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