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SCULPTRA in Orange County, California


Stimulate the production of your own collagen.

Sculptra™ Aesthetic is an FDA approved, synthetic, and bio-compatible material that is injected to help correct the effects of fat loss, natural age-related bone loss, genetic contours, and facial asymmetries. Sculptra is an injectable volumizing treatment that stimulates the regeneration of the body’s own collagen to help smooth out lines and wrinkles and restore lost facial volume to give you a fuller, younger-looking face. At Total Dermatology, we strive to deliver the best Sculptra Irvine has to offer.

*Individual Results May Vary.


your body’s natural collagen

Sunken or flattened cheeks, temple indentations, and facial hollowing regain lost volume over time by Sculptra’s ability to promote the production of your body’s natural collagen in the treated areas. This process continues long after the course of treatment has been completed.

Irvine sculptra model with black hair


Sculptra provides a gradual and significant increase in skin thickness, improving the appearance of folds and sunken areas. Volume effects have persisted in numerous patients for over 3 years. See Sanofi documentation


Dr. Pilest is a Platinum level injector for Sculptra, a level achieved by only a few physicians. Our first patient in the slides below had experienced significant volume loss. Initial volume restoration required multiple vials and is maintained by an annual single vial to account for the natural continued loss of volume as we age.


Sculptra has been in use since 1999 (first under the trade name New-Fill in Europe) for a variety of facial volume and contour deficiencies. In 2004, the product was approved in the United States for large-volume corrections of the signs of lipoatrophy (facial fat loss) and was subsequently approved for restoring volume for cosmetic purposes.

Irvine sculptra model with tan hat


Because of the main component in Sculptra, poly-L-lactic acid, is a polymer synthetically derived from natural components and is a biocompatible substance (does not harm the body), there is no need to test for allergic reactions. Poly-L-lactic acid has been used in surgical products for more than 20 years.

Sculptra is the “patient” patient’s ideal restoration procedure. Since it takes time for your body to manufacture new collagen, the results cannot be instant. But patience has rewards because the new volume is that of your own tissue. Sculptra injections can be more globally injected in the face, thereby providing even, soft, natural collagen layers that “age with you.” As with all injectable fillers, technique is a vital component in delivering the best potential outcome. For this reason, aware patients will choose a dermatologist or surgeon who has the special required knowledge of anatomy and extensive experience.

Sculptra Before and Afters

Sculptra Before & After Irvine, CA
Sculptra Before & After Irvine, CA
Sculptra Before & After Irvine, CA

*Individual results may vary.

View More Patient Results


Immediately following a treatment session with Sculptra, redness, swelling, pain, bruising or all of these signs can happen in the treatment area. These signs usually go away in a few hours to a few days. Some of our Irvine Sculptra patients have had some bruising that has lasted about a week. You will be given specific post-treatment care instructions which will include massaging the area a few times each day for several days after the treatment session.




Sculptra Safety

Sculptra has an excellent safety profile but as with all injections, some adverse effects can occur. For full information visit the company website Sculptra Safety. Dr. Nissan Pilest is a member of the distinguished Expert Injector collaboration and holds the Circle of Excellence in Soft Tissue Fillers through the American Society of Dermatologic Surgeons. Dr. Pilest performs all injections for dermal fillers and neuromodulators at Total Dermatology.

pretreatment guidelines logo


Schedule your consultation with board-certified dermatologist Dr. Nissan Pilest at Total Dermatology in Irvine, CA, today by calling (949) 727-3800.

*Individual Results May Vary

SCULPTRA Frequently Asked Questions

Sculptra is a synthetic injectable material known as “poly-L-lactic acid.” Poly-L-lactic acid is bio-compatible (a material that does not harm the body) and biodegradable (able to be broken down by the body). Poly-L-lactic acid has been widely used for many years in dissolvable stitches, soft tissue implants, and other types of implants.


Sculptra is injected below the surface of the skin in the area of fat loss. Sculptra provides a gradual increase in skin thickness. Visible results appear within the first few treatment sessions

No skin testing is required prior to use. This means you can have your treatment the same day as your consultation if you wish.

At your first treatment visit, it may appear that Sculptra worked immediately because of swelling from the injections and the water used to dilute Sculptra. In a few days, when the swelling goes down and the water is absorbed by your body, you may look as you did before your treatment. Sculptra takes time to gradually correct the depression in your skin. Dr. Pilest will see you again in a few weeks to decide if you need more Sculptra injections. As to the number of treatments required, Dr. Pilest will decide the appropriate number of treatment sessions and the amount of Sculptra you will need at each session. Orange County Sculptra patients with severe facial fat loss may require 3 to 6 treatment sessions.

First sessions most always start with 2 vials to create the proper “priming” level of new collagen production. Treatment results will differ for each person in the length of time you maintain results. In a clinical study, the treatment results lasted for up to 2 years after the first treatment session, in most patients. Touch-up treatments may be needed to maintain the desired effect. Pain? As with any injection, injections with Sculptra™ may hurt. Sculptra is injected in small amounts using a very fine needle. Dr. Pilest will apply a topical or local anesthetic. Sculptra must be injected with a syringe as opposed to other fillers that can be placed with a microcannula. However, Sculptra is blended with an anesthetic so most areas of injection are not painful.

Schedule your consultation with Total Dermatology today!

When it comes to your skin and your health, it really is all about what’s best for you. Total Dermatology understands this, which is why we offer versatile treatments with experienced and highly trained aesthetic professionals led by Dr. Nissan Pilest. Your Total Dermatology transformation awaits.

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