RealSelf actual patient comment:

I feel like I look like a peanut and that I am losing facial volume in a few spots. I want to avoid the dangerous side effects like blindness, etc. Feel free to suggest other fillers that might be helpful.

A: I would treat you simply with 1/2 vial of Sculptra in each temple to get rid of that peanut head of yours. The treatment is safe, quick, easy, and effective when placed properly. The injections are deep under the muscles, just above the bone which is an area without significant blood vessels so the worry of side effects is minimized. We have used other fillers both more superficially and deep, but find that Sculptra works the best and lasts the longest. Some patients may require 2-3 treatments over the course of a year. Once it takes effect, maintenance is not needed for 2-4 years or longer. Choose your injecting physician most carefully based on their skill, experience, knowledge, care, and natural artistic vision. Good luck and be well.