Sculptra/fat transfer/Voluma/Bellafill, or Renuva for deep pyriform fossa? (Photo)

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. To address the pyriform hollowness you're experiencing, Sculptra may be an excellent option for you. Unlike traditional fillers, which provide immediate volume, Sculptra works gradually to stimulate your body’s own collagen production. This can help restore volume in the hollows of your cheeks over time, resulting in a more natural and lasting enhancement. Since you’re dealing with a structural issue rather than sagging skin, Sculptra can effectively add volume in a way that complements your existing cheek implants. The treatment involves a series of injections that promote collagen formation, which helps to fill in hollows and improve overall skin texture. Many patients begin to see results within a few weeks, with optimal effects typically occurring after a few months as the collagen builds up. One of the advantages of Sculptra is its longevity; the results can last up to two years or more, making it a worthwhile investment for long-term improvement. Additionally, since it stimulates your natural collagen, the outcome can appear very natural, blending seamlessly with your facial structure. I hope this helps and best of luck!

Based on the one posted photo, my recommendations would be Endo lift, laser, face cheek lift with one stitch, facelift combination under local anesthesia plus micro crafting to the area in question by side of nose under ultrasound guided injections, less than one cc per side. Fee $10,000. Best virtual consult with.