September 8, 2025 • 17 mins
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Ready to discover the beauty industry's best-kept secret for natural-looking rejuvenation? Dive into our conversation with Mary Brooks, nurse practitioner and master trainer at Couture Med Spa, as she reveals why Sculptra has become her absolute go-to treatment for clients seeking subtle, long-lasting results.
"Think about dissolvable sutures crushed up into a powder and then made into a liquid and injected into the tissue so it builds collagen," Mary explains, painting a vivid picture of how Sculptra works fundamentally differently than traditional fillers. Unlike immediate-result hyaluronic acid fillers, Sculptra triggers your body's natural collagen production for gradual, organic enhancement that typically lasts three-plus years.
What makes Sculptra truly revolutionary is its versatility. Beyond the classic facial applications (temples, cheeks, and jawline), Mary reveals how this powerhouse treatment is transforming necks, décolletage, knees, and even buttocks – yes, the increasingly popular "liquid butt lift" that gives you natural curves without surgery. For active individuals experiencing facial volume loss from fitness regimens or those using weight-loss medications, Sculptra provides the perfect solution to maintain facial contours while avoiding the overdone "pillow face" look that scares so many away from aesthetic treatments.
The episode dives deep into the treatment protocol (typically following the "one vial per decade of life" approach), expected results timeline, and the crucial "5-5-5" aftercare method that ensures optimal outcomes. We also explore the fascinating phenomenon known as the "Sculptra Glow" – that enviable luminosity that develops as collagen regeneration enhances not just volume but overall skin quality.
Whether you're contemplating your first aesthetic treatment or looking to switch from traditional fillers to something more natural and long-lasting, this episode provides the expert guidance you need. Listen now to understand why so many clients walk away from Sculptra treatments with confidence, contours, and that coveted "did they or didn't they?" mystery that keeps everyone guessing.
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:16):
Welcome back to another episode of Couture
Conversations, where we breakdown the science, the trends and
the real talk behind yourfavorite aesthetic treatments.
I'm Lindsay, your host, andtoday's episode is all about a
treatment that's gaining majorbuzz, and for good reason.
We are talking about Sculptra,a collagen-boosting injectable
that's changing the way we thinkabout facial rejuvenation.
(00:38):
And who better to break it alldown with me than the incredible
Mary Brooks, our nursepractitioner and corporate
trainer here at Couture Med Spa?
Mary's not just an expertinjector she's trained a dozen
of providers on how to useSculptra safely, effectively and
artistically for long-lasting,natural-looking results.
So if you've ever wondered whatSculptra is, how it works and
(00:59):
why it's become a clientfavorite, this episode is for
you.
Let's dive in.
Welcome, mary.
Hi.
Thanks for joining me today.
Thank you for having me.
So we are going to be talkingabout Sculptra.
I've always heard Sculptra isone of your all-time favorites.
Yes, it's my number one go-to.
(01:19):
So let's start with the basics.
What exactly is Sculptra andhow is it different than
traditional dermal fillers?
Speaker 2 (01:27):
So Sculptra is like a filler but it is a collagen
booster.
So Sculptra is a polylacticacid.
I was described it by Dianemany years ago.
I love the way she described itto me.
So she said think aboutdissolvable sutures, how when
they close the incision, thesutures kind of create collagen
(01:50):
to close that incision.
So think about thosedissolvable sutures crushed up
into a powder and then made intoa liquid and injected into the
tissue so it builds collagen.
That way it's different thanother fillers.
It's not a hyaluronic acid,it's not instant, so it does
build that collagen.
So you inject it right up,basically on bone under the
(02:11):
tissue and it just creates, itboosts that collagen and creates
volume.
So you can't overdo it.
There's no like pillow facelike you kind of will see with
some fillers when they go to aninjector who kind of overdoes it
.
There's no way you can overdoit.
Since it's your own collagen,it's going to be longer lasting,
very natural, great for volumeloss.
(02:31):
Basically good for all ages aswell.
Speaker 1 (02:35):
What type of concerns is Sculptra best for?
Who is the ideal candidate forSculptra?
Speaker 2 (02:40):
Like I said, basically anyone can do it.
Typically, you're going tomaybe want to start in your
thirties, Um, it's recommendedup until 65.
We do have clients who are 65to 78 years old still doing
Sculptra.
I'm still getting that collagen.
It's really good for anyonethin losing weight.
I know a lot of people are onweight loss peptides right now.
(03:01):
They're losing the fat in theirface, Um, so it's great for
them to kind of keep that up sothey don't start to get that
volume loss.
Anyone with hollow temples theywant bigger cheeks.
Their jawline is a little bitlacking.
So you can treat all threeareas, every single treatment.
Speaker 1 (03:19):
So when you say all three areas, what areas are
typically treated with Sculptra?
Speaker 2 (03:23):
So we usually stick to temples, cheeks and jawline.
Um, anywhere you can get deepon bone you're going to want to
massage.
There's a risk of nodules withthis product just because it is.
It's those particles that we'replacing into the tissue.
Um, so we do a lot of massagingfor five days.
Uh, you just don't want thoseparticles to clump up.
So, um, temple, cheeks, jawline, like a little liquid facelift.
Speaker 1 (03:45):
What are some.
Are there any other areas thatyou can do a sculpture?
So there are.
Speaker 2 (03:50):
we are now doing sculpture in the neck for that.
Those fine lines, crepey skin,build some collagen in the neck.
We also do the chest for samereasons.
The decollete some of us sleepon our sides.
We get those vertical lines soit'll treat those.
We're doing it in the knees, soanybody who has the saggy knees
or volume loss in the knees.
(04:11):
Another great one is thebuttocks.
So anyone who's kind of scaredto go under for surgery you
don't like the idea ofanesthesia or even just surgery
in general you can do Sculptrain the buttocks to give you a
nice little butt lift.
Speaker 1 (04:25):
So is that, if you see it because I've seen people
post online that they've hadlike a liquid butt lift or
something like that Is thattypically kind of?
I mean, there might be otherthings that can be done, but is
Sculptra something that is?
Speaker 2 (04:36):
yeah, exactly, yeah.
So the liquid butt lift.
It also fills in those hip dipsthat a lot of us have to give
you that nice little like peachybottom.
So it's great for that.
And yes, it is like the liquidbutt lift.
You do need a lot of vialsunless you're just treating hip
dips.
But if you're someone whodoesn't want surgery you don't
like the idea that you want moreof a natural look then Sculptra
(04:57):
is going to be the go-to.
Speaker 1 (04:58):
So what would be a realistic?
Obviously I know every clientis different depending on what
they need, but to give someonean idea for like face, how, what
does that treatment plantypically look like for them?
So for, face.
Speaker 2 (05:11):
It's going to be one vial per decade of age, done
four to six weeks apart.
So if someone's 50 years oldplan on doing five vials not all
at once so you'll come in,you'll do your first vial,
you'll wait four to six weeks,you'll do your second and so on,
and then about eight weeksafter your last vial is when
you're really going to see theresults.
Neck and chest is a littledifferent.
(05:31):
Most people need about twotreatments per year for that,
and then the buttocks is goingto be anywhere from two to three
, usually six to eight vials percheek.
Speaker 1 (05:41):
Per cheek yeah.
Speaker 2 (05:44):
All right.
How many pokes is that.
Well, we use cannula, so youknow it's not too bad and we
numb the area.
A lot of clients say it'spretty comfortable, they're sore
after, but I haven't had anyonereally complaining or wanting
to stop the procedure.
Speaker 1 (05:58):
Yeah, I've actually had a couple of clients that
have had sculpture done for theglutes and they've never had
anything negative to say.
They're like no, it reallywasn't that bad?
Speaker 2 (06:07):
Yeah, they're usually like laying on their stomach
checking their phone, likechatting it up with us, so they
seem very comfortable.
Yeah, that's good.
Do you numb for sculpture?
We do topical numbing for theface.
We do injectable numbing forneck, chest and buttocks.
Yeah, so wherever the cannulais going in, that spot is going
(06:28):
to be numb, so they won't reallyfeel anything but the pressure,
kind of like pushing andpulling of the cannula.
But they don't typically feelpain.
Speaker 1 (06:32):
So I think a lot of people love the idea of
long-term results.
How long does sculpture reallylast, and when do clients
typically see full effect?
Speaker 2 (06:42):
So sculpture is longer lasting just because it's
your own collagen.
So however long it takes you tobreak down collagen typically
they say two plus years that'sbecause their study stopped at
around two years and the clientswere still happy with their
collagen.
From what I see, I would saythree plus years because we do
have clients coming back thatmaybe we haven't seen in three
years and they still look prettygood, like you can definitely
tell they still have volume fromtheir first Sculptra.
(07:04):
But the recommendation is stilleven though you're still
looking good at three years,you'll still want to do your one
vial every year to keep up withit.
Speaker 1 (07:13):
Okay, so there's a lot of buzz around the Sculptra
Glow.
Speaker 2 (07:19):
Can you explain what that means?
So, since we're creatingcollagen, although we're not
directly just treating the skin,that collagen boost is still
going to help the skin.
So it's creating collagenunderneath.
You're still going to see thatreally nice.
It's kind of treating thoselittle fine lines.
So clients love that theircheeks just look glowy.
Especially since there's morevolume there, the light's going
to hit it differently.
(07:40):
They're going to get those nicehighlights and contours.
Speaker 1 (07:43):
What would you when you're looking at a client and
you're assessing a client, causeI feel like a lot of people
maybe come in not knowing whatsculpture is or not coming in
and being like Sculptra.
But what would you say whenyou're assessing a client?
What would you be looking forthat you would pick Sculptra
over?
Speaker 2 (08:03):
fillers.
So a lot of times if clientsare very thin, they work out a
lot.
They're runners, they'reathletes, they're bodybuilders,
whatever.
Any client who's super activehas a lot of volume lost in the
face, maybe not just temples orjust cheeks or a little bit in
the jawline.
They kind of need an all overtreatment.
You can do the facial balancingwith filler or you can go the
(08:25):
sculpture route.
If you know of a client who'slike I don't like filler, I
don't like the way it looks.
I see all the housewives.
You know we get that all thetime.
Sculpture is my go-to to keepthem from being scared of the
overdone look as well.
Um, they're going to look verynatural.
They're never going to lookoverdone.
Um, and, like I said, all thesepeople working out all these is
I'm big, you know which I'm allabout.
(08:45):
I'm not knocking it down, but alot of times we do lose the fat
in our face and that's kind ofwhere we're starting to notice
and seeing a lot of these peoplelosing weight, but a lot in
their face as well, um, sothat's going to just be my go-to
, like it's going to fix allthat.
Speaker 1 (08:59):
Yeah, I think I noticed a lot, um, just from
working with you guys asproviders and looking at
pictures and seeing differentthings I used to never even
really like, not that I didn'tthink of sculpture, but it was
always like, oh, you could putfiller that like their temples.
Oh, you could put some fillerthere, you could do this.
And now I'll look at likesomeone's, yeah, like their
(09:19):
contours.
You'll see, like the hollownessand like the cheeks or the
temple area, and right away I'mlike, oh, sculpture like
sculpture is going to be thego-to for that.
Speaker 2 (09:27):
Yes, Especially if they're like a little older,
their skin is thinner.
Um, sometimes we'll put thatcheek filler in and all you see
is the filler Granted, it'sgoing to go down over a couple
of days, um, but those peopleare the ones that I'm kind of
like.
Oh, I don't know, if fillersare first go to, I'm going to
kind of build that college andbuild that cheek up a little bit
, get them some volume and then,after their sculpture, if they
(09:48):
still need a little tweaking,then I'll kind of go the filler
route.
But it just depends on theclient.
If they're okay with the plan,if they're going to come back
and see me.
If they're not, like I needinstant verification, I need to
look in the mirror today and behappy then I'll go sculpture.
But if they're instantgratification people which
you'll know because they'll tellyou then I'll kind of do the
filler first and then talk aboutsculpture for the future, do
(10:09):
you?
Speaker 1 (10:09):
think sculpture is something that's still, I think,
a lot of people think of, likeolder clients who need sculpture
.
Do you think it's still greatfor, or do you think the benefit
is for, younger clients as well?
Speaker 2 (10:21):
So for younger clients, just because these
young, beautiful 30 somethingyear olds are coming in and
they're wanting filler and theydon't really need it, sometimes
Like they have, you know, greatvolume, they look amazing.
This can also be a preventativetreatment.
So you're going to build alittle bit of tissue.
But these younger clients, theydon't need that much.
So they might get away withmaybe doing one or two vials,
(10:42):
kind of like the maintenance,since they're not really there
yet with the volume loss.
So they can do a maintenancetreatment just to keep up with
their collagen.
Speaker 1 (10:53):
Yeah, I think one thing that really stuck out to
me when I was learning aboutsculpture and you can tell me if
this doesn't make sense, butone thing that stuck out with me
kind of made it a an easiervisual for me to see, um, how
you were talking about like thesutures and everything.
It was explained to me as moreof like.
Um, like the sculpture is likeyour grass seeds and you're like
planting grass seeds underneaththere and then it grows, it
(11:16):
builds over time.
Um, that I think that gave me areally good visual for what
sculpture is actually doingunder there.
Um, that I was like, oh, thatkind of kind of makes sense.
Like just plant those littlegrass seeds and then it just
builds over time and grows andyou have to maintain it right
and they have to keep up with.
Speaker 2 (11:32):
So I like that.
You're like creating afoundation, exactly yeah, yeah,
and then you can of build onthat.
So it's like your grass andthen your house is like the
filler.
Speaker 1 (11:40):
I like that, but that was it, but I'm using that now.
So, as a trainer, what is themost important thing?
That you teach providers aboutworking with Sculptra.
Speaker 2 (11:50):
Anatomy is a huge one .
So although there's not a wholelot of studies showing that
there's occlusions with Sculptrait is basically a liquid with
kind of like particles in it youstill really need to know that
anatomy, just because, if Godforbid, somebody did occlude.
There's no reversal.
So you just really need to knowyour anatomy, know where you're
(12:13):
at with your needle.
No signs of an occlusion.
That's really our main thing.
That's why we kind of teachfiller first and then once,
after about a year, when they'vegotten really good with the
anatomy, placement, everything,then we'll go to Sculptra
because it's technically alittle bit more dangerous in a
way, I guess you could say, justbecause there is no reversal
agent.
So they just need to kind ofreally know what they're doing
(12:34):
in those areas.
Speaker 1 (12:36):
What is the?
What's the 555 method?
Let's go over.
Speaker 2 (12:41):
So 555 has to do with our massaging.
So since it's particles andsometimes they can clump
together, you want to really getthat massage in good for the
first five days.
Integrating the product withthe tissue, kind of spreading it
all throughout Super important.
I know a lot of clients don'tdo it.
I have seen a client come fromanother med spa with a humongous
(13:05):
nodule in his temple that hetold me had been there for like
six years, yeah, and it wasn'tjust where you can feel it, like
you could literally see it.
So I always tell clients aboutthat story to kind of scare them
Like do your massaging, it'snot that difficult.
Speaker 1 (13:23):
You came in, you spent the money, continue on for
the next five days, makeyourself and us happy.
I have a lot of clients whowill come get their facial a
couple of days after a sculptdress.
So, as long as they're not likeyou know, most of them aren't
too tender or anything, but it'sgood because it helps with
their massaging and a lot ofthem of them are like oh yeah, I
needed to do my massage today,so this helps.
So as estheticians, we'll kindof give them a little extra,
extra boost on their massages.
Speaker 2 (13:41):
Yes, and that's like a great part of their treatment
plan.
Like I recommend that toclients too like now, go get
your facial in the next two days, they'll get you really good,
and our girls always do a reallygood massage before they send
them home, just because that'slike the instant, like right
when it goes in.
That's like the instant, likeright when it goes in.
That's when you really want tomake sure it's kind of spread
through the tissue.
So we always give a really goodone.
You guys always give an amazingone.
Speaker 1 (14:00):
So are there any myths out there that you want to
bust about Sculptra?
Speaker 2 (14:06):
Um, sculptra, just clients who maybe are a little
uninformed, not very educated onit, um, they still have that
fear of the overdone pillow faceand I just want everyone to
know that's never, ever going tohappen to you with Sculptra.
Speaker 1 (14:21):
That's a good one to bust.
Yeah, you're not wrong.
A lot of people, especially, Ithink, when you tell them to all
the different areas that itgoes, they think, oh, no, in
their mind they're thinking likefiller in all these different
areas at the same time andthey're like, oh, that's going
to be a lot.
Yes, but it's not.
Yeah, it helps build.
Speaker 2 (14:39):
Yeah, or they'll see us pull up the eight syringes
because it comes with eight mLsis what we get out of it.
And they kind of are like, ohmy God, all that's going in my
face, like, just trust me, it'sgoing to look great.
Speaker 1 (14:50):
So I know we talked on.
Can you go into a little bitmore?
What does Sculptra do for thechest and the neck?
Speaker 2 (14:56):
Since it's building collagen, it helps with those
fine lines.
It's giving those collagenboosts.
That's kind of where we havevolume loss, especially tech
neck.
We're always looking down chestMaybe we're sleeping on our
side.
Speaker 1 (15:11):
It's just going to kind of fill that in just by
building collagen in those areas.
Have you had any favoriteresults or client success
stories that you've had withSculptra?
Speaker 2 (15:18):
I have?
Um.
Obviously I can't use her name,but she came into us.
She was 62 years old, um, neverhad done anything.
Her cheeks were completely flat, um, temples super hollow, like
she had no shape to her face.
If she tried to put a contouron, you'd be like, what are we
doing here?
Um.
So she came in, she did sixtreatments and after she had
(15:41):
cheeks, she had contour, she hada jawline.
She was so happy she literallylooked 15 years younger, like
and I'm not even just sayingthat and she was my best case.
I showed her before and afterto everybody.
Um, yeah, I mean, she was thepain in the butt client, but she
, she was very happy.
So I was happy for her.
Speaker 1 (16:00):
And results.
That was worth it, yes, ofcourse.
So if you had any last adviceto giving someone who is kind of
maybe on the fence of thinkingabout sculpture or trying to
decide between sculpture orfiller, what's some like good
advice that you would give tosomeone?
Speaker 2 (16:15):
So I would say, if you're okay with the plan, if
you are going to do yourmassaging, if you're going to
still come back every four tosix weeks and do all the
recommended number of vials,you're going to be so happy,
Like you're going to looknatural.
Your friends are going to askyou like, what have you done?
And it's not like you're goingto wake up the next day and
they're going to be like whoa,she did something.
It's going to be, you know, acouple months down the road
(16:37):
where you just look more awake,you're glowing, you just look
younger, like you got reallygood rest, more contour.
If you're somebody who's justlike I want to come in one time
and see you and just leave andlook different, like I have
something going on in the nexttwo weeks Okay, then I'm not
going to recommend sculpture toyou.
Um, so if you're looking forinstant filler, if you're okay
(16:58):
with the plan, sculpture isgreat.
It's long lasting.
Speaker 1 (17:06):
You're going to love it.
Nice Well, mary.
Thank you very much for sharingall of your sculpture wisdom
with us.
Um, it's always so inspiring tohear you talk about collagen,
confidence and all things thatcome with couture to any of our
listeners.
If you've been curious aboutsculpture or you're looking for
a treatment that supportslong-term natural rejuvenation,
this might be your new go-to.
You can book a consultationwith one of our experienced
injectors and visit us atcouturemedspacom to learn more.
(17:27):
Don't forget to like and sharethis episode with anyone you
think who might be a goodcandidate about sculpture or has
been thinking about.
You know different treatmentsto get done.
Um, you can follow us oninstagram at contormedsballcom.
We also have um tiktok youtubeall the things so yeah, come and
see us and um.
Thank you, mary, for sharing allof your expert advice with us.
(17:50):
Thank you.
Welcome back to another episode of Couture
Conversations, where we breakdown the science, the trends and
the real talk behind yourfavorite aesthetic treatments.
I'm Lindsay, your host, andtoday's episode is all about a
treatment that's gaining majorbuzz, and for good reason.
We are talking about Sculptra,a collagen-boosting injectable
that's changing the way we thinkabout facial rejuvenation.
(00:38):
And who better to break it alldown with me than the incredible
Mary Brooks, our nursepractitioner and corporate
trainer here at Couture Med Spa?
Mary's not just an expertinjector she's trained a dozen
of providers on how to useSculptra safely, effectively and
artistically for long-lasting,natural-looking results.
So if you've ever wondered whatSculptra is, how it works and
(00:59):
why it's become a clientfavorite, this episode is for
you.
Let's dive in.
Welcome, mary.
Hi.
Thanks for joining me today.
Thank you for having me.
So we are going to be talkingabout Sculptra.
I've always heard Sculptra isone of your all-time favorites.
Yes, it's my number one go-to.
(01:19):
So let's start with the basics.
What exactly is Sculptra andhow is it different than
traditional dermal fillers?
Speaker 2 (01:27):
So Sculptra is like a filler but it is a collagen
booster.
So Sculptra is a polylacticacid.
I was described it by Dianemany years ago.
I love the way she described itto me.
So she said think aboutdissolvable sutures, how when
they close the incision, thesutures kind of create collagen
(01:50):
to close that incision.
So think about thosedissolvable sutures crushed up
into a powder and then made intoa liquid and injected into the
tissue so it builds collagen.
That way it's different thanother fillers.
It's not a hyaluronic acid,it's not instant, so it does
build that collagen.
So you inject it right up,basically on bone under the
(02:11):
tissue and it just creates, itboosts that collagen and creates
volume.
So you can't overdo it.
There's no like pillow facelike you kind of will see with
some fillers when they go to aninjector who kind of overdoes it
.
There's no way you can overdoit.
Since it's your own collagen,it's going to be longer lasting,
very natural, great for volumeloss.
(02:31):
Basically good for all ages aswell.
Speaker 1 (02:35):
What type of concerns is Sculptra best for?
Who is the ideal candidate forSculptra?
Speaker 2 (02:40):
Like I said, basically anyone can do it.
Typically, you're going tomaybe want to start in your
thirties, Um, it's recommendedup until 65.
We do have clients who are 65to 78 years old still doing
Sculptra.
I'm still getting that collagen.
It's really good for anyonethin losing weight.
I know a lot of people are onweight loss peptides right now.
(03:01):
They're losing the fat in theirface, Um, so it's great for
them to kind of keep that up sothey don't start to get that
volume loss.
Anyone with hollow temples theywant bigger cheeks.
Their jawline is a little bitlacking.
So you can treat all threeareas, every single treatment.
Speaker 1 (03:19):
So when you say all three areas, what areas are
typically treated with Sculptra?
Speaker 2 (03:23):
So we usually stick to temples, cheeks and jawline.
Um, anywhere you can get deepon bone you're going to want to
massage.
There's a risk of nodules withthis product just because it is.
It's those particles that we'replacing into the tissue.
Um, so we do a lot of massagingfor five days.
Uh, you just don't want thoseparticles to clump up.
So, um, temple, cheeks, jawline, like a little liquid facelift.
Speaker 1 (03:45):
What are some.
Are there any other areas thatyou can do a sculpture?
So there are.
Speaker 2 (03:50):
we are now doing sculpture in the neck for that.
Those fine lines, crepey skin,build some collagen in the neck.
We also do the chest for samereasons.
The decollete some of us sleepon our sides.
We get those vertical lines soit'll treat those.
We're doing it in the knees, soanybody who has the saggy knees
or volume loss in the knees.
(04:11):
Another great one is thebuttocks.
So anyone who's kind of scaredto go under for surgery you
don't like the idea ofanesthesia or even just surgery
in general you can do Sculptrain the buttocks to give you a
nice little butt lift.
Speaker 1 (04:25):
So is that, if you see it because I've seen people
post online that they've hadlike a liquid butt lift or
something like that Is thattypically kind of?
I mean, there might be otherthings that can be done, but is
Sculptra something that is?
Speaker 2 (04:36):
yeah, exactly, yeah.
So the liquid butt lift.
It also fills in those hip dipsthat a lot of us have to give
you that nice little like peachybottom.
So it's great for that.
And yes, it is like the liquidbutt lift.
You do need a lot of vialsunless you're just treating hip
dips.
But if you're someone whodoesn't want surgery you don't
like the idea that you want moreof a natural look then Sculptra
(04:57):
is going to be the go-to.
Speaker 1 (04:58):
So what would be a realistic?
Obviously I know every clientis different depending on what
they need, but to give someonean idea for like face, how, what
does that treatment plantypically look like for them?
So for, face.
Speaker 2 (05:11):
It's going to be one vial per decade of age, done
four to six weeks apart.
So if someone's 50 years oldplan on doing five vials not all
at once so you'll come in,you'll do your first vial,
you'll wait four to six weeks,you'll do your second and so on,
and then about eight weeksafter your last vial is when
you're really going to see theresults.
Neck and chest is a littledifferent.
(05:31):
Most people need about twotreatments per year for that,
and then the buttocks is goingto be anywhere from two to three
, usually six to eight vials percheek.
Speaker 1 (05:41):
Per cheek yeah.
Speaker 2 (05:44):
All right.
How many pokes is that.
Well, we use cannula, so youknow it's not too bad and we
numb the area.
A lot of clients say it'spretty comfortable, they're sore
after, but I haven't had anyonereally complaining or wanting
to stop the procedure.
Speaker 1 (05:58):
Yeah, I've actually had a couple of clients that
have had sculpture done for theglutes and they've never had
anything negative to say.
They're like no, it reallywasn't that bad?
Speaker 2 (06:07):
Yeah, they're usually like laying on their stomach
checking their phone, likechatting it up with us, so they
seem very comfortable.
Yeah, that's good.
Do you numb for sculpture?
We do topical numbing for theface.
We do injectable numbing forneck, chest and buttocks.
Yeah, so wherever the cannulais going in, that spot is going
(06:28):
to be numb, so they won't reallyfeel anything but the pressure,
kind of like pushing andpulling of the cannula.
But they don't typically feelpain.
Speaker 1 (06:32):
So I think a lot of people love the idea of
long-term results.
How long does sculpture reallylast, and when do clients
typically see full effect?
Speaker 2 (06:42):
So sculpture is longer lasting just because it's
your own collagen.
So however long it takes you tobreak down collagen typically
they say two plus years that'sbecause their study stopped at
around two years and the clientswere still happy with their
collagen.
From what I see, I would saythree plus years because we do
have clients coming back thatmaybe we haven't seen in three
years and they still look prettygood, like you can definitely
tell they still have volume fromtheir first Sculptra.
(07:04):
But the recommendation is stilleven though you're still
looking good at three years,you'll still want to do your one
vial every year to keep up withit.
Speaker 1 (07:13):
Okay, so there's a lot of buzz around the Sculptra
Glow.
Speaker 2 (07:19):
Can you explain what that means?
So, since we're creatingcollagen, although we're not
directly just treating the skin,that collagen boost is still
going to help the skin.
So it's creating collagenunderneath.
You're still going to see thatreally nice.
It's kind of treating thoselittle fine lines.
So clients love that theircheeks just look glowy.
Especially since there's morevolume there, the light's going
to hit it differently.
(07:40):
They're going to get those nicehighlights and contours.
Speaker 1 (07:43):
What would you when you're looking at a client and
you're assessing a client, causeI feel like a lot of people
maybe come in not knowing whatsculpture is or not coming in
and being like Sculptra.
But what would you say whenyou're assessing a client?
What would you be looking forthat you would pick Sculptra
over?
Speaker 2 (08:03):
fillers.
So a lot of times if clientsare very thin, they work out a
lot.
They're runners, they'reathletes, they're bodybuilders,
whatever.
Any client who's super activehas a lot of volume lost in the
face, maybe not just temples orjust cheeks or a little bit in
the jawline.
They kind of need an all overtreatment.
You can do the facial balancingwith filler or you can go the
(08:25):
sculpture route.
If you know of a client who'slike I don't like filler, I
don't like the way it looks.
I see all the housewives.
You know we get that all thetime.
Sculpture is my go-to to keepthem from being scared of the
overdone look as well.
Um, they're going to look verynatural.
They're never going to lookoverdone.
Um, and, like I said, all thesepeople working out all these is
I'm big, you know which I'm allabout.
(08:45):
I'm not knocking it down, but alot of times we do lose the fat
in our face and that's kind ofwhere we're starting to notice
and seeing a lot of these peoplelosing weight, but a lot in
their face as well, um, sothat's going to just be my go-to
, like it's going to fix allthat.
Speaker 1 (08:59):
Yeah, I think I noticed a lot, um, just from
working with you guys asproviders and looking at
pictures and seeing differentthings I used to never even
really like, not that I didn'tthink of sculpture, but it was
always like, oh, you could putfiller that like their temples.
Oh, you could put some fillerthere, you could do this.
And now I'll look at likesomeone's, yeah, like their
(09:19):
contours.
You'll see, like the hollownessand like the cheeks or the
temple area, and right away I'mlike, oh, sculpture like
sculpture is going to be thego-to for that.
Speaker 2 (09:27):
Yes, Especially if they're like a little older,
their skin is thinner.
Um, sometimes we'll put thatcheek filler in and all you see
is the filler Granted, it'sgoing to go down over a couple
of days, um, but those peopleare the ones that I'm kind of
like.
Oh, I don't know, if fillersare first go to, I'm going to
kind of build that college andbuild that cheek up a little bit
, get them some volume and then,after their sculpture, if they
(09:48):
still need a little tweaking,then I'll kind of go the filler
route.
But it just depends on theclient.
If they're okay with the plan,if they're going to come back
and see me.
If they're not, like I needinstant verification, I need to
look in the mirror today and behappy then I'll go sculpture.
But if they're instantgratification people which
you'll know because they'll tellyou then I'll kind of do the
filler first and then talk aboutsculpture for the future, do
(10:09):
you?
Speaker 1 (10:09):
think sculpture is something that's still, I think,
a lot of people think of, likeolder clients who need sculpture
.
Do you think it's still greatfor, or do you think the benefit
is for, younger clients as well?
Speaker 2 (10:21):
So for younger clients, just because these
young, beautiful 30 somethingyear olds are coming in and
they're wanting filler and theydon't really need it, sometimes
Like they have, you know, greatvolume, they look amazing.
This can also be a preventativetreatment.
So you're going to build alittle bit of tissue.
But these younger clients, theydon't need that much.
So they might get away withmaybe doing one or two vials,
(10:42):
kind of like the maintenance,since they're not really there
yet with the volume loss.
So they can do a maintenancetreatment just to keep up with
their collagen.
Speaker 1 (10:53):
Yeah, I think one thing that really stuck out to
me when I was learning aboutsculpture and you can tell me if
this doesn't make sense, butone thing that stuck out with me
kind of made it a an easiervisual for me to see, um, how
you were talking about like thesutures and everything.
It was explained to me as moreof like.
Um, like the sculpture is likeyour grass seeds and you're like
planting grass seeds underneaththere and then it grows, it
(11:16):
builds over time.
Um, that I think that gave me areally good visual for what
sculpture is actually doingunder there.
Um, that I was like, oh, thatkind of kind of makes sense.
Like just plant those littlegrass seeds and then it just
builds over time and grows andyou have to maintain it right
and they have to keep up with.
Speaker 2 (11:32):
So I like that.
You're like creating afoundation, exactly yeah, yeah,
and then you can of build onthat.
So it's like your grass andthen your house is like the
filler.
Speaker 1 (11:40):
I like that, but that was it, but I'm using that now.
So, as a trainer, what is themost important thing?
That you teach providers aboutworking with Sculptra.
Speaker 2 (11:50):
Anatomy is a huge one .
So although there's not a wholelot of studies showing that
there's occlusions with Sculptrait is basically a liquid with
kind of like particles in it youstill really need to know that
anatomy, just because, if Godforbid, somebody did occlude.
There's no reversal.
So you just really need to knowyour anatomy, know where you're
(12:13):
at with your needle.
No signs of an occlusion.
That's really our main thing.
That's why we kind of teachfiller first and then once,
after about a year, when they'vegotten really good with the
anatomy, placement, everything,then we'll go to Sculptra
because it's technically alittle bit more dangerous in a
way, I guess you could say, justbecause there is no reversal
agent.
So they just need to kind ofreally know what they're doing
(12:34):
in those areas.
Speaker 1 (12:36):
What is the?
What's the 555 method?
Let's go over.
Speaker 2 (12:41):
So 555 has to do with our massaging.
So since it's particles andsometimes they can clump
together, you want to really getthat massage in good for the
first five days.
Integrating the product withthe tissue, kind of spreading it
all throughout Super important.
I know a lot of clients don'tdo it.
I have seen a client come fromanother med spa with a humongous
(13:05):
nodule in his temple that hetold me had been there for like
six years, yeah, and it wasn'tjust where you can feel it, like
you could literally see it.
So I always tell clients aboutthat story to kind of scare them
Like do your massaging, it'snot that difficult.
Speaker 1 (13:23):
You came in, you spent the money, continue on for
the next five days, makeyourself and us happy.
I have a lot of clients whowill come get their facial a
couple of days after a sculptdress.
So, as long as they're not likeyou know, most of them aren't
too tender or anything, but it'sgood because it helps with
their massaging and a lot ofthem of them are like oh yeah, I
needed to do my massage today,so this helps.
So as estheticians, we'll kindof give them a little extra,
extra boost on their massages.
Speaker 2 (13:41):
Yes, and that's like a great part of their treatment
plan.
Like I recommend that toclients too like now, go get
your facial in the next two days, they'll get you really good,
and our girls always do a reallygood massage before they send
them home, just because that'slike the instant, like right
when it goes in.
That's like the instant, likeright when it goes in.
That's when you really want tomake sure it's kind of spread
through the tissue.
So we always give a really goodone.
You guys always give an amazingone.
Speaker 1 (14:00):
So are there any myths out there that you want to
bust about Sculptra?
Speaker 2 (14:06):
Um, sculptra, just clients who maybe are a little
uninformed, not very educated onit, um, they still have that
fear of the overdone pillow faceand I just want everyone to
know that's never, ever going tohappen to you with Sculptra.
Speaker 1 (14:21):
That's a good one to bust.
Yeah, you're not wrong.
A lot of people, especially, Ithink, when you tell them to all
the different areas that itgoes, they think, oh, no, in
their mind they're thinking likefiller in all these different
areas at the same time andthey're like, oh, that's going
to be a lot.
Yes, but it's not.
Yeah, it helps build.
Speaker 2 (14:39):
Yeah, or they'll see us pull up the eight syringes
because it comes with eight mLsis what we get out of it.
And they kind of are like, ohmy God, all that's going in my
face, like, just trust me, it'sgoing to look great.
Speaker 1 (14:50):
So I know we talked on.
Can you go into a little bitmore?
What does Sculptra do for thechest and the neck?
Speaker 2 (14:56):
Since it's building collagen, it helps with those
fine lines.
It's giving those collagenboosts.
That's kind of where we havevolume loss, especially tech
neck.
We're always looking down chestMaybe we're sleeping on our
side.
Speaker 1 (15:11):
It's just going to kind of fill that in just by
building collagen in those areas.
Have you had any favoriteresults or client success
stories that you've had withSculptra?
Speaker 2 (15:18):
I have?
Um.
Obviously I can't use her name,but she came into us.
She was 62 years old, um, neverhad done anything.
Her cheeks were completely flat, um, temples super hollow, like
she had no shape to her face.
If she tried to put a contouron, you'd be like, what are we
doing here?
Um.
So she came in, she did sixtreatments and after she had
(15:41):
cheeks, she had contour, she hada jawline.
She was so happy she literallylooked 15 years younger, like
and I'm not even just sayingthat and she was my best case.
I showed her before and afterto everybody.
Um, yeah, I mean, she was thepain in the butt client, but she
, she was very happy.
So I was happy for her.
Speaker 1 (16:00):
And results.
That was worth it, yes, ofcourse.
So if you had any last adviceto giving someone who is kind of
maybe on the fence of thinkingabout sculpture or trying to
decide between sculpture orfiller, what's some like good
advice that you would give tosomeone?
Speaker 2 (16:15):
So I would say, if you're okay with the plan, if
you are going to do yourmassaging, if you're going to
still come back every four tosix weeks and do all the
recommended number of vials,you're going to be so happy,
Like you're going to looknatural.
Your friends are going to askyou like, what have you done?
And it's not like you're goingto wake up the next day and
they're going to be like whoa,she did something.
It's going to be, you know, acouple months down the road
(16:37):
where you just look more awake,you're glowing, you just look
younger, like you got reallygood rest, more contour.
If you're somebody who's justlike I want to come in one time
and see you and just leave andlook different, like I have
something going on in the nexttwo weeks Okay, then I'm not
going to recommend sculpture toyou.
Um, so if you're looking forinstant filler, if you're okay
(16:58):
with the plan, sculpture isgreat.
It's long lasting.
Speaker 1 (17:06):
You're going to love it.
Nice Well, mary.
Thank you very much for sharingall of your sculpture wisdom
with us.
Um, it's always so inspiring tohear you talk about collagen,
confidence and all things thatcome with couture to any of our
listeners.
If you've been curious aboutsculpture or you're looking for
a treatment that supportslong-term natural rejuvenation,
this might be your new go-to.
You can book a consultationwith one of our experienced
injectors and visit us atcouturemedspacom to learn more.
(17:27):
Don't forget to like and sharethis episode with anyone you
think who might be a goodcandidate about sculpture or has
been thinking about.
You know different treatmentsto get done.
Um, you can follow us oninstagram at contormedsballcom.
We also have um tiktok youtubeall the things so yeah, come and
see us and um.
Thank you, mary, for sharing allof your expert advice with us.
(17:50):
Thank you.
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