What are other treatments for sunken cheeks aside from Sculptra?

What is the best tx for adding volume to sunken cheeks for a female with a smaller face (delicate features, slender frame)? I have had one session of Sculptra (2 vials) 2 weeks ago. I realize the results are yet to be known of that treatment.

In looking ahead, should I consider a combination of different treatments to get the desired effect? I don't want to over do it, but want a noticable, yet subtle, natural effect.

Finally, as a sidenote, if after 2 weeks post Sculptra I have not experienced lumps that I have read so many have had, can I feel confident that I am out of the woods? Or is there still time for the lumps to appear well after 2 weeks? Thanks in advance.

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3 answers to “What are other treatments for sunken...”

A: Sunken cheeks are best addressed with cheek implants

William Portuese, MD

The lumps from Sculptra can occur even years after the procedure has been done. Sunken cheeks are best addressed with a set of cheek implants that are made of Silastic plastic, placed above the upper teeth onto the upper cheekbone to augment the existing cheek area.

A: Many options for cheek enhancement

Frank P. Fechner, MD

Sculptra is one good option for non-surgical volume enhancement. I recommend to give it 4 weeks before judging the results; 2 vials is a good start for subtle improvment. Many patients easily require 4 treatments (= 8 vials) before they are where they want to be. As alternatives, you may consider Radiesse,... more

A: Stay with the same product if you get good early results

Nathan Mayl, MD

Sculptra should be use in the "treat - wait - re-evaluate - treat again " fashion. The response to Sculptra is frequently not seen for 8-10 weeks, especially in thin patients who work-out. We use virtually all products, but seldom use only one. Typically, a patient like you will have either Sculptra... more

Comments

HKKitty
57 posts
29 Mar 2009

Thank you for posting this question and for the doctors who answered it. It is exactly my situation! I am slender and petite and want to add volume to my face. I've just lost some volume over time, but otherwise I look good. I also exercise alot. I had one treatment with Sculptra by a highly experienced doctor but now I'm spooked by all the negatives I'm reading on this site. At least with the hyaluronic fillers they do ultimately go away. I have had both Restylane and Juvederm under my eyes. Not a great result - but not permanent either. Previously I was advised against fat transfer by a plastic surgeon who told me the fat would not last very long - and that you need to have a lot of extra fat on your body to "donate to the cause." I would certainly be interested to learn more about fat transfers. Specifically, how the procedure is done.

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