Which is Better for Firming and Tightening? Sculptra or Laser or Both?

From everything that I hear about scupltra it seems amazing - does it really do what it claims and is it better than facial lasers or RF?

Doctor Answers 3

Combination therapy is always preferred (laser + filler)

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Sculptra is an anti-aging facial injection treatment that can give you subtle results over time by replacing lost collagen. Lasers use light composed of many frequencies to penetrate into the skin, non-invasively, to deliver youthful results by stimulating your natural collagen production. Combination therapy is always preferred (laser + filler, ie Sculptra). Both will help give the appearance of tighter skin for areas that are loose and sagging. I recommend scheduling a consultation with a board-certified dermatologist, make sure that the doctor's office is accredited and licensed, ask the doctor about residency training in and experience with Sculptra and Lasers, and ask to see some before and after photos of patients whose skin and wrinkles are similar to yours. 

Santa Ana Dermatologist

Sculptra & Laser Work Differently

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Sculptra works by replacing lost volume and facial lasers typically tighten loose skin.  These are two different problems.  You may have either or both.  Obtain a consultation with a BC plastic surgeon with whom you can discuss your concerns and your different options.

John Whitt, MD (retired)
Louisville Plastic Surgeon

Sculptra & Ulthera are a great combination

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There are different actions for these two treatment options:


1. Ulthera has been referred to as a non surgical face lift. The device is the only one that is FDA approved to "lift" skin. The treatment is focused sound waves that cause thermal coagulation of very precise areas. It is the only device that can target the superficial musculoaponeurotic system (SMAS), the deep facial layers that the plastic surgeons undermine and tighten during a face lift. Ultherapy is wonderful for lifting and toning the forehead (brow lift), cheeks and neck. It is a dual plane treatment and will cause significant thickening of the dermal layer of skin. It does not, however, produce dramatic volume of the face.  I believe Ulthera is much better than RF for the face and RF can not treat the SMAS.


2. Sculptra is a means to replace volume. Part of the aging process is loss of facial fat, thinning of bone, such as the jaw and zygomatic arch and broadening of the orbit, resulting in sagging (jowls and wattles). Sculptra is a long-term treatment, lasting for years. Injecting this filler into the temples, cheeks and many other facial areas, can replace volume, resulting in a much more youthful appearance.


Curt Samlaska, MD
Las Vegas Dermatologist

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.