Is it okay to use Sculptra, Juvederm, and Radiesse together? (Photo)

This is such a thoughtful question, and it really shows that you’re approaching facial rejuvenation with the right mindset — being proactive but also cautious about overdoing it.

It is possible to safely use Sculptra, Juvederm, and Radiesse together, as they each serve a slightly different purpose in facial restoration:

Sculptra stimulates your own collagen production gradually, improving skin firmness and overall facial volume subtly over time.

Radiesse provides both an immediate lift and longer-term collagen stimulation, making it a good choice for structure and contour.

Juvederm is a hyaluronic acid filler that adds softness and targeted volume where fine-tuning is needed — for example, around the nasolabial folds or marionette lines.

That said, the key is strategic layering, not stacking. Since both Sculptra and Radiesse are biostimulatory fillers, they continue to build collagen for many months after injection — meaning results are often delayed and still evolving. Adding more too soon can make it harder to judge what’s truly needed.

In your case, since you’ve already had Sculptra and Juvederm this year and some Radiesse previously, I’d recommend waiting at least 6 months to reassess before deciding whether another Radiesse treatment is warranted. Overcorrection can sometimes create heaviness in the lower face, which is exactly what you’re hoping to avoid.

Your doctor’s advice to go slow is very sound. Sometimes, the best results come from patience and gradual refinement rather than multiple sessions close together. In the meantime, complementing your filler treatments with good skin care, light energy-based tightening (like ultrasound or radiofrequency), and collagen-supporting habits can really enhance your outcomes without additional volume.

You’re doing everything right — being thoughtful, patient, and mindful of balance. That’s exactly how natural, graceful results are achieved.

Your instincts to not overdo it are absolutely right, especially when combining biostimulatory fillers like Sculptra and Radiesse with hyaluronic acid (HA) fillers like Juvederm.

Wait 6+ months after your most recent Sculptra to evaluate your full collagen response.

Discuss with your doctor whether additional collagen stimulators are truly needed, or if a touch of HA filler (like Juvederm Volux/Voluma) could fine-tune results instead.

Consider skin-tightening devices (e.g., RF microneedling, ultrasound lifting) if mild laxity is what’s bothering you — sometimes those complement or outperform filler layering for lower-face definition.

Aloha and thanks for the photos. The early marionette lines you are concerned about may get worse with excessive filler volume. I have corrected patients with excessive fillers injected into these lines where the filler volume made the lines worse over time. Correction of this problem requires careful surgical balancing of the cheek structures. You are correct to seek alternative opinions and do further research.