for filling marionete lines and cheeks what are alternatives to sculptura injections
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Fat Transfer is a Good Option
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Radiesse is a good alternative
Radiesse is a filler that both acts as a filler and a collagen stimulator. It has the advantages of immediate correction like a filler but also offers collagen stimulation like Sculptra. I use it extensively along the jawline and along the marionette lines, as well as the cheeks and under the lateral brow. It can be diluted to get the consistency you need in any area so that you can inject it deep for support or superficial to fill in lines. I find it last much longer than the hyaluronic acid fillers and is a much sturdier product.
Sculptra is a volumizer, but not all fillers are
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As Dr. Hoenig mentioned, fat transfer is a permanent...
Alternatives to Sculpra Injections
Patients seeking alternative products are usually either looking for even longer lasting results, such as with fat injections, or want instant results, where products like Restylane, Juvederm, Juvederm Voluma and Radiesse would be used.
Fat transfer is a surgical procedure and performed in the operating room under sedation. There is 7 to 10 days of downtime. Results are not always consistent from patient to patient and only one third to half the fat injected takes and remains for a long period of time. This often necessitates a second boost treatment after 6 months. One has to be careful not to gain much weight as the face will also gain weight, sometimes dramatically, where the fat has been injected.
Other fillers are very appealing because the results are instant. With Juvederm Voluma's recent FDA approval, we now have the option of injecting patients one time with a product that can last up to two years, in a single treatment safely and naturally.
The most important factor is not what product is used but more so where, how much, and the technique used to inject the products. When done properly, all products will have a youthful volumization to the face.
Hyaluronic acid fillers (Juvederm, Restylane) and Radiesse are great for filling the marionette lines and cheeks. However, if you are looking for a longer lasting solution, fat grafting and other surgical options may be a better option.
Sculptra alternatives for marionette lines
Hyaluronic acid fillers such as restylane, perlane, and juvederm are good treatments for marionette lines
Sculptra, Juvederm, Restylane all do well with marionette lines.
Marionette lines can be treated in several ways. I favor Sculptra or the hyaluronic acid products.
- Sculptra: lasts 2 or 3 years and takes several treatments for initial result
- Juvederm: lasts a year, one treatment
- Restylane: lasts 18 months when a touch up is done at 6 months.
- Perlane: same as Restylane
I find that I can provide my patients with choice and great results. The product used is tailored to my patients needs and desires.
Juvederm works great
Juverderm, Restylane, fat fillers also work great as alternatives. Sculptra is definitely not the end all be all of treatment for these. There are even some surgical procedures that can help such as cheek implants, midface lift.
Sculptra is good for volumizing the face. It is good for putting a little volume in multiple places, more significant volume in others.
HA fillers like Restylane, Juvederm, and Perlane can be used in certain areas instead of Sculptra. They will give immediate results. The issue is how long they last (usuall 6-9 months) and cost.
Fat grafting can be used in some areas. It is a more extensive procedure (and you have to have the fat to donate to graft). Find someone who does microfat grafting. Fat, when it" takes" (ie lives in its new location), is thought to be permanent, though it is not uncommon to see it dwindle over time and need a touch up. Natural tissue is always better though when it works.