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Sculptra vs. Filler: What’s the Difference?

Sculptra vs. Filler: What’s the Difference?

Sculptra and filler are injectables we use to improve facial harmony and minimize the signs of aging.

They can be used together or individually to create a more youthful appearance, but they differ in their composition and how they work.

Skin Pharm Dallas provider and physician assistant Alyssa Henderson gives us the breakdown!

How do Sculptra and other fillers differ in composition?

Sculptra is composed of poly-l-lactic acid (PLLA) and is technically a biostimulator. This means that it stimulates the body’s natural collagen production. Alternatively, fillers are composed of hyaluronic acid, a naturally occurring substance in the body, which helps retain moisture and add volume to the skin.

So…what does that mean? How do the two work differently?

Sculptra stimulates collagen production deep within the skin, leading to volume restoration and improved skin texture over time. The collagen production happens gradually over the first eight weeks after treatment and can last up to 2 years.

The hyaluronic acid in filler adds volume, fills wrinkles and enhances facial contours immediately — so this is a great option for those who want to see quicker results! Results can last from 8 months to 1.5 years, depending on the type of filler used and where it’s injected.

Are Sculptra and filler injected in different areas?

Yes! This is another difference between the two products. Sculptra is primarily used to restore facial volume in areas affected by aging or weight loss. It’s commonly used to help plump sunken cheeks, hollow temples and deeper facial folds. We avoid using Sculptra in and around the lips and eyes. Think of Sculptra as a panfacial treatment that focuses on the periphery of the face.

Filler is a bit more versatile and can be used to reduce the appearance of fine lines such as nasolabial fold (smile lines), marionette lines and vertical lip lines. It can also help to restore volume and enhance contours to the cheeks, chin, jawline and lips for facial balancing. Think of filler as a site-specific treatment that improves the global harmony of the face.

How do I know which one is best for me?

Deciding whether Sculptra or filler is right for you depends on a few factors, such as your specific concerns, desired outcomes and the treatment recommendations from your Skin Pharm provider. The best way to find out is to schedule a consultation with us — we’ll take time to talk through your specific goals, review the benefits of each treatment and determine which one will help you get the results you want. Sometimes, we’ll use a combination of both!

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