i am looking to improve the strength of my skin..thank you
Hi Doc! Thank you, awesome video. I am 39 turning 40 in September. I had two vials injected in the areas you mentioned, using a cannula, on June 1st. I am pretty pleased already with results I’m seeing but maybe I’m crazy lol. I feel like skin is already improving and you can see more volume in my face. Question is: waiting 6 weeks and have a plan to evaluate and possibly do two more. How do I know if I need the other two or if I should just wait more time? Also, if I get the other two is there such thing as putting too much? Will my face look giant lol if I don’t need it?
Thank you Dr. I think you’re wonderful I know it’s not usual but could you give us the price per syringe that you would charge? There’s a lot of doctors that are doing this and I’d like to go to you but of course flying in and price is a consideration. Thank you.
It's essential to prioritize the expertise and experience of the injector over the cost alone. The outcomes of injectable treatments can vary significantly based on the injector's skill and understanding of facial anatomy. While I understand that cost are important considerations, ensuring that you're in the hands of someone who aligns with your aesthetic goals and has a proven track record of achieving desired results should be paramount. Prices can range based on who you see and what area of the country you live in. But again who you go to matters than what it cost.
i got a bichectomy so my cheeks deflate leving me like a punched ball, now i feel i look older and witha weird looking face.... would sculptra help me?
Thank you for this information doctor. I had New-Fill injected years ago and was told that was the original Sculptra - is that correct or is it a different product?
Hi doctor! Please can I ask a question? I have a very very prominent jaw line ( a woman) and I’ve tried massester botox which seems to make the jaw even more prominent because it’s not be musule but my actual jaw bone. A nurse has suggested getting this instead to soften the face so it’s. A bit more round drawing less attention to the jaw. The jaw right now looks very wide and my cheek as a result looks bigger because the lower part is very slim but really defined. Please can you let me know your thoughts ?
Thank you! This video is informative and helpful. For my first session with sculptra I used one vial. The second session 5 months late I used 2 vials. How long should I wait before considering another session if needed? I’m 42, but had Bariatric surgery 10 years ago. I have some skin laxity and aging that is common but it’s not at an extreme level at this time. I like to stay refreshed looking and age gracefully. I noticed filler was not lasting as long and sometimes made me look strange or older actually lol, so I switched my approach. I can use Botox still and HA lip filler to compliment but I like the subtle Sculptra! Please let me know what you advise for reassessment time lapse in between sculptra treatment and maintenance? Thank you so much! 🙏
I had 4 vials injected in a 2 week period. I didn’t ask for it to be done that way, and now that I’m reading it seems that that wasn’t the correct way to have it administered. Did I waste my money I wonder?
Dr. have you ever done it on a Lupus patient? It is contraindicated for people with autoimmune disorder, but how likely are granulomas for these patients if proper procedures are used.
Hi Dr.Kopelman. Love your videos! Just one question... Could you have a facelift within some years of having used Sculptra? I mean, if you have Sculptra and in the future you considered having a facelift done, could you wait some years so that it could be done without problems or the scar tissue remains forever making it impossible to get a facelift? thanks a lot in advance
Yes you can still have a facelift but the surgeon may encounter some subcutaneous scarring during the procedure which may cause more bleeding and swelling
Dr. Have u ever gotten it urself or considered it or put it in ur underarm? I heard many Surgeons put stuff like fillers in der underarm to see how long it lasts etc
You touched on fat transfer. I’ve heard that sometimes fat harvested from the thigh, when spun, turned to just oil. No semi solid fat which could be transferred. Can you talk about that please or just reply to me? I’m very intrigued. The lady concerned is a vegetarian. Not sure if that’s anything to do with it. 😅
Dr. Kopelman, Is it wise to use Sculptra to selectively fill shallow rolling scars? And if we plan on doing a facelift in the future? What alternative to Sculptra works best?
No Sculptra is not a good solution for superficial scars because it may lead to granulomas.A better solution is micro botox combined with silicone injections
I got Sculptra o do like the effects it’s very good I also got recently fat grafting under my eyes for dark circles that would never go away but I was wondering your opinion on prp facelift to help enhance my face just wondering your thoughts
Saw a video of young 20 something receiving sculpture in temples yet I was told I did not need sculptra because there was 'no hollowness' in that area. What's the difference? The young person looked great and regular weight, yet isn't scuptra for some type of prevention of sagging face or maintenance?
Sculptra is typically used to address volume loss, so if there's no hollowness in your temples, that might be why you were advised against it. However, it can also be used preventatively in younger patients to maintain facial volume and structure before significant aging signs appear.
In most cases the eyelid incisions will fade with time -usually within 6 months but some surgeons uses absorbable sutures that can leave residual scars and rarely patients have a tendency to for hypertrophic scars that can be treated with topical silicone gel and /or 5fu
Hi dr I used to have 3 lines around my mouth when I smile, I did sculptra twice, they improved a lot , if I want to do 1 more time to get the best result do u think my lower face will look plumper so I lose my v shape ?? Thanks
Hi Dr, I know it’s not the best place to ask outside a medical office, but what would be good for the nasolabial area? Sculptra and radiesse are totally out of the question? Thank you
There is a video by another surgeon who says the previous Sculptra use can make facelifts harder and that you can possibly never look like you did. I had a facelift 6 months ago. I still have some swelling still under my right eye and cheek. I’ve gotten it only in the places you said and didn’t have any for 2 1/2 years before surgery. Can you comment on this? In 2018, I think I got 4 and then got one or two per year for 3 years.
I never inject Sculptra under the eyelid which ? may account for the chronic eyelid swelling. The tissue is too thin for injections of Sculptra. In regard to facelifting following Sculptra it is true that performing a facelift may be more difficult because tiny concentrated nodules from the Sculptra injections may blur the anatomic planes of dissection.The procedure can be performed but the surgeon should be aware that it may be more challenging.
@@juanblanch8705 Beauty of having different opinions is always good in medicine because the aim is to deliver the best care for patients. I am speaking from my first hand experience of 35+ years with patients and from experience of my colleagues
Doctor, I’m 30 years old and my doctor recommends me to do sculptra because my temples, under eyes and lower cheek begin to lose volume (just a little bit). She recommended 2 treatment sessions with 6 weeks apart. Do you think I’m at the right age to do sculptra? If not, what should I do instead? Thanks!
I can tell you that while Sculptra is generally safe for most people, individuals with autoimmune diseases like rheumatoid arthritis (RA) should approach it with caution. It's important to have a thorough consultation with your doctor or dermatologist to discuss your specific condition and any medications you may be taking, as autoimmune conditions can sometimes increase the risk of reactions to injectable treatments. In many cases, Sculptra can still be used, but it’s critical to assess the potential risks and benefits
I just learned that Sculptra was originally used to treat HIV patients who were experiencing very hollow, gaunt faces associated with facial fat atrophy. I would say definitely keep it in consideration and have a chat with your doc about it.
Finally a doctor who seems to be a real professional not just a wannabe influencer or advertiser.
I'm 64 and have been having Sculptra and then Lanluma (same thing, different company) for 4 years. I love it!!
How often do you have to get it?
I’ve worked the front desk at a medspa for years and love sculptra! Im 61 and clients are constantly telling the injectors, “I want what she’s having.” I’m thin and workout a lot which ages your face. I use sculptra in the jawline, temples and cheek hallows and HAs in cheeks, chin and nasal folds. Perfect combo.
What is the average cost
Great advice. I see so many practitioners teccomendimg a vial of Sculptra per decade and as you state most people dont need that much. I got great results with just 2.
Exactly. If you start by doing everything conservatively with cosmetic injectables then you tend to get great results.
Where do facial muscles fit in with this approach? How deep are the injections?
@@Ladynipchick2se inyecta en tejido subcutáneo
Can you please share what results you got? Did it hel with laxity or sagging cheeks ?
@@annaswiatowska1800 both. Half a vial in each cheek and the other went in the jaw line, marionettes and nasolabial areas with a tiny bit in the chin too
Amazing video Doctor!
Thank you. Excellent. My skin has aged similarly to yours with what looks like a few dips and dents in my face from volume loss. My question is why have you not used Sculptra if you advise it for others?
Thank you for your honesty and explaining!
Thanks for the comment!
Thank you, Dr Kopelman. I always enjoy watching your videos.
Glad you like them!
I went into a consultation ready to discuss Sculptra but he said he didn’t believe I would see much benefit since my skin quality is still quite good. I am 55 so I was surprised because all the videos I’m seeing say Sculptra is magic for everyone. He suggested conservative use of filler to front of cheeks and temples . Worried that filler approach may lead to disappointing results.
I use Sculptra in specific areas of the face where I don't think hyaluronic fillers are ideally useful.
@@drkopelman I had a consultation for sculptra to help lift jowls and jaw area but was also told that it only improves the skin tone and will do nothing for lifting. is it possible to get rid of jowls by injecting in the hollow area which you had specified in your video?
Seeing that Sculptra promotes collagen, it makes sense.
@@designstudio6695most doctors try to dissuade from using sculptra because it’s so effective. Go to another doctor.
@@designstudio6695I too, have seen videos that lead me to believe sculptra can give appearance of lifted jowls. Why else would Dr's continue to describe it as a facelft alternative🤷🏽♀️
Sculptra reverses aging over time , just like we age over time. I kind of like to think of it as a way to prevent aging. I use four vials a month every month. The treatment itself is painless. There is swelling postop, but that’s a good thing because that lets you know that the product is working the bio stimulator causes a reaction That builds tiny scar tissue and collagen so the more reaction you have probably the more results you will have. because it works overtime you won’t notice the dramatic change. You will just look good and no one will know it really does stop facial aging in its tracks. There really is a Sculptra glow.
I’m 39 and have recently been speaking to my aesthetician about Sculptra, they have suggested 1 vial for each side of the face monthly for 3 months so 6 vials total, does this seem like a reasonable protocol? I have good skin for my age, and have been on a skin plan of Profilho / micro-needling with PRP or exosomes and Botox quarterly for the past 4 years. I use Tretinion and Vitmin C daily as part of my skincare too. They have advised that if I go with Sculptra I can stop the Profilho. Thanks ❤
Amazing this Dr being so generous in sharing all knowledge and information for our well being and obsession with saying as young as possible Yet he accepts to age gracefully 👍
Thank you very much dr for giving the best clarification for Sculptra on youtube
I am following you !!! Thank you so much Dr. !!! This is so helpful , my new favorite Doctor in UA-cam , so professional and serious. Thank you for making this video and share your knowledge with us. A very good impact to the world.
What would you recommend for area around the mouth near chin
I had Sculptra done yesterday and after the lidocaine wore off, I had the worst jaw pain ever! I couldn’t eat anything all day and into the night. I think that this side effect should be mentioned because it’s not in any video I’ve watched. I finally found after numerous Google searches that it is a “thing” that some patients get and it can last awhile.
Sculptra should be mixed with lidocaine and sterile water otherwise it can be a painful experience
I believe this was injector error. She obviously hit nerves, which an experienced practitioner knows to avoid.
I've had it done and it leaves you sore as hell . Did you get any results?
@@coredadventure1 … it’s hard to tell. I wish I would have taken weekly photos of myself without makeup to gauge the results. I ended up with 4 vials in all, and I definitely can tell it’s made my face fuller but probably because I’m my own worst critic about my fine lines and wrinkles, so that’s one of those things I think I’ll always see a problem with.
@@bonnie_batten-johnson thank you for the response! I hear you we are our worst critic! I'm not sure I got any results either but I just did it again recently . I could not believe how bruised I got this time! I mean covered in bruises! And I didn't do anything like blood thinners or any of that. I had a new girl do it because the old girl had quit. I don't know if that had anything to do with it but I could not believe how badly bruised i got this time! But I do believe I did notice some difference last time and it is best to take some pictures . Where I go they take pictures . They didn't take pictures where you went? The results are pretty subtle. That's what I like about them . They're so natural but they're hard to catch! And it takes several months to notice
Thank you for being such a thorough doctor and great video for patients
Glad I could be helpful!
I saw the misinformation about being re-injected as early as 3 weeks and thought the same! I'm young (29) so will personally give it 4-6 months before getting another vial, but I agree that I would prefer to just go with one vial if possible. Thank you for your honesty!!
Answered so many of my questions , thank you
Hi Dr Kopelman. I have been getting Sculptra for the past 3 years and have been getting 2 vials of maintenance annually after initially getting 7 vials over a 6 month period. I'm 59 years old with a narrow oval face. I have been happy with the results but I have developed a heavy droopy right eye lid 2 months post my last maintenance vials and was wondering if this is connected to migration from the temple area on my right side. I always do the 555 massage technique and would like to know if Sculptra could be the reason because my injector told me this isn't possible. I'm now dealing with heavy dense tissue touching my lash line and am worried I may have to have it surgically corrected. My left eye is normal. I would appreciate your opinion. Many thanks from Australia
Your provider is right. That sagging has nothing to do with sculpture. It is loss of the support in your eyelids musculature. This is very common.
Sounds like it was too close to the eye. I wouldn't go back there for treatment personally
Best information on Sculptra I've seen. Thank you.
I really appreciate the responsible information you provide. I have had Sculptra 4 times. Should I not have a facelift? I was hoping to.
Thank you for your authorized opinion and reliable information! 🙏
Thank you for that detailed explanation. I learned so much about sculptra. I have sculptra injections done by an expert nurse injector. It makes all the difference.
Glad it was helpful!
Thank you so much for a valuable information
Glad it was helpful!
Thank you Doctor, it's informative! I did 2 vial 3 weeks ago, I do not see any results though, but my husband told me 2 days ago I look great )
How are you doing now?
Fantastic advice and explanation of technique. I would feel very comfortable having you as an injector.
How long after I had Sculptra should I wait for a face lift. Will the scaffolding structure of Sculptra completely be gone in a certain length of time. Should I NOT get Sculptra if I MIGHT have a face lift in 3-6 years?
How long after Sculptra would you recommend waiting if one wanted to get a facelift at some point in the future?
The scar tissue lasts for life IIRC.
@@ouranos0101serrapeptase dissolves scar tissue
I’d like to keep the option open of a future facelift but I’m at least a decade away from that. It sounds like you don’t recommend sculptra for those who may one day have a facelift? Is there else that can provide sculptra results but is safe for those who may want a facelift?
Great Info! Now I know how to proceed - thank you Doctor!
Very well explained. I have a question. How long it will last underneath the skin little tiny scar tissue? I heard about risks of having nodules. Can people can get rid of those nodules?
@@Claudia-yn4pz Yes -nodules are possible particularly if Sculptra is injected around the mouth and most importantly if the Sculptra is not diluted with sterile water properly
Dr. Coyld you please make a video about harmonica as well, please.
hello doctor. you said do not inject around the mouth, is that mean is not good for Nasolabial Folds? If so what would you recommend. Thank you for your advice
Hi, Dr. Great info. I am wondering what would be the long-term effects and can this be done instead of injections? Thank you!
Benefits of Sculptra can last between 1-2 years. I’m not particularly worried about any long term side effects because Sculptra works by stimulating your own body to increase collagen production in the area it is injected and then your own body over time will naturally break it down. And in case you didn’t realize Sculptra is another type of cosmetic injection that would be separate from hyaluronic fillers.
Amazing and practical advice from a professional, thanks.😊
Glad it was helpful!
Is Sculptra ok for Sjögren and Rheumatoid Arthritis patients?
Dr., i had polynucleotides injected in the subcutaneous layer. How long after this procedure should I wait to get sculptra? Im worried about any complications
Thanks for sharing your experience Dr 🙏🙏🌺🌺
Excellent video Dr🤩🤩
Do fillers create little pockets of scar tissue as well? Just like a sculptra injection would?
A non-invasive, less painful treatment that works as well and is more permanent is doing multi peptide collagen and keratin with a growth factor. I use the Skinlyte soap that is loaded not only with collagen but also keratin peptides. It is called Hair & Whole Body Bar. It is fast absorbed because it has an enhanced peptide binding enhancement technology which produces water molecules in a condensation reaction that hydrates skin and hair naturally. It repairs, grows hair, naturally moisturizes, rebuilds and strengthens hair and skin. I got it at Amazon and I am impressed with new benefits I discover every time I use it. I noticed many improvements in my hair, skin and nails. What I like best about it is that it's all natural and without harmful chemicals such as synthetic dyes, fragrance, SLS or preservatives.
Hi I’ve been getting sculptra for 25 years and it stopped working for me. I’ve done it 4 x hoping I could get results. Why did sculptra stopped working? I loved my results did it stop working because of scar tissue?
I love Sculptra!The best!
I got sculptra in December and the injector did twice as much on one side. I feel like my face is ruined. I used to get looked at everywhere I went. My face us completely crooked. Will this last for 5 plus years.? It's been 8 months since I had it. Will it ever go away? I'm devastated.
A plastic surgeon injected Sculptra in my nasal-labial folds. My smile was never the same.
Not a good place to inject sculptra. I’m sorry to hear that. It’s really reserved in my opinion for temples to restore volume.
@@drkopelman Thank you for sharing your knowledge as well as this kind of caution. I hope doctors like the one who altered my appearance negatively will watch your content.
Can I ask how much you got injected?
I just got sculptors injected in my nasal labial folds 😳
Thank you for the video. Do you find that Sculptra is helpful in causing some skin tightening, or is it mainly a volume effect with time.
Primarily volume replacement but you can argue you also get improved tightening of the skin.
I’ve also noticed a noticeable improvement in my skin tone and texture-almost a pregnancy glow!
I had a facelift deep plane when I was nearlly 59 Im.60 now its been like one and a half years....I would like to do sculptra Ive watched many videos and so few Drs say its only for certain areas only you and another well known Dr....also where I live many copies so you have to check the box,the dates on bottle and box...is it true some Drs prepare the scultra one day beforehand ? If so why?
great information...I having been getting Sculptra treatments... I had abit of fat loss due to non surgical procedure..i was wondering if having PRP would be beneficial in adding with my sculptra treatments...? i am looking to improve the strength of my skin..thank you
Thank you Doctor. I am so confused….the information you provided makes sense
I hope i clarified things!
Hi Doc! Thank you, awesome video. I am 39 turning 40 in September. I had two vials injected in the areas you mentioned, using a cannula, on June 1st. I am pretty pleased already with results I’m seeing but maybe I’m crazy lol. I feel like skin is already improving and you can see more volume in my face. Question is: waiting 6 weeks and have a plan to evaluate and possibly do two more. How do I know if I need the other two or if I should just wait more time? Also, if I get the other two is there such thing as putting too much? Will my face look giant lol if I don’t need it?
Be patient -sometimes this material takes longer to manifest the results .Go slow and you are less likely to overshoot.
Thank you Dr. I think you’re wonderful I know it’s not usual but could you give us the price per syringe that you would charge? There’s a lot of doctors that are doing this and I’d like to go to you but of course flying in and price is a consideration. Thank you.
It's essential to prioritize the expertise and experience of the injector over the cost alone. The outcomes of injectable treatments can vary significantly based on the injector's skill and understanding of facial anatomy. While I understand that cost are important considerations, ensuring that you're in the hands of someone who aligns with your aesthetic goals and has a proven track record of achieving desired results should be paramount. Prices can range based on who you see and what area of the country you live in. But again who you go to matters than what it cost.
In Southern Cal -Newport Beach, One vial of Sculptra is 1300$. I am 57 and I was recommended to start off with one vial.
i got a bichectomy so my cheeks deflate leving me like a punched ball, now i feel i look older and witha weird looking face.... would sculptra help me?
Thank you for your conservative approach. I appreciate your information.
I hope it was helpful
Thank you for your knowledge. I agree with the conservative approach!
Thank you so much!
Never had any down, how do you use this at home?
Thank you for this information doctor. I had New-Fill injected years ago and was told that was the original Sculptra - is that correct or is it a different product?
Can you use sculptra to marionette lines? With fat loss from acne.
Hi Doctor! would Sculptra be recommended in the case of perioral mounds?
what time interval do you recommend after sculptra before surgical lifting?
I HAVE HAD DONE THE MORPHIUS8, 3 SESSIONS, CAN I STILL HAVE A FACELIFT IN COUPLE YEARS ?
Hi doctor! Please can I ask a question? I have a very very prominent jaw line ( a woman) and I’ve tried massester botox which seems to make the jaw even more prominent because it’s not be musule but my actual jaw bone.
A nurse has suggested getting this instead to soften the face so it’s. A bit more round drawing less attention to the jaw. The jaw right now looks very wide and my cheek as a result looks bigger because the lower part is very slim but really defined.
Please can you let me know your thoughts ?
Ellanse is the same as sculptra? Do we face the same issues regarding a facelift if we had Ellanse?
What are you thoughts about morpheus 8 facial?
Do avoid injecting Sculptra at the top of the nasiolabial lines, right next to the nose as well?
Thank you! This video is informative and helpful.
For my first session with sculptra I used one vial. The second session 5 months late I used 2 vials. How long should I wait before considering another session if needed?
I’m 42, but had Bariatric surgery 10 years ago. I have some skin laxity and aging that is common but it’s not at an extreme level at this time. I like to stay refreshed looking and age gracefully. I noticed filler was not lasting as long and sometimes made me look strange or older actually lol, so I switched my approach.
I can use Botox still and HA lip filler to compliment but I like the subtle Sculptra!
Please let me know what you advise for reassessment time lapse in between sculptra treatment and maintenance?
Thank you so much! 🙏
Recommended maintenance is annually,
I had 4 vials injected in a 2 week period. I didn’t ask for it to be done that way, and now that I’m reading it seems that that wasn’t the correct way to have it administered. Did I waste my money I wonder?
Dr. have you ever done it on a Lupus patient? It is contraindicated for people with autoimmune disorder, but how likely are granulomas for these patients if proper procedures are used.
Dear Dr. Is it possible to perform Sculptra on a patient who received Radiesse injections 3 months ago?
this is SOOOO INFORMATIVE
Hi Dr.Kopelman. Love your videos! Just one question... Could you have a facelift within some years of having used Sculptra? I mean, if you have Sculptra and in the future you considered having a facelift done, could you wait some years so that it could be done without problems or the scar tissue remains forever making it impossible to get a facelift? thanks a lot in advance
Yes you can still have a facelift but the surgeon may encounter some subcutaneous scarring during the procedure which may cause more bleeding and swelling
What about patients with thyroid diseases?
What is your dilution for Sculptra
Is it useful for abdominal laxity after losing weight?!
Nope that isn’t going to help for that particular issue you might have. Sculptra is really meant for the face primarily
Dr. Have u ever gotten it urself or considered it or put it in ur underarm? I heard many Surgeons put stuff like fillers in der underarm to see how long it lasts etc
You touched on fat transfer.
I’ve heard that sometimes fat harvested from the thigh, when spun, turned to just oil. No semi solid fat which could be transferred. Can you talk about that please or just reply to me? I’m very intrigued. The lady concerned is a vegetarian. Not sure if that’s anything to do with it. 😅
Fat is the best "natural" filler and it is true that some patients do not have great fat for grafting but this is rare in my experience
Dr. Kopelman,
Is it wise to use Sculptra to selectively fill shallow rolling scars? And if we plan on doing a facelift in the future? What alternative to Sculptra works best?
No Sculptra is not a good solution for superficial scars because it may lead to granulomas.A better solution is micro botox combined with silicone injections
Great video!! Thank you!!
Glad you liked it!
I got Sculptra o do like the effects it’s very good I also got recently fat grafting under my eyes for dark circles that would never go away but I was wondering your opinion on prp facelift to help enhance my face just wondering your thoughts
I don't believe PRP at the time of a facelift will significantly make a differnce.
Saw a video of young 20 something receiving sculpture in temples yet I was told I did not need sculptra because there was 'no hollowness' in that area. What's the difference?
The young person looked great and regular weight, yet isn't scuptra for some type of prevention of sagging face or maintenance?
Sculptra is typically used to address volume loss, so if there's no hollowness in your temples, that might be why you were advised against it. However, it can also be used preventatively in younger patients to maintain facial volume and structure before significant aging signs appear.
Can you use sculptra for the neck aera?
I also want to know if sculptra can works on the neck.
Is bellafill recommended for a smile line? Thanks
In most cases the eyelid incisions will fade with time -usually within 6 months but some surgeons uses absorbable sutures that can leave residual scars and rarely patients have a tendency to for hypertrophic scars that can be treated with topical silicone gel and /or 5fu
Hi dr
I used to have 3 lines around my mouth when I smile, I did sculptra twice, they improved a lot , if I want to do 1 more time to get the best result do u think my lower face will look plumper so I lose my v shape ?? Thanks
Hi Dr, I know it’s not the best place to ask outside a medical office, but what would be good for the nasolabial area? Sculptra and radiesse are totally out of the question?
Thank you
I prefer using Juvederm for patients in the nasolabial folds. Great question.
@@drkopelman thanks for the reply Dr :)
There is a video by another surgeon who says the previous Sculptra use can make facelifts harder and that you can possibly never look like you did. I had a facelift 6 months ago. I still have some swelling still under my right eye and cheek. I’ve gotten it only in the places you said and didn’t have any for 2 1/2 years before surgery. Can you comment on this? In 2018, I think I got 4 and then got one or two per year for 3 years.
I never inject Sculptra under the eyelid which ? may account for the chronic eyelid swelling. The tissue is too thin for injections of Sculptra.
In regard to facelifting following Sculptra it is true that performing a facelift may be more difficult because tiny concentrated nodules from the Sculptra injections may blur the anatomic planes of dissection.The procedure can be performed but the surgeon should be aware that it may be more challenging.
Dr Karam on UA-cam says this is not true.
@@juanblanch8705 Beauty of having different opinions is always good in medicine because the aim is to deliver the best care for patients. I am speaking from my first hand experience of 35+ years with patients and from experience of my colleagues
@@juanblanch8705if you speak about de amir khan he also said the same about radiesse
Greatly explanation
Look forward people!
Can I do it with a skin condition Morphea ?
Thank u❤ i m in Türkiye...i couldnt find an expert dr who perform sculptra😢
How long does it last?
Doctor, I’m 30 years old and my doctor recommends me to do sculptra because my temples, under eyes and lower cheek begin to lose volume (just a little bit). She recommended 2 treatment sessions with 6 weeks apart. Do you think I’m at the right age to do sculptra? If not, what should I do instead? Thanks!
I am 32 I am thinking of going for it.
Hello, can someone with an autoimmune disease like RA, is it possible to use sculptra?
I can tell you that while Sculptra is generally safe for most people, individuals with autoimmune diseases like rheumatoid arthritis (RA) should approach it with caution. It's important to have a thorough consultation with your doctor or dermatologist to discuss your specific condition and any medications you may be taking, as autoimmune conditions can sometimes increase the risk of reactions to injectable treatments. In many cases, Sculptra can still be used, but it’s critical to assess the potential risks and benefits
Can person with autoimmune disorders ( hashimoto) get it? Are there any contradictions that you are aware of? Thank you
I don't believe Sculptra is contraindicated in patients with Hasimoto's thyroiditis
Can you have ocular occlusion with sculptra around the temples please?
No. Nothing I would ever be concerned with. I would not recommend that you be worried about this ever happening.
dr joel, For Upper eyelid suegery, Does is make any different if the surgeon using laser vs metal knife?
No, I prefer a surgical blade but other surgeons sometimes use a laser to make an incision
thanks@@drkopelman
How it is non-invasive when it has to be injected?
Would sculptra work for someone with severe facial fat atrophy? Thank you
I just learned that Sculptra was originally used to treat HIV patients who were experiencing very hollow, gaunt faces associated with facial fat atrophy. I would say definitely keep it in consideration and have a chat with your doc about it.
Why should people apply sculptra every year while , collagen already built ?
Helps re-stimulate new collagen production. And you don't necessarily have to do it every year.
Can it be done to the forehead? For skin laxity and improve volume?
Nope, not to be used in the forehead as he mentioned