Best Long Term Filler - or Should I Try Ulthera?

Ulthera is a wonderful noninvasive option that lifts the face, without the need for added volume. Results endure for 2.5 years after a one-time treatment. In you, Ulthera can lift the cheek and fill the depression between the lower lid and cheek and smooth the nasolabial crease while improving the overall freshness of your look. Fillers like Sculptra will fill and lift the cheek, but will do this through adding volume and requires 3 sessions. Alternatively Restylane could be injected to the lower lid/cheek junction and Juvederm or Perlane to the nasolabial fold - results should last at least 9 months after single treatment session. Cost ranges are fairly comparable.

Hi Kaysa,

Your question and concerns are shared by many of our patients.  The most important aspect of your treatment is making sure that your treating physician shares your artistic vision; without artistic vision there can be technical success with aesthetic failure!   The best way to avoid "puffy/plumb look" or as it is frequently referred to "pillow face" or "HouseWives of ...... face" is to choose your treating physician most carefully.

 If cost were no object then the best long lasting treatment plan for you would be to have an Ulthera treatment of your face followed shortly by a series of Sculptra injections.  The Ulthera treatment will lift and tighten the muscles and soft tissues of your face.  Sculptra will re-inflate your face replacing lost volume.  The two treatments compliment each other to extent that some call it "Sculptherapy"!  Once corrected you should be good for 2 to 5 years.

If you are looking for a quick fix for an upcoming event then the use of a syringe or two of Radiesse injected strategically will help with your mid-cheek hollowing, nasolabial folds, and marionette folds.  Though less costly up front, it will not last as long as the sculptherapy option above, likely needing more in 12 to 18 months.  Juvederm may also be used, but Radiesse has a bit more lifting strength.

Good luck and be well.

Dr. Persky

Encino, CA