Which is the best dermal filler to address skin tightening without using energy devices?

In our experience, injectable fillers are useful for adding lost volume to somebody's face, as it ages. When there is sagging of the lower face, that tends to necessitate a surgical approach. I hope this helps! Sincerely, Dr Joseph

Dermal fillers with HA add only volume. Biostimulators like Sculptra or Radiesse restore the internal structure of the skin , improving quality and volume but are not directly tightening the skin. You still need an energy device to tighten the skin. The RF devices or HIFU devices are designed and approved for that concern and it always depends on the proper patient selection, prover expectations, proper device selection and the proper settings performed.
Best, Dr.Anna Avaliani ,NYC

Hello LOL,
Laughing out loud is the best form of lifting the face and best form of plastic surgery. That being said, I prefer. PLLA Sculptra for the patients who have the patience to wait for their results, I prefer Voluma/Volux for those who want an immediate result. To lift the lower face I like to combine these treatments with Profound RF, PRP, and laser. As with anything aesthetic, please do your due diligence in choosing your treating physician carefully for the best, safest, and most effective results. Good luck and be well.
Michael Persky, MD
Encino, CA