Sculptra or Silhouette Instalift for my jowls/lower face? (Photo)

Thank you for your question. As we age, everything on the face tends to move downwards, which can lead to the hollowing under the eyes and jowl formation. These issues can often be resolved quickly using injectable dermal filler along the cheekbones and in other areas of the face. The procedure takes just a few minutes and is relatively comfortable. Results can be seen immediately and may last 6-18 months, depending on the filler used and how quickly your body absorbs the filler. Make sure you work with an experienced, board-certified injector who has the expertise to produce a natural result for you.

Threads don't really last as long as promised, is minimally invasive and engenders downtime following the procedure. And Sculptra is relatively expensive, does not give any instant benefit, and requires about three treatment sessions. On the other hand, in experienced hands, volumizing fillers, such as Voluma XC and lifting fillers, such as Restylane Lyft, have an excellent track record for contouring and shaping the face and jawline, defining the jawline, enhancing chin projection, etc. And the results are immediate, typically engender an immediate "Wow!" reaction. Moreover, these more robust fillers deliver results that are about as long-lasting as those from Sculptra. Make sure that you consult with a board certified aesthetic physician and be certain to ask to see his/her personal before and after photos before agreeing to proceed. Best of luck.

Most people will need both volume and lift as we get older. I like to start with volume first if cost is a factor. Sculptra is a option to volumize but it takes multiple visits and may not be cost effective. HA are more predicative less down time and can last up to 2 years. 2 syringes on each cheeks.

Dear vsvalentinase,

Thanks for sharing your photo! I do see your concerns but a single photo is inadequate to make a proper recommendation.

Regarding Sculptra and Silhouette, they are both made with PLLA which acts “locally” at the injected site. This means they stimulate the normal healing system to make more structural molecules like collagen, elastin and others to firm-up the tissues for a year or more.
Remember, that all the other tissues go on aging just the same so a more comprehensive approach to anti-aging should be considered.

I provide a full face injectable approach to Sculptra for firming of the skin and the underlying connective fibers; a “shrink-wrap” effect to the face. This will not adequately “fill” or add the volume under your eyes and cheeks nor lift tissues like your cheeks and jowls.

Silhouette InstaLift are sutures inserted under the skin with a series of “anchors” to catch the reticular connective fibers and suspend them. They may last 12 months or more but the amount of collagen stimulation is limited to minimally encircling the thread, thereby holding them in place.

Please consult with a Board Certified Plastic Surgeon skilled in non-invasive, these and other minimally invasive and surgical technique to see what is best for you.

I wish you the very best!