Plastic Surgeon Dr. Dean Kane of Baltimore Answers Question Regarding Sculptra Versus Hyaluronic Acid Fillers for Smile Lines

Q. Does Sculptra treat smile lines? I am in my late 20s and I am interested in Sculpta. Does it treat nasolabial folds? Does the treatment hurt? Do I get a local anesthetic? Does sculpta come with lodocaine?

A. Yes, Sculptra does work for smile lines. Unlike hyaluronic acid (HA) fillers which provide an immediate improvement, Sculptra works over weeks and months. This is because Sculptra is a bio-active filler and works differently. 

HA fillers injected into the skin fill the thinned out crease in the level of the dermis and attract water creating volume like “jello”.

Sculptra injected under the skin, typically in the upper fat or deeper tissues stimulates the up-regulation of the fibroblasts to produce more skin structural molecules like collagen, elastin and other firming elements providing resistance to the creasing and folding of the skin.  Sculptra is reconstituted with lidocaine a local anesthetic and depending on the technique and injector, he/she may use further local anesthetics too. 

If it is peri-oral lip lines you which to conquer as well, a minute amount of Botox or Dysport to reduce the dynamic wrinkling of the orbicularis oris lip muscle is helpful.

Don’t forget topical skin tightening using a Obagi ZO Skin Health Retinoid regimen and chemical peels to further stimulate that collagen production. 

These are advanced techniques. Consult with a Board Certified Plastic Surgeon or Dermatologist with added skills and experience. 


Read more about similar topics:

Sculptra and Fillers

This information is not meant as medical advice. It is provided solely for education. Our practice would be pleased to discuss your unique circumstances and needs as they relate to these topics.

Give us a call at  410.602.3322  or email and make an appointment soon. We’re located on Reservoir Circle just a block off the Baltimore beltway, convenient to greater Baltimore, Annapolis, the Eastern Shore, Southern Pennsylvania, Delaware and Carroll County.

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