Sculptra: Poly-L-Lactic Acid Filler — Effects, Indications and Costs

Sculptra (poly-L-lactic acid, PLLA) is a biostimulator rather than a traditional filler. Instead of immediately replacing lost volume, Sculptra stimulates the body's own collagen production gradually over weeks and months. The result: natural-looking, long-lasting volume restoration and skin quality improvement.

How Sculptra Works

PLLA microparticles are injected into the deep dermis and subcutaneous tissue. The particles trigger a controlled inflammatory response, stimulating fibroblasts to produce new collagen. The PLLA is gradually broken down and eliminated; the newly formed collagen provides the volumising effect.

Indications

Volume loss in the cheeks, temples and midface
Deep nasolabial folds and marionette lines
Skin laxity of the face, neck and décolleté
Buttock augmentation (Sculptra butt lift)
HIV-related facial lipoatrophy

Treatment Protocol

Typically 2–3 sessions at 4–6 week intervals
Results develop gradually over 2–3 months
Duration: 2 years or more
Post-treatment massage protocol essential (5-5-5 rule)

Costs

Treatment	Costs per Session
Face (1 vial)	€400–€700
Full face (2–3 vials)	€800–€1,800
Sculptra butt lift	€1,500–€3,500

Frequently Asked Questions (FAQ)

How long do Sculptra results last?

Clinical studies show results lasting 2–3 years. The collagen stimulated by Sculptra is gradually replaced by the body's natural aging process, but repeat treatment can maintain and build upon the results.