I Had Injections of Sculptra and Radiesse Done for the Jowls and They Are Still There? (photo)

If your primary concern is jowls, Sculptra and Radiesse are not going to be very effective .  Sculpting of the lower face and neck is best achieved with a Facelift.  There is no effective nonsurgical option.

I would highly recommend that you see a board certified facial plastic surgeon for an evaluation and to discuss your treatment options.  

In general, Sculptra stimulates the production on new collagen.  It may help camouflage the jowls. But to effectively eliminate the appearance of jowls, a midfacelift, facelift, or liposuction are good options.  I would recommend an in-person consultation with a facial plastic surgeon, as he/she will be able to assess your needs and discuss the best treatments that will produce the most effective result for you. Thanks and good luck!

Slight jowls can be camouflaged by injecting a filler such as Radiesse.just in front of the jowl, to blunt the visibility of the angle. This is fast, fairly cheap, and lasts up to a year.

Radiofrequency devices do exist that can produce a small amount of skin tightening there.

Bigger jowls generally need a bigger solution.- generally a lift. 

Injections of Sculptra & Radiesse are helpful if someone needs volume or lift. Alternatives to facial injections, if you have good volume, are facelift surgery, neck surgery & Ultherapy. Ultherapy, if you have good volume, is a noninvasive, minimally downtime procedure which allows for tightening and may help with jowls. The important thing to remember when treating jowls with Sculptra and Radiesse is to do it in such a way that it creates lifting and does not make the jowls worse. But Sculptra and Radiesse are not the same thing as a facelift.

Although a facelift or mini-facelift is your most effective option, Exilis radio-frequency is a safe and effective non-surgical skin tightening alternative that we use for those patients desiring a non-surgical alternative to a facelift.  Initially, Exilis requires 4 - 6 treatments followed by periodic maintenance treatments.

Sorry for you. Was the person who treated you qualified to do facelifts or only injections? You know how the world can look like a nail when you have a hammer.

Personally, I have never injected a jowl. Similarly, I dont inject big noses to supposedly make them look better.

The best thing you can do is find an experienced plastic surgeon who can correct your jowls in a minifacelift procedure.

Good luck

The questions and concerns you have are quite common.  For some people, minor folds around the mouth (JOWLS) can be treated or softened with Sculptra or some fillers.  These treatments, though effective, are not a surgical answer and therefore do not always have dramatic or lasting results.

A modern surgical facelift improves both skin laxity and volume loss. Both of these issues contribute to jowls. Sugery helps tighten the skin and additional treatments utilized to improve volume. These treatments can include Sculptra, filler and even fat grafting.

Injections should never be considered a waste of money when they are injected as part of a multistep facial rejuvenation treatment.

I hope this is helpful.

Read each of the previous expert posters responses, especially Dr Aldea's. I'm going to be more direct. You were either sold on the fillers for excess skin and full jowls, sub mental areas or you decided that a filler would best alleviate your issues. Wrong either way. You need a face/neck lift of some type, period. 

Jowling is produced by age-related facial sagging. This can be corrected by a Facelift directed at lifting the jowls or masked by placing fillers in the notches between the jowls and the chin. One procedure is not really a substitute for another.

As far as the "wasting money" part, this issue comes up all the time in our lives; Do you buy or do you rent? Do you want ANYTHING done to improve your appearance and if so, do you have a lesser, cheaper but repeatable procedure OR do you have the definitive operation, one which is more expensive, has more down time but which is the definitive procedure?  This is a personal decision each woman must make for herself.

The choice of fillers will determine the duration of the filling effect. Hyaluronic fillers (Restylane, Juvederm, Perlane) last 8-12 months or so while Radiesse lasts well over a year. While hyaluronic acid fillers can be reversed-dissolved with hyaluronidase, an enzyme, while Radiesse or Sculptra cannot be reversed and you will have to wait until they dissolve by themselves.

Peter A Aldea, MD
Memphis, TN