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What is Sculptra and How Does it Work?

Sculptra by Sheperd Integrative Dermatology in Mount Pleasant, SC

Sculptra is changing the game in cosmetic treatments for anyone looking to rejuvenate their look. While typical fillers plump up the skin by directly filling in lines or wrinkles, Sculptra takes a different approach. It nudges your body’s collagen production into action, leading to a more youthful texture and firmness over time. Here’s a deep dive into what makes Sculptra unique and what to expect if you’re considering this treatment.

What is Sculptra?

Sculptra is an injectable treatment composed of poly-L-lactic acid (PLLA), a safe and biocompatible synthetic material widely used in medical applications. It’s FDA-approved and mainly used to smooth out facial wrinkles and folds, like those lines stretching from your nose to your mouth’s corners. Unlike traditional fillers made from hyaluronic acid, Sculptra stimulates collagen growth, giving you a natural, fresher look that develops gradually.

How It Works

Sculptra works by tapping into the body’s natural regenerative abilities. Its primary component, poly-L-lactic acid (PLLA), is a biodegradable, biocompatible synthetic polymer that has been safely used in various medical applications, including dissolvable sutures and soft tissue implants, for over three decades​.

Upon injection into the dermal layer of the skin, PLLA microparticles trigger a controlled inflammatory response. This response kick-starts the body’s natural collagen production process. Collagen is responsible for your skin’s strength, elasticity, and volume, but it decreases with age.

The science behind Sculptra involves a process called fibroplasia, where fibroblasts, the cells responsible for collagen production, are stimulated to produce new collagen fibers. This stimulation occurs over several weeks to months as the PLLA particles gradually break down and are metabolized by the body. The slow dissolution of these particles ensures a prolonged stimulation of collagen production, resulting in gradual and natural-looking improvements in skin volume and texture.​

Benefits of Sculptra

Here are some key benefits of Sculptra:

  1. Long-Lasting Results: Sculptra’s effects can last up to two years or more, offering a cost-effective option for those seeking durable skin improvements​.
  2. Natural-Looking Enhancement: It stimulates collagen production over time, leading to gradual, subtle changes that align with your body’s natural processes​.
  3. Versatility: Sculptra can treat various areas, including the face, neck, décolletage, and hands, providing a comprehensive enhancement solution.
  4. Collagen Stimulation: By boosting collagen, Sculptra improves skin texture and firmness, effectively addressing sagging and wrinkles​.
  5. Minimal Downtime: The treatment involves minimal recovery time, allowing patients to resume their daily activities quickly​.
  6. Customizable Treatment Plans: It allows for personalized plans tailored to individual needs and goals.

The Sculptra Procedure

Before starting treatment, you’ll meet with a qualified healthcare provider. They’ll examine your skin closely, chat about your aesthetic goals, and determine if Sculptra is right for you. Be ready to share your medical history, including any allergies or medications, to ensure everything goes smoothly.

The procedure itself involves injecting Sculptra deep into your skin using a fine needle or cannula. To keep things comfortable, a numbing cream might be applied first. How many injections and sessions you’ll need depends on your unique situation.

After your session, massaging the treated area helps distribute the PLLA particles evenly and reduces the chance of any lumps forming. This part of aftercare is key to getting the best results.

Before and Aftercare

By following pre-treatment guidelines and post-care instructions, you can ensure a smooth procedure and enhance the longevity and effectiveness of your results.

Before Treatment

Getting ready for Sculptra? Start by hydrating well in the days leading up to your appointment, which can help improve results. Avoid blood thinners like aspirin and ibuprofen for a week before treatment to reduce the risk of bruising. Steer clear of alcohol a few days before your session for the same reason.

During your initial consultation, your healthcare provider will give you specific instructions to ensure you’re prepped and ready for treatment day.

After Treatment

Post-care is just as important. You might encounter some swelling, redness, or bruising right after your injections, but these should fade in a few days. Applying ice can help manage any swelling and discomfort.

To keep your results on track, massage the treated areas for about five minutes five times a day for five days following treatment. This helps spread out the product evenly and supports the collagen-building process. Avoid strenuous activities and extreme sun exposure for the first few days to prevent any issues.

For the best results, multiple sessions might be necessary. Your healthcare provider will induce a personalized plan based on your goals and needs.

Who is a Good Candidate for Sculptra?

Here are the criteria for determining a good candidate for Sculptra:

  • Age and Skin Concerns: Suitable for adults experiencing volume loss, wrinkles, and sagging who desire natural-looking results over time​.
  • Preference for Gradual Results: Ideal for those who prefer subtle changes rather than immediate transformations, allowing rejuvenation to appear naturally​.
  • Health and Medical History: Candidates should be healthy, without allergies to poly-L-lactic acid, and have no history of keloid formation​.
  • Lifestyle Considerations: Best for those seeking long-lasting results without frequent maintenance and appreciating Sculptra’s extended effects​.
  • Realistic Expectations: Candidates should understand that Sculptra stimulates collagen production, with results developing over several months.
  • Consultation with a Specialist: A consultation ensures Sculptra aligns with the individual’s goals and needs​.

When To Expect Results

With Sculptra, patience is key as its results unfold over time. Immediately following the injections, you might notice some initial swelling or fullness. However, this is typically due to the injection process itself and the water mixed with the product, which subsides within a few days. The real magic of Sculptra begins as the poly-L-lactic acid particles start to stimulate your body’s natural collagen production. This process generally kicks in a few weeks post-treatment as new collagen forms to enhance the skin’s structure and volume​.

Noticeable improvements usually appear around 4 to 6 weeks after the initial treatment. However, achieving optimal results often requires a series of treatments spaced approximately 4 to 6 weeks apart​. The full effects are typically evident 3 to 6 months after the final session, revealing firmer, smoother, and more youthful-looking skin​. Once achieved, these results can last up to two years or more, offering a long-term solution to facial aging​.

Takeaway

We take a personalized approach to enhancing your natural beauty and focus on achieving long-lasting and natural-looking results. Whether you’re looking to address volume loss, reduce wrinkles, or achieve a more youthful appearance, our providers will create a customized treatment plan tailored to your needs. Discover the benefits of Sculptra, and let us help you regain your confidence. Contact Shepherd Integrative Dermatology today to schedule your appointment and take the first step toward revitalizing your skin.

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Dana Aman

PA-C

Board Certified Physician Assistant

Dana is a board-certified Physician Assistant with Sheperd Integrative Dermatology.  Originally from Florida, Dana obtained her undergraduate degree from Florida State University and then went on to earn a Master’s in Physician Assistant Studies from North Greenville University in Greenville, South Carolina.  After obtaining her advanced degree, Dana completed a rigorous 6-month dermatology training program in California as well as a Diplomate Fellowship with the Society of Dermatology Physician Assistants.  After three years of specialized clinical dermatology practice in California, Dana moved to Charleston in 2023.  Dana’s patient care philosophy centers around active listening and shared decision-making. She believes that every patient should be an active participant in their healthcare journey and looks forward to establishing positive patient relationships at Sheperd Integrative Dermatology. 

Margaret Gierhart

LE

Margaret, a South Carolina native, is a Licensed Esthetician and makeup artist with over 20 years of experience in the beauty industry. She earned a BA in Psychology from the University of South Carolina. She began her career in beauty as the resident makeup artist for Bobbie Brown cosmetics at Saks Fifth Avenue in Charleston. In order to expand her knowledge, she earned her degree in esthetics from Trident Technical College, graduating with honors. She joined the Sheperd Integrative Dermatology staff in 2014 and is certified in a wide array of cosmetic procedures and skin care products. Her offerings include laser skin resurfacing, IPL, micro-needling, chemical peels, radio frequency, laser hair removal, and body contouring. Her background in both psychology and artistry gives her a deep capacity to care for patients and understand what makes them feel beautiful. A mother of two daughters, Margaret understands beauty as not only external appearance, but also as a manifestation of the inner qualities of kindness, generosity, and well-being.

Amy Jetter

BSN, RN

Amy brings her whole heart to her role on the Sheperd cosmetic team.  A graduate of Elon College and the Medical College of Virginia, Amy has been a board-certified nurse for over 30 years.  Bringing her skills as an ICU nurse into her role in cosmetic patient care, Amy provides a warm, reassuring presence to all her clients, listening to their concerns and collaborating with them in a plan to bring forth and enhance their natural beauty.  A standing member of the American Association of Plastic Surgery Nurses and a past RN trainer in cosmetic and aesthetic procedures, Amy offers all types of laser treatments, botox and dermal filler injections, and chemical peels.

Amy Jetter

BSN, RN

Amy brings her whole heart to her role on the Sheperd cosmetic team.  A graduate of Elon College and the Medical College of Virginia, Amy has been a board-certified nurse for over 30 years.  Bringing her skills as an ICU nurse into her role in cosmetic patient care, Amy provides a warm, reassuring presence to all her clients, listening to their concerns and collaborating with them in a plan to bring forth and enhance their natural beauty.  A standing member of the American Association of Plastic Surgery Nurses and a past RN trainer in cosmetic and aesthetic procedures, Amy offers all types of laser treatments, botox and dermal filler injections, and chemical peels.

Melissa Mancuso

Body Contouring Specialist

Melissa has six years of experience in body contouring, beginning with her role as the CoolSculpting representative for Maryland, Virginia, and the District of Columbia. Since joining the Sheperd team, she has received additional training and now offers chemical peels, Vivace micro-needling, and Diamond Glow dermal infusion. She loves helping patients feel good about their bodies and teaching them about how the various cosmetic procedures can help them achieve the results they are seeking.

Margaret Gierhart

LE

Margaret, a South Carolina native, is a Licensed Esthetician and makeup artist with over 20 years of experience in the beauty industry. She earned a BA in Psychology from the University of South Carolina. She began her career in beauty as the resident makeup artist for Bobbie Brown cosmetics at Saks Fifth Avenue in Charleston. In order to expand her knowledge, she earned her degree in esthetics from Trident Technical College, graduating with honors. She joined the Sheperd Integrative Dermatology staff in 2014 and is certified in a wide array of cosmetic procedures and skin care products. Her offerings include laser skin resurfacing, IPL, micro-needling, chemical peels, radio frequency, laser hair removal, and body contouring. Her background in both psychology and artistry gives her a deep capacity to care for patients and understand what makes them feel beautiful. A mother of two daughters, Margaret understands beauty as not only external appearance, but also as a manifestation of the inner qualities of kindness, generosity, and well-being.

Margaret Gierhart

LE

Margaret, a South Carolina native, is a Licensed Esthetician and makeup artist with over 20 years of experience in the beauty industry. She earned a BA in Psychology from the University of South Carolina. She began her career in beauty as the resident makeup artist for Bobbie Brown cosmetics at Saks Fifth Avenue in Charleston. In order to expand her knowledge, she earned her degree in esthetics from Trident Technical College, graduating with honors. She joined the Sheperd Integrative Dermatology staff in 2014 and is certified in a wide array of cosmetic procedures and skin care products. Her offerings include laser skin resurfacing, IPL, micro-needling, chemical peels, radio frequency, laser hair removal, and body contouring. Her background in both psychology and artistry gives her a deep capacity to care for patients and understand what makes them feel beautiful. A mother of two daughters, Margaret understands beauty as not only external appearance, but also as a manifestation of the inner qualities of kindness, generosity, and well-being.

Madeline Anderson

PA-C

Maddie is a board-certified Physician Assistant and a Lowcountry native. She obtained her undergraduate degree from Clemson University and then went on to earn a Master of Science in Physician Assistant Studies from the Medical University of South Carolina, graduating with highest honors. While in PA school, Maddie served as a Student Representative for the SC Society of Dermatology Physician Assistants. After graduation, she completed a six-month advanced dermatology internship here at Sheperd Integrative Dermatology. She also completed the Diplomate Fellowship with the Society of Dermatology Physician Assistants. Maddie has a heart for medical missions and is passionate about patient education. Her free time is shared with her family, her friends, and her two fur babies!

Madeline Anderson

PA-C

Maddie is a board-certified Physician Assistant and a Lowcountry native. She obtained her undergraduate degree from Clemson University and then went on to earn a Master of Science in Physician Assistant Studies from the Medical University of South Carolina, graduating with highest honors. While in PA school, Maddie served as a Student Representative for the SC Society of Dermatology Physician Assistants. After graduation, she completed a six-month advanced dermatology internship here at Sheperd Integrative Dermatology. She also completed the Diplomate Fellowship with the Society of Dermatology Physician Assistants. Maddie has a heart for medical missions and is passionate about patient education. Her free time is shared with her family, her friends, and her two fur babies!

AnnaKathryn Keiper

DNP, FNP-C

AnnaKathryn completed her Doctorate degree at the Medical University of South Carolina and has seven years of experience in dermatology. She has completed additional training in medical dermatology, cosmetic dermatology, and functional medicine. She provides skin cancer screenings, surgical removal of skin cancers, treatment of precancerous lesions, extractions of cysts, and the treatment of acne. In the cosmetic domain, she provides laser, filler, and neurotoxin treatments. Certified through the Institute of Functional Medicine, AnnaKathryn has a special focus on wellness, including weight loss and diet consulting. She uses her expertise in this field to create an individualized program to help each of her patients achieve optimal wellness supporting them in maintaining vibrancy and vitality throughout their lifespan.

AnnaKathryn Keiper

DNP, FNP-C

AnnaKathryn completed her Doctorate degree at the Medical University of South Carolina and has seven years of experience in dermatology. She has completed additional training in medical dermatology, cosmetic dermatology, and functional medicine. She provides skin cancer screenings, surgical removal of skin cancers, treatment of precancerous lesions, extractions of cysts, and the treatment of acne. In the cosmetic domain, she provides laser, filler, and neurotoxin treatments. Certified through the Institute of Functional Medicine, AnnaKathryn has a special focus on wellness, including weight loss and diet consulting. She uses her expertise in this field to create an individualized program to help each of her patients achieve optimal wellness supporting them in maintaining vibrancy and vitality throughout their lifespan.

Allyson Harrell Garrison

PA-C

Ally is a board-certified Physician Assistant and a Diplomate of the Society of Dermatology Physician Assistants, their highest rating. She is a graduate of Clemson University and earned her Master’s degree in Physicians Assistant studies at the University of South Alabama; additionally, she completed a dermatology fellowship at Charlotte Dermatology in North Carolina. For more than ten years, her focus on both medical and surgical dermatology has included identifying and treating skin cancers as well as managing biologic medications for psoriasis and atopic dermatitis. Ally has a strong love of surgical dermatology and she performs surgeries every day in the clinic, including excisions of cysts and skin cancers. She also loves the challenge of a difficult case! On the cosmetic side, Ally is a skilled injector of both Botox and Dysport. She sees compassion and empathy as vital qualities that she brings to all her patient interactions. She is mindful that skin cancer screenings can be frightening or overwhelming; her warm, calm manner and her focus on patient education throughout each appointment make her an outstanding clinician.

Allyson Harrell-Garrison

PA-C

Ally is a board-certified Physician Assistant and a Diplomate of the Society of Dermatology Physician Assistants, their highest rating. She is a graduate of Clemson University and earned her Master’s degree in Physicians Assistant studies at the University of Alabama; additionally, she completed a dermatology fellowship at Charlotte Dermatology in North Carolina. For more than ten years, her focus on both medical and surgical dermatology has included identifying and treating skin cancers as well as managing biologic medications for psoriasis and atopic dermatitis. Ally has a strong love of surgical dermatology and she performs surgeries every day in the clinic, including excisions of cysts and skin cancers. She also loves the challenge of a difficult case! On the cosmetic side, Ally is a skilled injector of both Botox and Dysport. She sees compassion and empathy as vital qualities that she brings to all her patient interactions. She is mindful that skin cancer screenings can be frightening or overwhelming; her warm, calm manner and her focus on patient education throughout each appointment make her an outstanding clinician.
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