Do you think my volume loss in the midface can be addressed by Sculptra + HA filler? (Photo)

Question

I've recently had major volume loss my midface as I've reached my late 20s, which has lead to me feel quite insecure about myself since I used to be a nice looking lad in my early 20s. I'm just wondering if several Sculptra sessions followed by Radiesse or Voluma can atleast reduce the imbalance between my lower and midface or do I need a facial fat transfer to the cheeks to address the issue? And if I do need a facial fat transfer, does leading an active lifestyle hamper results?

Nelson Lee Novick, MD · Answer

From the photos provided, there still appears to be a very nice looking young lad now in his late twenties. However, should you need revolumization, I would suggest the use of robust HA fillers rather than fat injections, Sculptra or Radiesse. HA fillers have the distinct and notable advantage of being able to relatively easily dissolved hyaluronidase if ever or whenever the need arises  The problem with fat is that, despite the claims to the contrary, the results are not permanent. Fat at the recipient site, separated from its original blood supply at the donor site, often does not survive, so that the actual results may not last much longer than those obtained with robust HA fillers. What's more, fat retains the characteristics of the region from which it was taken--meaning that when the belly or buttocks fat with aging develops a midriff bulge, the fat transplanted into the face can do so, as well. I stopped performing fat injections many years ago for these reasons. Sculptra, which I stopped injecting almost a decade ago, is expensive and typically requires about three treatment sessions to see the results. And, there is no enzyme to dissolve it if something goes wrong or the results are not pleasing. Radiesse  usually requires  one treatment session, but, it, too, cannot be easily dissolved should the need arise. Hence, I stopped using this product about a half dozen years ago, especially since robust HA fillers these days produce almost equally long-lasting results and can be easily dissolved. Make sure to consult with a board certified cosmetic dermatologist and hope this helps.

Ali Vafa, MD, MPH · Answer

Yes, you would be a great candidate for Sculptra. What you are describing is facial lipo-atrophy and it is a very common request among my patients. Recently we are seeing a lot of facial lipo-atrophy, due to the new weight loss trends. Sculptra is not just for anti-aging, it's great for creating natural looking volume in areas that need to be restored and rebalanced. In most cases additional dermal fillers are not necessary- I usually save fillers as needed for small detailing work for areas that Sculptra is usually not applied (such as directly under the eyes)- but for most patients Sculptra alone will be enough. Leading a healthy lifestyle is always a good idea. It will not hamper the results of your Sculptra treatment.

Laurie A. Casas, MD, FACS · Answer

Yes, volume loss in the face can be effectively addressed using both Sculptra and hyaluronic acid dermal fillers, often in combination.. Each of these treatments has unique characteristics and benefits:
Sculptra (Poly-L-Lactic Acid): is a collagen-stimulating filler that works gradually over time to stimulate the body's natural collagen production. It is often used to address age-related volume loss in the mid-face. Sculptra's effects are not immediate; instead, they develop gradually over several weeks to months, and the results can last up to two years or more. It provides subtle, natural-looking enhancement by restoring lost volume and improving skin texture and elasticity.

Hyaluronic Acid Dermal Fillers such as RHA and Restylane, are versatile and offer immediate results. They can be used to address various concerns, including volume loss in different areas of the face, such as the cheeks, nasolabial folds, and marionette lines. HA fillers provide immediate volume and hydration and can be used to create more pronounced and targeted results.

Combining Sculptra and HA fillers can provide comprehensive facial rejuvenation. Sculptra can be used to address overall volume loss and improve skin quality, while HA fillers can be used for precise contouring and to target specific areas of concern. The specific treatment plan will depend on your unique facial anatomy.

Anna Chacon, MD, FAAD · Answer

Yes, your midface volume loss can potentially be addressed by Sculptra and Hyaluronic Acid (HA) fillers like Radiesse or Voluma.Sculptra is a poly-L-lactic acid filler that stimulates your body's collagen production over time, leading to gradual volume enhancement. This can be particularly effective in addressing volume loss in larger areas such as the cheeks.Hyaluronic Acid (HA) fillers like Radiesse or Voluma can provide immediate volume and contour to specific areas of the face.As for facial fat transfer, it is another option to consider. It involves taking fat from another part of your body and injecting it into your face. This procedure can provide natural-looking results and can be a good option if you have sufficient fat elsewhere in your body.
All these options have their pros and cons, and what works best will depend on individual circumstances.Please note that while these treatments can help to restore facial volume, they may not completely reverse the signs of aging. Healthy lifestyle habits, including good skin care, sun protection, and balanced nutrition, are also important for maintaining your skin's health and appearance.

Do you think my volume loss in the midface can be addressed by Sculptra + HA filler? (Photo)

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Answer: Sculptra + HA Filler in Midface

Answer: Sculptra + HA Filler in Midface

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Do you think my volume loss in the midface can be addressed by Sculptra + HA filler? (Photo)

Answers (4)

Answer: Sculptra + HA Filler in Midface

Answer: Sculptra + HA Filler in Midface

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Everything you need to know about Sculptra

Our mission is to create a world where every investment in modern beauty is Worth It.