which is better and more economical for lines at corners of mouth and below?
Radeisse Vs. Sculptra for Marionette Lines
Doctor Answers 13
Both Radiesse and Sculptra can be used for marionette lines
Both Radiesse and Sculptra can be used for marionette lines. Ideally they are used all around the mouth, not just for the lines. Both of these products are best used to reshape rather than just to fill in the lines. And, it depends on the quality of the skin, the depth of the fold, and how much lift you’re trying to achieve to determine which product is best.
Marionette lines - use Radiesse
The ideal filler agent for various regions of the face very drastically. The best filler agent for the marionette lines would be a hyaluronic acid or Radiesse. Radiesse provides the longest results with the cheapest cost when averaged over time. Hyaluronic acids is another option. Examples of this category include Restylane and Juvederm. Sculptra is more of a large area filler agent used to target volume loss in the cheeks or temple region. it is far too expensive of an agent to use for simple marionette lines. Furthermore, it is used to target diffuse volume loss in larger areas of the face. It is not as efficient in small, targeted areas such as the melolabial folds or marionette lines.
Radiesse for Marionette Lines
As previously mentioned, Radiesse provides more initial capacity to fill lines and wrinkles and Sculptra is a delayed, collagen inducing volumizing agent. The technique with Scupltra has moved more toward deeper injections in order to compensate for loss of deeper facial fat that occurs over time. Radiesse is typically injected more superficially in the sub-dermis. Both agents can be beneficial in this area, but the results are much slower and gradual with Scupltra.
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Lines near the mouth
If you're describing the marionette lines, I find that Radiesse, Restylane or Juvederm are more practical than Sculptra as the former can be placed directly in the intended area and Sculptra is more of a seed that stimulates your body's production of collagen. It is great when the area for volumization is more broad than a fine line.
Both can give excellent results
If you are looking for immediate results, Radiesse or any of the hyaluronic acid fillers such as Perlane or Juvederm work great in this area. The results last 4-18 months depending on the filler and how fast your body breaks down the filler.
Sculptra is also a great choice but it takes several treatments to achieve the final result (usually 3-4) spaced 4-8 weeks apart. The end result can last 2 years or more.
Radiesse and hyaluronic acids work best for marionette lines
Sculptra is a wonderful filler for full face revolumization, including the marionette lines. However, when targeting just the marionette lines, a filler such as Radiesse, Restylane, or Juvederm will be your best choice. You will see the results immediately, and have 6 months to greater than 1 year duration, depending on the product.
Radiesse has the longest duration for this area. If you've never had a filler though, I might recommend a hyaluronic acid such as Juvederm first. Radiesse is a bit stiffer than Juvederm, and I sometimes will reserve this filler for experienced filler patients.
Juvederm or Restylane best for marionette lines.
1) For fillers in New York City, we use Restylane or Juvederm. I like Juvederm best. It produces a smooth result and it lasts nine moths.
2) I don't think either Radiesse or Sculptra are best for superficial lines. More risk of lumpiness.
Correction of Marionette / Puppet / Drool lines
Neither Sculptra nor Radiesse are the fillers of choice for correction marionette lines. Sculptra is best used to fill wider fields of deficits (hollowing of the cheeks etc) while Radiesse is best used for placement deep under lines which do not involve the lips. Perlane placed deeply IS the ideal filler for this area with either Juvederm or Restylane placed superficially greatly smoothing the folds.
Radiesse is the preferred treatment for marionette lines
Radiesse gives immediate results and is more economical than Sculptra. While Sculptra might last 6 months longer than Radiesse (18-24 months vs. 12-18 months) it needs several treatments before you see results, which can take months.
Radiesse in this area
Radiesse is stiffer and gives the support this area needs. In addition, the effect is immediate. Sculptra, while wonderful, is not my choice here. Be sure the Radiesse is NOT injected into the lips. Nodules are common if lips are injected. Of course, a board certified dermatologist or plastic surgeon will know this information.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.