Already Used Sculptra. Can I Use Another Filler in Same Area?

asked 1 year ago by 897686anon in australia
Latest answer by Jon M. Grazer, MD, MPH
Question viewed 499 times
Tags: cheeks, combination, contraindication, loss, volume

I have had sculptra treatment in my cheeks to counter volume loss (mid face creases) after a succesful diet, but can I now have restylane subq or radiesse for further definition at the point at which my cheekbone is meant to be most prominent, or do I just have to stick with the sculptra, in essence are there any contraindications in terms of layering fillers?

10 answers to Already Used Sculptra. Can I Use Another Filler in Same Area?

Sculptra with other Fillers

You are definitely able to use fillers in combination. In fact to achieve optimal result for certain patients, it is sometimes necessary to layer products. I would recommend you consulting the physician who performed the initial Sculptra injection for an evaluation. They can help assess which filler will be best for the areas you now want to correct and if Sculptra is the optimal "filler" you will be in the hands of a trained injector.

Lisa Kates, MD
Annapolis Dermatologist

Combining Fillers

It is not a problem to combine fillers. Sculptra is the longest lasting, but results are gradual in onset. If you desire immediate correction you could use either, Hyaluronic acid fillers or Radiesse. The Radiesse will give you greater longevity then the Hyaluronic acid fillers.

Jon M. Grazer, MD, MPH
Newport Beach Plastic Surgeon

Filler in same area as sculptra...

If you have had sculptra, it is not uncommon to have a filler injected into the same area. Fillers such as Juvederm and Radiesse can be used in different places and layers to further enhance areas such as the cheeks or nasolabial folds. A consultation with your surgeon would be your best option and he/she will be able to help you decide.

Andrew Miller, MD
Edison Facial Plastic Surgeon

No problem with layering

I often have patients that want something for long term, like sculptra, but need a quick fix for a reunion or special event. I will use HA filler or Radiesse and later use sculptra. I have also mixed in oppossite direction. Have noted no problems.

Jo Herzog, MD
Birmingham Dermatologist

Layering Fillers

You can layer a variety of fillers but the appropriate question is which filler is most appropriate. Sculptra provides a good deep volume and other fillers that can be used more superficially in wrinkles can be used on top of it. Discuss with your surgeon what your goals are and this can help achieve a very successful treatment plan.

Marc Schneider, MD
Fort Myers Plastic Surgeon

Sculptra can be used with hyaluronic acid fillers

Each dermal filler has unique properties and benefits. There is no contraindication for using two fillers together. Usually the biostimulatory filler is placed deeper than hyaluronic acid fillers. I would suggest that if you already have one biostimulatory filler like Sculptra, the more superficial injections in the same place be done with a hyaluronic acid filler. If you are having injections in a different area of your face then either Radiesse (provided it is not a... more

Emily Altman, MD
Short Hills Dermatologic Surgeon

www.advancedskinwisdom.com

Using Other Fillers with Sculptra

Yes, I frequently use other fillers at the same time as Sculptra. I will often use Radiesse in the mid face for its quicker results and then begin multiple Sculptra treatments for it's gradual onset and greater longevity. I also believe certain areas of the face do better with each product. You can follow the link below to see my wife's before and four years after pictures showing both Sculptra and Radiesse treatments that I have been doing.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

Each type of filler has optimal results in different areas

If you had a good result from Sculptra which is our best filler for patients in the cheeks after weight reduction, you would probably do best by continuing with Sculptra. However we regularly use multiple fillers in what we call the "Combi" approach, but each is selected for a specific area. i.e. Juvederm for the lips, Restylane for the tear troughs etc. Dr. Mayl Fort Lauderdale

Nathan Mayl, MD
Fort Lauderdale Plastic Surgeon

Multiple fillers in different areas or planes

It is common for physicians to insert one filler at one level, and layer on top a more superficial filler. It also is not unusual to have multiple fillers placed in different locations on the same day.

Ronald Shelton, MD
Manhattan Dermatologist

Use of Multiple Fillers

There are no contraindications to using different fillers at different depths. Sculptra is more of a gradual volume inducing agent and the recommended technique is a deeper injection onto the facial skeleton. Hyaluronic acid fillers (Juvederm and Restylane) and Radiesse are usually injected subdermally and give an immediate result; the result with Sculptra evolves over three weeks or so and multiple injection sessions spaced over time are usually necessary.