What is the Best Treatment for Fat Loss in the Face? (photo)

This is certainly a hot topic in plastic surgery. Fat transfers offer the most noticeable volume but have a longer recovery. There is risk of having diminished uptake but with an experienced surgeon it should be fairly predictable. Sculptra has become very popular over the last few years. The onset is very gradual and you never have that "way too done" look. You do however have to have at least two injections. In looking at the photo you submitted, I would usually recommend 2 bottles on 2 occasions about a month apart. The product takes 6 months to peak and usually lasts a few years.

You may be a good candidate for either Sculptra or fat grafting.  Both of these procedures are a good way to restore facial volume.  

As others have mentioned, the amount of Sculptra and the # of treatments may have been sub-therapeutic, thus explaining your lack of noticeable improvement.  When adequately treated, it does provide subtle but significant, and long-lasting volume correction.

Fat grafting is also a great long-term option, although it is "surgical" because fat must be harvested from your body (liposuction).  Fat grafting does tend to leave you more bruised and swollen, and for a longer time, than any of the dermal fillers.

All of the treatments you mentioned (Sculptra, Radiesse, fat transfer) would be options to replace volume in your face.  Normally, the main reason you would not achieve improvement with Sculptra would be that not enough product was used or that you did not have enough treatments.  The result with Sculptra should last two to four years, while the result with Radiesse would normally be gone by a year.  Fat transfer results can vary and because it is more of a surgical procedure, I would say there definitely is more swelling and bruising than you would see with either Radiesse or Sculptra treatments.  

Thank you for your question! A good alternative of Sculptra is Radiesse. It can make corrections like a filler and stimulate collagen growth like Sculptra. Most injectors use Radiesse as alternative of Sculptra to fill along the jawline, marionette lines, and cheeks. I recommend a consultation with an expert to determine the best treatment plan for you. Best of luck!