This patient disliked the loss of volume in her cheeks and malar regions. She was treated with 5 vials of Sculptra over the course of 4 months by our Seattle cosmetic surgeon. Sculptra is a long-lasting filler that can be used to add facial volume slowly over time. The results can last several years. This patient had substantial improvement in the curvature of the cheek and volume below the eyes. The overall effect is a substantially more youthful facial appearance.