What is Sculptra polylactic acid and how is it used?
Sculptra Polylactic Acid is a biocompatible and biodegradable polymer that has been used for many years in medical practice, including for the manufacture of surgical threads and implants. Polylactic acid is an innovative component in cosmetology, which is actively used for skin rejuvenation and improvement. One of the most popular products based on this acid is Sculptra. Sculptra is an injectable preparation that promotes gradual restoration of tissue volume by activating collagen production. In cosmetology, its main application is related to rejuvenation and stimulation of natural skin regeneration processes.

This preparation is excellent for eliminating age-related skin changes and correcting aesthetic defects such as wrinkles and loss of elasticity.
История разработки и использования полимолочной кислоты в косметологии
The use of polylactic acid in cosmetology began with the development of Sculptra, which was approved by the FDA in 2009 for the correction of facial wrinkles and folds. Since then, Sculptra has gained popularity worldwide for its ability to produce natural and long-lasting results.
How does Sculptra Polylactic Acid work?
Mechanism of action of polylactic acid
Polylactic acid (PLA), being the main component of Sculptra, works as a biostimulant, triggering natural processes of skin regeneration. When injected under the skin, polylactic acid gradually decomposes and stimulates skin cells (fibroblasts) to produce their own collagen. Collagen is an important structural protein responsible for the firmness and elasticity of the skin. As we age, its amount decreases, which leads to the appearance of wrinkles and folds.
Polylactic acid works slowly, allowing the effect to build up gradually. This approach provides a smooth rejuvenation without abrupt changes, which is especially appreciated by patients who prefer natural results.
Stimulation of collagen production
One of the main advantages of Sculptra is its ability to stimulate the skin’s own collagen production. This is unlike hyaluronic acid-based fillers, which give instant but temporary results by injecting a gel. Polylactic acid triggers the natural process of skin regeneration, which makes the effect more lasting and natural.
A process of gradual rejuvenation
After the first injection, the patient may notice a small initial effect, which is associated with a temporary increase in tissue volume due to the fluid in the preparation. However, the main effect occurs after a few weeks, when polylactic acid begins to activate the production of collagen. The rejuvenation process continues for several months, and the final result is achieved approximately 3-4 months after the course of procedures.
Benefits of Sculptra for patients
Safety and efficiency
Sculptra is a safe and effective rejuvenation method approved by the FDA for the correction of age-related changes. Polylactic acid has been used in medicine for several decades and has proven to be safe in a variety of applications. The drug is biocompatible and completely decomposes in the body without causing allergic reactions or forming granules.
Long-term results
One of the key advantages of Sculptra is its long-term effect. Unlike hyaluronic acid-based fillers, which resorb after 6-12 months, the results of using Sculptra can last up to two years and more. This is due to the fact that the drug does not just fill wrinkles, but stimulates natural skin rejuvenation.
Natural effect
Many patients choose Sculptra precisely because of its natural results. Because rejuvenation occurs gradually, the external changes do not appear sudden or artificial. This is especially important for people who do not want a dramatic change in appearance and prefer that others do not notice that they have undergone a cosmetic procedure.
Who is Sculptra for?
Indications for use
Sculptra is recommended for patients who show signs of age-related skin changes such as wrinkles, folds and loss of volume in the facial area. It is also suitable for those who want to restore skin firmness and elasticity without the use of traditional fillers. The main indications for the use of Sculptra include:
- Deep nasolabial folds
- Sagging skin on the cheeks and cheekbones
- Loss of volume in the middle part of the face
- Chin wrinkles
Age-related skin changes
As we age, our skin loses collagen, resulting in thinning and loss of elasticity. Polylactic acid helps to fight these changes by stimulating collagen production and restoring the skin’s youthful appearance. Sculptra is suitable both for the prevention of aging and for the correction of existing problems.
Other aesthetic problems solved with Sculptra
In addition to correcting wrinkles and folds, Sculptra is used to restore tissue volume, especially in areas where the face has lost its natural fullness with age. The product is also effective in correcting facial asymmetry and improving skin texture, making it smoother and firmer.
How the Sculptra injection procedure works
Preparing for the procedure
Before the procedure of Sculptra injections, it is necessary to consult a doctor who will assess the patient’s skin condition and determine the amount of the drug needed to achieve the desired result. A few days before the procedure it is recommended to avoid taking blood thinning medications (e.g. aspirin) to reduce the risk of bruising.
How does the injection work?
The Sculptra injection procedure takes about 30-60 minutes depending on the treatment area. The doctor uses a thin needle or cannula to inject the medication under the skin. The injections are usually performed using local anesthesia to make the process as comfortable as possible for the patient.
Timing and specifics of the procedure
Sculptra injections do not require a long preparation or recovery period. The patient can return to normal life immediately after the procedure. It is important to note that several injection sessions (usually 2 to 4 treatments), several weeks apart, may be required to maximize the effect.
Expected results
Visual effects
The results of Sculptra application are not immediate, as it happens with traditional fillers. After the first treatment, the patient may notice a slight improvement, but the main effect builds up gradually over several weeks. Polylactic acid triggers the collagen repair process, which gradually makes the skin firmer and more elastic, and improves its texture and tone.
Time of appearance of results
Although the initial effect can be seen in just a few weeks, the full result is achieved 3-4 months after the course of treatments has been completed. This is due to the fact that collagen synthesis and restructuring takes time. As a rule, the result lasts up to 24 months, and its duration depends on the individual characteristics of the body and the condition of the patient’s skin.
Duration of effect
Sculptra polylactic acid is characterized by a long-term effect because it stimulates natural rejuvenation processes. Unlike other fillers, which resorb over time, the collagen produced in response to the introduction of Sculptra remains and maintains the youthfulness of the skin. Regular treatments help to maintain the achieved results and prolong the effect if necessary.
Poly lactic acid Sculptra vs other fillers
Comparison with hyaluronic acid
Hyaluronic acid is a popular component of many fillers that provides an instant increase in tissue volume by holding water molecules. However, its effect is temporary and requires regular repetitions, as hyaluronic acid gradually resorbs. Sculptra, on the other hand, works differently: it does not just increase volume, but stimulates collagen production, which provides a long-term and natural result.
Comparison with collagen stimulators
There are other products on the market that stimulate collagen production, such as Radiesse and Bellafill. Sculptra differs from them in that its main component is polylactic acid, which has unique collagen stimulation properties. Unlike Radiesse, which contains calcium hydroxyapatite, and Bellafill, which includes polymethyl methacrylate, Sculptra causes gradual and gentle tissue repair without creating sharp contours or excessive volume.
How polylactic acid differs from other fillers
Parameter | Polylactic acid | Other preparations (Hyaluronic acid, Collagen stimulators) |
---|---|---|
✅ Degradability in the body | Fully degradable | Partially or non-degradable |
✅ Safety | High | Medium |
✅ Biocompatibility | Yes | Maybe |
✅ Duration of effect | Up to 2-3 years | Up to 6-12 months |
✅ Naturalness of the result | High | Medium |
✅ Absence of artificial contours | Yes | No |
✅ Allergic reactions | Absent | Can cause |
✅ Type of effect | Smooth and gradual | Instant |
Recovery period
What to expect after the procedure?
After the Sculptra injection procedure, there may be slight redness and swelling at the injection sites, which usually subsides within a few hours. Occasionally, small bruises may appear, which also disappear within a few days. The patient may feel a slight tingling or burning sensation in the injection area, which is considered a normal reaction.
Skin care tips
After the procedure, it is recommended to avoid applying strong pressure to the injected area for the first 24 hours. The doctor may recommend a light massage of the treated area several times a day for better distribution of the drug. You should also avoid sauna, bath and solarium for the first 3-5 days to minimize the risk of swelling and redness.
Possible side effects
As with any cosmetic procedure, Sculptra injections can cause side effects, but they are usually minimal. Possible reactions include mild redness, swelling, bruising and slight soreness at the injection sites. In rare cases, small seals may form under the skin, which go away on their own after a few weeks.
Risks and contraindications
Main contraindications to the use of Sculptra
Sculptra is not recommended for patients with certain diseases or conditions that may increase the risk of complications. Major contraindications include:
- Pregnancy and lactation period
- Acute inflammatory processes in the injection area
- Tendency to scarring and keloid formation
- Autoimmune diseases and allergic reactions to the drug components
Possible complications
Although Sculptra is considered a safe procedure, complications such as infections, tissue necrosis, or granulomas can occur in rare cases. To minimize the risk, it is important to choose a certified practitioner and follow their recommendations for skin care after the procedure.
Precautions
Before starting a course of injections, the patient should inform the doctor about all diseases and allergies to avoid unwanted reactions. It is also recommended to consult a doctor about the possibility of combining Sculptra with other cosmetic procedures.
Patient Testimonials
Success stories
Many patients who have undergone a course of Sculptra injections report a significant improvement in skin quality and texture. One of the most common success stories is a smooth facial rejuvenation that is perceived by others as a natural change. Patients report that others notice their renewed appearance but have no idea that they have undergone a cosmetic procedure, which emphasizes the naturalness of the resulting effect.
Real reviews with before and after photos
Clients who have opted for the Sculptra procedure are eager to share before and after photos showing how polylactic acid has helped to eliminate deep wrinkles and folds, as well as restore volume in problem areas. Visual changes are evident within weeks of the first injection and continue to improve as the course is completed. Such photo reports help potential patients to assess the reality and effectiveness of the result.
Why choose Coolaser Clinic?
Advantages of the clinic in Kiev
Coolaser Clinic, located in Kiev, provides a wide range of cosmetology services, including Sculptra injections. One of the main advantages of the clinic is its location in the city center, which makes it convenient to visit for both locals and guests of the capital. The clinic also offers modern and comfortable facilities that make patients feel relaxed and confident.
Professionalism of doctors and equipment
Coolaser Clinic is known for the high level of professionalism of its specialists, each of whom has extensive experience in the field of cosmetology. Doctors of the clinic take regular refresher courses and use the latest equipment, which guarantees the safety and effectiveness of the procedures performed. The use of modern technologies allows us to achieve maximum results with minimal risks.
Individual approach to each patient
The Coolaser Clinic pays special attention to each patient. Before the procedure, a detailed consultation is carried out, during which the doctor takes into account the individual skin characteristics and wishes of the client. The individual approach allows to choose the optimal course of procedures to achieve the best result that meets the patient’s expectations.
Frequently Asked Questions FAQ
How does Sculptra Polylactic Acid differ from conventional fillers?
Sculptra is an injectable preparation containing polylactic acid, which stimulates collagen production in the skin. Unlike traditional fillers, which fill wrinkles immediately after injection, Sculptra acts gradually, activating the skin regeneration processes. This makes the effect more natural and long-lasting, as the changes occur slowly, allowing the skin to adapt to the new conditions.
How often should the procedure be repeated?
To maintain the result of Sculptra injection it is recommended to perform a course of several procedures, with an interval of 4 to 6 weeks between them. The main effect lasts for 2-3 years, after which repeated injections may be required to maintain the result.
Can Sculptra be combined with other treatments?
Sculptra can be combined with other cosmetic procedures such as laser peels, mesotherapy and botulinum therapy. However, each case requires an individualized plan coordinated with your doctor. It is recommended to avoid other injections for several weeks after the Sculptra procedure to reduce the risk of adverse reactions.
What do I need to know before starting the course?
Before starting a course of Sculptra injections, it is important to consult a doctor to make sure there are no contraindications. It is also recommended to discuss the desired result in advance and learn how to care for the skin after the procedure. This will help to avoid complications and maximize the effect of the procedure.
Why do patients choose Sculptra?
Sculptra attracts patients with its long-lasting and natural effect. Those who prefer gradual changes choose this product to avoid the sudden changes in appearance typical of other types of fillers. Patients also appreciate that with Sculptra they can not only restore youthfulness to the skin, but also prolong the result for years without the need for frequent corrections.
Specialists in the procedure

Olesya Zinenko
Dermatologist
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