What happens when you layer collagen building fillers?

Hello,As the panel members indicated, layering both Sculptra and Radiesse can add to a much longer, sustained benefit.  However, it's most likely that your injector did not use the Sculptra and the Radiesse in the same areas.  Given your young age, and without seeing you in person, it's difficult to comment on if the amount of product and placement was appropriate for you.  Because you mentioned that the collagen production is ongoing 19 months out, you are most likely visualizing the effects of Sculptra which is known to have a "beyond" two year duration and with more appreciable benefits over time.  Yes, having a longer sustained benefit with collagen modeling is a good thing...but only if you are liking the outcomes.

Yes, Sculptra & Radiesse are sgreat product for improving facial volume and collagen building, but for best results, I recommend using it in a combination depending on desired results. And it can take a series of treatments to increase longevity of results. I combine Sculptra with other fillers like Radiese, lasers, toxins and skin care to give immediate results. See an expert for a formal evaluation. Best, Dr. Emer

Hi there,Thank you for your question.  It's actually great to use more than one type of volumizing agent as long as the areas that are injected need the volume.  From your post, I understand that you are 19 months post injections and are still noticing changes.  Since your body is still producing collagen and both products injected were collagen inducing which were built upon each other, there is indeed a good possibility that your results will last longer. I hope this helps.All the best,Carlos Mata, MD, MBA, FACS

 Hi, I have performed many facial shaping procedures using dermal fillers, silastic facial implants (cheek, chin), liposuction and/or facelifts for over 30 years.  Non smiling photos of your face from the front and side would help in the evaluation.  There's nothing wrong with mixing and or layering various dermal fillers in the facial tissues.  Sculptra can last up to 2 years and longer while Radiesse typically disappears in 12 months.  In addition, some of what you are seeing could be due to a change in the fatty layer of the face.  There is no worry that somehow there's a "runaway" collagen building process that will keep on going.  Even the combination of Sculptra and Radiesse will eventually "all" disappear (most likely around 24 months after the injections).    Following my beauty principles, men look chiseled and handsome with angularity in the cheeks, chin and mandibular angles.  The following procedures can create a more ruggedly handsome face.
Cheek augmentation with cheek implants to add angularity to the cheeks and mid face.  This would be combined with liposuction to reduce excess facial fat to further define the cheek shape.
Chin augmentation, using a chin implant, to add projection to the chin creating harmony and balance to the lower face.  I have performed many Chin Augmentations using chin implants for over 30 years.  From the photos, your chin is weak.  A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face.   I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty.  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  In my opinion, you are a good candidate for chin implant surgery.
Augmentation of the mandibular angles using a dermal filler (jaw implants have too many unwanted side effects IMHO) to add volume, angularity and flare to the jaw line.
Hope this helps.