If Sculptra didn't work on me, do you think Voluma will?

Sculptra works by evoking your body's natural ability to make collagen. Personally, I have found the response to Sculptra to be quite variable from one patient to the next. This is not surprising since Sculptra depends on the patient 's metabolic machinery to produce a result (collagen).  While some patients respond quickly and favorably to Sculptra, others require a greater amount of product over a longer period of time. In contrast, Voluma is a filling agent that acts to occupy space, thereby expanding and stretching the overlying skin. Voluma does not depend on the patient's ability to make collagen and the results are immediate and consistent from one patient to the next. Since you appear to be a slow or poor responder to Sculptra, I would strongly recommend you try Voluma. Best of luck.

Thank you for your question. Sculptra is a collagen stimulator that can last up to 2 years. The recommendation is one vial per decade of life, for example, if you're 40, then you will need 4 vials. That's 2 vials every 4 weeks until you reach the recommended treatment. Voluma is FDA approved for cheek fat loss. If the area of concern is only cheeks, then Voluma is great. If it's full face volume loss, then I would recommend Sculptra. I hope this helps!

Voluma can directly increase volume and projection in the mid cheek and we have seen amazing results with the product.  Sculptra is also very useful, but is a stimulatory filler. Best, Dr. Karamanoukian 

If you are referring to cheek augmentation, I would recommend Voluma in your situation for 2 reasons:(1) Both fillers have different mechanisms of action. Sculptra stimulates further collagen growth which can take time, and has variable effects based on everyone's own unique metabolism. Voluma, on the other hand, occupies the deep space it is injected to and provides an immediate lift. The result "on the table" is very similar to the long-term result you will experience, which may last up to 2 years.(2) Voluma is the only FDA-approved filler for cheek augmentation.  Make sure your surgeon or dermatologist has significant experience with Voluma. As Voluma is a new filler manufactured by Allergan, most injectors' experiences are limited. I would seek out a plastic surgeon in your area who has extensive experience with injecting cheek fillers and typically performs many facial surgeries, as he/she is thus more likely to be familiar with the anatomy in that area, which can be variable even from one side of the face to the other. I would also ask for a plastic surgeon who took the Allergan Expert Hands-on training course specific for Voluma injection.

Voluma and Sculptra are excellent long term filler options for facial volume augmentation.  The difference between the two fillers is their mechanism of action.  Sculptra works via a tissue reaction and the results of added facial volume are seen weeks after the treatment.  Voluma is a hyaluronic acid filler gel which functions to provide immediate volume in the area injected.  Since the effect of Voluma are immediate, and via a different mechanism of action, I feel it would be a good option to try.  Facial Fat Transfer is also an excellent option for facial volume augmentation which can provide more profound results.  Good Luck.