This 62-year-old patient was treated with a combination of Sculptra and Botox Cosmetic. Sculptra works by stimulating your own collagen production over time, making it a longer-arc treatment than a standard filler. Botox was added to address muscle-driven lines, particularly across the forehead and between the brows, which are visible in the before photo. The after photo shows the face at a later point in the treatment process; Sculptra continues to work gradually, so what you see isn't necessarily the final picture. If you're in your sixties and considering a non-surgical approach that doesn't rely on immediate volumizing alone, this type of combination plan is worth discussing. Dr. Nasrin Mani can walk you through whether this is the right plan for your anatomy.