Exilis RF caused facial fat atrophy. Will Sculptra be safe to use to create volume?

Sculptra is an excellent product to volumize the face. It generally lasts about two years and would be safe for you if properly injected.Fat grafting (transfer) to the face would be an even longer active method of increasing your facial volume. The fat grafts would require a liposuction  to attain enough fat for the procedure. I'm not a fan of radio-wave technology to the face unless one wants a reduction in volume. Most people lose too much facial volume with age anyway. This is the reason "fillers" are so popular.Thank you for your question. 

Sculptra is a great product for improving facial volume and collagen building, but for best results, I recommend using it in a combination depending on desired results. I combine Sculptra with other fillers, lasers, toxins and skin care to give immediate results. See an expert for a formal evaluation. Best, Dr. Emer

It is not surprising that Exilis caused fat atrophy. Surface RF devices have not way to determine how deep they go. That is why the Infini is my preferred choice for RF tightening because the depths are known. In any event, Sculptra will be a good choice to replace the volume lost by the fat. Other good options are Bellafill or fat grafting.