Dermal fillers are great anti-aging injectables for patients concerned with the appearance of lines and wrinkles around their nose, mouth, and chin. Sculptra is one of the longest lasting dermal filler treatments available. It lasts up to two years and promotes the rebuilding of collagen in the skin.

Dr. Korman has three convenient locations in the greater Bay Area to serve his patients, including Mountain View, San Jose, and Carmel. Contact him today to request a Sculptra consultation and see how this advanced dermal filler can enhance your appearance.

About Sculptra

Sculptra Aesthetic® is an injectable dermal filler that addresses the underlying causes of facial aging, not just the symptoms. It works to gradually replace lost collagen, which causes the formation of wrinkles. It is effective at treating mild to severe facial lines and folds, including smile lines, marionette lines, and chin wrinkles. Plus, it offers long-lasting results – up to two years!

How it Works

Sculptra works by gradually replacing collagen that has been lost over the years. Some creams claim to deliver collagen to the face topically. However, collagen molecules are too large to penetrate the dermis topically. They are good at moisturizing the skin and can provide temporary results, improving the skin’s appearance. But, these results are not long-lasting.

Another so-called collagen replacement remedy is dietary supplements. However, collagen is a protein and when it is orally ingested, it will be broken down by the digestive system. For this reason, the results from collagen promoting dietary supplements are inconclusive.

Sculptra, on the other hand, is a poly-L-lactic acid collagen stimulator. Poly-L-lactic acid is a biodegradable, biocompatible synthetic material that is commonly found in dissolvable sutures. It doesn’t work topically, but, rather, in the deep dermis. As the poly-L-lactic acid microparticles are naturally absorbed, they help stimulate collagen production. By revitalizing collagen production, Sculptra helps restore the skin’s inner structure and facial volume. This helps improve the appearance of volume in the midfacial region and lines and wrinkles.

Good Candidates

Healthy adults who want to improve the contour of their face and appear younger looking, without it being obvious that they’ve had cosmetic work, may be good candidates for Sculptra. The majority of our Sculptra patients are in their 30s, 40s, and 50s, but Dr. Korman is happy to meet with men and women of all ages who are interested in Sculptra or other dermal fillers we offer.

Allergy testing is not required prior to receiving Sculptra injections, but patients should make sure that they are not allergic to any of the ingredients in Sculptra prior to receiving treatments. Patients should also not have any active skin infections or inflammations at the surgical site at the time of the treatment. Please inform Dr. Korman if the patient has a history of or susceptibility to keloid formation or hypertrophic scarring.

Dr. Korman will determine whether or not the patient would benefit from Sculptra during the initial consultation. Contact one of his offices in Mountain View, Carmel, San Jose, or San Francisco to request your private consultation.

Sculptra vs Botox

Both Sculptra and Botox are injectable anti-aging solutions, but they are not the same. Sculptra is a type of dermal filler, while Botox is a neurotoxin. Fillers are liquid or gel injectable substances that are designed to add volume to the face and diminish signs of aging, particularly static wrinkles around the nose and mouth. Botox, on the other hand, is a diluted solution of botulinum toxin that temporarily suspends muscle contractions that cause wrinkles, particularly dynamic wrinkles around the forehead and eyes. Since the two injectables treat different conditions, they are frequently used in combination to address multiple signs of facial aging.

Day of Injections

The Sculptra injection process is quick and can be performed in approximately 30 minutes.

This makes it easy to fit into busy schedules. Most people find the injection relatively painless, but we can numb the area with ice prior to injection if the patient desires.

The results from Sculptra appear gradually, so it won’t be obvious that the patient has “had work done.” Typically, three different injection sessions are scheduled over the course of three to four months. However, the number of treatment sessions and the volume of the injections will vary from person to person, depending on how much collagen has been depleted. Dr. Korman will determine how much of the product the patient will require at the time of the initial consultation.

After the Treatment

There is limited downtime associated with Sculptra injections. Most patients will be able to return to their normal activities immediately following the treatment. The most common side effects include redness, swelling, tenderness, discomfort, bruising, bleeding, itching, and bumps around the injection sites. However, with an experienced injector, the risks of these side effects are low. If patients experience any of these side effects, then they should not worry and wait they should go away on their own. This typically occurs over the course of a few hours to a few days. If the patient wishes to return to their schedule immediately without signs of treatment, then they can cover the injection points with a light, breathable concealer.

Results

Results from Sculptra will begin to become evident and improve over the course of three to four months. The results are long-lasting and can last up to two years. However, in order to maintain results, patients should return for more injections after the two-year mark. Over time, patients may require less of the formula to achieve their desired results. Collagen growth will help promote improved contour over time.

Alternative Treatments

There are three main ways to treat signs of facial aging: resurfacing, injectables, and surgery. Dr. Korman offers all three to suit each of his patients’ individual needs.

Resurfacing

Resurfacing procedures, such as microdermabrasion, chemical peels, and laser resurfacing work on the outermost surface of the skin. They modify the top layers of the skin, reducing the appearance of fine lines and wrinkles, skin tone, blemishes, and pigmentation. However, the results from resurfacing are only temporary and only work at the surface level. They do not combat the deeper causes of facial aging. Nonetheless, they are good options for patients with minimal signs of aging or patients in need of a “touch-up” or routine improvements in their appearance.

Injectables

Both dermal fillers and neurotoxins are effective anti-aging tactics.

Injectables such as Sculptra, but also including other dermal fillers and neurotoxins such as Botox and Dysport, are a very popular way of fighting signs of aging in the face. As discussed above in “Sculptra vs Botox,” dermal fillers treat static wrinkles by adding volume and elevating the surface or the skin, while Botox treats dynamic wrinkles by minimizing the muscle contractions that cause them. However, they are excellent options for patients who desire striking results without the need for significant downtime from surgery.

Surgery

Surgical procedures are a good alternative option for those who want to reduce signs of facial aging for a longer period of time. Like any cosmetic procedure, surgical procedures have their pros and cons. Surgical procedures, including a facelift, neck lift, and fat transfers, can all help make the face look younger. However, they will require downtime since they are the most invasive of the three alternative treatment options to Sculptra. These procedures are best suited for patients who have the most significant signs of facial aging and can afford to take time off from recovery.

Consultation

Many patients may benefit from Sculptra. Nonetheless, it is important to come into the offices of Dr. Korman prior to receiving any treatment to receive a professional opinion and make sure that Sculptra is the right injectable for the patient.

Dr. Korman begins each consultation by asking the patient why they are interested in the treatment of his or her choice. It is important that the patient has realistic expectations for the outcome of the procedure. Dr. Korman will take the time to properly explain what the patient can expect following Sculptra treatment. He will also be able to provide the patient with before and after pictures of other Sculptra patients. However, results will vary between patients.

Dr. Korman will perform a physical examination, asking the patient to perform a series of facial exercises that will help him pinpoint the injection locations. In some cases, he may find that the patient’s goals will be better met by an alternative treatment. In some cases, this may be another minimally invasive injectable treatment, such as another dermal filler or a neurotoxin. In other cases, he may recommend a milder treatment, such as resurfacing, or a more invasive treatment, like a surgical procedure. This will come down to a variety of factors including skin elasticity, patient goals, and areas of concern.

During the consultation, the cost of the treatment can also be discussed. It is important to keep in mind that Sculptra will be administered in a series of treatments over the course of a few months. Dr. Korman will be able to provide the patient with a price quote for the entirety of the treatments at the end of the consultation and/or a price quote for any additional or alternative procedures that the patient chooses. The price of the procedure will depend on the number of sessions required, volume of the product necessary, and maintenance. Sculptra is long-lasting but is not a permanent procedure.

Contact Dr. Josh Korman today to request a consultation at one of his offices in Mountain View, Carmel, San Francisco, or San Jose.