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