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.