Although Dr . Pfeifer gives her patients Botox to temporarily immobilise muscle movement and Juvéderm to fill out wrinkles , she prefers to use anti - ageing filler Sculptra to achieve a more natural look in her patients . The injectable is made from poly - L - lactic acid , a biodegradable synthetic material that changes the skin 's underlying structure by stimulating the growth of collagen . Rather than change the patient 's appearance overnight , he or she becomes more youthful over the course of months as the dermis restores elasticity . This happened gradually over nine months. The side effects of Sculptra are minimal and can include swelling and bruising at the injection site , but most patients are able to return to work immediately .
Although Dr . Pfeifer gives her patients Botox to temporarily immobilise muscle movement and Juvéderm to fill out wrinkles , she prefers to use anti - ageing filler Sculptra to achieve a more natural look in her patients . The injectable is made from poly - L - lactic acid , a biodegradable synthetic material that changes the skin 's underlying structure by stimulating the growth of collagen . Rather than change the patient 's appearance overnight , he or she becomes more youthful over the course of months as the dermis restores elasticity . The side effects of Sculptra are minimal and can include swelling and bruising at the injection site , but most patients are able to return to work immediately .