Consultation
Dr. Osayande evaluates brow position, forehead and hairline anatomy, eyelid skin, facial symmetry, medical history, and your goals. Photographs help document the relationship between the brow and upper eyelids.


Sculptra is an injectable poly-L-lactic acid biostimulator that prompts the body to produce its own collagen, restoring facial volume gradually over several months. Signature Facial Plastic Surgery serves patients in Rockville, Bethesda, and the greater Washington, DC area.
Your own collagen, rebuilt gradually
Sculptra is a collagen biostimulator rather than a filler. Instead of adding volume directly, it prompts your own tissue to produce new collagen over the months that follow, which restores fullness gradually and from within.
Because the change accumulates slowly, Sculptra suits patients who want to address generalized volume loss without a visible before and after moment.
Sculptra works over months, not days, and requires a series of sessions. Patients who need a defined result for a specific date, or who want precise shaping of a single feature such as the lips, are usually better served by hyaluronic acid filler.
Thoughtful patient selection

You may be a good candidate if you have diffuse volume loss across the midface and temples, are in good general health, and are comfortable with a result that builds gradually across a series of treatments.
Sculptra is generally avoided in patients with a history of keloid or hypertrophic scarring, during pregnancy or breastfeeding, and where there is active infection or inflammation in the area to be treated.
Planned across a series
Dr. Osayande maps where volume has actually been lost before the first session, since Sculptra diffuses somewhat and is best placed broadly rather than concentrated in one spot.
Aftercare matters more here than with most injectables. The massage protocol you are given helps distribute the product evenly and reduces the risk of nodules, and following it closely is part of the treatment rather than an optional extra.
“Sculptra is for the patient who would rather no one notice the moment something changed.”
From consultation through your series
Dr. Osayande evaluates brow position, forehead and hairline anatomy, eyelid skin, facial symmetry, medical history, and your goals. Photographs help document the relationship between the brow and upper eyelids.
Your incision pattern, degree of repositioning, anesthesia plan, and whether another procedure would add meaningful benefit are selected for your anatomy—not from a standard formula.
Brow lift surgery is performed with anesthesia appropriate to the planned technique and setting. The tissues are carefully repositioned and secured while the incisions are closed with attention to scar quality.
Scheduled postoperative visits allow Dr. Osayande to monitor swelling, incision healing, brow position, and your gradual return to normal activities.
Planning your downtime
Healing varies by patient, but the following timeline offers a general framework.
Some fullness from the injection fluid is normal and temporary. Ice and the prescribed massage protocol begin.
Initial fullness resolves. Tenderness and any bruising fade.
The collagen response becomes visible as gradual firmness and fullness.
Each session builds on the last, with the full result assessed several months after the final treatment.
Gradually, over several months, and typically a few months after the final session in the series.
Up to approximately two years after a completed series.
Bruising, tenderness, swelling, and delayed nodules or small papules beneath the skin.
Considering upper-face rejuvenation?
Your consultation will determine whether the change you see comes primarily from the brow, upper eyelids, dynamic muscle activity, or a combination of factors.

Why choose Signature
Dr. Bella Osayande is a fellowship-trained facial plastic surgeon whose practice is focused on the face, eyes, brows, nose, neck, and hair. That focused training supports a comprehensive, whole-face approach to every procedure she performs.
Her approach emphasizes precise planning, natural facial expression, honest treatment recommendations, and results that feel proportionate to the individual—not a predetermined aesthetic ideal.
Frequently asked questions
Clear answers to common questions about surgery, recovery, scars, and treatment selection.
Filler adds volume directly and is visible right away. Sculptra is a collagen biostimulator, which means it prompts your own tissue to build collagen over the following months, so the change appears gradually.
A series of three or more sessions, typically spaced four to six weeks apart, is standard. The number depends on the degree of volume loss being addressed.
Early fullness from the injection fluid settles within days. The collagen response builds gradually over roughly six weeks to several months.
Results commonly last up to two years once the full series is complete, which is longer than most hyaluronic acid fillers.
Yes. A massage protocol in the days following treatment helps distribute the product evenly and reduces the risk of nodules. You will be given specific instructions before you leave.
Patients with generalized volume loss across the midface and temples who prefer a gradual change over an immediate one.