Fillers Don't Seem to Work to Volumize my Face?

You may want to consider Volume or Volift (juvederm products) that are thicker in consistency for better volume enhancement.

     No fat for fat grafting - how lucky.  I have never seen Radiesse disappear in three days.  Other fillers can be tried to assess response, like some of the HA derivatives.

For volumizing, my favorite method for cases such as yours is Sculptra,
that can, with two to as many as four treatments, provide a nice amount
of filling into the areas that lack volume.

Sorry to hear about the issue you are experiencing. Don't give up hope, there are other options available for adding volume to the face. One great option is Sculptra. It works very well to restore fullness to the face.  It is not a real filler, it is an injectable suture.  That being said, it is not as predictable as a filler. It causes irritation of the dermis and collagen formation. The collagen regeneration takes time, and it is not quick like a filler. Usually, multiple treatments are necessary to get the desired result.

 

Another option you may want to consider is a vampire facelift. For this procedure, we use PRP, or platelet rich plasma. We take some of your blood and spin it down into a centrifuge. We then get the plasma, which has the platelets in it. We remove and discard the red blood cells, and are left with a yellow serum that has all the growth factors. The serum has all the great factors of blood, plus the platelets, which stimulate everything to grow inside, such as the collagen, or angiogenesis. This makes new blood vessels and is great for your skin. You can then inject the PRP into the face, just underneath the skin. Over time, you can get around 10-15% more volume in your face, which can last a few years. It takes about 8 weeks to see. The procedure also gives you a better glow. It helps with your pores and your blemishes, and it gives you overall healthier looking skin.

While your cheeks are full from the PRP injection (cheeks will be full for four or five hours), we also take filler, and will put that in the cheeks and lower eyes. The filler is injected through the same little cannula (hole). The filler will remain for six or seven months. Overall, everything is performed in one procedure that typically only lasts an hour. I think you would be very happy with the result! Please feel free to ask me any specific questions and I would be happy to answer them for you.

Dear loneskate,


For volume without adequate fat supply, you should look into Sculptra

I love doing fat transfer injections, and usually avoid Sculptra because of the results I can get with fat

There is a small population of patients (those without adequate fat) that would benefit from Sculptra

Be patient because depending on how much volume you want, it could take multiple sessions


Best regards,

Nima Shemirani