I'd like to get Sculptra plus Cellfina for cellulite and volume. Should I get the Sculptra or Cellfina first?

I have unfortunately had many patients come to me after having their high hopes for buttock augmentation crushed by measly Sculptra results or other "fillers" such as Renuva and Juvederm, etc. Other than the fact that these are not FDA approved for buttock injections, here are some critical points of awareness: 1) they all are temporary, lasting 1.5 - 2 years at very most, 2) if done correctly dermal fillers like Sculptra ir Renuva are cost prohibitive for 99% of potential buttock augmentation patients. In order to create a significant/noticeable result with a dermal filler, at least 200 mls of product must be injected into each buttock cheek for a total of 400 mls. At $1000 per ml, this equates to a minimum price of $400,000.00. Thus if your doctor is recommending to put in ONLY 20 or 40 mls of these fillers you will pay $20,000-$40,000 and get an insignificant miniscule result! (eg. like a “drop in the ocean” effect), 3) Do not let anybody tell you that the product is so special that it's going to magically grow over the following months or years...this just doesnt happen to any noticeable degree!, 4) dermal fillers, when injected in large quantities, have a relatively high infection rate, guaranteed tendency to migrate away from the original area they were injected into, and almost always stimulate a lot of inflammation with a subsequent and disastrous amount of scar tissue/hardening, and 5) the one very serious complication that can rarely (< 1%) happen is "embolism" in which some of the filler gets into the blood stream and travels up into the lungs, heart, and/or brain causing serious problems, including death.Hope I at least saved you some money and maybe even your life.

Thank you for your question. We often perform Sculptra in conjunction with Cellfina at the time of treating cellulite. This helps to stimulate collagen and firm the tissue in areas of dimples and laxity. This often needs to be repeated up to a total of 3 treatments. If you are looking for an increase in volume, I usually recommend combining diluted Sculptra or Bellafill with a series of Emsculpt treatments. The Sculptra or Bellafill serve as collagen stimulants which increases volume. It can be rather cost prohibitive if you are looking for a dramatic increase in size. The Emsculpt causes the gluteal muscles to hypertrophy or increase in size through a series of 4 treatments over 2 weeks. The HIFEM technology of Emsculpt results in 20,000 supra-maximal contractions in a 30 minutes session. This is a muscle workout you would never be able to perform on your own.I hope this was helpful - Dr. Moore.