Voluma or Sculptra for volume loss in 20's? (photos)
Doctor Answers 11
Sculptra and Other Fillers for Facial Sculpting
Volume Replacement in your 20's
I am so sorry about your story. Given the photo and age I would definitely recommend Sculptra for you. Sculptra gives fabulous results which are long lasting and have very natural results. The key is to go to an experienced physician for the best cosmetic results. Best, Dr. Green
Voluma or Sculptra for volume loss in 20's? = Voluma could be a winner! #fb #voluma #sculptra #drmesa
Voluma allows a more precise immediate correction of the facial volume loss as opposed to Sculptra. However, the cost of the Sculptra treatments could be more economical that volume to patients with a certain budget.
Voluma also has the advantage that is virtually 100% reversible with the injection of an enzyme ( hyaruronidase) while Sculptra is not reversible.
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Voluma or Sculptra for volume loss in 20's?
Thanks for your question.
Congratulations on making it through a tough situation.
Malnutrition in your situation seems to have removed some of the bone mineral around your eyes. What I see is orbital rim retrusion and enhancement of the lower eyelid fat pads.
Your cheeks look fine to me but you seem to sag in the lid-cheek junction.
Looking at this, I would recommend neither Voluma or Sculptra.
Instead I would recommend a soft filler like Restylane or Belotero to be carefully placed in your tear troughs to camouflage the retrusion in your lower orbit. This is usually a single injection and can last up to a year.
Another option would be expertly injected Radiesse right on the orbital rim to rebuild it over time. This may take several injections but would last much longer because it builds long-term collagen volume to augment the area of the lower orbital rim.
A more long-term solution is an orbital rim implant to "replace" the lost bone mineral.
Voluma is FDA approved for cheek augmentation and it's use elsewhere is off-label. Sculptra has it's own FDA approved usage but is used mainly off-label.
All injectables carry risk, so consult an expert injector.
Volume to the face
Thank you for sharing your photos and your story.
Congratulations on your newborn. Your pregnancy sounds like a difficult situation.
Making a decision of where to restore the volume in the face depends on where you notice the most deficit.
Is there an area where you notice the change the most?
I notice the area under the eyes. I would probably recommend filler for the tear trough.
For cheeks and temples, Voluma and even Radiesse can be great long lasting solutions.
You will also want to consider if you are likely to gain back some of the weight now and wait before injecting cheeks and temples in that case.
I recommend you have an in person exam with an experiences injector to determine what filler best meets your goals for the particular location in your face and how much you are willing to wait to see the results.
Hope this helps
#Voluma or Sculptra?
If you were consulting me with this question, I would want to spend much more time with you getting a more detailed history and examining you from different angles. For example, being a new mother in itself can make you look a little haggard, especially if you are not getting enough sleep (and what young mother does?). Are you at your normal weight now? How healthy is your diet?
What you describe must have been extraordinarily difficult, and I would want to know how you are coping with the situation now. Perhaps the changes are reversible, even without treatment. And, if they are not, I cannot tell from your pictures whether it might be better to just use a little Beletero under the eyes than to fill the cheeks or other areas.
Yours is a unique situation that deserves a comprehensive evaluation. I hope you can find someone in your area who will do this for you, but, at minimum, I suggest you ask the physician you consult whether some of the questions I raised are important to your decision.
All the best to you,
Great Results. I would suggest you discuss your concern regarding your prior treatment with a dermatologist that has experience with Voluma.
Voluma or Sculptra
Volume loss after pregnancy
Voluma vs. Sculptra
You may also consider Sculptra in the future as a preventive measure. The Sculptra acts as a fibroblast stimulator to produce new collagen. Your skin texture and quality improve. As a result, you will find the skin reflects light better and "glows".
Best of luck,
Suneel Chilukuri, M.D.