For filling marionette lines and cheeks what are alternatives to Sculptura injections?

Sculptra and Radiesse restore volume to the cheeks and mid face. This helps to pull hanging skin folds at the nose and mouth back up in a very satisfying way.
The other fillers are much better at treating the symptoms by filling in lines and wrinkles, but are not actually addressing the cause of the problem in the first place.
Don't get me wrong, I like most of the fillers out there and they all have their purpose, but when I get a patient who is willing to listen to my best advice, I fill the mid face first - and they typically end up much happier.

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

For the marionette lines and the cheeks, there are numerous filler options. I tend to use Sculptra for restoring volume in broad areas like the cheeks or temples, but not commonly in the marionette lines.
Products like Restylane, Restylane Lyft, Voluma, Juvederm, and Radiesse can all work well in the marionette lines and the cheeks. Voluma is a great option as long as you are addressing primarily volume deficits and not superficial fine lines around the mouth.
All the best,

Hello, 

Thank you for your question. There are several options. You could use something like Juvederm, Restylane, or Perlane to correct the marionette lines. Then there is Voluma or Radiesse for your cheeks. It is best to visit a local physician for a complete consult on which treatments would be best for you. Good luck!

In the rapidly evolving world of fillers, there are more and more alternatives to Sculptra.  Patients should consider an injector with multiple alternatives to provide appropriate filler.  Some alternatives include:-Radiesse-Juvederm Voluma-Allofill-Fat transfer

Radiesse and HA fillers are frequently used to treat marionette lines, nasolabial folds and cheeks.  They have the advantage of immediate correction, but their effect does not last as long as Sculptra.