Sculptra

Poly-L-lactic acid, the material in dissolvable stitches, is placed under the skin in small amounts. Over weeks the body builds collagen around it. It is the usual answer for a face that looks deflated after weight loss.

Lidocaine is mixed in. Pressure and a sting, then a few days of massage at home: five minutes, five times a day, for five days.

Looks fuller for a day from the water, then fades, then the real result builds over six to twelve weeks.

• Pregnancy or breastfeeding
• A history of keloid scars
• Active sores, cysts or infection at the site
• Immune suppressing medication
• The lips or the area around the eyes, where it is never used

Sydney goes through this with you before anything starts.

Hyaluronic acid filler for the lips and under eyes. Morpheus8 or UltraClear two to four weeks apart.

Filler is instant shape. Sculptra is gradual volume that your own collagen provides. Many plans use both, in different sessions.

First change at about a month, full result at three to six months after the last session.

Small bumps are possible, which is why the massage routine matters and why it is placed in areas with enough tissue.