SCULPTRA VS HYALURONIC ACID FILLER 💉 DERMATOLOGIST @DrDrayzday
Summary
TLDRIn this informative video, board-certified dermatologist Andrea discusses Sculptra, a poly-L-lactic acid filler used for volume restoration and skin tightening. Unlike hyaluronic acid fillers, Sculptra stimulates collagen production for a more natural, gradual, and longer-lasting effect. She covers its FDA indications, benefits, and potential downsides, including the irreversible nature and the need for multiple treatments. Andrea also touches on off-label uses and the importance of choosing a skilled injector for optimal results.
Takeaways
- 😀 Sculptra is a biostimulatory filler that stimulates the body to produce its own collagen, providing a more natural and long-lasting effect compared to hyaluronic acid fillers.
- 🔍 Sculptra has been FDA approved for the treatment of facial fat loss in HIV patients since 2004 and recently for wrinkles and fine lines.
- 🌟 The active ingredient in Sculptra is poly-L-lactic acid, the same compound found in dissolvable sutures, which gradually dissolves into carbon dioxide and water over 9 to 20 months.
- 📈 Results from Sculptra are not immediate; they develop gradually over 6 to 12 weeks as the body produces new collagen, often referred to as the 'Sculptra glow'.
- 💉 Sculptra requires at least three treatments spaced at least three weeks apart, and the full effect is seen around 12 to 24 weeks after the final injection.
- 💰 The cost of Sculptra treatments can vary widely, ranging from $850 to $2,000, depending on the location.
- 🆕 Galderma, the company that manufactures Sculptra, has reformulated the product to be more dilute and easier to work with, reducing the risk of clogging needles and nodule formation.
- 🚫 Unlike hyaluronic acid fillers, Sculptra is not reversible with an enzyme, making it a more significant commitment with no option for immediate correction if dissatisfaction occurs.
- 🤔 Individual responses to Sculptra can vary, with some people experiencing less collagen production and underwhelming results despite the treatment.
- 💡 Sculptra is not only used for facial volume restoration but also for treating volume loss in the backs of hands, improving cellulite appearance, and smoothing out acne scars.
- 🧴 Post-treatment care includes massaging the injected area for about five minutes to ensure even distribution of the product and prevent clumping.
Q & A
What is the main topic of the video?
-The main topic of the video is Sculptra, a type of dermal filler used for volume restoration and treatment of wrinkles and fine lines.
Who is the speaker in the video?
-The speaker is Andrea, a board-certified dermatologist who regularly posts skincare content on YouTube.
What is the difference between hyaluronic acid fillers and Sculptra?
-Hyaluronic acid fillers provide an almost instant volume effect, while Sculptra is a biostimulatory filler that stimulates the body to produce its own collagen, resulting in a gradual and longer-lasting effect.
What are the FDA indications for Sculptra?
-Sculptra has been FDA approved since 2004 for the treatment of fat loss in the face of HIV patients and later for deeper contours like nasolabial folds. It recently gained FDA approval for wrinkles and fine lines.
What is the active ingredient in Sculptra?
-The active ingredient in Sculptra is poly-L-lactic acid, which is the same compound found in dissolvable sutures.
How does Sculptra work to enhance facial volume?
-Sculptra works by stimulating fibroblasts, the cells that make collagen, to produce more collagen, leading to a gradual improvement in skin tone, softening of wrinkles, and volume restoration.
How many treatments of Sculptra are typically required?
-At least three treatments of Sculptra are needed, spaced at least three weeks apart.
What is the cost range for Sculptra treatments?
-The cost of Sculptra treatments can vary depending on the location but generally ranges from $850 to $2,000.
What is the advantage of the newer formulation of Sculptra?
-The newer formulation of Sculptra allows for a more dilute solution, which is less sticky, less likely to clog needles, and reduces the risk of nodule formation.
What are some potential side effects or drawbacks of Sculptra?
-Potential drawbacks include the irreversible nature of Sculptra, the lack of instant results, the need for multiple injections, and the possibility of variable outcomes due to individual responses to collagen production.
Can Sculptra be used for purposes other than facial volume restoration?
-Yes, Sculptra can also be used to treat volume loss in the backs of the hands, improve cellulite, and potentially smooth out indented acne scars.
What is the Sculptra glow and how is it related to the treatment?
-The Sculptra glow refers to the more radiant appearance of the skin as a result of the body producing new healthy collagen after Sculptra treatment.
Is Sculptra a preventative treatment for wrinkles?
-While Sculptra can improve volume and reduce wrinkles, there are no studies suggesting that it has a preventative effect on wrinkle formation when used in one's 30s.
Outlines
💉 Introduction to Sculptra Filler
In this introductory paragraph, board-certified dermatologist Andrea introduces the topic of Sculptra, a type of filler used to enhance bone structure and restore lost volume. She explains that Sculptra is a biostimulatory filler that differs from hyaluronic acid fillers by stimulating the body to produce its own collagen, resulting in a more gradual and longer-lasting effect. Andrea also mentions the recent FDA approval for Sculptra's use in treating wrinkles and fine lines, and its historical use for facial fat loss in HIV patients. Sculptra is composed of poly-L-lactic acid, similar to dissolvable sutures, and requires at least three treatments for optimal results.
🔍 Sculptra's Mechanism and Advantages
This paragraph delves into how Sculptra works, emphasizing its gradual stimulation of collagen production by fibroblasts, leading to an improvement in skin tone and a softening of wrinkles over 6 to 12 weeks. Andrea discusses the benefits of Sculptra, including its discreet and semi-permanent nature, its ability to provide a more natural look compared to hyaluronic acid fillers, and the long-lasting results that can last for years. She also addresses the new formulation by Galderma, which allows for easier dilution and reduces the risk of clogging needles and nodule formation.
🚫 Disadvantages and Considerations of Sculptra
Andrea outlines the potential downsides of Sculptra, noting that it is not reversible like hyaluronic acid fillers, which can be dissolved with hyaluronidase. This makes Sculptra a significant commitment as there is no easy way to undo its effects if dissatisfaction occurs. She also mentions the lack of instant results, the need for multiple injections, and the necessity of post-injection massage to ensure even distribution. Furthermore, Sculptra can be painful, may cause bruising, and carries the risk of nodule formation, although these can be mitigated with proper injection techniques. Lastly, Andrea points out that results can vary greatly from person to person, and there is no guarantee of satisfactory outcomes.
🌟 Sculptra's Broad Applications and Future Prospects
In the final paragraph, Andrea explores additional uses for Sculptra beyond facial volume restoration, such as treating volume loss in the backs of hands, improving cellulite, and smoothing out indented acne scars. She also discusses the potential preventative benefits of Sculptra for individuals in their 30s and the importance of consulting with a professional before deciding to undergo treatment. Andrea wraps up by encouraging viewers to share their experiences with Sculptra in the comments and reminds them of the importance of sun protection and subscribing to her channel for more skincare content.
Mindmap
Keywords
💡Sculptra
💡Filler
💡Hyaluronic Acid
💡Bostimulatory Fillers
💡Fibroblasts
💡FDA Approval
💡Nasolabial Folds
💡Galderma
💡Nodules
💡Volume Restoration
💡Radiant Glow
Highlights
Sculptra is a biostimulatory filler that stimulates the body to produce its own collagen for a more natural and long-lasting effect.
Sculptra is indicated for treating facial fat loss in HIV patients and has received new FDA indications for wrinkles and fine lines.
Sculptra is made of poly-L-lactic acid, the same compound found in dissolvable sutures, and differs from hyaluronic acid fillers in its gradual and longer-lasting effect.
The process of Sculptra involves a series of injections over 6 to 12 weeks to stimulate collagen production, resulting in a gradual improvement in skin tone and volume.
Sculptra injections require at least three sessions spaced three weeks apart, with results becoming more apparent over time.
The cost of Sculptra treatments can range from $850 to $2,000, depending on the location and the pharmaceutical company Galderma.
Galderma has reformulated Sculptra to be more dilute and easier to work with, reducing the risk of clogging needles and nodule formation.
Sculptra is considered semi-permanent, with the substance dissolving over 9 to 20 months, while the collagen it stimulates remains for a longer period.
There is variability in individual responses to Sculptra, with some people experiencing less collagen production and underwhelming results.
Sculptra offers the advantage of a more discreet and natural-looking volume restoration compared to hyaluronic acid fillers.
Sculptra is less likely to cause an overfilled or unnatural appearance, providing a more gradual and long-lasting improvement.
The main disadvantage of Sculptra is its irreversibility; unlike hyaluronic acid fillers, there is no easy way to dissolve Sculptra if results are unsatisfactory.
Sculptra does not provide instant results, requiring a commitment to a series of injections and a delayed onset of visible benefits.
Post-injection massage is necessary for Sculptra to ensure even distribution and prevent clumping, which can be bothersome for some patients.
Sculptra can be used for other cosmetic applications such as treating volume loss in the back of hands and improving cellulite.
There is interest in using Sculptra for acne scars, as the increased collagen production can help smooth out skin indentations.
Sculptra may have potential preventative effects when used in the 30s, although more research is needed to confirm its long-term benefits.
The video creator emphasizes the importance of discussing Sculptra with a professional to determine if it is the right choice for individual needs.
Transcripts
well hey guys you have been asking for
some time now for me to do a video on
sculptra so that's what you're getting
today we're going to be talking all
about sculptra it is a filler i'm going
to be going over what it's indicated for
what you might expect with it the pros
and cons of sculpture and i'm going to
be discussing how it differs from other
types of filler on the market if you are
new here welcome my name is andrea i'm a
board-certified dermatologist i post
skincare content here on youtube pretty
regularly if that is of interest to you
definitely subscribe hit the bell
notification that lets you know when my
videos go live the term filler is kind
of a catch-all term used to describe a
variety of gel-like substances that can
be injected to enhance bone structure
and to restore lost volume now the
majority of fillers that come to mind
when people are talking about fillers
that are fda approved are going to be
hyaluronic acid based fillers hyaluronic
acid is a hydrating substance it's
naturally found in the body and it
attracts water i got a lot of videos
talking about hyaluronic acid filler the
complications i will link some of those
down below in the description box but
there's another category classified as
biostimulatory fillers meaning they kind
of stimulate your body to naturally
produce its own volume and namely that's
going to be collagen biostimulatory
fillers include radius bellophill and
sculpture which is what we're going to
be covering in today's video now you've
probably heard a lot more buzz around
sculptra lately because it recently has
gotten some new fda indications namely
for wrinkles and fine lines but sculptra
has been around for a long time and a
lot of dermatologists have been using it
for a long time off label
for wrinkles and fine lines for some
time now
but it is now fda approved for that
indication prior to that it has been fda
approved since 2004 for the treatment of
fat loss in the face of hiv patients
undergoing hiv treatments so one adverse
effect of certain hiv to medications is
that it can cause fat loss in the face
it's actually quite disfiguring i want
to say around 2009 i got fda approval
for deeper contours like the nasolabial
folds so what the heck is sculptura
sculpture is poly l lactic acid it's a
sticky polymer that is actually the same
compound as what is found in dissolvable
sutures they put sutures underneath the
skin that later dissolve same substance
as many of those types of sutures
sculptra differs from hyaluronic acid
fillers in that in contrast to
hyaluronic acid fillers which provide an
almost instant feeling effect the
filling that happens with sculptra is
much different it stimulates your body's
ability to produce collagen so it's a
lot more gradual in onset but the end
result is longer lasting fullness
because it's actual collagen that your
body is making as opposed to just
temporary volume replacement fibroblasts
are cells that make collagen so this
stimulates them to make more collagen
now as you can imagine that is not an
instant effect it takes some time it
occurs gradually over 6 to 12 weeks as
those fibroblasts start to be stimulated
to make collagen over the following 6 to
12 weeks you start to subtly and
gradually notice an improvement in skin
tone some people refer to it as the
sculptra glow you can imagine as you get
new healthy collagen being naturally
made you start to have more luminous
appearing skin you also have softening
of wrinkles and a gradual improvement in
volume you may be wondering okay so
you're injecting sculptra and eventually
the body starts making its own collagen
again as a result but what happens to
that sculptural that was injected well
it gradually dissolved over the
following nine to twenty months into
carbon dioxide and water with sculptra
you need at least three treatments
spaced at least three weeks apart and it
takes time to see results so it's not
the kind of thing that you go in you get
the injection and then people are like
oh whoa did you just get filler how much
does it cost like with any cosmetic
procedure it's going to vary depending
on where you live but it's going to
range anywhere from 850 to 2 000
the pharmaceutical company that makes uh
that makes sculpture is galderma same
company that makes different gel and
same company that makes cetaphil
same company that makes
cilantro and they have recently kind of
reformulated sculptra
for a better product basically they have
made it so that it can be more dilute
and that's advantageous because
previously sculptra has always been a
very difficult product to work with i
have used it myself not on myself but i
have used it for patients and it's very
very sticky the older formulation your
needle would clog a lot and the other
annoying thing about sculptra was that
you had to make it up 24 hours in
advance to let it kind of marinate and
that was a pain because as you can
imagine a patient might come in
you discuss a treatment plan come to the
conclusion that sculpture is the best
option for them and then they have to
come back because you don't have the
sculpture made up you've gotta you know
make it up and let it sit for 24 hours
so this is nice because now a patient
comes in you decide that sculpture is
the best treatment for them you know the
right approach you can just go ahead and
dilute the new formula and it's ready to
go so that's an advantage and because
the newer formulation has tweaked the
dilution
it is a lot more fluid the needles don't
clog as readily and there's less risk of
a side effect that can happen with with
sculpture which is the formation of
nodules which nobody wants
so that's the gist of what sculpture is
it's different from hyaluronic acid
filler and that it actually stimulates
your body's cells to make collagen and
it's so it's considered semi-permanent
hyaluronic acid filler is is not
permanent as you guys know
you've got to go back in and get another
injection you know around 10 months in
order to maintain the fullness whereas
with sculptra you do have to get
multiple injections but once you get
them you get that gradual onset of
volume restoration it's your body's own
collagen so it's semi-permanent in a
sense the sculpture itself is not
permanent it dissolves but the end
result is
more permanent and sustained because
it's your body's own collagen there is a
lot of variability though from person to
person
in terms of the new collagen synthesis
from sculptural injections not
everyone's fibroblasts respond as
robustly so there can be some
variability in terms of
the outcomes that you get not everybody
is somebody who responds well and gets
less than ideal results and it is an
expensive treatment in contrast to
hyaluronic acid let's go over the pros
of sculptra why it's advantageous first
of all it's a lot more discreet in that
you get it and it's a gradual onset so
it's not as obvious if you want to be if
you want to have volume restoration and
improvement of facial volume but not
have that like all at once oh my god you
got filler it's a lot more discreet
and it's semi-permanent in contrast to
hyaluronic acid filler so your body is
going to make some collagen and that's
going to be more long-lasting now the
substance itself will dissolve but in
contrast to hyaluronic acid filler this
is considered semi-permanent the other
advantage of sculptra over hyaluronic
acid filler is that it's less likely
that you're going to get that overfilled
look you know a lot of people who get
really into getting fillers they can
tend to
have that sort of doughy puffy look
after a while that's very unnatural with
sculpture it's a lot more natural you're
not going to get that puffy overfilled
doughy look and in contrast to
hyaluronic acid filler the seri after
the series of injections you're going to
get lasting results that last for years
and contrast to a hyaluronic acid filler
where you're going to have to have
repeat injections every 10 months those
are the pros what about the cons the
number one con in my mind is that
sculptra in contrast to hyaluronic acid
it's not reversible so hyaluronic acid
filler you can go in and dissolve with
hyaluronidase there's nothing really
that can dissolve sculptra so if you
decide that you don't like the results
or you develop an adverse effect like
nodules well there's not a whole lot
that can be done in the case of nodules
then those can be removed surgically but
it's challenging and not everyone is a
great surgical candidate so it's a lot
you know you it's a big commitment i
would say up front and the you have to
you have to have a lot of confidence in
the injector and the technique and so
it's definitely not something to just
kind of decide on a whim it is something
that is irreversible the other con for
some people is that you're certainly not
going to get instant results or instant
gratification for some people they want
something more instant they're really
really bothered by their the volume loss
in their face it's really affecting them
emotionally they may not be willing to
have that gradual
delayed onset of benefit i say it's not
instant but you might likely notice some
swelling in the first 48 hours so you
may think that that's what it's going to
look like that's just temporary swelling
it's not something that you're going to
appreciate for many weeks to come you
also have to commit to having repeat
injections three injections about every
three to four weeks the other somewhat
annoying thing about sculptra is that
you have to spend some time massaging it
in after the injection about five
minutes of massage massage massage
which you know may be bothersome to you
and the reason for that is to allow for
more even
distribution and prevent kind of
clumping the maximum volume enhancement
that you will see typically is around 12
to 24 weeks after the final injection so
again a bit of a delayed gratification
there as with any injectable of course
it can be painful to have the injection
now there is lidocaine in the injection
which helps with that but there can be
pain there can be bruising
and a more worrisome i guess side effect
of course is going to be the formation
of nodules now there are a variety of
approaches and techniques to minimize
the risk of nodule formation the
injector of course can make sure that
the sculpture is diluting this newer
formulation
allows for that
they also can inject smaller volumes
certain injection techniques minimize
the risk of nodule formation so these
things can really reduce that risk
substantially the other con with
sculpture is that there's actually no
guarantee that you're going to get
results the degree of neocologenesis
or new collagen formation it varies a
lot from person to person some people
just don't respond to sculptra you know
their fibroblasts are just like whatever
and don't make a collagen to the same
extent
and so they're
they're less happy you know they're
going to get underwhelming results and
it's expensive and there's no nothing
that can guarantee that you're going to
get the results that you want with it so
those are the pros and cons of sculptra
in comparison to hyaluronic acid
now that we've got fda approval of the
use of sculptra for wrinkles and fine
lines i'm sure it will be something that
is more commonly in the aesthetic
dermatology practice arsenal
or plastic surgery arsenal in terms of
volume restoration tools but it has been
around a lot longer than you might think
it's not anything really new what are
some other things that this might be
helpful for you're probably thinking
about it in terms of volume restoration
in the face but it's also used to treat
volume loss in the backs of the hands
there is a lot of interest in using
sculptra for the improvement of
cellulite as you can imagine the
dimpling that you see with cellulite it
really bothers people cosmetically you
can imagine how stimulating the skin to
produce collagen can kind of smooth out
some of that dimpling in the skin and
improve the contour of like the upper
thighs where you have cellulite and then
for patients who have undergone
sculptural i mentioned you know you kind
of get
a more radiant glow
it's called the sculpture glow as your
body starts making more collagen but in
a lot of patients who happen to have
indented acne scars uh you can imagine
we observe that those scars start to
smooth out so there is definitely
interest in sculptra for acne scars for
sure the other thing that people are
intrigued with when it comes to sculptra
is is this something that someone say in
their 30s might want to try for a
preventative it's not as though we have
studies saying that if you get sculptra
in certain areas in your 30s then later
on in life you will have fewer wrinkles
of course you guys know the majority of
the reason why we get wrinkles that we
can control is going to be the amount of
sun exposure but genetics and hormones
and things definitely play a role and
with age we start to make less collagen
so by boosting up collagen production
earlier on in life with sculpture would
that have a preventative effect is
definitely something that people ask
about
but uh the majority of people who may be
pursuing this are those who have visible
volume loss sagging and are looking for
volume restoration skin tightening and
an overall more radiant glow but it is
not anything that you can go back on so
it is a big commitment it's definitely
not something that you can just kind of
decide last minute that you want to do i
would definitely talk to your
aesthetic practitioner dermatologist
plastic surgeon
and you know maybe discuss with them if
this is really right for you because
like i said it's
there's nothing that can be done really
to reverse it like with hyaluronic acid
fillers so that is sculptra something
that can be used to stimulate your body
to make more collagen firming up the
skin improving volume and smoothing out
wrinkles and fine lines i hope you guys
enjoyed this video let us know in the
comments though if you have had sculptra
what your results were did you get a
good response in terms of collagen
production share in the comments your
experience but i hope you all enjoyed
this video on the insulate i'm going to
put my video on filler gone wrong where
i cover common complications of filler
but if you like this video give it a
thumbs up share it with your friends and
as always don't forget sunscreen and
subscribe i'll talk to you guys tomorrow
bye
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so
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you
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