- Asked 6 years ago
for filling marionete lines and cheeks what are alternatives to sculptura injections
Fat Transfer is a Good Option
For those with signicant fat loss in the face, fat transfer is a good option.
Fat Transfer, also known as Fat Injections or Fat Grafting, is the technique of moving fat from one area of the body to another to improve contour, correct defects, or enhance features.
Unlike Sculptra, which lasts up to 2 years, the results of fat transfer may be permanent, especially when placing fat under the eyes and in the cheeks or temples. It does not tend to last week in the naso-labial folds (lines from nose to mouth) or in the lips, due to the amount of movement in that area.
I've been doing fat transfer for 8 years, and the majority of my patients have just one treatment. Occasionally, they do come back for a touch-up treatment about a year later, especially in those with HIV-induced lipodystrophy.
The benefit of fat transfer is that it is your own body's material (fat) that is being injected. The drawback is that it is technique-dependent and does require surgery (in my practice, a minor surgical procedure with local anesthesia and oral sedation).
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
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.
As Dr. Hoenig mentioned, fat transfer is a permanent...
As Dr. Hoenig mentioned, fat transfer is a permanent option for filling the face.
For patients who are looking for a temporary solution, injectible fillers such as hyaluronic acid and others can be used. Though these last anywhere from 3 months to a year, it can allow a patient to see if they like the look before undergoing a more permanent alternative such as fat transfer.
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.
Fat injections are a great option for permanent filling
Fat injections are the best option as an alternative to Sculptra injections. I even consider fat injections first before Sculptra. Nothing is better than using your own tissues for plastic surgery purposes. You have essentially no risk for reactions, no risk for cancer, no toxicity from your own tissues. Sculptra is made up of suture material. It is a foreign substance that is essentially broken down into carbon dioxide and glucose and ultimately carbon dioxide and water.
Other ways of filling is through silicone iimplants. The problem areas for implants and Sculptra is the periorbital area. Implants are also hard to use for the buccal area where there is no bone for the implant to rest on. It is here that Sculptra can be used and Fat injections.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.