Sculptra

This is the same product which was used for facial fill in patients with HIV.  It is now approved for cosmetic use.

Sculptra has made a resurgence recently as experience has shown better ways to use it.  Sculptra is not a true filler; rather, it stimulates your own collagen production.  It is made of polylactic acid and requires multiple injections.  Typically, injections are performed one month apart for 3-6 sessions.  It takes 1-2 months to begin to see results and continues over many months.  Once results are achieved it can last 2 years.  The advantage of Sculptra is a more diffuse fill and volume enhancement.  It is not used around the lips or eyelids due to risk of nodule formation.