Sculptra is best in the cheeks and other areas where you want to get more fullness in an section of the face of large surface area. Sculptra is a collagen stimulator, not a filler. It works slowly over time and it is not as precise as fillers are.
Aside from the cheek area, I like to use Sculptra in the temples to replace volume lost as a result of age, weight loss or other causes. It makes people look less gaunt, and more youthful. These days, most good aesthetic physicians understand that a youthful appearance means recapturing the fullness and volume that has been lost over time, not just pulling the skin or erasing lines.
That being said, I do not think that Sculptra belongs in the lips. Lip enhancement is a procedure that requires precision and finesse. Sculptra is not a tool that provides precision and finesse. It is also designed to be injected into deep skin, not into the muscle and not underneath the superficial mucosa of the lips.
