Dr Ayoubi’s Aesthetic approach changing the perception of Sculptra treatment.

Sculptra is one of the most advanced cosmetic treatments for collagen stimulation, the treatment of scars and facial volumisation. The continuous evolution of aesthetic medicine has led to the development of this discreet and minimally invasive treatment, enabling patients to achieve a younger and fresher looking appearance without the requirement of surgery.

The London Medical and Aesthetic clinic of Harley Street is renowned for being the leading clinic in the provision of advanced Sculptra treatment throughout the UK and Europe.  As one of the first facial plastic surgeons, Dr Ayham Al-Ayoubi, introduced this innovative product to the UK. Having successfully carried out over 7,000 cases of Sculptra treatment at our clinic, Dr Ayoubi is recognized for his international reputation.

Sculptra is the ultimate treatment for patients who desire a subtle and gradual treatment, which is long-lasting. As the treatment is non-invasive and an injectable treatment which stimulates collagen, Sculptra is an effective and safe method to softening lines and deep wrinkles, creating facial volumization and enhancing facial contours. The science which underpins this advanced product supports the stimulation of a patient’s own collagen over a long period of time, thus differentiating from other traditional fillers. The natural- looking results last from between 2-5 years.

Sculptra Use

The primary component of Sculptra is Poly-L-lactic acid, which has been successfully used in aesthetic medicine for over 50 years. Examples of which, range from acting as a medium for medication to being used in bone plates and screws in surgery.

Sculptra was initially used to treat facial atrophy, but its cosmetic use has since been pioneered by Dr Ayoubi for the following:

  • Facial Volumization
  • Collagen Stimulation
  • Scar Treatment
  • Facial Asymmetry
  • Cellulite reduction

Sculptra is able to be used safely to restore facial volumization and fat which has been lost due to extrinsic and intrinsic ageing, in addition to treating scars. Typically, Sculptra is used to treat marionette lines, sagging jowls, and wrinkles on hands, wrinkles of décolletage and hollow cheeks/temples.

Sculptra can thus fill areas of volume-loss through stimulating deep tissue. Through its injection into the dermal-subcutaneous junction, Sculptra is able to soften and smooth deep wrinkles and lines in conjunction with restoring facial volume, gradually.

Sculptra differs from other dermal fillers due to its nature of stimulating collagen. Other dermal fillers such as hyaluronic acid merely replace the loss of volume, whereas Sculptra encourages the body to naturally replace the collagen which has been lost due to age or trauma.

Cellulite and dimpling of skin can also be treated be Sculptra. The product is able to correct indentations of skin anywhere on the body through encouraging collagen regeneration.

The nature of Sculptra treatment means that results vary between patients and last for varying lengths of time. Patients can expect results to last from between 2-5 years.

Sculptra Suitability

Sculptra is a treatment option for men and women who wish to improve the appearance of sunken cheeks, deep wrinkles, deep folds and acne scars.

For younger patients in their 20’s, Sculptra helps maintain the collagen reserves and increases skin tightening. For middle-aged patients, in their 30’s or 40’s, Sculptra can be used to reverse the early signs of ageing by regenerating collagen. Enhancement of facial volume can be achieved through this method as well as correction of fine lines. For patients who are 50 years or above, Sculptra stimulates collagen so that restoration of facial contours and volume can be achieved. Laxity of skin can be reversed and hollowing of facial dimensions restored.

Some cases of Sculptra treatment demonstrate full face lifting results without the requirement for surgery. The results of which can be expected to last between 2-5 years.

How does Sculptra work?

Sculptra stimulates the body’s own collagen production, thus eliminating lines and deep wrinkles, creating a youthful appearance with natural-looking results.

The planning of Sculptra treatment should be over a time period of 2-12 weeks. Usually, each patient requires 3 treatments, conducted in 2-3 week intervals. Final results can be observed between 6 – 10 months following treatment. Younger patients, who are in their 20’s, trend to report visible results at 3 – 4 months, following their first treatment.

The inevitable process of ageing results in skin becoming loose, losing volume and losing its firmness. Due to loss of collagen skin becomes thinner and wrinkles begin to develop.

Nevertheless, this is not only true of ageing individuals, as those who lose weight also demonstrate the same loss of facial volume. Weight tends to be lost initially in the face, creating a tired and gaunt appearance.

Dr Ayham Al-Ayoubi himself conducts the Sculptra treatment these conditions at The London and Medical Aesthetic Clinic. On average, 2 – 4 sessions are required over a time period of 3-8 weeks. The number of sessions required and the number of injections per course of treatment depends on the individual patient. Sculptra results should be apparent from approximately 2 – 4 weeks, however, this is difficult to predict as every patient differs.

Patients are thus individually evaluated at the beginning of their treatment. Often, more than one treatment session is required. Patients who demonstrate severe facial volume-loss typically require 4-5 treatment sessions.

Sculptra also differs from surgical procedures as the delivered results are gradual, and thus a more natural-looking result can be achieved. Moreover, a less-invasive and less-traumatic procedure can be offered to patients. A full-face lifting effect is possible to be achieved after several sessions, which can last between 3 – 5 years.

Acne scars and scars produced as a result of facial trauma can also be treated by Sculptra. Additionally, dorsum of hands and facial contours can be enhanced to appear more youthful.

Sculptra Treatment 

Poly-L-lactic acid micro-particles form the key component of Sculptra. This natural product is then mixed with 2ml 1% Lidocaine and 6ml of sterile water 24 hours prior to treatment. No skin testing is not required before hand as the product is biocompatible.

The procedure itself takes around 30 minutes to perform. Patients tend to describe the process as “uncomfortable” rather than painful, however, we use a topical anaesthetic cream to minimise any discomfort. The Sculptra product is injected beneath into the adipose tissue of the face, into the skin’s dermis.

Following a patient’s first treatment, it may appear that results are achieved immediately. Patients often experience minor edema at the site of injection, but this is temporary. The Sculptra procedure mechanism stimulates a foreign-body reaction and stimulates the production of collagen. This process is characterized by an increased number of mast cells, macrophages and lymphocytes.

The tissue which is formed as a result appears natural, the facial contours appear normal and the restored volume to the face does not appear false. As a result, cheek bones appear more defined and cheeks appear rounder and more youthful in appearance.

Patients who typically receive 4 injections at injections 2-4 week intervals, demonstrate signs of breaking down the Sculptra at around 6 – 9 months following injection. At around 9 -12 months following treatment, the Sculptra product tends to have reabsorbed.  Clinical studies have repeatedly indicated that the effects last for at least 2 – 3 years following treatment.

The edema created through injection, as previously mentioned, usually resolves after several hours to a few days. This results in the “reappearance” of original contour deficiencies. Sculptra works by gradually correcting the depression in the skin.

Sculptra Safety

Having been approved by the MHRA (UK) and the FDA (USA) for the treatment of facial wrinkles and folds and for the correction of the facial fat loss and volume.

Poly-L-lactic acid, from the hydroxyl-acid family, is the main component of Sculptra and is a resorbable suture material.  Sculptra has been used clinically for more than 50 years in human medical applications, some of which include resorbable medical screws and absorbable surgical sutures, dental implants, medical pins, medical plates, dental implants and as vectors for sustained release of bio-active compounds.

As Sculptra is a natural product which is bio-compatible and thus resolvable, it is readily tolerated by the human body and is safe to be injected. Sculptra treatment is an effective method for long-term correction of facial volume depreciation, by creating natural results.

‘Safety-investigator’-initiated clinical studies of Sculptra in human patients has indicated that the product is well tolerated by patients, without any adverse side effects. Sculptra is therefore incredibly safe to use as long as it is used by a qualified, skilled plastic surgeon or doctor. In recent years, Sculptra treatment techniques have been modified and refined to produce the very best results whilst minimizing any side effects.

Occasionally, but very rarely, subcutaneous papules can form. These are not visible to the eye and are only detectable through touch. They typically form at the site of injection. This side effect is usually as a result of Sculptra being injected too superficially, thus causing a lump of product or collagen to form. Nevertheless, vigorous massage often prevents this side effect from occurring and patients are fully-instructed on how to carry out post-operative care once they leave the clinic. Dr Ayham Al-Ayoubi has performed thousands of Sculptra procedures at our clinic and has yet to witness such a side effect.

Understanding of how the treatment works and where the product can be injected is imperative, Neo-collagenases is stimulated through the injection of Sculptra into areas of treatment. Poly-L-lactic acid belongs to a family of stimulatory components and is entirely bio-compatible.

Sculptra is able to be injected into the face safely, with the exception of the forehead and adjacent to the upper lip. Areas most commonly injected include the infra malar region, chin, jowls and marionette lines, cheeks, temples, chin, pre-jowl sulcus, and marionette lines. Under eyes and lateral brows are deemed to be more difficult areas of injection.

Sculptra results studies indicated improvement in appearance for 3 – 5 years. Typically, 2 – 4 sessions are required. It is usual for treatments to be carried out 2 – 4 weeks apart. Treatments do not require ‘downtime.’

Patient Expectations

It’s imperative that patients understand the scientific mechanism of Sculptra prior to treatment. Stimulatory products such as Sculptra must be administered in sessions and gradually introduced to the body. Sculptra is conducted in 2- 4 sessions covering a 2-3-month period. Optimum results can be achieved over a 4 – 6-month period.

Patients who desire immediate improvement may require additional augmentation through the injection of hyaluronic acid, to tide them over for the meantime.

The volume of water used to suspend the Sculptra product is relatively great, therefore patients can leave the clinic feeling facial volume has increased. Patients should understand that this immediate improvement will subside within 2 – 4 days and that patients must then wait for collagen stimulation to commence from between week 2 – 4.

Patients must also appreciate that as the product is injected, bruising may occur. If this is the case, bruising will typically last for 2-4 days. Patients should avoid taking any non-steroidal anti-inflammatory medications during this period.

Once a patient is happy with the facial volumisation achieved, results can be expected to last up to 2-5 years, according to Dr Ayoubi. To maintain this desired effect, touch-up procedures might be advised for certain individuals.  Non-smoking patients have longer lasting results, as smoking reduces the blood supply to the skin and dehydrates the skin throughout the collagen stimulation process.

Injection-related issues such as minor redness and discomfort can be expected immediately after treatment. Some swelling and bruising may also occur but will be temporary and last only for a few days.

Most patients feel comfortable going back to their normal daily activities immediately following the Sculptra treatment.

Sculptra Vs Dermal Fillers

Sculptra differs from other traditional dermal fillers as it replenishes collagen within the skin. Sculptra stimulates this process gradually, creating long-lasting results which appear entirely natural.  Renewal of one’s own facial collagen to restore facial volume, smooth wrinkles and define contours enables results to last between 2 – 3 years.

The process of collagen stimulation occurs over several months to restore lost facial volume, whereas traditional filler merely offers immediate results. This restored volume created is therefore a patient’s own body’s response to the product. Results appear natural and feel smooth and plump to the touch.

Sculptra does not fill the space and merely form immediate results like traditional fillers, but causes collagen stimulation and growth of fibrous tissue, whilst gradually restoring volume.

Traditional dermal fillers tend to require revision every 6 months, whereas Sculptra acts over a longer period of time and is thus more cost-effective and easier to maintain for a patient.

Advanced Sculptra By Dr Ayoubi

Dr Ayham Al-Ayoubi has spent many years inventing and developing his own advanced Sculptra techniques. Dr Ayoubi is renowned for his use of Sculptra in treating deep acne scars, facial asymmetry and traumatic scarring through his Double V and Tear Duct technique. A number of plastic surgeons have since adopted these techniques worldwide.

We at The London Medical and Aesthetic Clinic pride ourselves for treating thousands of patients under the care of Dr Ayoubi to reverse the signs of ageing through Sculptra. Patients come from all around the UK, Europe and the rest of the world to visit Dr Ayoubi at his prestigious clinic for Sculptra treatment.

Dr Ayham Al-Ayoubi has successfully treated female and male patients for acne scars and deep traumatic scars on the face and body through injecting Sculptra in sessions. Sculptra can also be injected to improve the appearance of a décolletage (wrinkly wall of chest) in addition to reversing signs of ageing on the hands.