Does Sculptra work for those over 65 and some obvious collagen loss? Also, is Sculptra with PRF recommended?

Question

My face is long and thin, and have sagging in the jowl area. I also have laxity (crepiness) in the skin on my arms. I wonder about the potential for collagen stimulation/production given these factors. I am looking for procedures/products to provide fullness and lift for my cheeks and jowls, but not interested in surgery. I have tried Ulterapy with not great results.

Jason Emer, MD · Answer

with sagging you need more than sculptra -- surgery, thermage/ultherapy, threads, morpheus treatments regularly. sculptra can help volume but you may also need fat or fillers. start at home MTS rollers + anteageMD ampules as well (see link).
 
As we age the skin sags there is  nothing  you can do that but try preventative  energy-based or thread-based  treatments or get a neck/facelift earlier in the aging process.  There are numerous options and some can be used in combination to get best outcomes but you need a consultation with an expert.
 
Options include for skin tightening :
1. thermage radiofrequency to heat skin and tighten it over time and prevent the aging process
2. ultherapy highintensity ultrasound to contract muscle and tighten the face and neck and prevent the aging process
3. PDO nova threads or instalift threads for immediate lifting without surgery and long term collagen production
4. sculptra injections for collagen production to areas of the face and neck with crepe skin or early sagging
5. btl exilis ultra, venus legacy, thermi250 , or inmode forma/contoura  for constant collagen stimulation monthly with facials
6. facelift/necklift with fat grafting/fillers if you need a big improvement
7. ThermiRF or J plasma /Renuvion or Inmode FaceTite   internal heating and tightening to long term internal heating and tighting with or without surgery
8. Platysmaplasty to tighten the muscles of the neck long term and create contour
9. Facial implants or fillers to contour the jawline and chin to improve the apperance of the nec k
10. Fractora/Morphenus8 or Intensif microneedling RF for improve superficial tightening, neck and chest wrinkling and crepe skin 
You need to see an expert in facial sculpting and age prevention.  Best, Dr. Emer.

Dean P. Kane, MD, FACS · Answer

Dear lisargee, 
Yes, Sculptra stimulates the production of structural proteins of the skin and underlying fibrous tissues. That grow also adds mild volume and contraction appearing a more filling injectable. Both of these attributes are helpful for collagen loss and laxity or crepiness. Those patients with thicker skin have greater collagen density to begin with and therefore respond better to Sculptra than thinner skin patients or thinner skin areas such as the upper inner arms and thighs. I like Sculptra collagen stimulation before using Laser or Radio-Frequency skin tightening. I find ultherapy useless as the heat required will injure the outer skin before contracting the dermis or the patient complains of pain and does not fulfill the treatment. Thermi or Body Tight are better options.

You may need skin reduction to achieve the foundation required for these minimally and non-invasive procedures to work best.

I hope this is helpful. All the best!

Anshul Gambhir, MD · Answer

Thank you for your question! Sculptra is a great option to build collagen and help lift/tighten the skin for the lower face. I know you have tried Ultherapy already but the combination of Thermage and Sculptra together can help supercharge your results in terms of collagen. Sometimes additional treatments of sculptra after are required. Thermage is radiofrequency based heat that helps stimulate collagen growth. When paired with Sculptra the results are incredible. If you are looking to do just Sculptra alone, then 6-8 months visits of getting a 1/2 vial of Sculptra would be recommended then you can do 2 treatments per year after that. I hope this helps!

Does Sculptra work for those over 65 and some obvious collagen loss? Also, is Sculptra with PRF recommended?

Answers (3)

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