How can I tell if Sculptra would be better for me than fillers like voluma, etc? (photo)

 I would recommend Juvederm's VOLUMA over Sculptra in your case. In fact 4 syringes would be best in my over the internet opinion.... 

Sculptra is an exquisite global volumizer and can be used in nearly all areas of the face (but not all). Likely, if you were to address the entire face, you would receive a combination of injectables to achieve the end results you are looking for.At your age, you are beginning to see the effects of not only collagen loss and fat loss, but also soft tissue and bony support loss. The facial contours reflect tissue volume and skeletal shape. The changes we all experience require a full face approach instead of a single filler placed "here and there".Sculptra does take longer to see the outcome and some patients opt for some temporary fillers to have more immediate improvements - while waiting for the collagen building from Sculptra. Some areas are only safely addressed with fillers and those placed very carefully to avoid lumps or problems with facial movement.Voluma is a very nice hyaluronic gel that can give you instant cheekbones, but like any filler, adequate amounts are needed to replace lost volume. The fact that Voluma has proven to last around 2 years is a big plus for many patients.To get the best and most natural looking results, it is likely your physician will use a combination of products - and then provide continued touchups later on as needed to maintain. With today's fillers and Sculptra, you can look very pretty and quite youthful for many years.You are doing the right things with maintaining your skin with light treatments, sunscreen and retinoids. That's a smart program to stay on.

Thank you for the photographs, and based on an initial assessment volume augmentation using either of these two products would be helpful. Both Sculptra and Voluma are excellent products that can last 2 or more years. You may also consider fat augmentation.One of the benefits of Voluma is the results are fairly immediate, whereas Sculptra will take months to see the final results and usually requires a series of treatments.  The slower progression with Sculptra is a potential benefit for those not wanting friends, family, or co-workers to notice that you are having anything done.For temple hollowing Voluma, in my experience, offers more robust filling than Sculptra which may be very beneficial in this circumstance. I hope this helps.