With Sculptra not building collagen should I try Radiesse? (Photos)

Both Sculptra and Radiesse are biostimulants which stimulate your body to create collagen. If you did not have a good result with one you can definitely try the other. Radiesse may be a good option for you if your area of concern is one specific area, such as your cheeks. As a clarification, Sculptra comes in vials that have to be reconstituted with sterile water (and possibly lidocaine, depending on the provider). One full session of Sculptra usually consists of two vials, which produces 12-14 syringes of injectable Sculptra. Wasn't sure if you had 12 syringes or 12 vials. Either way, I would recommend non-diluted Radiesse to give you the results it seems you are seeking.

this issue is that you do not have a full treatment plan, you need a face/neck lift, lasers, and plasma pen to your eyes. for volume, you can use fat, bellafill or radiesse for a more volumizing result. fillers alone will not improve your over all look dramatically and if they are overused you will look worse. you need more tightening, resurfacing, and volume combined.

at home peels like cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly, see link) should be started now to prevent further aging.

For facial rejuvenation, I would suggest a combination approach of
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant or moxi regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8/pixel8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.

I stopped using Sculptra quite a few years ago. I found it too expensive, did not give any immediate results and typically required three treatment sessions to achieve any results. I used Radiesse for many years and stopped a few years back, since the main advantage of this product was longer-lasting results of about two years duration. The main drawback was that if the result was not acceptable or there was an adverse reaction, there was no good product to dissolve the Radiesse. Then robust HA volumizing fillers, such as Voluma XC, came along that offered immediate results, long-lasting (1.5-2 year durations) and the ability to be dissolved if necessary with hyaluronidase. So, from what I said, it is clear that Voluma is a very viable option--if you are looking for results that can be seen in the mirror immediately following treatment and that are relatively long-lasting, but reversible. Make sure that you are consulting with an experienced, board certified cosmetic dermatologist injector and be sure to ask to see his/her personal befores and afters before agreeing to proceed Best of luck

Thank you for your question. Radiesse and Voluma are both fillers but the only difference is what they are comprised of. Voluma is a hyaluronic acid based filler which means it can be reversed however Radiesse cannot be reversed. Neither of these fillers will cause collagen production or growth. I would suggest going forward with the Voluma first to see how you like it and last case resort I would try Radiesse. Hope this helps!

Radiesse is what I like to call "oldie but goodie". It is terrific for volumizing and giving structure to the cheeks, temples, jowls and mandible. I also use it for collagen production even in places like the neck, knees and hands where I use a diluted quantity just for collagen and elastin stimulation.
Best from Boston, Dr. Onir

I have been working with Sculptra since 1997 and find it somewhat unusual that you did not have any results from the treatments, especially when such a large amount of the product was used. The only reason I may think this is possible, is if you are taking high doses of corticosteroids or similar. This is of course besides the fact that maybe the product was being used inappropriately. Radiesse is not going to create any more collagen by any means. If you want more volume in your Face, I would recommend resorting to fat grafting. Using your own fat in conjunction with stem cells will create the results you’re looking for in the most natural and permanent manner as long as the plastic surgeon doing this procedure is well versed with fat grafting techniques. I hope this helps and good luck from New York City plastic surgery.

Hi there,

That is extremely disappointing 12 vials should have made a huge difference for you.
Try either the Voluma or Radiesse they are both great cheek fillers.
Best of luck!