If I do Sculptra now, can I still do fat transfer in the future when it improves?

Hi Dr. Irwin, I have loss of volume in my mid-face, temple area. I would like to try a fat transfer. I have seen on this site,however, that you do not think it is currently producing reliable, consistent, results. I have heard other doctors express this same concern. My question for you, then, is this...If I do Sculptra now, will it prevent, or hinder me from being able to do a fat transfer in the future? Thanks so much for all you do. This site has been so helpful to me!

There’s no reason I know of that it would be a problem, although there are no studies on this specific question. Sculptra is made of lactic acid molecules (L-polylactic acid) stuck together in chains, and it builds your own collagen while it goes away. It builds collagen over over 3-4 months and then is quite stable but begins to go away slowly over 9-24 months. Worst case, scenario, you would need to wait a full 20-24 months for it to be completely gone, and then do the fat transfer, if your doctor was concerned.


Hope this helps,  Dr. I


Read Dr. Irwin’s article Guide to Sculptra.


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Dr. Brandith Irwin, MD

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