What is it?
Injectable skin rejuvenation treatment using a synthetically derived poly-lactic acid polymer. Previously it was called New-Fill, but the manufacturers re-named it to avoid mistaking this product for a dermal filler. Sculptra is used to improve skin texture and elasticity, post-acne scarring, tissue atrophy / post-traumatic or anti HIV treatment induced /. It can be combined with other rejuvenation treatments such as laser, RF tissue tightening, and gold filaments. It can be used on face and the body but not in areas close to bones where soft tissue is very scarce. Sculptra is not used close to eyes and lips.
How does it work?
Particles of Sculptra placed in skin activate fibroblasts - cells producing new collagen fibres. These cells lay collagen around Sculptra, hence skin becomes thicker, firmer, small scar defects smoothed out. Sculptra is sometimes called collagen stimulant. This process is slow over a few months, first results being apparent only after 4-6 weeks and reaching to the maximum at 6 months.
How is it done?
Skin is numbed with help of local anaesthetic cream. A doctor prepares Sculptra at least 24 hours prior to the procedure by reconstituting it with water for injections. Ready to use Sculptra then injected into skin by series of multiple injections. The treated sites are then massaged to distribute medicine evenly. Then applying ice packs cools down the area.
Is it painful?
Normally well tolerated especially if local anaesthetic cream and ice packs are used.
Are there any contraindications?
Active skin infection, malignancy, tendency to form kelloid scars, allergy to components of Sculptra, autoimmune diseases, pregnancy and breastfeeding
Bruising, swelling is possible and will settle within 2 weeks. Infection is very rare and will require antibiotics. Small nodule formation is sometimes noted and massaging the area normally resolves the problem.
Cooling the treated area after the procedure will reduce swelling and bruising. Patients are advised to apply their usual moisturiser and massage the injected areas for 1-2 weeks at least twice a day. This will prevent lumpiness formation and stimulate active collagen production. After the initial swelling subsides no change is observed till at least 4 weeks, this is because new collagen production is a very slow process and is hindered further in smokers. Make up can be applied next day.
How many treatments are required?
Minimum 2 sessions 6 weeks apart, for better results 3-4 sessions are advised.
How long the effect lasts?
Minimum 2 years. People who regularly use Sculptra may need it less frequently.