Can I Have Hyaluronic Acid and Sculptra at the Same Time?

Question

I won a free session of Sculptra at a plastic surgery seminar. The doctor said he would like to inject along my cheekbones. However its been 8 months since I've had Juvederm (around my mouth, chin, and lower cheeks), and my dermatologist is having a one day sale this week for a full syringe of Restylane for less than half price. Is it ok if I get both of these injections so close together since they wont be in the same area? I've heard that one can cause an infection in the other?

Melissa Chiang, MD, FAAD · Answer

I often combine sculptra and hyaluronic acid injection in the same session.  I like to use the hyaluronic acid filler first, since that result will stay for several months while you are awaiting for your body to respond to the sculptra.You should ask the plastic surgeon about the sculptra session.  Sculptra usually works best when it is injected over several treatment sessions.  You will want to know in advance if he recommends any additional sessions.

Ron Shelton, MD · Answer

Combination treatments are common. The same day Sculptra, Radiesse, Juvederm or REstylane can be injected in different areas. Sometimes layered in different planes. Infections are very rare but can occur possibly with secondary fillers that disturb biofilm on older fillers or if a currently used filler is placed through unclean skin. To reiterate the risk of infection is low.

Monika Soni, MD · Answer

Thank you for your question. Yes, you can have Sculptra and Restylane injected at the same time. Sculptra stimulates collagen growth and is used to replace volume loss in the cheeks, jawline and hollows in the temples. Restylane is used to add fullness to the lips and the corners of the mouth. It is possible to get infection but very unlikely. This can happen whether the treatments are done together or separately. I recommend discussing your concerns with your injector. Best of Luck!

Hardik Soni, MD · Answer

Thank you for your question. Yes, you can have Sculptra and Restylane injected at the same time. Sculptra stimulates collagen growth and is used to replace volume loss in the cheeks, jawline and hollows in the temples. Restylane is used to add fullness to the lips and the corners of the mouth. It is possible to get infection but very unlikely. This can happen whether the treatments are done together or separately. I recommend discussing your concerns with your injector. Best of Luck!

Jeffrey W. Hall, MD · Answer

It is perfectly fine to have both products injected at the same time. The Restylane will provide an instant result whereas the Sculptra will take longer for its full effects. If you or your doctor have concerns with injecting at the same time, ask if you can prepay for the Restylane to use at a later date.

Jo Herzog, MD · Answer

Go for it. Should be no problem especially if in different areas. Not heard any "infection " stories.I would prefer to do the Restylane first so that the injector of the Sculptra can work around it as the sculptra might not be visible when doing the other if sculptra done first.

Grant Stevens, MD · Answer

What a lucky person you are!  First winning free Sculptra and now 1/2 price Restylane....wow!

	There's no problem having Sculptra and other fillers like Radiesse or Hyaluronic Acids (Restylane, Perlane, Juvederm) done at the same time or in the same areas.  Many patients are interested in the long term results from Sculptra but aren't excited about the idea of waiting to see results for months without any fillers so it is quite common to do both...the short term improvement coming from HAs and Radiesse and the long term from Sculptra.  The best of both worlds really.  After the desired results from Sculptra are achieved, patients still would need to have an HA done for their lips or augmentation of the nose, where Sculptra can't be used.

	Stay lucky!

	Dr. Grant Stevens

Ben J. Tittle, MD · Answer

Injection of different kinds of facial fillers (Juvederm or Restylane) and collagen stimulator's (Sculptra) can be injected in the same treatment sitting with no problem. Using Juvederm can give immediate results and Sculptra will give results over time. There is no increased risk of infection with multiple fillers in the same visit.

Emily Altman, MD · Answer

There is no contraindication for injections of different fillers in different places.

	About infections, since the product is sterile, you need to make sure your face is free of makeup or cream and that the doctor injecting you cleans your face very well with alcohol.  That should minimize the risk of infection.

	Do not have injections done through any infected areas.

Richard Sadove, MD · Answer

Dear Neurotica in GA

	You need not worry that one can cause infection in the other.

Can I Have Hyaluronic Acid and Sculptra at the Same Time?

Answers (13)

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