pdf, Sculptra for Facial Augmentation

Sculptra for Facial Augmentation

The youthful face is characterized by volume and fullness. Fat pads, supported by connective tissue, and draped over a framework of muscle and bone provide the facial contours associated with youth.  As facial fat is lost from aging or disease, sunken cheeks, indentations, loose skin, and hollowness all may occur, with loss of the full, youthful appearance.  Facial volume loss can be corrected with surgical fat transplantation and facial implants. Shorter term correction can be achieved with injectable collagen, hyaluronic acid gels (Restylane, Perlane, Juvederm) or Radiesse have been used to restore lost volume, but require repeated treatments to maintain fullness.

Sculptra is a biocompatible synthetic material made from lactic acid, a natural substance necessary for cellular metabolism. PLA has been safely used for over 30 years in absorbable sutures and implants. No allergy testing is necessary before treatment.

Poly-L-Lactic Acid (PLA) is marketed in the U.S. as Sculptra , and worldwide as New-Fill is a safe and effective treatment for facial volume loss that has been used in 30 countries worldwide since 1999.  Sculptra is injected just under the skin, where the material stimulates your own skin to form new, more permanent collagen over the course of 4-6 months, gradually filling in hollows, indentations and skin creases to restore youthful-appearing facial contours. The improvement typically lasts for years. The procedure is repeated as needed for 2 to 4 times until desired fullness is acheived.

Treatment with Sculptra is performed in the office with topical anesthesia and although it is considered a “no down-time” procedure, injection-related problems such as bleeding, bruising (15-20%), swelling, and redness can occur. A possible side-effect of treatment is the temporary occurrence of small “bumps” under the skin (1%), more common under thin skin, and only rarely visible, although they may be felt when the skin is pressed.  They do go away evetually.

Treatment with Sculptra

Sculptra is supplied as a powder of microparticles, which must be mixed with sterile water at least 24 hours before injection to form a suspension.   After injection, the microscopic crystals of Sculptra induce a mild inflammatory reaction which triggers new collagen formation and over time a gradual increase in skin thickness. Immediately after treatment, the injected areas (wrinkles and hallows) will appear “filled out” because of the water content in the suspension. This fullness will subside within a few days as the water is absorbed. This does not mean the treatment “didn’t take”! The microcrystals remain in place to act as a trigger for new, more permanent collagen formation. Cosmetics may be applied and normal activities may be resumed immediately after treatment.  The effects of the treatment will take 3 to 6 months to become evident.  The procedure is repeated every 2 months until final correction is acheived.

Side effects for Sculptra Treatment:

Complications and risks with Sculptra treatments are rare. Whenever the skin is injected, there is always a risk of bleeding, soreness, and bruising. Sculptra has been used for over 30 years with an outstanding safety record.  Allergic reactions are extremely rare.  Micronodules (size of sesame seed) can be felt under thinned skinned areas.  This occurs about 1% of the time and diminish with time.

Cost of Sculptra:  1 vial $549, 2 vials $899, each session.

Sculptra Consent:
I have read the above information sheet including the most common side effects of bruising (3-14 days), edema (1-3 days) and micronodule formation (1 to many weeks).

I understand that this procedure is cosmetic and payment is my responsibility.  I have read the above and undestand it.  My questions have been answered satisfactorily.  I accept the risks and complication of this procedure.

Patient’s Signature_________________________________________________Date________

Dr. Mary Dobry is a board certified dermatologist in private practice serving the San Diego, California area for 24 years. The dermatology practice is located at 4765 Carmel Mountain Road, Suite 201, San Diego (Carmel Valley), CA 92130. Telephone number - 858 259-2260. Website - http://DrDobryRx.com.