Dr. Sam Lam Plastic Surgery Forum

Dr Lam.
I have been researching for hours about sculptra. I read that you do not use it any more. I am would like to know your comment on this procedure, please.

thank you very much,
Margo2597

1. too expensive.
2. takes too many rounds to get the results.
3. uncomfortable to inject with the cross-hatching method.
4. not good for eyes and mouth only for cheeks as the bioactivator component makes nodules in anywhere else but the midface.
5. unpredictable since it must have your collagen grow to create the result.
6. no immediate gratification since you are guessing at a result that you would only see a few months down the road. most people with fillers wants results yesterday.

as far as fillers, i prefer perlane and restylane for the following reasons:
1. can be used over the entire face including eyes, nose, cheeks, lips, chin, folds, whereas sculptra is good for cheeks.
2. they are immediate gratification and do not require collagen to possibly build a result.
3. they are reversible and i can then use what i really like as a permanent option which is fat transfer by reversing it as needed.
4. less expensive
this is not to say it is a bad product, it just does not make sense at this time in my practice.
best,
sml

Thank you so much. This gives me all the information in a concise form. I truly appreciate your time in explaining it.

you're welcome!