33 - Do I need Sculptra or filler in cheeks? (Photos)

Thank you for sharing your photos and questions!

At 33, with your naturally narrow facial structure and mild nasolabial creases, you're at a great stage to consider subtle, preventative aesthetic enhancements, if desired and budget permits.

Cheek and Temple Volume:
You likely don't need Sculptra or filler, but a small amount of hyaluronic acid-based filler in the cheeks could help lift and soften your nasolabial folds without making your face appear overly full. Sculptra is ideal for building collagen over time, but it requires more sessions and has a delayed effect, so if you're on a budget and want more immediate results, traditional filler may be the better option.

Temples:
Volume loss in the temples is subtle but can contribute to a tired look. Filler here is optional and often considered later, so it can likely wait unless it’s a key concern for you.

Lips:
A 0.5 cc filler dose would be a great, conservative enhancement for lip definition and hydration, especially if you're looking to maintain a natural look.

Recommendation:
If you're budget-conscious and want the most visible but natural result, I suggest starting with a small amount of filler in the mid-cheek area and lips. This approach offers a refreshed appearance and can be built upon over time.

I don’t think you should do anything except maybe the lip filler. As you get a bit older, you may want to consider fat grafting to the face as it will restore some of the volume, which you’ve never probably had but will create more balanced proportions. I hope the Cell are good luck from Leonard Grossman, M. D. organic Plastic Surgery NYC.