Cheeks & midface
Restores the malar fat pad and zygomatic contour — reversing the hollow, flattened look that makes the face appear aged and tired.
Dermal Fillers · Collagen Biostimulator
Sculptra Aesthetic is an FDA-approved injectable made from poly-L-lactic acid (PLLA) — a collagen biostimulator, not a hyaluronic acid filler. Rather than adding instant volume, Sculptra works with your body to gradually rebuild the collagen framework that gives youthful skin its structure, lift, and resilience. At Aurevia, we design multi-session treatment plans for patients who want natural, long-lasting rejuvenation — not a same-day plump.
*Individual results vary. Sculptra stimulates your own collagen — improvement is gradual, not immediate.
Swipe to next · Individual results may vary · Photos show gradual collagen-building outcomes over multiple sessions · All photos shown with each patient's written consent.
A consultation confirms candidacy and maps your treatment zones. Sculptra is ideal when volume loss is structural — when the face looks deflated rather than simply wrinkled. We may recommend combining Sculptra with other Aurevia treatments for comprehensive rejuvenation.
Unlike hyaluronic acid fillers that deliver instant volume, Sculptra follows a deliberate arc: initial micro-particles are absorbed, then your body responds by producing new collagen. Most patients complete three sessions — each building on the last — over 3–4 months. Visible improvement typically begins 6–8 weeks after the first treatment and continues to refine for months.
We assess where volume has been lost — cheeks, temples, pre-jowl sulcus, marionette lines — and distinguish structural deflation from surface wrinkles. A personalized injection map targets the collagen framework beneath the skin, not just individual lines.
Reconstituted PLLA is injected into the deep dermis or subdermal plane with a fine needle or cannula. You may notice mild swelling or tenderness for a few days. Do not expect immediate volume — this session plants the biostimulatory seeds for collagen production ahead.
As PLLA microparticles are gradually absorbed over several weeks, some patients briefly feel their skin looks slightly less full — this is normal. Beneath the surface, fibroblasts activate and begin synthesizing new type I collagen. Improvement typically becomes visible around 6–8 weeks after session one.
Second and third treatments are spaced 4–6 weeks apart. Each session reinforces collagen remodeling. Cheeks regain contour, temples look fuller, and the lower face appears more supported — all through tissue your body created, not gel sitting in the skin.
Once your collagen framework is restored, results can last up to two years or longer, depending on metabolism, lifestyle, and the degree of initial volume loss. Maintenance sessions may be recommended to preserve your refreshed architecture over time.
Sculptra Aesthetic is FDA-approved for correcting shallow to deep facial wrinkles and folds in immunocompetent patients. Our Irvine injectors commonly treat these zones where structural collagen loss creates a tired, pulled-down appearance.
Restores the malar fat pad and zygomatic contour — reversing the hollow, flattened look that makes the face appear aged and tired.
Rebuilds temporal volume lost to bone resorption and fat atrophy — softening the skeletal, concave temple appearance common after 40.
Supports the corners of the mouth where descending lines create a perpetually downturned expression — by restoring underlying structure, not just filling the crease.
Addresses moderate to deep folds from nose to mouth by rebuilding the collagen scaffold that once kept skin smooth and lifted.
The crease along the jawline where midface volume loss meets the lower face — treating here can soften jowl shadowing through structural support.
Reinforces the mandibular border and chin pad for a more defined profile — especially when combined with cheek and temple restoration.
Gradual collagen remodeling around the mouth softens etched lines without the overfilled look that instant fillers can create in mobile areas.
Many patients treat multiple zones in a single series — cheeks, temples, and lower face together — for harmonious, pan-facial structural renewal.
Sculptra Aesthetic contains poly-L-lactic acid (PLLA) — a biocompatible, biodegradable synthetic polymer that has been used in medical applications for decades. When injected, PLLA microparticles create a subtle inflammatory response that activates fibroblasts — the cells responsible for producing collagen. Over weeks and months, new collagen strands weave into the dermal matrix, gradually restoring the structural support that youthful skin depends on.
This mechanism is fundamentally different from hyaluronic acid fillers, which physically occupy space with gel to add immediate volume. Sculptra does not sit in tissue as a filler; it teaches your skin to rebuild itself. The FDA approved Sculptra Aesthetic in 2009 for correcting shallow to deep nasolabial fold contour deficiencies and other facial wrinkles in immunocompetent patients.
At Aurevia, we reconstitute Sculptra according to manufacturer guidelines and inject with precision into the appropriate tissue plane. Because results are collagen-driven, patience is essential — but the payoff is natural architecture that can last up to two years, with tissue that genuinely belongs to you.
Hyaluronic acid fillers excel when you need immediate correction — plumping lips, smoothing a single fold, or replacing lost volume in one visit. Sculptra excels when the problem is structural: widespread collagen depletion that makes the entire face look deflated, sagging, or pulled downward by gravity.
Because Sculptra works through your body's own collagen production, results emerge slowly and look unmistakably natural. Friends notice you look rested and refreshed — not that you had something done. There is no risk of the overfilled, puffy appearance that can occur when too much instant filler is placed in the midface.
Our Irvine injectors help you choose the right tool — or combination — for your anatomy and timeline. Sculptra is often the foundation; targeted touch-ups with other modalities may refine specific areas once collagen has rebuilt.
Multi-session collagen-building protocol. Each visit takes 30–45 minutes. Sculptra is reconstituted per manufacturer guidelines and injected into the deep dermis or subcutaneous plane. Most patients complete three sessions spaced 4–6 weeks apart — not a single "syringe and done" appointment.
Massage matters. After each session, you perform a "5-5-5" massage protocol (5 minutes, 5 times daily, for 5 days) to distribute PLLA microparticles evenly. Expect temporary swelling, tenderness, or small nodules if massage is skipped — our team demonstrates proper technique before you leave.
Gradual, structural improvement. Initial changes appear around 6–8 weeks as collagen builds. Full results from a complete series may take 3–4 months. Unlike HA fillers, you will not see instant plumping — but structural rejuvenation can last up to two years once collagen architecture is restored.
Priced per vial, per session. Irvine Sculptra sessions typically range from $800 – $1,200 per vial, with most full-face rejuvenation plans requiring multiple vials across three visits. We provide a complete series quote at consultation — including session spacing and realistic timeline expectations.
Hyaluronic acid fillers add immediate volume by injecting gel into the skin. Sculptra contains poly-L-lactic acid (PLLA), which stimulates your body to produce new collagen over weeks and months. You will not see instant plumping — instead, structural improvement builds gradually and can last up to two years.
Most patients notice improvement beginning 6–8 weeks after their first session, with continued refinement through sessions two and three. Full results from a complete treatment series may take 3–4 months to fully manifest. This timeline is normal and expected for a collagen biostimulator.
Most patients complete three sessions spaced 4–6 weeks apart over 3–4 months. Some patients with mild volume loss may achieve their goals in two sessions; others with significant structural depletion may benefit from a fourth. Your Aurevia injector assesses progress at each visit.
Because Sculptra rebuilds your own collagen, results are long-lasting — typically up to two years or more after completing a full treatment series. Duration depends on your metabolism, lifestyle, and the extent of initial volume loss. Maintenance sessions can extend your results further.
Follow the 5-5-5 rule: massage treated areas for 5 minutes, 5 times a day, for 5 days to help distribute PLLA particles evenly. Avoid excessive sun exposure, saunas, and strenuous exercise for 24–48 hours. Mild swelling, bruising, or small papules at injection sites are common and typically resolve within days to weeks.
Yes — many patients use Sculptra as a foundation for pan-facial collagen rebuilding, then refine specific areas with hyaluronic acid fillers or neurotoxins once structural improvement is established. Timing matters: your Aurevia injector spaces treatments appropriately to avoid excessive inflammation and ensure each modality performs as intended.
Sculptra is contraindicated in patients with active skin infection, known allergy to PLLA or lidocaine (in reconstitution), and those prone to keloid formation or hypertrophic scarring. It is not recommended during pregnancy or breastfeeding. Patients expecting instant volume correction may be better served by HA fillers — we discuss honest expectations during consultation.
Aurevia is the premier Irvine skincare clinic for aesthetic and beauty treatments. Discover whether Sculptra's collagen-building approach is right for your goals — schedule a consultation with our highly trained aesthetic experts today.