Both of these products are good choices for cheek augmentation. I personally prefer the use of fat because it is a more permanent solution, although it is a more involved procedure. The patient must deal with recovery in the donor area where fat is harvested. Sculptra is easier, but periodic injections are necessary to maintain the improvement.
LiveFill involves the transfer of strips of the patient's own tissues, placed directly into the cheeks to increase fullness.
Fat injection is a nice technique, but aspiration of the fat through a canula and injection of the fat through a needle disrupts cell membranes and results in the death of most of the injected fat. This has been shown in study after study.
Our research shows LiveFill is alive at the time of transplantation and therefore the survival rate is higher than that of fat injections; that's why we prefer LiveFill.
Sculptra seems to work well for its FDA indicated use, lipoatrophy deep in the face in AIDS patients. We have seen many cases of lumpiness, in many cases permanent (over 3 years after the time of injection), especially when it is used for the tear trough or undereye area.
Sculptra is made of a reactive material, probably accounting for the difficulties we have seen when it is injected superficially.
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