Welcome to the new age of anti-aging
Learn how Sculptra Aesthetic rejuvenates your face naturally and gradually by stimulating your body to produce its own collagen.
Results can be dramatic and last up to 3 years without downtime or the risk of surgery.
Receive a free evaluation from our cosmetic coordinators and find out if this injectable is right for you. You will also learn how Dr. Eviatar will address your cosmetic concerns and if there are other products or services that might best suit your needs.
Submit the form on this page and we will call you to schedule your free evaluation or call (212) 727-3717
Chelsea Eye & Cosmetic Surgery Associates
157 West 19th St. (6-7 Aves.), NYC
For more information about Chelsea Eye & Cosmetic Surgery's cosmetic offerings visit: www.chelseaeye.com
Joseph A. Eviatar, MD, FACS, board certified eyelid and facial plastic surgeon and Surgical Director of Chelsea Eye and Cosmetic Surgery Associates (www.ChelseaEye.com) is a lead investigator for Sculptra and has used the product off-label and for treatment of lipodystrophy for many years; he is excited that approval has been given for its aesthetic use. He has treated more patients with Sculptra than any other physician in New York City and has traveled extensively over the last three years to lecture on its uses and train physicians on injection techniques.
1. What is Sculptra and Sculptra Aesthetic?
Sculptra has been used for over twenty years as a form of absorbable sutra so we know it’s biocompatible and safe to use in the body.
Sculptra Aesthetic is a reformulation of Sculptra that works to add volume and re-shape the face by stimulating the patient’s own collagen. The recent FDA approval of Sculptra Aesthetic is very exciting because it is a unique way to achieve facial rejuvenation.
It is potentially one of the most powerful facial rejuvenating products we have on the market, because it allows physicians to do a lot with very little downtime to the patient. It gives results similar to a facelift or implants with potentially more natural results and without the downside of surgery. This is why it is called The Liquid Facelift. However, it really takes skilled injectors to get those kinds of results.
2. What makes Sculptra Aesthetc different from facial fillers?
Facial fillers like Collagen, Captique, Evolence, Hylaform, Juvederm, Radiesse, and Restylane, re-shape the face or fill in lines by creating volume in that area. Sculptra acts like these fillers, but does not actually do any filling itself. With Sculptra, your body does the filling naturally.
The disadvantage of Sculptra is that it is not instant (unlike Collagen, Captique, Evolence, Hylaform, Juvederm, Radiesse, and Restylane). So if you are going to a wedding in a week and want to look great, Sculptra Aesthetic is not for you.
An advantage to Sculptra being a slow, subtle and progressive process is that people don’t necessarily know you are having anything done. And, you can refine the process as you continue to age. It’s not like you are going to have a bunch of injections and walk out looking different. There is a subtle and gradual aspect that’s very natural looking. It is great for people who are uncomfortable with coming out of the doctor’s office looking different immediately.
Because it is not a facial filler like Collagen, Captique, Evolence, Hylaform, Juvederm, Radiesse, and Restylane, Sculptra Aesthetic can be injected in a lot of different areas in the face and tends to look very natural. It is not like putting Filler in your cheeks and then when you smile you can tell there is filler in your cheeks. It is distributed throughout the face and has a very natural appearance that works on multiple levels. It’s a very versatile product that can do many things for facial rejuvenation to make you look younger.
When you age, three things happen:
1. Your bone structure changes starting in your twenties.
2. You get soft tissue changes in your twenties and thirties. You lose fat in your face and it gets re-distributed to different areas.
3. Your skin changes both from sun damage and the aging process.
The most comprehensive approach to facial rejuvenation is to address all three of these signs of aging and with Sculptra, we can use it to re-shape your face, add volume, and improve your skin all at the same time.
3. What are the disadvantages to Sculptra Aestheitc?
If you’re looking for dramatic results immediately, Sculptra is not for you. Aside from that, the downsides of Sculptra are more from a physician’s point of view than from a patient perspective. This is vital for a patient to understand.
Because Sculptra Aesthetic requires particular preparation and a very advanced injection technique, it is a complicated product for a physician to use. Sculptra is not like Juvederm or Radiesse. It is not forgiving. The product cannot easily be reversed. It is great that it lasts a long time, unless you don’t like the result, and then it is not a good thing.
The company that manufactures Sculptra, Sanofi Aventis, is not making Sculptra Aesthetic available to every physician because they don’t want patients to get bad results. Often patients treated by unskilled injectors who are not trained in aesthetic medicine get bumps under the skin. Therefore, Sanofi Aventis has limited selling Sculptra Aesthetic to only core specialties who specialize in plastic surgery, facial plastic surgery, oculofacial plastic surgery, and dermatology. These are the specialties that understand facial aging. Not every doctor out there is going to use Sculptra, unlike other injectables such as BOTOX and other facial fillers that are now being used by a variety of physicians.
4. How important is it to find the right doctor to inject Sculptra?
With Sculptra, it is more important than with any other injectable to find the right doctor. Patients should do due diligence equivalent to finding a skilled surgeon. They should make sure the physician injecting Sculptra is well versed in the way it works, the ways to use it, has been properly trained, and are approved by Sanofi Aventis, the company that manufactures Sculptra.
The way to go about your research is to first make sure that the physician is board certified and that they are a specialist in aesthetic medicine. You want a physician who really concentrates on doing cosmetic procedures and injectables like BOTOX and facial fillers. You can email Sanofi Aventis directly to ask if they would recommend the doctor you are researching. Or, better yet, check the physician locator on their website at www.sculptraaesthetic.com. They have a very good website and the physician locator is a great resource to find a trained physician in your area. You don’t want to be the physician’s guinea pig for this injectable.
5. How long does Sculptra last?
It’s by far the longest lasting injectable for facial rejuvenation. It has an FDA approval of two years and it probably lasts up to three years because of the new collagen that has formed. However, as the face continues to age collagen breaks down. So most people have a series of treatments and then come in yearly for a refinement.
This is ideal because over the year your face has aged and then we can go in and put a little Sculptra just in the areas where you now need it which may be slightly different from the areas you had it in originally. But, you don’t usually have to go through a whole series of treatments again. You just come in for maintenance.
You don’t want a product that’s permanent because then over the next five years as your face ages, the product may not be where you now need it. On the other hand, you don’t want a product that lasts only six months because then you’re in the doctor’s office all the time. With Sculptra Aesthetic, a once a year refinement and maintenance treatment will keep you looking youthful and very natural.
6. How does Sculptra work?
Sculptra works by stimulating the patient’s own collagen. That’s how it creates volume. We put a small amount of Sculptra under the skin, along the bone, or in the areas we want to treat. The body forms its own collagen and eats up the material. We administer a second treatment when the collagen response is starting to ebb so that you’re maximizing the use of the product. If needed, you continue with a series of treatments that are one to two months apart. When the product is used in a customized specific treatment plan for your needs, you get the best results. Trained physicians call this process controlled collagen stimulation. If patients who have had Sculptra feel they did not get the results they wanted, it is usually because it was overly diluted, they didn’t get enough of the product, or it’s not being used in a consistent fashion. If the collagen stimulation is not controlled, you get bumps because the body reacts too much to the material.
7. How long is the procedure?
Depending on the level of experience of your physician, the procedure will take between ten to fifteen minutes. There is a half hour waiting period for the topical anesthetic to start working and 10 minutes of icing afterward. And then you’re free to go. The whole appointment is about 45 minutes to an hour.
8. What are the possible side effects?
Since Sculptra is generally used all around the face, chances are you will have multiple injections and will be somewhat puffy right after the procedure and you might bruise from the multiple injections. It’s a little more likely to bruise with Sculptra than with BOTOX or Juvederm which requires fewer injections. The more treatments you have, the more areas of concern you want to treat in your face, obviously the more chance of bruising. We recommend that you stay off blood thinners and anything that can make you bruise more easily. There are some agents that are sometimes recommended to patients to minimize bruising with any injection.
9. When do you see the results?
Patients won’t really start to see anything until after the second treatment. The first treatment lays down the foundation for Sculptra to begin its process and the second treatment is a month later. Results will become even more visable during week five, six, seven, and up to 3 months after the first treatment.
10. Does it hurt?
Not anymore than with any other injectable. At our practice, it’s mixed with an anesthetic which numbs your face making it relatively painless. You’ll feel it a little bit. We also put a topical anesthetic to minimize you feeling the pinch through the skin. And, we use ice to minimize discomfort. Some doctors don’t mix it with anesthetic and it will hurt a lot more. Other doctors might not put topical anesthetic on the skin first. But, the procedure certainly can and should be done in a way that’s relatively comfortable for the patient.
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