Sculptra Results

Numerous reports, as published in Vleggaar, have indicated patient satisfaction in the range of 95%. Not only is volume replacement and duration excellent, but enhancement of skin texture and color are reported. Nonvisible subcutaneous papules are reported in approximately 3% of patients, and 30% of these resolved spontaneously in 3 months. As reported by Vleggaar, visible papules and nodules were seen in 1%, and rarely require intervention with subcision, intralesional saline or steroids. In rare instances, excision of a nodule may be prudent. Other adverse events, as with many injectables include edema and ecchymoses, and patients should be cautioned of this before injection. Avoidance of aspirin, NSAIDs and vitamin E prior to injection may be advisable.

A new off-label indication for the use of PLLA is as a pre-treatment of the deflated face prior to other modalities that might otherwise be unsuccessful because of the poor tissue quality or severe redundancy. This works especially well in conjunction with radiofrequency tightening, threadlifts and traditional face lifts when PLLA is injected in two or three sessions, at least several months previously.

Fibroplastic fillers represent a change in paradigm from previous direct fill agents used for volumetric restoration.Although not offering instant gratification, often requiring 4-6 months to achieve correction, patient satisfaction remains high. The predictability and significant duration, up to 40 months, with injectable PLLA is also unique. Adequate dilution and placement, as well as proper technique followed by massage is essential to optimize outcomes and avoid nodules.