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Restylane SubQ vs. Sculptra

asked 1 year ago by London1397 in London
Latest answer by Ronald Shelton, MD
Question viewed 1,105 times
Tags: cheeks, comparison, SubQ

A year ago I had restalene sub q injected into my cheeks. On occasion after this the cheeks would swell and become tender for a few days and then go away. Apart from that the results were good. All the restalene is gone now and I am thinking of having Sculptra instead but I am afraid that I may get a worse reaction to it which would cause Granulomas. The swelling was like an infection with the sub q and I do not want it to be worse and last longer with Sculptra. I am prone to getting infections.

12 answers to Restylane SubQ vs. Sculptra

Lumps and granulomas after restylane vs. Sculptra

All fillers can cause lumps, but the lumps that are created by Sculptra can be delayed secondarily being caused by granulomata. The lumps of Restylane or Juvederm can be injected and considreed side effects can be monitored.

Ronald Shelton, MD
Manhattan Dermatologist

www.thenyac.com

Fillers and swelling

All fillers can cause swelling and granulomas, and firmness. I prefer to use the hyaluronic acid products myself because they can always be dissolved if there is an undesired result.

Steven Wallach, MD
Manhattan Plastic Surgeon

All fillers including restylane and sculptra are prone to infection and granulomas

All fillers including restylane and sculptra are prone to infections and granulomas. One preventive measure is to treat the face with Hibiclens soap before injections.

Edward Lack, MD
Chicago Dermatologist

Restylane vs Sculptra

It is natural to have some swelling for 2-3 days following Restylane injections, because the Restylane absorbs water fron the surrounding tissues. The tenderness may have just been caused y the injection trauma. Restylane (Hyaluronic Acid) is very well tolerated. With Restylane, the improvement lasts 6 months, occasionally longer. Sculptra, unlike Restylane, is not a filler. It is a stimulator of the body's own cells (Fibrocytes) which will start... more

Eugene Mandrea, MD
Chicago Dermatologist

www.lakeviewderm.com

Restylane vs Sculptra is Like Apples vs Oranges

Sculptra and Restylane are two completely different fillers and do completely different things. For long-lasting volume correction, Sculptra is by far the best product on the market. When properly injected, Sculptra has given physicians and patients a new dimension in facial contouring by revolumizing the aging face through a minimally invasive approach. Sculptra injections are well-tolerated by patients. They have a low incidence of side effects and results in high patient satisfaction.... more

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

Reaction to Restylane for cheek augmentation

Restylane is a fine product, IMHO but to thin for cheek augmentation. For shaping cheeks, chin and jaw line, I prefer using Radiesse or Perlane. Given your concerns about granulomas, all these fillers have about the same rate of their formation....I'd try Perlane. Sculptra is another fine product but in my eyes is better at filling in defects or depressions than it is at creating raised curved shapes like the cheeks. For that I believe a larger molecule,... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Restylane vs Sculptra risk of side effects

Restylane and Sculptra do different things. Restylane is a hyaluronic acid filler that adds volume by filling the areas of the skin where it is injected. Hyaluronic acid is a normal constituent of our skin. The risk of infection with Restylane is very low. The risk of granuloma formation is very small. And Restylane can be dissolved with hyaluronidase if there is a problem with the injection. Sculptra is a biostimulator, which means it stimulates your own... more

Emily Altman, MD
Short Hills Dermatologic Surgeon

www.advancedskinwisdom.com

Restylane vs sculptra

Restylane is a very safe product with results that are immediate and last 9-12 months, Sculptra takes several injections over a few months time. because it stimulates collegen the enhancement seen is more permanent.The lower cost of Restylane and it's immediate results favors it's use. However for more expense Sculptra will give a longer lasting result. Your problem was most likely due to injection technique and not the product. Restylane and Sculptra are completely... more

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon

Restylane SubQ vs. Sculptra

Both previous expert posters have given you excellent reasons not to use Sculptra vs Restylane SubQ. I agree. But to simplify, Sculptra is not a "filler" it is a stimulator of collagen product by the poly lactic acid. It takes many series of injections over 3 to 6 months to attain a volumezing effect. Which lasts from 6 months to a year. While Restylane is a HA filler giving immediate volume by the amount injected. It lasts a few months but you need only 1 or 2 sessions. Best to... more

Darryl J. Blinski, MD
Miami Plastic Surgeon

Restylane vs. Sculptra

Hello, If what you are looking for is more volume to your cheeks I would advise you consider an HA filler such as the Restylane instead of Sculptra. You could try a different filler if you had problems with the Restylane, I use Perlane (among other fillers) for volume enhancement and find that it gives my patients 12 to 18 months of correction with virtually no problems. I find that it is difficult to attain the same degree of improvement (and often at a much higher cost) with Sculptra.... more

Andres Gantous, MD
Toronto Facial Plastic Surgeon

Sculptra not an ideal cosmetic treatment.

Sculptra does provide lasting (but not permanent) volume. By injecting this product within the cheek fat, granulomas are hidden in the deep cheek volume. As the material is placed close to the skin, the risk of irregularities increase. There are a couple of issues to be aware of with the Sculptra: 1) the product takes time to see the result of volumizing. Some patients find the process frustrating. 2) There is no easy way to deal with lumps and bumps that do... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Sculptra

Sculptra has a much longer lasting result. This product has been used to fill in the cheeks, for years,in patients who have HIV. Sculptra also stimulates your own collagen formation.