Sculptra at 33 to lift - will Sculptra cause a wide face or just the refreshed look I want? (Photos)

Question

I am starting to get a little bothered by my nasolabial fold and the general downward drift of my lower face and asked my injector about what can be done. She proposed Sculptra in the temples, inthe front of the ears and in the midface to create volume for balance and lift. Proposed schedule: Session 1: 2 vials - wait 6 weeks - Session 2: 2 vials - wait 6 weeks - Session 3: 1 vial My questions: - how high are the chances of overproducing collagen and getting a really full wide face? I like the definition in my face - will it achieve the lifted and refreshed look I want? Thanks!

Gerald Minniti, MD, FACS · Answer

You are being told incorrect information. No filler, be it hyaluronic acid gels, mineral based products like Radiesse, or resorbable crystal based products like Sculptra, can lift tissues. That myth got busted with sophisticated photographic studies years ago; a myth propagated by the companies that make these products and are parroted by unsophisticated (or unfortunately, less than reputable) practitioners. Knowing that, is there any benefits to fillers for you? The only area that would be worth doing is filling the temples. Nasolabial fold are not worth doing in most people, including you. Smiling forms deep folds in everyone, including young children. If you decide to fill your temples, Sculptra is not the product. It is too risky to put any filler or fat in the subcutaneous space of the temple; irregularities will result virtually 100 percent of the time. The proper location is deep to the facial layer covering the deep temporal fat pad. This requires a filler to have a high elastic modulus, a fancy term for its ability to push tissue out of the way. The one that does that best of all is Radiesse. The one that does that the least is Sculptra. Good luck!

Sculptra at 33 to lift - will Sculptra cause a wide face or just the refreshed look I want? (Photos)

Answers (1)

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